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Human immunodeficiency virus, diabetes mellitus and thyroid abnormalities: Should we be screening?
Conclusion: Our study showed an increased prevalence of thyroid disorders (especially SCH) in PLWD and a higher prevalence in PLWHD. Young, overweight, female PLWHD were at risk of SCH. People living with HIV and DM on ART demonstrated an increased prevalence of thyroid dysfunction and poor lipaemic control. The introduction of combined communicable –non-communicable disease clinics might provide an integrated patientscreening option. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - November 9, 2020 Category: African Health Authors: Somasundram Pillay Source Type: research

Cervical human papillomavirus prevalence, risk factors and outcomes in a cohort of HIV-infected women in Harare, Zimbabwe
Conclusion: There was a high prevalence of hrHPV infection other than 16 and 18/45 in this cohort. Integrating HPV testing in cervical cancer screening programmes may increase screening intervals in hrHPV-negative women, reducing costs for programmes. We recommend further research into cross protectivity of the bivalent and quadrivalent HPV vaccines against these other hrHPV types. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - November 5, 2020 Category: African Health Authors: Ardele M. Mandiriri Source Type: research

A rapid review and synthesis of the effectiveness of programmes initiating community-based antiretroviral therapy in sub-Saharan Africa
Conclusion: CB-ARTi has the potential to increase access to HIV services to people living with HIV in SSA. The results mentioned previously suggest that CB-ARTi models could prove to be equal and possibly not inferior to facility-based ones and warrant further investigation. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - November 5, 2020 Category: African Health Authors: Raymond Chimatira Source Type: research

Adolescent healthcare: I ’m Lovin’ it
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 21, 2020 Category: African Health Authors: Carey Pike Source Type: research

Southern African HIV Clinicians Society guidelines for solid organ transplantation in human immunodeficiency virus: An evidence-based framework for human immunodeficiency virus-positive donors and recipients
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - October 15, 2020 Category: African Health Authors: Jeremy S. Nel Source Type: research

The evolution and adoption of World Health Organization policy guidelines on antiretroviral therapy initiation in sub-Saharan Africa: A scoping review
Conclusion: Although countries in SSA have adopted the WHO-ART-CD4 initiation-threshold policy guidelines, implementation has seldom occurred in a timely manner. Barriers have been identified. Whilst a small number of countries have implemented recommendations promptly, for many, the barriers still require to be overcome. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 29, 2020 Category: African Health Authors: Sabina M. Govere Source Type: research

Neural tube defects in the Free State province from 2012 to 2016. Is there an increase?
Conclusion: The incidence of NTDs in the Free State province was low compared to other South African and international studies. The incidence for the metropolitan hospitals is comparable to that of previous studies. This discrepancy is a marker of poor data recording and will impact healthcare planning. A statistically significant increase in NTDs could not be proven. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 24, 2020 Category: African Health Authors: Nick é Theron Source Type: research

Southern African HIV Clinicians Society guidelines for antiretroviral therapy in adults: 2020 update
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 15, 2020 Category: African Health Authors: Jeremy Nel Source Type: research

Effects of HIV and non-communicable disease comorbidity on healthcare costs and health experiences in people living with HIV in Zimbabwe
Conclusions: HIV-NCD comorbidity causes an additional burden to PLWH because of increased transport costs, NCD prescribed medication expenses and more productive days lost due to illness. The success of HIV programmes does not only rely on improving access to the diagnosis and treatment of HIV. Addressing the complications of HIV-related NCDs, and the long-term costs of ART and its occasional potential for harm will be essential if health outcomes in Zimbabweans living with HIV are to be optimised. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 3, 2020 Category: African Health Authors: Laston Gonah Source Type: research

Capacity of antiretroviral therapy sites for managing NCDs in people living with HIV in Zimbabwe
Conclusion: Findings demonstrate that the quality of observed incidence and prevalence data for HTN and DM in LMICs is a function of the capacity of health centres to screen for NCDs. Given the ageing population of PLWH in sub-Saharan Africa, coupled with increasing trends in the prevalence of NCDs in HIV-infected people, HIV programmes have not evolved with the changing needs of PLWH. Attention to the holistic management of PLWH is long overdue. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 3, 2020 Category: African Health Authors: Laston Gonah Source Type: research

Healthcare worker compliance with cervical cancer screening guidelines. An audit at district and regional level of care in the Pietermaritzburg Metropolitan area of KwaZulu-Natal
Conclusion: Although the majority of HCWs were familiar with cervical cancer screening guidelines in WLWH, the study highlights that there are deficiencies in both knowledge and practice. Creating awareness among HCWs regarding the current methods of cervical cancer screening is a necessary to reduce morbidity and mortality from cervical cancer in WLWH. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - September 1, 2020 Category: African Health Authors: Mbali T. Makhubo Source Type: research

Dr Dennis Sifris: In memorium
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 26, 2020 Category: African Health Authors: David C. Spencer Source Type: research

The Editor ’s review of articles published from August to December 2019 in the Southern African Journal of HIV Medicine
No abstract available. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 23, 2020 Category: African Health Authors: David C. Spencer Source Type: research

The initial intravenous treatment of a human immunodeficiency virus-infected child with complicated abdominal tuberculosis
Conclusion: Despite limited experience and few available IV formulations of standard anti-TB and ARV medications, initial IV therapy may be beneficial for patients in whom oral medication is not an option. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 23, 2020 Category: African Health Authors: Anthony K. Enimil Source Type: research

Feasibility of implementing same-day antiretroviral therapy initiation during routine care in Ekurhuleni District, South Africa: Retention and viral load suppression
Conclusion: Same-day initiation of ART was successfully delivered with similar retention and viral load outcomes as subsequent initiation, providing re-assurance for scale-up of this strategy in routine care. (Source: Southern African Journal of HIV Medicine)
Source: Southern African Journal of HIV Medicine - August 19, 2020 Category: African Health Authors: Nolundi Mshweshwe-Pakela Source Type: research