A qualitative evaluation of a stress management programme for HIV and AIDS home-based care workers in Tshwane, South Africa.
Authors: Kupa PM, Geyer LS Abstract The HIV and AIDS pandemic resulted in increased demands on the South African healthcare system and contributed to elevated stress levels among healthcare workers, including home-based care workers. The goal of the study was to evaluate a stress management programme for HIV and AIDS home-based care workers in Tshwane, South Africa. Social constructionism was adopted as the theoretical framework of the study. The study implemented intervention research and adopted a qualitative research approach, specifically the instrumental case study. Non-probability sampling, specifically volun...
Source: Sahara J - September 16, 2020 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Investigating client satisfaction with antiretroviral treatment services in South-South Nigeria.
This study was a qualitative study carried out in four antiretroviral treatment (ART) facilities in Rivers State, Nigeria. Researchers conducted nine Key Informant Interviews (KIIs), 25 In-depth interviews (IDIs) and eight Focus Group Discussion (FGDs) among 73 Persons Living with HIVs (PLHIVS) consisting of 31 males and 42 females, using a topic guide. Interviews were recorded, transcribed and analysed using thematic content analysis. Majority of study participants interviewed reported being very satisfied with confidentiality, health worker attitude, interpersonal communication, counselling, and availability of drugs. Th...
Source: Sahara J - July 6, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Risky sexual behaviours among young people in sub-Saharan Africa: how can parents use the Ottawa Charter for Health Promotion for change?
Authors: Tarkang E, Pencille L, Amu H, Komesour J, Lutala P Abstract Despite progress made in the treatment of HIV and AIDS by making available the antiretroviral treatment in Africa, youth are still struggling with inadequate knowledge, a negative attitude towards AIDS and high-risk sexual behaviour. All of these are compounded by a lack of open communication between parents and youths which among others, which impedes on the control of the pandemic in this vulnerable group. Building on 'Ottawa Charter for Health Promotion' as one way of breaking all barriers in this communication, we suggest keys points in five d...
Source: Sahara J - July 6, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

A weighted bootstrap approach to logistic regression modelling in identifying risk behaviours associated with sexual activity.
This study further investigated the impact of introducing sample weighting, bootstrap sampling as well as variable selection methods into the logistic regression modelling procedure. It is shown that incorporating these techniques into the modelling procedure produces logistic regression models that are more accurate and have an increased predictive capability. The bootstrapping procedure is shown to produce logistic regression models that are more accurate than those produced without a bootstrap procedure. A comparison between 200, 500 and 1000 bootstrap samples is also incorporated into the modelling procedure with the m...
Source: Sahara J - July 3, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Youth living with HIV/AIDS in secondary schools: perspectives of peer educators and patron teachers in Western Uganda on stressors and supports.
In this study, we explore perspectives of Peer Educators (PEs) in secondary schools of one district in Western Uganda on how YLWHA are perceived in school, on their daily stressors and their way of coping with their HIV-positive serostatus given the support of the schools. We conducted eight focus groups with a total of 59 students who were members of Peer Educators Clubs (PECs) as well as 8 in-depth interviews with patron teachers of PECs in eight secondary schools of Kabarole district, selected through a stratified random sampling method. Focus groups and interviews were tape-recorded, transcribed and analysed thematical...
Source: Sahara J - June 12, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Zimbabwean secondary school Guidance and Counseling teachers teaching sexuality education in the HIV and AIDS education curriculum.
Authors: Gudyanga E, de Lange N, Khau M Abstract In spite of the importance of sexuality education and HIV and AIDS education in preventing HIV infections, Zimbabwean secondary school Guidance and Counseling teachers are not engaging optimally with the current Guidance and Counseling, HIV and AIDS & Life Skills education curriculum, and hence, they are not serving the needs of the learners in the context of the HIV and AIDS pandemic. The aim of the study, therefore, was to explore how Guidance and Counseling teachers could be enabled to teach the necessary critical content in sexuality education in the HIV and ...
Source: Sahara J - May 1, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Fighting against HIV and AIDS within a resource constrained rural setting: a case study of the Ruvheneko Programme in Chirumhanzu, Zimbabwe.
