HIV viral load testing coverage and timeliness after implementation of the wellness anniversary in a paediatric and adolescent HIV clinic in KwaZulu-Natal, South Africa
Conclusion: Implementation of the wellness anniversary may improve timeliness of routine VL testing in settings with high VL coverage. Studies looking at the effect of timeliness on VLS and clinical outcomes are needed. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - February 3, 2020 Category: African Health Authors: Sibusiso E. Kubheka Source Type: research

The effects of Teen Clubs on retention in HIV care among adolescents in Windhoek, Namibia
Background: Adolescents living with HIV (ALHIV) are notably underserved by the national HIV programmes globally because of their unique needs. Of particular concern is limited access to and availability of adolescent-friendly antiretroviral therapy (ART) services, which contribute to poor retention in care in many sub-Saharan African countries. A Teen Club intervention was introduced in 2010 in Windhoek, Namibia, to improve retention in care among ALHIV through psychosocial support in a peer-group environment.Objectives: To compare the effects of the Teen Club intervention against standard care on retention in HIV care amo...
Source: Southern African Journal of HIV Medicine - February 3, 2020 Category: African Health Authors: Farai K. Munyayi Source Type: research

Drug resistance after cessation of efavirenz-based antiretroviral treatment started in pregnancy
Background: To reduce risk of antiretroviral resistance when stopping efavirenz (EFV)-based antiretroviral treatment (ART), staggered discontinuation of antiretrovirals (an NRTI tail) is recommended. However, no data directly support this recommendation.Objectives: We evaluated the prevalence of HIV drug resistance mutations in pregnant women living with HIV who stopped efavirenz (EFV)/emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) postpartum.Method: In accordance with the prevailing Botswana HIV guidelines at the time, women with pre-treatment CD4> 350 cells/mm3, initiated EFV/FTC/TDF in pregnancy and stopped ...
Source: Southern African Journal of HIV Medicine - January 27, 2020 Category: African Health Authors: Globahan Ajibola Source Type: research

‘Covering the tail’ after stopping efavirenz-based antiretroviral therapy
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - January 27, 2020 Category: African Health Authors: Gary Maartens Source Type: research

Transition to an in-facility electronic Tuberculosis register: Lessons from a South African pilot project
Conclusion: A process of change management is critical to facilitate the efficiency and effectiveness with which the electronic in-facility TB register is implemented. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - January 16, 2020 Category: African Health Authors: Hanlie Myburgh Source Type: research

Table of Contents Vol 20, No 1 (2019)
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - December 19, 2019 Category: African Health Authors: Editorial Office Source Type: research

Loss to follow-up from antiretroviral therapy clinics: A systematic review and meta-analysis of published studies in South Africa from 2011 to 2015
Conclusion: South Africa should standardise a LTFU definition. This would aid in monitoring and evaluation of ART programmes, with the broader goal of improving patient outcomes. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - December 18, 2019 Category: African Health Authors: Samantha Kaplan Source Type: research

Palliative care guidelines for the management of HIV-infected people in South Africa
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - December 13, 2019 Category: African Health Authors: David C. Spencer Source Type: research

Acknowledgement to reviewers
(Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - December 12, 2019 Category: African Health Authors: Editorial Office Source Type: research

Editorial
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - December 2, 2019 Category: African Health Authors: David C. Spencer Source Type: research

Southern African HIV Clinicians Society guideline for the prevention, diagnosis and management of cryptococcal disease among HIV-infected persons: 2019 update
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - November 8, 2019 Category: African Health Authors: Nelesh P. Govender Source Type: research

Breast abnormalities in adolescents receiving antiretroviral therapy
Conclusion: Of the studied patients, 6% had an abnormal breast condition. The use of EFV and increased age were associated with breast abnormalities in this population. Further research is needed to better understand the implications of this potential side effect. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - November 6, 2019 Category: African Health Authors: Jackie L. Dunlop Source Type: research

