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| | Modified:
5/17/2013 2:54 PM | | Title:
MAMA (Mobile Alliance for Maternal Action) Launches in South Africa | 
We South Africans love our cell
phones. There are more registered sim cards in South Africa than there are
people. Yet despite our embrace of modern technology, pregnancy and childbirth
still carries an unacceptably high risk of dying for both mother and baby. Why
not harness the power of mobile technology to make them safer?
That’s precisely what MAMA aims to do.
The Mobile Alliance for Maternal Action (MAMA) is a global partnership between
USAID, Johnson & Johnson, United Nations Foundation, mHealth Alliance and
BabyCenter. South African partners in MAMA’s national rollout are WRHI, USAID,
Praekelt Foundation, Cell-Life, and Vodacom Foundation. MAMA uses mobile
telephone technology to deliver personalised, stage-related messages to mothers
throughout their pregnancy and the first year of the infant’s life.
These
messages help mothers understand the changes their bodies are going through,
recognise normal foetal development and determine when they need to seek
medical attention. After baby is born the messaging contains reminders about
critical developmental milestones like immunisation schedules and information
about baby’s changing needs as he or she grows. Sometimes all a sleep-deprived
new mother needs is reassurance that she is not alone.
MAMA was officially launched in South
Africa at WRHI on 9th May, joining Bangladesh in the implementation
of MAMA’s innovative maternal, newborn, and child health solution. The launch
of MAMA is especially poignant in South Africa where the maternal mortality
ratio (MMR) is estimated at 300 per 100 000 live births and at a time when 3.1
million newborn deaths occur every year across the globe.
Putting the power of health literally
in the hands of pregnant and new mothers can directly assist in reducing South
Africa’s MMR to the government’s target of 270 by 2014.Among those attending MAMA South
Africa’s launch was MAMA Global Director, Kirsten Gagnaire, who said, “The
national launch of MAMA South Africa and their partnership with the Vodacom
Foundation is a significant step for more moms living in poverty, many of whom
are living with HIV, to access culturally sensitive, vital health messages to
improve their lives and the lives of their babies.”
In a contribution valued at R480 000,
a total of 6000 Vodacom subscribers are now able to access critical maternal
health information via SMS. The partnership with the Vodacom Foundation also includes
the hosting of MAMA South Africa’s mobile service on Vodacom’s Vodafone Live,
reaching over 30.6 million Vodacom customers.
Speaking at the launch event, Dr
Eugene Sickle, WRHI's Deputy Executive Director of Strategy & Development,
announced that MTN had also joined the MAMA partnership.
Gustav Praekelt of Praekelt
Foundation, MAMA’s technology partner, demonstrated how MAMA works on a mobile
phone and explained: “MAMA SA’s goal is to take the project to scale and reach
500 000 mothers in South Africa in two years.” Currently MAMA South Africa consists
of an SMS programme offered through two clinics in Hillbrow, Johannesburg, a
dynamic community portal (askmama.mobi) and a USSD-based interactive quiz
service. MAMA South Africa aims to expand to include voice services for mothers
with low literacy, and a portal on MXit - a popular mobile social network.
Some local mamas and their babies
attended the launch and shared their stories.
“Not all mamas, old and new, know how
to take care of their babies or how to take care of themselves when they are
pregnant or when they are about to deliver,” says registered MAMA user, Ntando
Khumalo, who is expecting a baby.
Adds another user, Letty Mafu, “There
is a big need for information. I don’t want anything to happen to my unborn
baby. I like to know everything.”
“I joined when I was pregnant,” says
23-year-old Paneshe Chipikiri, mother to a three-month-old baby. “They (MAMA)
taught me what to put in my bag and the danger signs to rush to the hospital so
I didn’t have any problems with my delivery.”
For more information about MAMA or
other WRHI mHealth projects, please contact Jesse Coleman, mHealth programme
manager, on jcoleman@wrhi.ac.za or 011
358 5528.
Click here
to read a statement from MAMA’s Global Director, Kirsten Gagnaire.
Click here to see images for MAMA Launch | | | |
| | Modified:
4/17/2013 10:38 AM | | Title:
Professor Helen Rees leads African Scientists in signing Global Declaration to End Polio |
Professor
Helen Rees has been the Chair of the WHO’s Strategic Advisory Group of Experts
(SAGE) on immunisation since 2008. In her capacity as a leading vaccine advocate she has put her name to a global Scientific Declaration on Polio Eradication, calling for full funding and implementation of the Polio Eradication and Endgame Strategic Plan 2013-2018, developed by the Global Polio Eradication Initiative (GPEI).
