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.

Tuesday, August 5, 2014

Day 66: Distributing Facility-Level Surveys Continued

Chantal and I resumed with distributing the facility-level surveys to the other clinics within our study. We went to KS II first and we asked for one of the staff members to give the survey to the senior nurse for us since she wasn't in again. We also took down her contact information, as we did at all of the clinics we visited, so that we can follow-up with her. After visiting KS II, we visited Nhlangano Health Center and Good Shepherd Mission Hospital respectively to distribute the surveys. We will visit Horo and Luyengo tomorrow. Chantal's birthday is in two more days! So I am planning a surprise birthday dinner for her at Malandela's House on Fire, a restaurant in Ezulwini recommended by Dr. Sarah. I also plan on ordering Chantal a birthday cake tomorrow and bring it with me to the restaurant. I invited some of our friends from church, the drivers, and of course the girls, Jessica and ShaCoria, will be there. I plan on inviting Noeleen and Naoimi tomorrow as well.

Nhlangano Health Centre
More photos of Nhlangano
Good Shepherd Mission Hospital

Leaving Nhlangano Health Centre and on the way to Good Shepherd Mission Hospital

On the way back to Mbabane from Good Shepherd, Chantal bought grilled corn on the cob, a popular snack for Swazis, on the side of the road for 6 Rand each (they can be 3 Rand each at some places such as the Kombi Station).

Pizza Inn, located in the food court of Corporate Place, has the buy one get one free special every Tuesday. One box of pizza is usually around 59 Rand, so Chantal and I bought two Margaritia pizzas for the prize of one and split the cost. I also took a photo of the other Americanized restaurants that I frequent: Spur and GreenChilli (but it's been a while since I've eaten from GreenChilli)

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