Knowledge and perceptions of male immigrants in Leeds (UK) towards male circumcision as an HIV prevention strategy
Conclusion: Male circumcision is mainly practiced to fulfill cultural and religious norms, but is not seen as a credible HIV prevention strategy. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 31, 2019 Category: African Health Authors: Catherine Atuhaire Source Type: research

Current perspectives on paediatric HIV management from the Mexico International Aids Society Conference, 2019
While acknowledging the great achievements in getting 23 million people living with HIV to access antiretroviral treatment (ART) globally, there is still more to do in order to close the HIV treatment gap between the paediatric and adult ART programmes, with only 54% of children accessing ART compared to 62% of adults. Furthermore, while tremendous global gains have been made in preventing perinatal and postnatal HIV acquisition, HIV-exposed and uninfected children are still not achieving early childhood developmental outcomes comparable to HIV-unexposed children. In this article, we present highlights from two pre-confere...
Source: Southern African Journal of HIV Medicine - October 31, 2019 Category: African Health Authors: Mohendran Archary Source Type: research

Neurodevelopment at 11 months after starting antiretroviral therapy within 3 weeks of life
Conclusion: Preliminary findings in this small group suggest that early neurodevelopmental scores are within the normal range in infants with perinatal HIV-infection who started ART at a median of 6 days. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 30, 2019 Category: African Health Authors: Barbara Laughton Source Type: research

Motor lumbosacral radiculopathy in HIV-infected patients
Conclusion: HIV-infected patients with motor lumbosacral radiculopathy responded to corticosteroids, with no relapses during the 18-month follow-up period. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 28, 2019 Category: African Health Authors: Kaminie Moodley Source Type: research

Challenges to HIV treatment adherence amongst adolescents in a low socio-economic setting in Cape Town
Conclusion: This study highlighted the complexity of ART adherence in the midst of juggling school, home life and personal life goals and aspirations. Interventions to improve adherence should address psychosocial factors such as treatment fatigue, disclosure and family and household dynamics, in addition to streamlining service delivery between the school and clinic. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 28, 2019 Category: African Health Authors: Brian E. van Wyk Source Type: research

Acceptability of short text messages to support treatment adherence among adolescents living with HIV in a rural and urban clinic in KwaZulu-Natal
Conclusion: With high rates of MOD ownership and acceptability (willingness to use mHealth to improve health status), SMS-based mHealth interventions have the potential to improve adherence and viral suppression in adolescents living with HIV in both rural and urban KZN. Further studies with a larger sample size need to be conducted to further explore these findings. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 3, 2019 Category: African Health Authors: Mthokozisi A. Cele Source Type: research

The diagnostic utility of bone marrow examination in an infectious disease ward
Background: Patients with advanced human immunodeficiency virus often present with unexplained fevers or cytopenias. Bone marrow aspirate and trephine examinations are an invasive means to aid diagnoses in patients who present with diagnostic dilemmas.Objectives: A retrospective record review to assess the diagnostic utility of bone marrow examinations in a South African Infectious Diseases ward.Methods: The records of patients who had undergone a bone marrow examination in the Infectious Disease ward at the Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa, between 01 January 2012 and 31 December...
Source: Southern African Journal of HIV Medicine - September 30, 2019 Category: African Health Authors: Nirvana Bharuthram Source Type: research

Birth outcomes following antiretroviral exposure during pregnancy: Initial results from a pregnancy exposure registry in South Africa
Background: In 2013, a pregnancy exposure registry and birth defects surveillance (PER/BDS) system was initiated in eThekwini District, KwaZulu-Natal (KZN), to assess the impact of antiretroviral treatment (ART) on birth outcomes.Objectives: At the end of the first year, we assessed the risk of major congenital malformations (CM) and other adverse birth outcomes (ABOs) detected at birth, in children born to women exposed to ART during pregnancy.Method: Data were collected from women who delivered at Prince Mshiyeni Memorial Hospital, Durban, from 07 October 2013 to 06 October 2014, using medicine exposure histories and bir...
Source: Southern African Journal of HIV Medicine - September 30, 2019 Category: African Health Authors: Ushma C. Mehta Source Type: research