Authors: Dzimiri CT, Dzimiri P, Batisai K Abstract Since reports of the first incidence of the HIV virus in Zimbabwe in 1985, the epidemic has negatively impacted on every facet of human security. Rural areas, by virtue of being the periphery and constrained in terms of resources and health care provision, bear the brunt of the epidemic. In light of the above background, this paper examined how the establishment of Ruvheneko Programme by the people of Chirumhanzu helped in mitigating on the impact of HIV and AIDS in the rural sphere. The paper analyses how the community of Chirumhanzu successfully engaged each othe...
Source: Sahara J - April 19, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Navigating intimate sexual partnerships in an era of HIV: dimensions of couple relationship quality and satisfaction among adults in Eswatini and linkages to HIV risk.
Authors: Ruark A, Green EC, Nunn A, Kennedy C, Adams A, Dlamini-Simelane T, Surkan P Abstract Couple relationship functioning impacts individual health and well-being, including HIV risk, but scant research has focused on emic understandings of relationship quality in African populations. We explored relationship quality and satisfaction in Eswatini (formerly Swaziland) using data from 148 in-depth interviews (117 life-course interviews with 28 adults and 31 interviews with 29 marriage counselors and their clients) and 4 focus group discussions. Love, respect, honesty, trust, communication, sexual satisfaction, and...
Source: Sahara J - April 17, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

HIV fatalism and engagement in transactional sex among Ugandan fisherfolk living with HIV.
The objective of this cross-sectional study was to investigate the association between fatalism and sexual risk behaviours (unprotected sex, engagement in transactional sex), beyond the influence of other known HIV risk factors (e.g. food insecurity, mobility), and identify demographic, psychosocial, and structural correlates of HIV fatalism. Ninety-one men and women living in fishing villages on two islands in Lake Victoria, Uganda completed an interviewer-administered questionnaire after testing HIV-positive during home or community-based HIV testing between May and July 2015. Multivariate logistic regression was used to...
Source: Sahara J - February 9, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

The pull of soccer and the push of Xhosa boys in an HIV and drug abuse intervention in the Western Cape, South Africa.
Authors: Medich M, Mindry D, Tomlinson M, Rotheram-Borus MJ, Bantjes J, Swendeman D Abstract There is growing interest in engaging men and boys in health and development programmes targeting the intersection of HIV risk, substance abuse, and violence. Understanding the conceptualisations of masculinities or masculine identities that shape both behaviours and opportunities for intervention is central to advancing the global agenda to engage men in health and development interventions. This paper examines an intervention using soccer and job training to engage and deliver activities for HIV prevention, substance abus...
Source: Sahara J - November 16, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

'Why would you promote something that is less percent safer than a condom?': Perspectives on partially effective HIV prevention technologies among key populations in South Africa.
Authors: Rubincam C, Newman PA, Atujuna M, Bekker LG Abstract New biomedical prevention technologies (NPTs) for HIV, including oral Pre-Exposure Prophylaxis, and vaginal and rectal microbicides and HIV vaccines in development, may contribute substantially to controlling the HIV epidemic. However, their effectiveness is contingent on product acceptability and adherence. We explored perceptions and understanding of partially effective NPTs with key populations in South African townships. From October 2013 to February 2014, we conducted six focus groups and 18 individual interviews with Xhosa-speaking adolescents (n&t...
Source: Sahara J - October 28, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

An evaluation of the innovative potentials of a HIV pilot exploring medical pluralism in rural South Africa.
This article reflects on an internal evaluation undertaken to estimate the potentials of a community-university pilot project to be developed into a bonafide innovation that can be applied at scale. The focus of the community-university partnership has been to reduce the unintended consequences of medical pluralism on the HIV and AIDS epidemic in Waterberg district, Limpopo Province, South Africa. Despite promising outputs from the partnership - including an increase in adherence to antiretroviral therapy and a reduction in stigma among traditionalists living with HIV - the partnership wished to establish whether further f...
Source: Sahara J - October 21, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Determinants of disclosure and non-disclosure of HIV-positive status, by  pregnant women in rural South Africa.
This study aimed at assessing the determinants of HIV status disclosure among HIV infected pregnant women who have disclosed their HIV status to someone, as well as among those who have disclosed to their partners. Cross-sectional data was collected from 673 HIV sero-positive pregnant women receiving antenatal care services at 12 Community Health Centers in Mpumalanga province. Results indicated that over two-thirds (72.1%) disclosed their status to someone, while just over half (58.4%) disclosed to their partners. Multivariate analysis showed that both disclosure of ones HIV status to someone and to their male partners wa...
