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.

Wednesday, July 23, 2014

Day 53: Visit to Raleigh Fitkin Memorial Hospital


Chantal and I at Raleigh Fitkin Memorial (RFM) Hospital Baylor Satellite Clinic in Manzini, Swaziland

Today I went to Raleigh Fitkin Memorial (RFM) Hospital with the data clerks, Ndumiso and Sibusiso. We talked to the administrators at RFM and informed them about our research study and told us to come back later on during the day in order to speak with the supervisor about the study. The supervisor still wasn't there when we returned so we decided to go to RFM again tomorrow morning. So we should be able to start data collection at RFM Baylor tomorrow. Chantal and I also had a meeting with Nobuhle at the end of our day after our request to use the EID Dashboard, which is a database with all of the DNA PCR test results that were done among infants at all the clinics in Swaziland. This database would make data collection more efficient for us because it would speed up the process of data extraction from the DBS logbooks and electronic medical record system (EMR).

More pictures of RFM Baylor
Chantal and I taking pictures with Sibusiso, one of our data clerks, at RFM
Picture of King Sobuza (KS) II Clinic in Manzini, Swaziland. Since I was in Manzini, I decided to take a picture of KS II, which is another site in which the research study is being implemented. I wasn't able to go with the data clerks as they were doing data collection here because I was working on the Access database for the study.


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