Global Health Education for Medical Students: When Learning Objectives Include Research
The Luke Commission, a provider of comprehensive mobile health outreach in rural Swaziland, focuses on human immunodeficiency virus testing and prevention, including the performance of over 100 circumcisions weekly. Educational objectives for medical student global health electives are essential. Learning research methodology while engaging in clinical activities reinforces curriculum goals. Medical care databases can produce clinically significant findings affecting international health policy. (Source: Journal of Surgical Education)
Source: Journal of Surgical Education - October 6, 2017 Category: Surgery Authors: Alison M. Bales, Anthony R. Oddo, David J. Dennis, Robert C. Siska, Echo VanderWal, Harry VanderWal, Nompumelelo Dlamini, Ronald J. Markert, Mary C. McCarthy Tags: Original Reports Source Type: research

Improving the performance of community health workers in Swaziland: findings from a qualitative study
The performance of community health workers (CHWs) in Swaziland has not yet been studied despite the existence of a large national CHW program in the country. This qualitative formative research study aimed to... (Source: Human Resources for Health)
Source: Human Resources for Health - September 18, 2017 Category: Health Management Authors: Pascal Geldsetzer, Jan-Walter De Neve, Chantelle Boudreaux, Till B ärnighausen and Thomas J. Bossert Tags: Research Source Type: research

High completion rates of isoniazid preventive therapy among persons living with HIV in Swaziland
(Source: International Journal of Tuberculosis and Lung Disease)
Source: International Journal of Tuberculosis and Lung Disease - September 16, 2017 Category: Respiratory Medicine Authors: Adams, L. V. Mahlalela, N. Talbot, E. A. Pasipamire, M. Ginindza, S. Calnan, M. Haumba, S. Tags: ORIGINAL ARTICLES Source Type: research

Travel patterns and demographic characteristics of malaria cases in Swaziland, 2010 –2014
As Swaziland progresses towards national malaria elimination, the importation of parasites into receptive areas becomes increasingly important. Imported infections have the potential to instigate local transmi... (Source: Malaria Journal)
Source: Malaria Journal - September 8, 2017 Category: Infectious Diseases Authors: Natalia Tejedor ‐Garavito, Nomcebo Dlamini, Deepa Pindolia, Adam Soble, Nick W. Ruktanonchai, Victor Alegana, Arnaud Le Menach, Nyasatu Ntshalintshali, Bongani Dlamini, David L. Smith, Andrew J. Tatem and Simon Kunene Tags: Research Source Type: research

Identification of misdiagnosed HIV clients in an Early Access to ART for All implementation study in Swaziland.
CONCLUSIONS: Overall 0.6% of all enrolled EAAA clients were misdiagnosed, and 64% of misdiagnosed clients were initiated on ART. With adoption of EAAA guidelines by national governments, ART initiation regardless of immunological criteria, strengthening of proficiency testing and adoption of retesting prior to ART initiation would allow identification of misdiagnosed clients and further reduce potential of initiating misdiagnosed clients on ART. PMID: 28872273 [PubMed - in process] (Source: Journal of the International AIDS Society)
Source: Journal of the International AIDS Society - September 7, 2017 Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research

Adherence, tolerability, and outcome after 36 months of isoniazid-preventive therapy in 2 rural clinics of Swaziland: A prospective observational feasibility study
Abstract: Although efficacy of 36 months isoniazid preventive therapy (IPT) among HIV-positive individuals has been proven in trial settings, outcome, tolerance, and adherence have rarely been evaluated in real-life settings. This is a prospective observational cohort study conducted in 2 primary care rural clinics in Swaziland. After negative tuberculosis symptom screening, patients either with the positive tuberculin skin test (TST) or after tuberculosis treatment were initiated on IPT for 144 weeks. In addition to routine clinic visits, adherence was assessed every semester. Of 288 eligible patients, 2 patients never...
Source: Medicine - September 1, 2017 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Impact of early initiation versus national standard of care of antiretroviral therapy in Swaziland ’s public sector health system: study protocol for a stepped-wedge randomized trial
There is robust clinical evidence to support offering early access to antiretroviral treatment (ART) to all HIV-positive individuals, irrespective of disease stage, to both improve patient health outcomes and ... (Source: Trials)
Source: Trials - August 18, 2017 Category: General Medicine Authors: Fiona J. Walsh, Till B ärnighausen, Wim Delva, Yvette Fleming, Gavin Khumalo, Charlotte L. Lejeune, Sikhathele Mazibuko, Charmaine Khudzie Mlambo, Ria Reis, Donna Spiegelman, Mandisa Zwane and Velephi Okello Tags: Study protocol Source Type: research

‘I was thinking we would be spoon-fed’: Community co-researchers’ perceptions of individual empowerment in participatory health research in Swaziland
. (Source: Global Public Health)
Source: Global Public Health - August 10, 2017 Category: International Medicine & Public Health Authors: Michelle Brear Source Type: research

‘I was thinking we would be spoon-fed’: Community co-researchers’ perceptions of individual empowerment in participatory health research in Swaziland
Volume 13, Issue 10, October 2018, Page 1441-1453 . (Source: Global Public Health)
Source: Global Public Health - August 10, 2017 Category: International Medicine & Public Health Authors: Michelle Brear Source Type: research

‘I was thinking we would be spoon-fed’: Community co-researchers’ perceptions of individual empowerment in participatory health research in Swaziland
. (Source: Global Public Health)
Source: Global Public Health - August 10, 2017 Category: International Medicine & Public Health Authors: Michelle Brear Source Type: research

Harmonization of community health worker programs for HIV: A four-country qualitative study in Southern Africa
ConclusionCHW programs for HIV in Southern Africa are fragmented, poorly integrated, and lack long-term support. We provide 5 policy recommendations to harmonize CHW programs in order to strengthen and sustain the role of CHWs in HIV service delivery. (Source: PLoS Medicine)
Source: PLoS Medicine - August 8, 2017 Category: Internal Medicine Authors: Jan-Walter De Neve Source Type: research

Early impact of rotavirus vaccine in under 5year old children hospitalized due to diarrhea, Swaziland.
CONCLUSION: There has been a rapid reduction of all-cause diarrhea and rotavirus hospitalizations in Swaziland, particularly in young children and during the rotavirus season, after the introduction rotavirus vaccine. Continued surveillance is needed to monitor the long-term impact of rotavirus vaccine introduction. PMID: 28778615 [PubMed - as supplied by publisher] (Source: Vaccine)
Source: Vaccine - August 1, 2017 Category: Allergy & Immunology Authors: Maphalala G, Phungwayo N, Masona G, Lukhele N, Tsegaye G, Dube N, Sindisiwe D, Khumalo L, Daniel F, Katsande R, Tate JE, Mwenda JM, Weldegebriel G Tags: Vaccine Source Type: research

Agency as a mediator in the pathway from transactional sex to HIV among pregnant women in Swaziland: a multigroup path analysis.
CONCLUSIONS: Relationship agency likely plays a key role in determining which mechanisms create HIV risk for women in transactional relationships. Interventions to mitigate these risks must address social forces that penalize women who engage in sexual relationships as well as structural drivers of gendered economic disparity that reduce women's agency within their sexual and romantic relationships. PMID: 28692210 [PubMed - in process] (Source: Journal of the International AIDS Society)
Source: Journal of the International AIDS Society - July 13, 2017 Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research