Swaziland HIV Incidence Measurement Survey (SHIMS)

The Swaziland HIV Incidence Measurement Survey (SHIMS) is a nationally representative survey aimed at assessing the impact of male circumcision programme in the context of other national HIV prevention programs. SHIMS is the first measurement of directly-observed new HIV infections in Swaziland.

Epicentre was contracted by Columbia University to manage the data collection component of the study. From December 2010 through June 2011, 14,927 households were selected for study participation from a representative sample of 575 enumeration areas (EAs). EAs were selected using a  probability proportional to size sampling plan. A total of 12,603 households participated. A total of 10,976 men and 13,508 women were eligible for study participation; 7129 and 11,040 men and women, respectively, who were 18-49 years old agreed to participate in a nationally representative, cross-sectional pre-cohort survey.

The survey identified a national HIV prevalence of 31% among adults 18-49 years. A reanalysis of the 2006-2007 SDHS data, when restricted to 18-49 years of age, similarly identified a prevalence of 31%

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Integrated Biological and Behavioural Surveillance Survey (IBBSS)

The main purpose of this survey was to obtain information on the prevalence of HIV among farm workers and to document their behaviours, perception on and attitudes regarding HIV-related issues. This information will enable IOM, government and local partners to develop customized HIV prevention, treatment, care and support programmes for farm workers. It also serves as a baseline against which trends over ti me may be compared. In addition, the findings will be used as an advocacy tool to engage key regional and national stakeholder and decision makers.

Epicentre was contracted to conduct the data collection. A total of 2,810 individuals employed on farms participated by completing questionnaires and providing dry blood spot specimens. The study used a cluster sampling approach. Over 98 per cent of farm employees from all cluster samples, after hearing an introductory explanation of the study and its objectives, agreed to participate.

Out of 2,798 participants on whom HIV results were available, 1,106 (39.5%) were HIV positive.

More than half of farm workers between 30 and 39 years of age are infected (52.2%).

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HIV Prevalence and Related Factors Higher Education Sector Study South Africa

The purpose of this study was to enable the higher education sector to understand the threat posed by the epidemic to its core mandate. This was done through determining, at the institutional and sector level, the prevalence and distribution of HIV and associated risk factors among the staff and students at public, higher education institutions (HEIs) in South Africa.

Epicentre was contracted to conduct the data collection for the study. The study population consisted of students and employees at 21 HEIs in South Africa. The study comprised an HIV prevalence study, a knowledge, attitude, behaviour and practice (KABP) survey, a qualitative study and a risk assessment. An overall sample of 25 000 respondents was targeted. Self-administered questionnaires were used to obtain demographic, socioeconomic, behavioural and HEI-related data, and blood spots were obtained by finger prick.

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International and Local Good Practice in Workplace HIV and AIDS Programmes

This report aims to identify and describe what is considered “good practice” as regards workplace HIV programmes. It is anticipated that the findings will feed into the national-level “Higher Education Workplace HIV and AIDS Programme Framework” and down into the Higher Education Institution (HEI)-specific workplace programmes.

This review of good practice is particularly focused on issues pertaining to HIV and AIDS but ideally any chronic disease prevention and treatment programme should be situated within a broader Health and Wellness framework. In reality, few HEIs have functioning Health and Wellness programmes and currently, HIV and AIDS programmes will tend to be vertical in design.

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