The declaration was officially launched on the 11th of April 2013 in New York and London and has so far been signed by more than 400 signatories from the global scientific community. The declaration urges governments, international organisations and civil society to do their part to seize the historic opportunity to end polio and protect the world's most vulnerable children and future generations from this debilitating but preventable disease.
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| | Modified:
3/7/2013 10:16 AM | | Title:
“Comment: News of a baby ‘cured’ of HIV announced at CROI” | The big news at this year’s annual Conference on Retroviruses and Opportunistic Infections (CROI) in Atlanta, Georgia is the story of the ‘baby cure’. An infant born to a mother in rural Mississippi was treated aggressively with antiretroviral drugs starting around 30 hours after birth, a non-routine intervention.
Dr. Deborah Persaud, associate professor at the Johns Hopkins Children’s Centre and lead author of the report on the baby, said, “It’s proof of principle that we can cure HIV infection if we can replicate this case.”
The mother arrived at a rural hospital in 2010 already in labour and gave birth prematurely. She had had no antenatal care and did not know her HIV status. When a test showed the mother might be infected, the hospital transferred the baby to the University of Mississippi Medical Centre, where it arrived at about 30 hours old.
Rather than the standard prophylaxis given to infants in the case of HIV-infected mothers, the baby was treated with a three-drug regimen aimed at treatment, not prophylaxis, without waiting for the lab results to confirm HIV infection.
Virus levels rapidly declined with treatment and were undetectable by the time the baby was a month old, and stayed that way until the baby was 18 months old, when the baby was lost to follow-up.
When the mother and child returned five months later, rather than finding the expected high viral loads in the baby, laboratory tests were negative. The doctor in charge ordered repeat tests to rule out laboratory error, and all came back negative. A battery of sophisticated tests found tiny amounts of some viral genetic material but no virus able to replicate, even lying dormant in so-called reservoirs in the body. Now two and a half, the child has been off drugs for a year with no sign of functioning virus.
Commenting on the news, Dr Harry Moultrie, head of clinical epidemiology at WRHI and renowned expert in paediatric HIV, said, “While we welcome this news, any ‘breakthrough’ must be treated with caution. We cannot generalise from one case, and we do not know the longer-term outcomes for this infant. We need to understand whether this case is reproducible and we need to consider whether the same intervention might result in different outcomes in other children because of factors such as host-viral interactions. Further research is needed. It is important to mobilise funders and researchers but more data is needed before any policy implications can be considered.”
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| | Modified:
12/6/2012 10:48 AM | | Title:
Prof Venter talks about improvements in HIV care and treatment in SA | Professor Francois Venter of WRHI joined Leigh Bennie, host of “A Word On Medical Matters” on Talk 702, on the programme on 4th December. 1st December was World Aids Day and Professor Venter talked about the improvements in HIV care and treatment in South Africa that can be celebrated, such as vast improvements in life expectancy over the last three years and also very cheap soon-to-be-available new ARVs. He touched on some of the side effects of HIV treatment and also talked about the different stages of HIV to look out for.
You can download the podcast here:
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| | Modified:
12/4/2012 11:44 AM | | Title:
‘ASPIRE-in Drumming Campaign’ | ASPIRE- A Study to Prevent Infection with a Ring for Extended Use Outreach team participated in ‘The Drumming Campaign’ whose motto was “Stop Violence against Women and Children’. The event was held at Park station in Johannesburg on Saturday 24, November 2012. The event attracted hundreds of people, it was organized by MTN Foundation in conjunction with Nisaa Institute for Women’s Development, Mehlo-Maya (eye-to-the –sun), Amnesty International (South Africa) and Sexual Health And Rights Initiative South Africa (SHARISA).
The purpose of this August event is part of 16 Days of Activism for No Violence against Women and Children campaign which aim to raise awareness of violence perpetrated against vulnerable groups in society such as women and children. The campaign also aims to:
• Challenge the perpetrators of violence to change their behaviour.
• Involve men in helping to eradicate violence.
• Provide survivors with information on services and organizations that can help lessen the impact of violence on their lives.
