Faculty Opinions recommendation of Effect of HIV infection on pregnancy-related mortality in sub-Saharan Africa: secondary analyses of pooled community-based data from the network for Analysing Longitudinal Population-based HIV/AIDS data on Africa (ALPHA).

Abstract Background Sub-Saharan Africa (SSA) homes most of the people living with HIV/AIDS in the world. Adolescents/young people are a vulnerable population and at high risk of HIV infection. Identifying and bridging the research gaps on the disclosure of HIV-positive status among adolescents, particularly to their sexual partners, is essential to inform appropriate policy planning and implementation towards preventing HIV transmission. This study will aim to explore literature and describe the evidence on HIV-positive status disclosure among adolescents in SSA. Methods The framework provided by Arksey and O’Malley’s framework and improved by Levac and colleagues will be used to conduct a scoping review. A keyword search for relevant literature presenting evidence on HIV-positive status disclosure among adolescents in SSA will be conducted in CINAHL, PubMed, Science Direct, Google Scholar, and SCOPUS. Date limitations will be removed, but Boolean terms “AND” and “OR” as well as Medical Subject Headings terms will be included where possible and syntax modified to suit the database during the search. Additional relevant articles will be sought from the reference lists of all included studies using a snowballing method. Two reviewers will independently screen the articles at the abstract and full-text screening phases in order to reduce bias and improve the reliability of this study’s findings. A tabular form will be developed using Microsoft Word and piloted for data extraction. Thematic content analysis will be conducted, and a narrative summary of all relevant outcomes reported. Quality appraisal of the included studies for this proposed study will be performed utilizing the recent mixed methods appraisal tool. Discussion The evidence produced by this review may help inform policy and strategies to reduce the incidence of HIV infection among adolescents and improve social support for adolescents living with HIV/AIDS in SSA. It may also reveal literature gaps to guide future researches to further inform HIV policies for adolescents in SSA. Platforms such as peer review journals, policy briefs, and conferences will be used to disseminate this study’s findings.

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Clinical Experience with Parotid Gland Enlargement in HIV Infection: A Report of Five Cases in Nigeria

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-6-1-136 ◽

2005 ◽

Vol 6 (1) ◽

pp. 136-145 ◽

Cited By ~ 8

Author(s):

Foluso J. Owotade ◽

Olawunmi A. Fatusi ◽

Kehinde E. Adebiyi ◽

Sunday O. Ajike ◽

Morenike O. Folayan

Keyword(s):

Antiretroviral Therapy ◽

Parotid Gland ◽

Hiv Infection ◽

Clinical Experience ◽

Needle Aspiration ◽

Sub Saharan Africa ◽

Parotid Swelling ◽

Sub Saharan ◽

Gland Enlargement ◽

Hiv Aids

Abstract A changing picture of oral lesions associated with HIV/AIDS has been documented. With the use of antiretroviral therapy, salivary gland swellings and other less common conditions associated with HIV/AIDS are now becoming more common. Our review of the literature showed the presence of parotid swelling in HIV-1 infection has increased from a range of 5-10% to 20% in AIDS. However, to the best of our knowledge, none from sub-Saharan Africa, which is the epicenter of the HIV infection and where access to antiretroviral therapy is poorest, has been primarily reported in literature. This report documents five cases of bilateral parotid gland enlargement as the presenting clinical manifestation of HIV/AIDS. The combination of a fine needle aspiration (FNA) biopsy, ultrasound imaging, and histological diagnosis increased the accuracy of diagnosis. While two patients had access to antiretroviral therapy, other modes of management were cystic aspiration and parotidectomy. One of the patients treated with parotidectomy had facial nerve injury, and the short-term aesthetic outcome between surgical treatment and antiretroviral therapy did not appear different. However, all our patients were lost to follow-up within a 2-year period. For a resource-constrained environment like Nigeria where stigma and discrimination is high and access to antiretroviral therapy is limited, there is a need to understand how best to manage a lymphoepithelial lesion in HIV/AIDS patients. Citation Owotade FJ, Fatusi OA, Adebiyi KE, Ajike SO, Folayan MO. Clinical Experience with Parotid Gland Enlargement in HIV Infection: A Report of Five Cases in Nigeria. J Contemp Dent Pract 2005 February;(6)1:136-145.

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Combating HIV/AIDS in Sub-Saharan Africa: Effect of Introducing a Mastery Motivational Climate in a Community-Based Programme

Applied Psychology ◽

10.1111/j.1464-0597.2011.00482.x ◽

2012 ◽

Vol 61 (4) ◽

pp. 699-722 ◽

Cited By ~ 2

Author(s):

Cyprian N. Maro ◽

Glyn Roberts

Keyword(s):

Motivational Climate ◽

Sub Saharan Africa ◽

Community Based ◽

Sub Saharan ◽

Mastery Motivational Climate ◽

Hiv Aids

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Community-Based Interventions and Behaviors of HIV+ Persons in Congo-Kinshasa

Modern Applied Science ◽

10.5539/mas.v15n5p27 ◽

2021 ◽

Vol 15 (5) ◽

pp. 27

Author(s):

Max Ebengho-Bokelo ◽

Jeremy Super-Eloko

Keyword(s):

Family Members ◽

Risky Behaviors ◽

Ethnographic Study ◽

Sub Saharan Africa ◽

Gender Based Violence ◽

Community Based Interventions ◽

Community Based ◽

Cross Sectional ◽

Sub Saharan ◽

Hiv Aids

Introduction: Sub-Saharan African communities bear the highest burden of HIV/AIDS in the world. Because of identifiable cultural links and local beliefs, people are more likely to engage in sexual mores that could negatively impact their life. Starting in early 2000, Congolese HIV+ patients have undergone a variety of medico-social inputs designed to decrease risky behaviors among people in the program and their family members. Goals: This inquiry aimed to understand how PLWHs assess the influence of community-based incentives within their society, as primarily conceived to improve daily behaviors of each person living with HIV (PLWH), and a few selected family members with unknown HIV-serostatus. Methods: From December 2020 to March 2021, a cross-sectional study was engaged to gather qualitative-driven information from nine in-depth interviews, three focus groups, and two key-informant interviews. Changes were self-assessed through data gotten from 2004-2014 in sexual cleansing, levirate and sororate marriage, Kintwidi phenomenon, stigma and discrimination, sexual gender-based violence (SGBV) and female genital mutilation (FGM), unprotected receptive vaginal or anal intercourse, and behavioral rejection of condoms throughout a decade of Congolese Community-based Interventions (CBIs) implemented from 2004. Grounded on the socioecological model (SEM), this ethnographic study was based on the meaning of the influence of CBIs on cultural behaviors among PLWHs for HIV/AIDS prevention purposes. Results: Data from Kinshasa and Bandundu were coded and analyzed through NVivo R1 and Excel, showing significant negative sentiments for all eight key-cultural components in PLWHs. Conclusion: Out of the holistic approach employed to tackle HIV/AIDS in communities, the comprehensive strategy enabled for social change in Congo-Kinshasa brought specific impactful insights in terms of behavior according to interviewed PLWHs. Findings could be used to inform further preventive activities to alleviate any community HIV burden in sub-Saharan Africa.

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