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.

Friday, July 25, 2014

Day 55: Visit to Nobuhle's Home

Mrs. Nobuhle Mthethwa's home
Today the data clerks, Sibusiso and I resumed data collection at RFM Baylor. Because I forgot the computer they use for data collection again, we were running late again, so I offered to treat the guys to Braai again. I also went to Nobuhle's house to get her laptop so that she can give me the EID dashboard again because file was corrupt on Chantal's flash drive since a virus was on it. at the prekos to study. The other data clerks, Neli and Nozipho, began data collection at Nhlangano. Chantal decided to stay over Jessica and ShaCoria's house for one night and I decided to stay home and study since Dr. Preko would be quizzing me on some GRE words on Sunday.

Yesterday, I remained at Baylor in the morning Mbabane in order to organize the focus groups for next week and get approval from Dr. Sarah to do data collection at the other Baylor sites (RFM and Hlati-COE). I also showed Chantal how to enter data today and I went to RFM later for the approval letter from the senior medical officer of RFM in order to be authorized to hold focus group there and to possibly start data collection there today. I went to RFM to start data collection with the guys, Ndumiso and Sibusiso, and Chantal's flash drive had a virus so it took us a while to get access to the EID Dashboard, which we needed for data extraction. When we finally got it to open with assistance from the data clerk at RFM Baylor, we started looking through DBS logbook to collect data for the study.


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