IJERPH, Vol. 16, Pages 2590: The Role of Culture in Maintaining Post-Partum Sexual Abstinence of Swazi Women
iba Eswatini is one of the countries in the African continent where post-partum sexual abstinence is practiced. Beside scarcity of research exploring sexual abstinence in Eswatini, there are only a few studies that explore post-partum abstinence across HIV-positive and negative women in sub-Saharan Africa. The study explored the practice of post-partum sexual abstinence in Swazi women and examined how cultural beliefs influence and promotes the perpetuation of the practice. The study population consisted of post-partum women who were selected, using purposive sampling. Thematic approach was used for data analysis. Desp...
Source: International Journal of Environmental Research and Public Health - July 19, 2019 Category: Environmental Health Authors: Zinhle Shabangu Sphiwe Madiba Tags: Article Source Type: research

“We were afraid of the lion that has roared next to us”; community response to reactive focal mass drug administration for malaria in Eswatini (formerly Swaziland)
Reactive focal mass drug administration (rfMDA), or presumptive treatment without malaria testing of household members and neighbours of a passively identified malaria case, is currently being explored as a po... (Source: Malaria Journal)
Source: Malaria Journal - July 15, 2019 Category: Infectious Diseases Authors: Kimberly A. Baltzell, Alysse Maglior, Khaya Bangu, Nontokozo Mngadi, Lisa M. Prach, Brooke Whittemore, Nyasatu Ntshalintshali, Manik Saini, Nomcebo Dlamini, Simon Kunene and Michelle S. Hsiang Tags: Research Source Type: research

Knowledge, Attitudes and Practices Associated With post-natal PMTCT in Breastfeeding mothers living with HIV
Publication date: Available online 12 June 2019Source: International Journal of Africa Nursing SciencesAuthor(s): Phumzile Dlamini, Theresa S Mokoboto-ZwaneAbstractDespite interventions tailored to prevention of mother-to-child of HIV and reported improvements on the outcomes, there is still vertical transmission of HIV through breastfeeding. The study sought to explore knowledge, attitudes, and practices of breastfeeding mothers living with HIV regarding post-natal PMTCT interventions and services. The study sample size was 90 and included conveniently selected breastfeeding mothers living with HIV who attended the King S...
Source: International Journal of Africa Nursing Sciences - June 12, 2019 Category: African Health 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 satisfac...
Source: Sahara J - April 17, 2019 Category: Infectious Diseases Tags: SAHARA J Source Type: research

Evaluation of a routine point-of-care intervention for early infant diagnosis of HIV: an observational study in eight African countries
Publication date: Available online 12 April 2019Source: The Lancet HIVAuthor(s): Flavia Bianchi, Jennifer Cohn, Emma Sacks, Rebecca Bailey, Jean-Francois Lemaire, Rhoderick Machekano, Valery Nzima Nzima, Patricia Fassinou Ekouévi, Mafusi Makone, Collins O Odhiambo, Addmore Chadambuka, Thembie E Masuku, Manuel C Sabonete, Angelique R FundiSummaryBackgroundIn 2017, there were 180 000 estimated new HIV infections in children aged 0–14 years. Without early diagnosis and treatment, half of infants with HIV die by age 2 years, with peak mortality around age 8–10 weeks. Conventional early infant diagnosis (EID) systems hav...
Source: The Lancet HIV - April 13, 2019 Category: Infectious Diseases Source Type: research

Determinants of risky sexual behaviours among adolescents in Central African Republic, Eswatini and Ghana: evidence from multi-indicator cluster surveys.
This study seeks to fill part of this gap by identifying the determinants of risky sexual behaviours among adolescents in Ghana, Central African Republic (CAR) and Eswatini (formerly Swaziland). We used nationally representative sample data from the Multi Indicator Cluster survey, round four (MICS4). Results of the descriptive analysis show that overall consistent condom use is still extremely low in sub-Saharan Africa. In Ghana, only 8.5% of male youth and 7% of female youth consistently use condoms. In CAR this figure is 8% and 4% in male youth and female youth respectively. In Eswatini, with one of highest HIV prevalenc...
Source: African Journal of AIDS Research - March 20, 2019 Category: African Health Tags: Afr J AIDS Res Source Type: research

"I don't want them to know": how stigma creates dilemmas for engagement with Treat-all HIV care for people living with HIV in Eswatini.
Authors: Horter S, Bernays S, Thabede Z, Dlamini V, Kerschberger B, Pasipamire M, Rusch B, Wringe A Abstract "Treat-all" programmes aim to improve clinical outcomes and to reduce HIV transmission through regular HIV testing and immediate offer of antiretroviral therapy (ART) for those diagnosed HIV-positive, irrespective of immunological status and symptoms of disease. Global narratives on the benefits of Treat-all anticipate reduced HIV-related stigma and increased "normalisation" of HIV with Treat-all implementation, whereby HIV is remoulded as a manageable, chronic condition where stigmatising symptoms ...
Source: African Journal of AIDS Research - February 21, 2019 Category: African Health Tags: Afr J AIDS Res Source Type: research

