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.

Thursday, July 31, 2014

Day 61: Relaxing Day at Baylor

Today was one of the most relaxing days at Baylor. After the hard work and success of organizing the focus groups, this day was well needed. Chantal was working on data entry and I reviewed the facility-level survey and distributed the first one to the Senior Nurse after Nobuhle looked over the survey and approved it. I'm glad I was able to play a role in constructing the survey as Nobuhle said that the survey was comprehensive good enough for continued use. The data clerks has began their second round of interviews for cases at RFM Baylor today. We're finally starting to get a bit more cases! I also had a talk with Katharine from CHAI for further technical assistance and updating her on the progress of the project. During the meeting, Dr. Sarah also came in to discuss one of the major limitations to the study: we don't have a representative sample of cases at each clinic since most of our cases are likely to come from the Baylor sites and we have a higher representation of controls in our study, so we have a little bias which is very difficult to rectify because cases are limited and most of the time unavailable, non-reachable, or unwilling to participate within the study. Katherine also recommended places to go and things to do during our trip in Cape Town in 2 more weeks! She was there last week.

Chantal entering data - pretending to be productive lol
Today, I also had time to work on this blog since I know I am super behind! Today I just realized how much I've done in Swaziland and that time flies. I've been here for two months already! I didn't expect for it to take as long as it did to organize my photos because I took over two thousand pictures! I took a lot of the same pictures and then chose the best ones for the blog.

Beautiful day downtown - on my way to the food court with Chantal. I'm going to order the quesadillas at Spur again.
The grand opening of a new clothing store called Power Fashion Factory at The Mall

No comments:

Post a Comment