Source: Sahara J - October 18, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Effects of adolescent exposure to behaviour change interventions on their HIV risk reduction in Northern Malawi: a situation analysis.
Authors: Mwale M, Muula AS Abstract Understanding adolescents' translation of HIV and AIDS-related behaviour change interventions (BCI) knowledge and skills into expected behavioural outcomes helps us appreciate behaviour change dynamics among young people and informs evidence-based programming. We explored the effects of adolescents' exposure to BCI on their HIV risk reduction in selected schools in Nkhatabay and Mzimba districts and Mzuzu city in Northern Malawi. The study used questionnaires as instruments. Data were collected between January and April 2017. Adolescent boys and girls [n = 552], age...
Source: Sahara J - October 4, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Factors associated with knowledge and awareness of HIV/AIDS among married women in Bangladesh: evidence from a nationally representative survey.
Authors: Haque MA, Hossain MSN, Chowdhury MAB, Uddin MJ Abstract Women in Bangladesh share a greater risk of Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) infection compared to men. Levels of knowledge and awareness largely contribute to the prevalence of the HIV epidemic and its consequences. So, it is required to conduct studies based on most recent data to explore the determinants of HIV awareness. Therefore, we aimed to find the awareness level and factors influencing HIV related awareness among the married women in Bangladesh. We used data from 2014 Bangladesh Demographic and He...
Source: Sahara J - September 28, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Exploring the acceptability of Option B plus among HIV-positive Nigerian women engaged and not engaged in the prevention of mother-to-child transmission of HIV cascade: a qualitative study.
Authors: Erekaha SC, Cornelius LJ, Bessaha ML, Ibrahim A, Adeyemo GD, Fadare M, Charurat M, Ezeanolue EE, Sam-Agudu NA Abstract The acceptability of lifelong antiretroviral therapy (ART) among HIV-positive women in high-burden Nigeria, is not well-known. We explored readiness of users and providers of prevention of mother-to-child transmission of HIV (PMTCT) services to accept lifelong ART -before Option B plus was implemented in Nigeria. We conducted 142 key informant interviews among 100 PMTCT users (25 pregnant-newly-diagnosed, 26 pregnant-in-care, 28 lost-to-follow-up (LTFU) and 21 postpartum women living with ...
Source: Sahara J - September 28, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Evaluation of a community-based ART programme after tapering home visits in rural Sierra Leone: a 24-month retrospective study.
The objective of this study was to assess 24-month HIV retention outcomes of a community-based ART programme and its tapered visit frequency in Koidu City, Sierra Leone. This retrospective, quasi-experimental study compared outcomes of 52 HIV-infected persons initiated on community-based ART against 91 HIV-infected persons receiving the standard of care from November 2009 to February 2013. The community-based ART pilot programme was designed to strengthen the standard of care through a comprehensive, patient-centred case management strategy. The strategy included medical, educational, psychological, social, and economic su...
Source: Sahara J - September 28, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Health-related quality of life and associated factors in adults living with HIV in Rwanda.
This study determines the association between physical and mental health-related dimensions of quality of life (QOL) with behavioural and biological risk factors, after controlling socio-demographic and HIV-related factors in adults living with HIV in Rwanda. A cross-sectional study using the WHO STEPwise approach and Kinyarwanda version of the MOS-HIV Health Survey, risk factors for NCDs and HRQOL were analysed for 794 PLWH, both HIV+ on ART and ART-naïve. Multiple regression analysis was used to examine the relationship between CMD risk factors and physical health and mental health summary scores. A total of 794 par...
Source: Sahara J - September 13, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Health care users' knowledge, attitudes and perceptions of HIV self-testing at selected gateway clinics at eThekwini district, KwaZulu-Natal province, South Africa.
The objectives of the study were to determine health care users' knowledge of HIVST, assess health care users' attitudes and perceptions towards HIVST and establish if there is any relationship between knowledge, attitudes and perceptions of health care users towards HIVST. A quantitative, non-experimental descriptive design was used to determine knowledge, attitudes and perceptions of health care users at three purposefully selected Addington, R. K. Khan and Prince Mshiyeni Memorial Hospital Gateway clinics at eThekwini Health District. A convenience sampling of 442 respondents were sampled from the three study ...