Contraception use and unplanned pregnancies in a peri-urban area of eSwatini (Swaziland)
ConclusionThe rate of unplanned pregnancies is high in this population, especially among teenagers. Family planning interventions need to focus on preconception care for teenagers to enable pregnancy planning including improved antenatal care attendance. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - January 17, 2019 Category: Reproduction Medicine Source Type: research

Deterrents to Immediate Antiretroviral Therapy Initiation by Pregnant Women Living with HIV in Hhohho Region, Swaziland.
This study explored the reasons which deter pregnant women living with HIV from immediate ART initiation in the Hhohho region, Swaziland, using grounded theory design. In-depth interviews with ten purposively selected pregnant women who refused immediate ART initiation were carried out in three high volume health facilities. The thematic analysis revealed key reasons that deterred women from immediate ART initiation. These were shock and perceived stigma, participants' conceptualisation of health and ART and the fear of ART and its side effects. The study offers qualitative evidence from Swaziland that might help illuminat...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Determinants of undernutrition prevalence in children aged 0-59 months in sub-Saharan Africa between 2000 and 2015. A report from the World Bank database.
CONCLUSIONS: Undernutrition represents a major public health threat in sub-Saharan Africa and its prevalence reduction during the period 2000-2015 was inconsistent. Improving water accessibility and number of medical doctors along with reducing HIV prevalence and poverty could significantly reduce undernutrition prevalence in sub-Saharan Africa. PMID: 30526721 [PubMed - as supplied by publisher] (Source: Public Health Nutrition)
Source: Public Health Nutrition - December 11, 2018 Category: International Medicine & Public Health Authors: Ricci C, Asare H, Carboo J, Conradie C, Dolman RC, Lombard M Tags: Public Health Nutr Source Type: research

The Relationship between Patients’ Perception of Nurse Caring Behaviors and Tuberculosis Stigma among Patients with Drug-Resistant Tuberculosis in Swaziland
ConclusionNurse caring behaviors can predict how patients perceive stigma. Therefore, emphases on caring behaviors education on nurses is needed to reduce TB stigma among patients with drug resistant TB which will lead to patients adhering to treatment. (Source: International Journal of Africa Nursing Sciences)
Source: International Journal of Africa Nursing Sciences - November 15, 2018 Category: African Health Source Type: research

Field suitability and diagnostic accuracy of the Biocentric ® open real-time PCR platform for plasma-based HIV viral load quantification in Swaziland
This study is one of a few to eva... (Source: BMC Infectious Diseases)
Source: BMC Infectious Diseases - November 14, 2018 Category: Infectious Diseases Authors: Bernhard Kerschberger, Qhubekani Mpala, Paola Andrea D íaz Uribe, Gugu Maphalala, Roberto de la Tour, Sydney Kalombola, Addis Bekele, Tiwonge Chawinga, Mukelo Mliba, Nombuso Ntshalintshali, Nomcebo Phugwayo, Serge Mathurin Kabore, Javier Goiri, Sindisiwe Tags: Research article Source Type: research

Helminth infection and allergic sensitization in eswati children
The link between helminth infection and allergic conditions is complex and the two conditions have been noted to be both indirectly and directly related. Here we describe helminth infection, allergic symptoms, environmental exposures, and allergen sensitization among patients at a clinic in Mbabane, Swaziland. (Source: Annals of Allergy, Asthma and Immunology)
Source: Annals of Allergy, Asthma and Immunology - November 1, 2018 Category: Allergy & Immunology Authors: N. Ramsey, A. DiNardo, C. Lupinek, T. Nishiguci, R. Kiss, G. Mtetwa, B. Mzileni, A. Kay, W. Secpr, R. Mejia, C. Davis, R. Valenta, J. Orange, P. Hotez, A. Mandalakas Tags: P351 Source Type: research

Successes and challenges in optimizing the viral load cascade to improve antiretroviral therapy adherence and rationalize second-line switches in Swaziland.
CONCLUSIONS: Patients on ART with high VLs were more likely to re-suppress if they received EAC. Failure to re-suppress after counselling was predictive of genotypically confirmed resistance patterns requiring treatment switching. Delays in switching were significant despite the ability of the WHO algorithm to predict treatment failure. Despite significant progress in recent years, enhanced focus on quality care along the VL cascade in resource-limited settings is crucial. PMID: 30350392 [PubMed - in process] (Source: Journal of the International AIDS Society)
Source: Journal of the International AIDS Society - October 24, 2018 Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research

Retention on ART and predictors of disengagement from care in several alternative community-centred ART refill models in rural Swaziland.
CONCLUSIONS: Concurrent implementation of three alternative community-centred ART models in the same region was feasible. Although a considerable proportion of patients returned back to clinical care, overall ART retention was high and should encourage programme managers to offer community-centred care models adapted to their specific setting. PMID: 30225946 [PubMed - in process] (Source: Journal of the International AIDS Society)
Source: Journal of the International AIDS Society - September 20, 2018 Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research