The Kingdom of Swaziland

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.

Monday, July 21, 2014

Day 51: Regrouping and Prioritizing

Chicken Herb Sandwich at Computronics Cafe

Today was a very tiring day! Chantal and I came to work with the key to Dr. Sarah's office locked so we didn't have access to the computers or traveling reimbursment money for the study. So Chantal went back to our guest house to find the key and then she called me when she was home to ask again if I was certain that I didn't have the key. Then I realized that it was in my bookbag all this time! I asked her if she can get my debit card for me while she was at the guest house, and then she lost it on her way back to Baylor Clinic. So then Chantal and I had to go back to the guest house again to look for it and we found it in the walk way by the guest house! Chantal’s group is starting data collection at Siphofaneni Clinic, there needs to be an amendment to protocol because we are not getting enough cases and so we have to visit new clinics. I also finished editing and piloting the facility-level questionnaire downstairs, and did data entry after Dr. Preko and Dr. Sarah looked over it. Then I had a chicken herb sandwich for lunch today at Computronics Cafe. Dr. Preko talked to me about my priorities today and how I need to start studying for the GRE again as I stopped studying for it a few weeks after arriving in Swaziland. So I told him to hold me accountable for my study plan and so he will be looking at my GRE study plan tomorrow since it is a holiday (the king's father's birthday).

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