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, August 7, 2014

Day 68: Chantal's Surprise Birthday Dinner



Chantal's new backpack
Today, I stayed at Baylor and created the database for the facility-level questionnaires and began entering the data. It was much easier to put this database together since the survey was a lot shorter than the questionnaire for the participants. The only issue I had was that a few questions in the survey were a bit confusing or misinterpreted by the senior nurses who completed that. So the research team and I have to touch base with the senior nurses to make sure they filled out the survey accurately and understood each question. Chantal's data clerks, Neli and Nozipho bought her a new backpack because her old one was getting too old and had a huge hole on hole at the bottom of the bag. lol.

After I completed the database, Chantal and I met the girls downtown for lunch at Spur. I told our waitress that today is Chantal's birthday and all of the waiters sang her happy birthday and gave her ice cream. Chantal still doesn't know that I planned a surprise dinner for her at House on Fire. I just told her that I have a date with Francis at that restaurant and that Smangaliso will be taking me there.

Lunch at Spur on Chantal's Birthday
Chantal's Birthday Cake
After getting back to Baylor, ShaCoria and I think of a plan on how to get Chantal to House on Fire without her seeing the cake. But it was extremely difficult to hide our plan from Chantal! She was way too suspicious and followed us everywhere and she as questioning everything we did as if she knew we were hiding something from her! Even when went to pick up her cake, she noticed that I left Baylor and questioned me about it. So after work, Francis said that he was able to pick up and take us all to House on Fire since we had no other way to get there (at this point, Chantal still thinks that I am going on a date and that she and the other girls are just tagging along so that they can also get a ride home from Francis lol). Since we wouldn't have been able to hide the cake from her on the ride to the restaurant, we had to surprise her early on, right after work. Her first reaction when she saw the cake was "they spelled my name right!" lol. She noticed that I ordered her cake at the same place that we ordered Jessica's cake from and Jessica's name was spelled wrong, so she just had to point that out!

Birthday dinner at House on Fire - me, Chantal, ShaCoria, Jessica, and Francis (I'm not sure why the flash on my camera made it appear as if I had white stains on my jacket! lol)
We get to the restaurant about 2 hours later than the time we planned. As Smanagaliso said, there is no rush in Swaziland. Time seems to be unimportant. lol. The other guys that we invited from LCI came about and hour after we arrived at the restaurant (they were lost and thought we were at another venue). Chantal had no idea that we had planned a dinner for her until we go to House on Fire. I'm glad she enjoyed her night!

All of us at House on Fire! On the left from front to back:Jessica, Chantal, ShaCoria, and Glody. On the right from front to back: Apo, me, Francis, Richmond, and Yusef.

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