The AIDS epidemic in Swaziland--the world's most severe--has wrought a generation of widows facing deep discrimination and violence. But the enactment of a new constitution, and support for the legal empowerment of women, provide new hope, Tamar Ezer writes.
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Health Sci Rep
December 2024
Infectious Diseases and Tropical Medicine Division, Department of Medicine Georgetown University Medical Center Washington DC USA.
Background And Aims: Sub-Saharan Africa drives global HIV-related mortality, and patients continuously present with advanced HIV disease (AHD) at diagnosis. We describe prevalence, predictors, and treatment outcomes in HIV clients with AHD.
Methods: We systematically reviewed PUBMED, SCOPUS, Web of Science, JSTOR, and CINAHL for relevant studies conducted in Sub-Saharan Africa from 2010 to 2022.
Identifying persons who have newly acquired HIV infections is critical for characterizing the HIV epidemic direction. We analyzed pooled data from nationally representative Population-Based HIV Impact Assessment surveys conducted across 14 countries in Africa for recent infection risk factors. We included adults 15-49 years of age who had sex during the previous year and used a recent infection testing algorithm to distinguish recent from long-term infections.
View Article and Find Full Text PDFEClinicalMedicine
September 2022
Department of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Background: HIV acquisition among Female Sex Workers (FSWs) is 30 times higher than the acquisition rate among females in the respective general population. A higher HIV burden in FSWs challenges the prevention and control of the virus in other population groups. However, there is inadequate evidence on the burden of HIV among FSWs in Ethiopia.
View Article and Find Full Text PDFBMC Int Health Hum Rights
September 2018
Department of General Nursing, University of Swaziland, Kwaluseni, M201, Swaziland.
Background: In Mozambique, the widow is traditionally required to undergo a cleansing ritual called pita-kufa, which generally involves several sessions of unprotected sexual intercourse with the brother of her deceased husband. This ritual may play a role in the spread of HIV and reveals, to some degree, the subordinate position to which women are subjected in Mozambican society. Thus, this study's aim was to map Mozambicans' views on the acceptability of this ritual, given the gender and public health concerns linked to it.
View Article and Find Full Text PDFThe AIDS epidemic in Swaziland--the world's most severe--has wrought a generation of widows facing deep discrimination and violence. But the enactment of a new constitution, and support for the legal empowerment of women, provide new hope, Tamar Ezer writes.
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