Unexpected low frequency of respiratory symptoms in an HIV-positive urban sub-Saharan population compared to an HIV-negative control group
Conclusion: The frequency of respiratory symptoms was low in our study population except for breathlessness. HIV-positive participants, whether or not on ART, did not experience more symptoms than HIV-negative participants. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 26, 2019 Category: African Health Authors: Maren Kummerow Source Type: research

Evaluation of a health system intervention to improve virological management in an antiretroviral programme at a municipal clinic in central Durban
The objective of this study was to address gaps in the VL cascade to improve VL testing and management.Methods: Antiretroviral therapy records were sampled for an in-depth review. The study team then reviewed individual records, focusing on ART management, virological suppression and retention. Multifaceted interventions focused on virological control, including a clinical summary chart for ART care; streamlining laboratory results receipt and management; monitoring VL suppression, flagging virological failure and missed visits for follow-up; down-referral of stable patients eligible for the chronic club system; and traini...
Source: Southern African Journal of HIV Medicine - September 26, 2019 Category: African Health Authors: Christie M. Cloete Source Type: research

Emtricitabine-induced pure red cell aplasia
Conclusion: Emtricitibine is a rare cause of pure red cell aplasia. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 23, 2019 Category: African Health Authors: Nithendra Manickchund Source Type: research

An unusual case of abdominal mycobacterial infection: Case report and literature review
This article presents a case of an HIV-infected paediatric patient with an unusualMycobacterium genavense infection with predominantly abdominal organ involvement. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 28, 2019 Category: African Health Authors: Pieter Ekermans Source Type: research

False rifampicin resistant results using Xpert MTB/RIF on urine samples in hospitalised HIV-infected patients
Conclusion: Urine Xpert testing showed a high proportion of false rifampicin resistance results. Urine Xpert rifampicin resistant results should be interpreted cautiously and confirmed when possible. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 28, 2019 Category: African Health Authors: Charlotte Schutz Source Type: research

Disclosure of human immunodeficiency virus status to children in South Africa: A comprehensive analysis
Conclusion: When children do well on treatment, caregivers feel less stringent need to disclose. Well-functioning families, higher educated caregivers and better socio-economic status enabled and promoted disclosure. Non-disclosure can indicate a sub-optimal social structure which could negatively affect adherence and viral suppression. There is an urgent need to address disclosure thoughtfully and proactively in the long-term disease management. For the disclosure process to be beneficial, an enabling supportive context is important, which will provide a great opportunity for future interventions. (Source: Southern Africa...
Source: Southern African Journal of HIV Medicine - August 22, 2019 Category: African Health Authors: Sabine L. van Elsland Source Type: research

Measles in adults: A comparison of hospitalised HIV-infected and HIV-uninfected patients
Conclusion: Our study provides data on the largest series of hospitalised adults infected with HIV and co-infected with measles. More severe consequences seemed to occur in hospitalised HIV-positive patients. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 13, 2019 Category: African Health Authors: Nina E. Diana Source Type: research

Associations of visceral fat thickness and anthropometric measurements with non-alcoholic fatty liver disease development in male patients mono-infected with human immunodeficiency virus
Background: Non-alcoholic fatty liver disease (NAFLD) represents the most common form of chronic liver disease in mono-infected (without concomitant hepatitis B and/or C virus infection) people living with human immunodeficiency virus (HIV). The proper and on time identification of at-risk HIV-positive indivi duals would be relevant in order to reduce the rate of progression from NAFLD into non-alcoholic steatohepatitis (NASH), cirrhosis and hepatocellular carcinoma.Objectives: The aim of this study was to explore visceral fat thickness (VFT) and anthropometric measurements associated with the development of NAFL...
Source: Southern African Journal of HIV Medicine - August 7, 2019 Category: African Health Authors: Milo š Vujanović Source Type: research