Source: Sahara J - September 4, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

'It's not good to eat a candy in a wrapper': male students' perspectives on condom use and concurrent sexual partnerships in the eastern Democratic Republic of Congo.
This study employed a qualitative approach to collect data from 28 boys aged 16-20 from two urban and two rural high schools in South Kivu province. Four focus group discussions and 20 individual interviews were conducted among them. The findings showed that most students identified condoms as unsafe and untrustworthy. Reasons given for the mistrust of condoms were related to the belief that condoms do not give enough protection from Sexually Transmitted Infections, HIV and pregnancies. Most participants believe that condoms have a 'small hole' or are unreliable and are therefore not effective in prevention. They also ment...
Source: Sahara J - August 29, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa.
CONCLUSION: The enhanced PMTCT intervention, including stigma reduction, administered by trained lay health workers had a significant effect on the reduction of HIV related stigma. TRIAL REGISTRATION: clinicaltrials.gov: number NCT02085356. PMID: 30134772 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - August 25, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Social and behavioural factors associated with risky sexual behaviours among university students in nine ASEAN countries: a multi-country cross-sectional study.
This study was therefore conducted to identify social and behavioural factors associated with risky sexual behaviours among university students in nine ASEAN countries. A multi-country, cross-sectional study was conducted in 2015 among university students by a network of researchers in the selected countries. A convenient sampling method and stratified random sampling procedures were employed to select universities and students, respectively. A structured questionnaire was translated into national languages of the participating countries and used to collect data from the selected students in the classrooms. Using STATA, Ch...
Source: Sahara J - August 1, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Violence, abuse and discrimination: key factors militating against control of HIV/AIDS among the LGBTI sector.
This study was conducted to ascertain violence, abuse and discrimination against the LGBTI sector as key factors that hinder the smooth implementation of HIV/AIDS programme among sexually minority (LGBTI) group in Walter Sisulu University, South Africa. The self-structured questionnaire was used to collect data. The study involved 3048 purposively selected participants (1285 male and 1763 female) aged 17-38 years. About 70.5% of the participants witnessed physical attack as a form of violence against people in same-gender relationship; 47.7% disagreed that violent targeted at this sexually minority group is justified. The ...
Source: Sahara J - July 23, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Disability and health outcomes - from a cohort of people on long-term anti-retroviral therapy.
This study is a cross-sectional survey using a cohort in an urban area in Gauteng province, South Africa. Data were collected using questionnaires through an interview process. The information collected included aspects such as demographics, livelihood, the state of mental and physical health, adherence and disability. A total of 1044 participants with an average age of 42 ± 12 years were included in the study, with 51.9% of the participants reporting functional limitations (WHODAS ≥ 2). These were reported mainly in the domains of participation (40.2%) and mobility (38.7%). In additio...
Source: Sahara J - April 12, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Understanding the role played by parents, culture and the school curriculum in socializing young women on sexual health issues in rural South African communities.
CONCLUSIONS: findings highlight a need for designing interventions that can create awareness for parents on the current developmental needs and sexual behavior of adolescents. For adolescents programs would need to focus on providing skills on personal responsibility, and how to change behavior to enhance sexual health. PMID: 29621922 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - April 7, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Achievement of interventions on HIV infection prevention among migrants in China: A meta-analysis.
This study aimed to evaluate the efficacy of interventions for human immunodeficiency virus (HIV) infection prevention for migrants in China and to identify factors associated with intervention efficacy. A computerized literature search of the Chinese National Knowledge Infrastructure, Wan Fang, and PubMed databases was conducted to collect related articles published in China. Only self-control intervention studies or studies containing sections regarding self-control interventions wherein the method of intervention was health education were included. Rev Manager 5.3 software was used to analyze the intervention effects in...
Source: Sahara J - March 24, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Accounting for youth audiences' resistances to HIV and AIDS messages in the television drama Tsha Tsha in South Africa.
Authors: Makwambeni B, Salawu A Abstract Theoretical debates and literature on E-E efforts in Africa have largely focussed on understanding how and why interventions on HIV and AIDS are effective in influencing behaviour change among target communities. Very few studies have sought to investigate and understand why a substantial number of targeted audiences resist the preferred readings that are encoded into E-E interventions on HIV and AIDS. Using cultural studies as its conceptual framework and reception analysis as its methodology, this study investigated and accounted for the oppositional readings that subalter...
