My Journey in the Kingdom of Swaziland
My name is Charisse Ahmed and I am a fourth-year health education major at the University of Florida, double minoring in health disparities and African studies. From June 1st to August 22nd, I will be studying the barriers to HIV pediatric care in the country with the highest rate of HIV in the world: Swaziland, Southern Africa. Please join me as I embark on this journey of spiritual and personal growth in the Kingdom of Swaziland. Note: this is primarily a retrospective blog.
The Kingdom of Swaziland
Dreams Fulfilled
Why am I in Swaziland?
HIV is a global pandemic and claimed the lives of millions of people all over the world. One of my hopes is that there will be a cure for HIV during or after my lifetime. Not only do I believe in physical healing of HIV, but I also believe in spiritual healing by faith in God. God has called me to act on this issue and my work here in Swaziland is being done to bring Him glory. By the grace of God, I was accepted into the Minority Health International Research Training (MHIRT) program offered by the University of Alabama at Birmingham (UAB) School of Public Health. Due to my passion for HIV research and prevention, I was selected to conduct research on the barriers to antiretroviral therapy (ART) initiation among HIV-positive children 2 to 18 months of age in Swaziland. With the relatively high rate of HIV among pregnant women and the relatively low rate of children initiated on ART in comparison to adults in Swaziland, this a major public health concern within the country.
What am I doing?
Just to get an idea of what I will be blogging about, I will be implementing a research project on the barriers to antiretroviral therapy (ART) initiation among HIV-positive children 2-18 months of age in Swaziland. I will be carrying out the study at several different health facilities in Swaziland with my research partner and fellow MHIRT trainee, Chantal Harris, who also attends the University of Florida. Our main job is to carry out the study by following the research protocol with the assistance of data clerks, the primary investigators, public health stakeholders, and doctors associated with the project and ART initiation among children. The research project is also funded by UNICEF, which allowed us to hire data clerks to assist with data extraction, survey administration, and the facilitation of focus groups for the study.
Who do I work with?
My fellow MHIRT trainee, Chantal Harris, will be working on the research project with me all summer. She also will be living with me in Dr. Peter Preko's guest house in Mbabane, Swaziland. Dr. Preko is our host and mentor as well as one of the primary investigators of the research study. Dr. Pauline Jolly is also a primary investigator for this research project and also the director of the MHIRT program at UAB. Mrs. Nobuhle Mthethwa is another one of the primary investigators and is the National Paediatric ART Officer of the Swaziland National AIDS Program (SNAP) of the Ministry Of Health (MoH). We have four data clerks helping us to carry out the study, which are two Swazi women, Nelisiwe (Neli for short) and Nozipho, and two Swazi men, Ndumiso and Sibusiso. Two other fellow MHIRT trainees, Jessica and ShaCoria, are also here in Swaziland for 12 weeks, but they are implementing a different project (association between HIV status and cervical cancer among women) and live with a host family in Manzini, Swaziland. The UNICEF budget for the research budget also rendered us the opportunity to hire two drivers from Affordable Car Hire (Smangaliso and Sipho) to take us from clinic to clinic.
Friday, August 8, 2014
Day 69: Francis' Going-Away Party
Day 69: Loc Maintenance
Thursday, August 7, 2014
Day 68: Chantal's Surprise Birthday Dinner
![]() |
| Chantal's new backpack |
After I completed the database, Chantal and I met the girls downtown for lunch at Spur. I told our waitress that today is Chantal's birthday and all of the waiters sang her happy birthday and gave her ice cream. Chantal still doesn't know that I planned a surprise dinner for her at House on Fire. I just told her that I have a date with Francis at that restaurant and that Smangaliso will be taking me there.
| Lunch at Spur on Chantal's Birthday |
| Chantal's Birthday Cake |
After getting back to Baylor, ShaCoria and I think of a plan on how to get Chantal to House on Fire without her seeing the cake. But it was extremely difficult to hide our plan from Chantal! She was way too suspicious and followed us everywhere and she as questioning everything we did as if she knew we were hiding something from her! Even when went to pick up her cake, she noticed that I left Baylor and questioned me about it. So after work, Francis said that he was able to pick up and take us all to House on Fire since we had no other way to get there (at this point, Chantal still thinks that I am going on a date and that she and the other girls are just tagging along so that they can also get a ride home from Francis lol). Since we wouldn't have been able to hide the cake from her on the ride to the restaurant, we had to surprise her early on, right after work. Her first reaction when she saw the cake was "they spelled my name right!" lol. She noticed that I ordered her cake at the same place that we ordered Jessica's cake from and Jessica's name was spelled wrong, so she just had to point that out!![]() |
| Birthday dinner at House on Fire - me, Chantal, ShaCoria, Jessica, and Francis (I'm not sure why the flash on my camera made it appear as if I had white stains on my jacket! lol) |
![]() |
| All
of us at House on Fire! On the left from front to back:Jessica,
Chantal, ShaCoria, and Glody. On the right from front to back: Apo, me,
Francis, Richmond, and Yusef. |
Wednesday, August 6, 2014
Day 67: Clinic Visits and Kente Fabric
| Top Photo: Ghanaian Kente Fabric |
| Luyengo Clinic |
| Horo Clinic |
| View of downtown Mbabane on the way back to Baylor from visiting the dressmaker |
| House on Fire Restaurant in Malkerns, Swaziland |
| Swaziland National Museum Umsamo Wesive at Lobamba - on the way to Horo from Luyengo Clinic |
![]() |
| Smangaliso's Puppies! |
![]() |
| Me and Chantal by Waterford |
| Waterford Kamhlaba United World College of Southern Africa - the best school in Swaziland |
Tuesday, August 5, 2014
Day 66: Distributing Facility-Level Surveys Continued
| Nhlangano Health Centre |
| More photos of Nhlangano |
| Good Shepherd Mission Hospital |
| Leaving Nhlangano Health Centre and on the way to Good Shepherd Mission Hospital |
Monday, August 4, 2014
Day 65: Distributing Facility-Level Surveys
| High Commission of the Republic of Mozambique in Mbabane, Swaziland |
Below are photos that I took of each clinic that I didn't get to take pictures of previously. Today was my first time visiting Siphofaneni Clinic and Hlatikulu Hospital.
| King Sobhuza II (KS II) Health Centre |
| Siphofaneni Clinic |
| Hlatikulu Hospital and Baylor Satellite Clinic |
| Picture taken on the way to Hlatikulu Hospital from Siphofaneni Clinic |
| Picture taken leaving Hlatikulu and heading back to Mbabane |
Sunday, August 3, 2014
Day 64: First Sunday at New Church
| Top photo: Dr. Preko's daughter Gabby (on the right) and her best friend Precious (on the left). Bottom photo: Dr. Preko's son, Caleb |