Adherence to combination antiretroviral therapy among orphaned children in Dar es Salaam, Tanzania
This study was aimed at determining the factors and the extent of their influence on cART adherence among HIV-infected orphaned children attending Care and Treatment Centres (CTCs) in Dar es Salaam, Tanzania.Methods: A cross-sectional study was performed, which assessed adherence in HIV-positive orphaned children aged 2–14 years receiving nevirapine (NVP) based cART for at least 6 months. Data was collected using questionnaires administered to primary caregivers of HIV-infected orphaned children, the review of medical files, and the laboratory measurement of NVP plasma concentrations and CD4 counts. Adherence to...
Source: Southern African Journal of HIV Medicine - August 6, 2019 Category: African Health Authors: Sabina F. Mugusi Source Type: research

A descriptive analysis of the role of a WhatsApp clinical discussion group as a forum for continuing medical education in the management of complicated HIV and TB clinical cases in a group of doctors in the Eastern Cape, South Africa
Conclusions: Our study findings support the use of WhatsApp in a medical setting as an effective means of communication, long distance learning and support between peers and specialists. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 1, 2019 Category: African Health Authors: Joana Woods Source Type: research

Rapid emergence of resistance to antiretroviral treatment after undisclosed prior exposure: A case report
Conclusion: Linkage of patient therapy and laboratory information to unique patient identifiers may allow health-care workers to identify patients who previously received ART and disengaged from care. This will enable differentiated care when these patients reinitiate ART, which should involve expedited VL te sting and more rapid transition to definitive second-line ART. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - July 30, 2019 Category: African Health Authors: Theresa M. Rossouw Source Type: research

Baseline CD4 and mortality trends in the South African human immunodeficiency virus programme: Analysis of routine data
Background: Despite widespread availability of antiretroviral therapy (ART) in South Africa, there remains a considerable burden of human immunodeficiency virus (HIV)-related morbidity and mortality.Objectives: To describe ART initiation and outcome trends over time, with a focus on clients presenting with advanced HIV-infection, so as to identify interventions to reduce morbidity and mortality.Methods: Routine TIER.Net data from HIV-infected adults who had a documented baseline CD4 count and were newly initiating ART in Johannesburg or Mopani districts from 2004 to 2017 were analysed. Trends in baseline CD4...
Source: Southern African Journal of HIV Medicine - July 24, 2019 Category: African Health Authors: Rivka R. Lilian Source Type: research

Switching at Low HIV-1 RNA into Fixed Dose Combinations: TDF/FTC/RPV is non-inferior to TDF/FTC/EFV in first-line suppressed patients living with HIV
Background: In low- and middle-income countries (LMICs), a substantial unmet need for affordable single-tablet regimen (STR) options remains. Rilpivirine (RPV, TMC278) is formulated in a low-cost STR with tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC).Objectives: Switching at Low HIV-1 RNA into Fixed Dose Combinations (SALIF) compared RPV with efavirenz (EFV), both as STRs with TDF and FTC, in maintaining virologic suppression.Methods: SALIF was a phase 3b, randomised, open-label, non-inferiority study in virologically suppressed adults (HIV-1 RNA
Source: Southern African Journal of HIV Medicine - July 23, 2019 Category: African Health Authors: Paula Munderi Source Type: research

Outcomes of Stevens –Johnson syndrome and toxic epidermal necrolysis in HIV-infected patients when using systemic steroids and/or intravenous immunoglobulins in Pietermaritzburg, South Africa
Conclusion: HIV-infected SJS and TEN patients were treated in a tertiary dermatology ward with a treatment plan of skin care, and a combination of systemic corticosteroids and IVIG respectively had a survival rate of 97%. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - July 4, 2019 Category: African Health Authors: Antoinette V. Chateau Source Type: research