Source: Sahara J - March 8, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

HIV/AIDS and older adults in Cameroon: Emerging issues and implications for caregiving and policy-making.
Authors: Tanyi PL, Pelser A, Okeibunor J Abstract The burden of human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS) on the elderly population in three divisions within the Northwest Region of Cameroon was examined. Data for this paper were extracted from a larger study which had been conducted concerning the burden of HIV infection and AIDS on the older adults in the Northwest Region of Cameroon. Using in-depth interviews (IDIs) and focus group discussions (FGDs), data were collected from 36 participants who were purposively selected from the three divisions which had been ch...
Source: Sahara J - February 9, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Longitudinal analysis of HIV risk behaviour patterns and their predictors among public primary care patients with tuberculosis in South Africa.
Authors: Peltzer K Abstract The goal of this study was to identify various HIV risk behaviours among tuberculosis (TB) patients in a longitudinal study design in South Africa. In 42 public primary healthcare facilities in three districts in three provinces, adult new TB and TB retreatment patients with hazardous or harmful alcohol use were interviewed within 1 month of initiation of anti-TB treatment and were followed up at 6 months. The total sample with a complete 6-month follow-up assessment was 853. At the follow-up assessment, several HIV risk behaviours significantly reduced from baseline to follow-up. In mul...
Source: Sahara J - February 8, 2018 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Psychosocial factors predicting risky sexual behaviour among long distance truck drivers in Lagos, Nigeria.
Authors: Lawal AM, Olley BO Abstract Long distance truck drivers (LDTDs) have been identified as one of the groups at higher risk for human immunodeficiency virus (HIV) infection. Understanding how certain social and psychological variables that have a strong theoretical basis contribute to sexual risk behaviour will guide in the implementation process of HIV risk-reduction intervention in the trucking population. In line with the conceptualisation of Information, Motivation and Behavioural skills model, we examined the extent that HIV knowledge, attitude towards condom use, peer support to condom use, perceived vu...
Source: Sahara J - November 30, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Laughter therapy as an intervention to promote psychological well-being of volunteer community care workers working with HIV-affected families.
Authors: Hatzipapas I, Visser MJ, Janse van Rensburg E Abstract The study explores the experiences of volunteer community care workers working with HIV-affected families, participating in laughter therapy. Laughter therapy is being used as an intervention to positively influence individuals experiencing various forms of emotional distress. Community care workers play a vital role in the support of the HIV/AIDS-infected and -affected members in communities. The nature of this type of work and their limited training contributes to high levels of secondary trauma and emotional exhaustion. The purpose of the study was ...
Source: Sahara J - November 27, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria.
Authors: Onadeko MO, Balogun MO, Onigbogi OO, Omokhodion FO Abstract Health care workers (HCWs) are at risk of occupational exposure to HIV. Their attitude to HIV-positive patients influences patients' willingness and ability to access quality care. HIV counselling and testing (HCT) services are available to inform HCWs and patients about their status. There is little information about HCT uptake and attitude to HIV-positive patients among HCWs in tertiary health facilities in Nigeria. The aim of this study was to determine occupational exposure and attitude to HIV-positive patients and level of uptake of HCT servi...
Source: Sahara J - November 16, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Problematizing official narratives of HIV and AIDS education in Scotland and Zimbabwe.
This article explores how official HIV and AIDS narratives tend to promote systemic injustice and inequality within education policy and practice in both Scotland and Zimbabwe, despite their good intents. We frame our argument within a transformative education discourse which seeks to create participatory and emancipatory HIV-related messages at school, tertiary and community levels. Using a narrative enquiry design, a Foucauldian theoretical lens was used to analyse the narratives derived from key informant responses, supplemented by analysis of key documents that deal with HIV and AIDS in both Scotland and Zimbabwe. Four...
Source: Sahara J - November 11, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Spectrum of female commercial sex work in Bangui, Central African Republic.