As a result, ASPIRE-research study team felt constrained to be part of this event which we seeks to eradicate all forms of violence and empowers women with tools of survival in the face of HIV/AIDS scourge. It should be borne in mind that more than 60% women are infected with HIV compared to their male counterparts in Sub-Saharan Africa. Through ASPIRE- women are given choices of HIV prevention resulting women empowerment. During the campaign we set up an information desk and distributed flyers about ASPIRE, a number of women showed keen interest in the study.
The occasion was graced by Councillor Nonceba Molwele (MMC: Health and Social Development) from the City of Johannesburg Metropolitan Municipality and Angie Maloka , Senior Manager Health MTN Foundation
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| | Modified:
10/22/2012 1:07 PM | | Title:
WRHI achieves site activation for ASPIRE study! | A large clinical trial testing the long-term safety and effectiveness of a vaginal ring used once a month for preventing HIV in women is underway in Africa, and WRHI is proud to announce that it has begun to recruit participants in Johannesburg to the study.
ASPIRE – A Study to Prevent Infection with a Ring for Extended Use – is a Phase III trial evaluating a vaginal ring that contains dapivirine, a potent antiretroviral (ARV) drug. The ring slowly releases dapivirine inside the vagina throughout the one-month period of use, potentially giving women discreet, long-acting protection against HIV transmitted through sex. Nearly 3,500 women in Africa will take part in ASPIRE, which is being led by the Microbicide Trials Network (MTN) and funded by the U.S. National Institutes of Health.
Despite being an established research institute, WRHI had to demonstrate competency against demanding criteria. MTN provided site activation requirements which included:
- Preparatory and regulatory activities
- Pharmacy requirements
- Data requirements
- Laboratory requirements
- Preparation and finalisation of site-specific SOPs
- Preparation and finalisation of study-specific SOPs
- Other requirements which included site-specific training and resolution of training action items
Over a one-year period project staff underwent initiation training led by FHI 360, SCHARP and protocol co-chair Dr Thesla Palanee of WRHI. MTN Lab representatives and protocol co-chairs Dr Palanee and Dr Jared Baeton conducted site inspections. It was a long and intensive process with bi-weekly conference calls and weekly priority emails from FHI 360 to assess progress and assist WRHI in overcoming obstacles to the completion of the activation requirements.
All requirements have now been met and site activation was announced on 16th October by MTN and DAIDS. The ASPIRE team screened its first participant on Friday 19th October.
WRHI would like to wish Dr Palanee and her team warm congratulations and best wishes for a successful study. | | | |
| | Modified:
10/18/2012 1:45 PM | | Title:
WRHI to present at conference on orphans and vulnerable children |
WRHI Community Programmes will be participating in this year’s OVC conference at the Gallagher Convention Centre in Midrand from the 30th October – 2nd November 2012. The Paediatrics project submitted an abstract which was accepted for oral and poster presentation: Adherence to HIV treatment among perinatally infected adolescents receiving treatment in inner city Johannesburg: lessons learned from adolescent closed support groups. Lynette Murimba, project manager for Paediatrics, will give the oral presentation, supported by her team.
The objective of the WRHI Paediatrics project is to improve the psychosocial health of children and adolescents infected and affected by HIV. The project implements activities such as open and closed support groups, camps and holiday programmes to improve their coping skills to deal with life stressors and the challenges they face .
The project also conducts support groups for parents and caregivers. The conference presentation highlights the findings from closed support groups conducted between February and September 2011 at Katlehong Arts Centre and Hillbrow Community Care Centre. A closed support group runs for eight sessions of three hours each. The purpose of a closed group is to improve adolescents’ coping skills and teach them how to live positively with HIV. Adolescents in the closed support group encourage each other and form a safety net which encourages defaulters to adhere to treatment through positive peer pressure.
www.http://www.ovc-conference.co.za/
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| | Modified:
10/18/2012 9:34 AM | | Title:
WRHI celebrate hand washing day with school kids |
The 15th of October was international handwashing day and the WRHI organisational health committee organised soaps for staff and gave information on proper handwashing.
More than 2000 bar of soaps and 8 big bottles of liquid soaps were bought and distributed to a school that was adopted by organisational Health Committee and community programmes for the celebrating hand washing day– Denver primary school and to WRHI staff.
1080 learners from Denver primary school each received a bar of soap and the school received the bottles of liquid soap to use in the school toilets, with the Community care centre team demonstrating proper hand washing to the learners. Pamphlets on hand washing were distributed to staff and to the school.