Factors influencing the confidence and knowledge of nurses prescribing antiretroviral treatment in a rural and urban district in the Western Cape province
Conclusion: Training, mentorship and clinical practice experience are associated with knowledge and confidence. Recommendations include the strengthening of current training and mentoring and ensuring that NIMART-trained nurses are provided with regular updates and sufficient opportunities for clinical practi ce. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - July 2, 2019 Category: African Health Authors: Deborah J. Solomons Source Type: research

HIV testing at birth: Are we getting it right?
Conclusion: The majority of HIV-exposed infants received a PCR test at birth; however, the clinic is below the national target (90%) for HIV testing. A record-keeping system of infants’ visits does not exist at MUCPP CHC, making it impossible to determine whether HIV-positive infants were started on antiret roviral treatment. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 27, 2019 Category: African Health Authors: Chant é Bisschoff Source Type: research

A case report of untreatable HIV infection in Harare, Zimbabwe
Conclusion: This is the first documented case of multiclass resistance to the four available ART classes in Zimbabwe. The development and transmission of multiclass HIV drug resistance in resource limited settings has potential to undo the gains of national ART programs. There is need to ensure optimum adhere nce to ART even in the era of DTG. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 27, 2019 Category: African Health Authors: Cleophas Chimbetete Source Type: research

Self-reported risky sexual practices among adolescents and young adults in Botswana
Background: Adolescents and young adults account for more than one-third of incident Human Immunodeficiency Virus (HIV) infections globally. Understanding sexual practices of this high-risk group is critical in designing HIV targeted prevention programming.Objectives: To describe self-reported risky sexual practices of adolescents and young adults aged 16–24 years from 30 Botswana communities.Methods: Cross-sectional, self-reported age at sexual debut; number of sexual partners; condom and alcohol use during sex; intergenerational sex; and transactional sex data were collected. Modified Poisson estimat...
Source: Southern African Journal of HIV Medicine - June 26, 2019 Category: African Health Authors: Unoda Chakalisa Source Type: research

‘At this [adherence] club, we are a family now’: A realist theory-testing case study of the antiretroviral treatment adherence club, South Africa
Conclusion: A theory-based understanding provides valuable lessons towards the adaptive implementation of the adherence club intervention. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 26, 2019 Category: African Health Authors: Ferdinand C. Mukumbang Source Type: research

Vaginal practices among women at risk for HIV acquisition in Soweto, South Africa
Background: Vaginal practices (VP) may adversely affect normal vaginal flora and mucosal integrity, and increase acquisition risk of HIV and other genital tract infections.Objective: The aim of this study was to describe self-reported VP, changes in the reported number of VP over time and factors associated with VP in a cohort of young Sowetan women enrolled in the HVTN 915 observational study.Method: We longitudinally assessed self-reported VP in 50 young women at risk of HIV acquisition aged 18–25 years in a prospective study over 3 months in Soweto, South Africa. Interviewer-administered HIV behavio...
Source: Southern African Journal of HIV Medicine - June 20, 2019 Category: African Health Authors: Erica Lazarus Source Type: research

A cross-sectional study of the factors associated with male circumcision status among college youth in Ndola, Zambia, 2016
Conclusion: Students had adequate knowledge about the safety of medical circumcision, and the subsequent risk reduction of HIV infection. Interventions aimed at addressing negative sexual perceptions about circumcision may increase VMMC coverage among college students. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 20, 2019 Category: African Health Authors: Ernest Kateule Source Type: research

Peripartum HIV infection in very low birth weight infants fed ‘raw’ mother’s own milk
Conclusion: rMOM, in the presence of infant prophylaxis, was a safe feeding option for HIV-exposed VLBW infants. It should be strongly considered for these infants, as rMOM likely provides additional maternal and child benefits. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 19, 2019 Category: African Health Authors: Melantha Coetzee Source Type: research