Authors: Longo JD, Simaléko MM, Ngbale R, Grésenguet G, Brücker G, Bélec L Abstract Classification of professional and non-professional female sex workers (FSWs) into different categories, never previously reported in the Central African Republic (CAR), may be useful to assess the dynamics of the human immunodeficiency virus (HIV) epidemic, design operational intervention programmes to combat HIV and other sexually transmitted infections (STIs) and to adapt these programmes to the broad spectrum of sexual transactions in the CAR. Our study proposes a socio-behavioural classification of FSW...
Source: Sahara J - November 4, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

On the periphery of HIV and AIDS: Reflections on stress as experienced by caregivers in a child residential care facility in South Africa.
The objective of the study was to explore how female caregivers of institutionalised children affected by HIV and AIDS experience stress. A qualitative research project with a case study design was conducted. The purposively selected participants from a previously identified care facility were seven females in the age ranges of 35-59. Data was gathered during individual interviews and focus group discussions. Thematic content analysis of the data yielded the following themes: (1) contextualising caregiving as 'work'; (2) stresses linked to caregiving; and (3) coping with stress. Findings from this study indicated that part...
Source: Sahara J - October 28, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Covariates of high-risk sexual behaviour of men aged 50 years and above in sub-Saharan Africa.
The objective of this study is therefore to examine the covariates of high-risk sexual behaviour among men aged 50 years plus within the SSA region. Data from Demographic and Health Surveys of 10 SSA countries were pooled together and a sample of 5394 men aged 50 years plus who have ever had sex was analysed. Findings show that in SSA, a large proportion of men aged 50 years plus (74%) were sexually active and a substantial proportion of these men engaged in unsafe sexual behaviours, such as having multiple sexual partners and unprotected sex. The multivariate logistic regression analysis showed that involvement with multi...
Source: Sahara J - October 28, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Modelling self-assessed vulnerability to HIV and its associated factors in a HIV-burdened country.
CONCLUSION: High vulnerability to HIV infection was reported among younger respondents, those with history of STIS and those who engage in multiple sexual relations. Despite high level of risky sexual behaviour and good knowledge of HIV transmission and prevention found in this study, self-perceived vulnerability to HIV generally is low. For the low perception found in this study to translate to low chance of HIV infection, there is need for all stakeholders to embark on risk reduction initiatives through sexual education that would minimise risky sexual practices and ensuring availability and affordability of HIV preventi...
Source: Sahara J - October 22, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

A workplace intervention program and the increase in HIV knowledge, perceived accessibility and use of condoms among young factory workers in Thailand.
This study investigated the effectiveness of an intervention to increase AIDS knowledge, perceived accessibility to condoms and condom use among young factory workers in Thailand. The intervention was a workplace program designed to engage the private sector in HIV prevention. A cross-sectional survey conducted in 2008 to measure program outcomes in factories in Thailand was used in this study. The workplace intervention included the development of policies for management of HIV-positive employees, training sessions for managers and workers, and distribution of educational materials and condoms. A multi-level analysis was ...
Source: Sahara J - October 20, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Household food security and HIV status in rural and urban communities in the Free State province, South Africa.
The objective of this study was to determine significant independent sociodemographic and food security factors associated with HIV status in people from rural and urban communities in the Assuring Health for All study, which was undertaken in rural Trompsburg, Philippolis and Springfontein and urban Mangaung, in the Free State Province of South Africa. Sociodemographic and food security factors associated with HIV status were determined in 886 households. Logistic regression with forward selection (p 
Source: Sahara J - October 14, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Reducing substance use and risky sexual behaviour among drug users in Durban, South Africa: Assessing the impact of community-level risk-reduction interventions.
This study aimed to test whether a community-level intervention aimed at AOD users has an impact on risky AOD use and sexual risk behaviour. In 2007, in collaboration with a local non-governmental organisation (NGO) in Durban, an initiative was begun to implement a number of harm reduction strategies for injection and non-injection drug users. The NGO recruited peer outreach workers who received intensive initial training, which was followed by six-monthly monitoring and evaluation of their performance. Participants had to be 16 years of age or older, and self-reported alcohol and/or drug users. Peer outreach workers compl...
Source: Sahara J - October 5, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Invisible work: Child work in households with a person living with HIV/AIDS in Central Uganda.
CONCLUSION: Children from PLWHA households are more vulnerable to child work in family farm work especially boys; and girls are burdened beyond the household space through paid work. Differing perspectives and solutions need to consider the contextual nature of child work. PMID: 28969498 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - October 5, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

The lived experiences of rural women diagnosed with the human immunodeficiency virus in the antenatal period.
CONCLUSION: Women diagnosed with HIV during pregnancy are ultimately concerned with the well-being of their unborn children, and this concern motivates their adherence to ART. Women's lived experiences are situated in their unique sociocultural context, and although some known challenges remain, counselling and support strategies need to be informed by exploring context-specific issues and involving the local community. PMID: 28949277 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - September 28, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Rethinking HIV-prevention for school-going young people based on current behaviour patterns.
Authors: Visser M Abstract The aim of the research was to gain increased knowledge regarding the sexual risk behaviour of school-going young people in South Africa after two decades of HIV-education in schools, to contribute to the development of improved HIV prevention strategies. In collaboration with the Department of Education, a sample of 5305 learners (between 10 and 18 years in Grades 5-12) from high-risk communities were identified. They completed a survey that assessed self-reported sexual risk behaviour and variables that potentially underlie sexual risk, such as attitudes towards preventive behaviour, pe...
Source: Sahara J - September 24, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Life skills as a behaviour change strategy in the prevention of HIV and AIDS: Perceptions of students in an open and distance learning institution.
Authors: Mohapi BJ, Pitsoane EM Abstract The prevention of HIV and AIDS, especially amongst young people, is very important, as they are the future leaders. South Africa carries a high burden of the HIV and AIDS disease, and efforts at the prevention of the disease need to be intensified. University students are also at risk, and prevention efforts need to be intensified to ensure that students graduate and enter the world of work to become productive citizens. Failure to pay attention to preventative behaviour amongst university students may have negative socio-economic consequences for the country. The paper pres...
Source: Sahara J - September 24, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Contemporary HIV/AIDS research: Insights from knowledge management theory.
Authors: Callaghan CW Abstract Knowledge management as a field is concerned with the management of knowledge, including the management of knowledge in research processes. Knowledge management theory has the potential to support research into problems such as HIV, antibiotic resistance and others, particularly in terms of aspects of scientific research related to the contribution of social science. To date, however, these challenges remain with us, and theoretical contributions that can complement natural science efforts to eradicate these problems are needed. This paper seeks to offer a theoretical contribution gro...
Source: Sahara J - September 21, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

The Achilles' heel of prevention to mother-to-child transmission of HIV: Protocol implementation, uptake, and sustainability.
This study sought to identify challenges and solutions to the implementation, uptake, and sustainability of the PMTCT protocol in rural SA. Forty-eight qualitative interviews, 12 focus groups discussions (n = 75), and one two-day workshop (n = 32 participants) were conducted with district directors, clinic leaders, staff, and patients from 12 rural clinics. The delivery and uptake of the PMTCT protocol was evaluated using the Consolidated Framework for Implementation Research (CFIR); 15 themes associated with challenges and solutions emerged. Intervention characteristics themes included PMTCT tr...
Source: Sahara J - September 21, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Policy-maker attitudes to the ageing of the HIV cohort in Botswana.
CONCLUSIONS: HIV among older adults remains a low priority among policy-makers in Botswana but is at least now on the agenda. Action will require more concerted efforts to recognize HIV as a lifelong infection and putting greater emphasis on targeted care for older adults, focussing on multimorbidity. PMID: 28922992 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - September 21, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

A new measurement of an indirect measure of condom use and its relationships with barriers.
Authors: Levy E, Gidron Y, Olley BO Abstract One of the challenges facing researchers in the domain of human immunodeficiency virus prevention is the assessment of condom use in an unbiased self-reported manner. The current study presents the development and preliminary validation of an indirect condom use test (I-CUTE), designed to assess condom use tendencies and to overcome self-report biases. Two samples were included using correlational designs. In sample 1, 88 students from European university completed the I-CUTE with questionnaires of condom use barriers, social desirability, and condom use negotiation self...
Source: Sahara J - September 15, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Obituary: Dr Dimitri Tassiopoulos.
Authors: Phaswana-Mafuya N PMID: 28645221 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - June 26, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Obituary: Dr Dimitri Tassiopoulos.
Authors: Soudien C PMID: 28641478 [PubMed - in process] (Source: Sahara J)
Source: Sahara J - June 25, 2017 Category: Infectious Diseases Tags: SAHARA J Source Type: research