Outcomes of patients enrolled in an antiretroviral adherence club with recent viral suppression after experiencing elevated viral loads
Conclusion: Our findings suggest that patients who struggled to achieve or maintain viral suppression in routine clinic care can have good retention and viral suppression outcomes in ACs, a differentiated ART delivery model, following suppression support. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 11, 2019 Category: African Health Authors: Joseph Sharp Source Type: research

Cognitive and behavioural determinants of multiple sexual partnerships and condom use in South Africa: Results of a national survey
Conclusion: Cognitive and behavioural factors were found to be predictors of risky sexual behaviours for HIV. This highlights the importance of considering personal perception and reasoning when attempting to understand and influence an individual’s sexual behaviour. This could be done through enhancing awa reness of HIV risk in the general population and by influencing cognitive behaviour change through community mobilisation, advocacy and creating activities to improve self-esteem. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - June 10, 2019 Category: African Health Authors: Patience G. Manjengwa Source Type: research

The role of rilpivirine in Southern Africa
Rilpivirine, a second-generation non-nucleoside reverse transcriptase inhibitor (NNRTI), is included as an option in first-line antiretroviral therapy (ART) for antiretroviral-na ïve individuals in treatment guidelines in high-income countries, including the United States and many European countries. Rilpivirine is available in a single-tablet fixed-dose combination, has a favourable tolerability profile and is of relatively low cost. However, rilpivirine has reduced effica cy in patients commencing ART at high viral loads. Therefore, baseline viral load testing is required before commencing rilpivirine, and it is not...
Source: Southern African Journal of HIV Medicine - May 29, 2019 Category: African Health Authors: Michelle A. Moorhouse Source Type: research

Tonsil histopathology in HIV-infected versus HIV-uninfected adults
Conclusion: The majority of patients undergoing tonsillectomy had benign conditions. HIV status does not appear to be a specific risk factor for tonsil malignancies, but advanced age may be. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - May 28, 2019 Category: African Health Authors: Ridwaan Essa Source Type: research

Occupational blood and body fluid exposures and human immunodeficiency virus post-exposure prophylaxis amongst intern doctors
Conclusion: Occupational blood and body fluid exposures are common amongst intern doctors. It is recommended that regular training, health education and monitoring compliance should be incorporated during the induction of medical intern doctors in hospitals. The availability of PEP regimens with better tolera bility will encourage compliance. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - May 22, 2019 Category: African Health Authors: Sunday J. Aigbodion Source Type: research

Sexual behaviours, awareness and perceptions towards voluntary medical male circumcision among students in Dr Kenneth Kaunda District, South Africa
Conclusion: The findings suggest that there is a high level of awareness on VMMC among college students in relation to its positive role towards reducing STIs and the enhancement of penile hygiene. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - May 22, 2019 Category: African Health Authors: Sam Mndzebele Source Type: research

Virologic and immunologic responses of patients on highly active antiretroviral therapy in a rural community health centre in Limpopo, South Africa: A retrospective study
Background: South Africa has a high HIV burden. Despite increased uptake of persons living with HIV into the South African national antiretroviral therapy programme, the incidence of HIV increased between 2013 and 2016. Studies suggest that increased community viral suppression results in reduced HIV incidenc e in that community ‘independent of unsafe sexual behaviours and sharing used syringes’.Objective: The aim of this study was to investigate the viral and immunologic responses of patients, in a rural community health centre in South Africa, to combination antiretroviral therapy (cART) between Jan...
Source: Southern African Journal of HIV Medicine - May 22, 2019 Category: African Health Authors: Aniekan Edet Source Type: research

‘We must treat them like all the other people’: Evaluating the Integrated Key Populations Sensitivity Training Programme for Healthcare Workers in South Africa
Conclusion: The findings suggest that sensitisation training increases healthcare workers’ knowledge and awareness about specific HIV-related health needs and psychosocial vulnerabilities of key populations, reduces moralising and judgemental attitudes, and results in healthcare workers feeling more skilled to provide appropriate and sensitive services. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - April 30, 2019 Category: African Health Authors: Zoe Duby Source Type: research