Some of the tips given on that day about handwashing are:
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| | Modified:
10/17/2012 11:25 AM | | Title:
Causes of Death on Antiretroviral Therapy: A Post-Mortem Study from South Africa | Researchers from the Wits Reproductive Health & HIV Institute (WRHI) in Johannesburg, South Africa, in the first pathological study to address why HIV patients on antiretroviral therapy die, have learned that the vast majority of deaths are due to tuberculosis (TB). During the first three months of antiretroviral therapy, when the risk of death is the highest, the team, led by Dr. Emily Wong, found that tuberculosis contributed to at least 80% of the deaths. Most cases of tuberculosis were undiagnosed and two-thirds were accompanied by at least one other infection or cancer. Dr. Francois Venter, the senior author, said of the results, “The TB finding was scary and its magnitude surprising. What was even more worrying was how secondary infections co-existed in these patients, and often went undiagnosed, even in a hospital setting. The bottom line is that we need better TB prevention and initiation of antiretroviral therapy before people are at risk of these other cancers and infections.”
Dr. Wong is currently an international associate and research fellow at the KwaZulu Research Institute for Tuberculosis and HIV, which officially opened its new research facility on October 9, 2012. She said, “Despite the roll-out of antiretroviral therapy, HIV and TB continue to be a deadly combination. The patients and the families who participated in this study wanted good to come from their tragic losses. We now have a responsibility to understand how these two diseases work together to cause sickness and death so that we can devise better treatments and save lives.”
 journal.pone.FV causes of death study_17.10.12.pdf
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| | Modified:
10/10/2012 9:28 AM | | Title:
Professor Helen Rees awarded SAMA Lifetime Achievement Award | We are very proud to announce that Professor Helen Rees has been recognised for her outstanding contribution in the field of medical research and practice with two prestigious awards.
SAMA Lifetime Achievement Award
The South African Medical Association each year celebrates the outstanding achievements of doctors and specialists in their respective fields from both the public and private sectors. Professor Rees has this year been selected to receive the Lifetime Achievement Award. This award acknowledges individuals who have demonstrated:
- Dedicated and single-minded pursuit of medicine as a career, with distinction
- A productive lifetime of distinguished service to medicine, making the profession proud
- Loyalty, dedication and professional conduct worthy of emulation
Professor Rees was presented with her Lifetime Achievement award at a glittering awards ceremony in Johannesburg on October 5th. The ceremony will be televised on SABC2 on October 20th.
Vice Chancellor’s Research Award
The Vice Chancellor’s Research Award is the University of the Witwatersrand’s most prestigious award for research. It acknowledges and rewards exceptional research and scholarly activity at the University.
On behalf of everyone at WRHI, a warm congratulations to Professor Rees!
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| | Modified:
8/27/2012 11:56 AM | | Title:
Women Fulfilling Their Destiny: Mamotho Khotseng | 
Which four words best describe you?
Respect, humour, commitment and zeal.
What is your earliest memory of your childhood?
At age five when my dad took me to the doctor because I had a running tummy.
Tell us about your first job?
Even though it was not a job, I took it as a job because I was paid for what I did every month. After matric I went to train as a nurse in a hospital in the Eastern Cape. I enjoyed wearing a white dress, a white cap, well-polished shoes and shaking the thermometer to check the patient’s temperature. I was proud of being a nurse and I respected all my patients, young and old. We were also taught to respect senior nurses and to take orders from the doctors. The difficulty was the language and I never forget cooling a patient with ice water the whole day without success until I was told the patient was asking for an enema all the time I was cooling him off. The lesson I learnt is ask when you are not sure.
How long have you been with WRHI and what does your job entails?
I have been with WRHI for three years. I am the director for provincial health programmes providing strategic leadership to health programmes.
What motivates you to do what you do?
The people I work with.
How do you strike work-life balance?
I believe I do not. My kids always tell me that I pay more attention to my work than I do to them. They complain about working weekends. I always tell them that when they get into senior positions they will do the same.
What does Woman’s month mean to you?
To me it means doing introspection on what contribution I have and am making to my county.
If you could trade places with any other woman for a week, famous or not, who would it be?
Dr Mamphele Ramphele.
What’s has been your important life lesson so far?
Be who you are and not who someone else is, learn from role models but do not try to be them.
Which three items do you never leave home without?
I am not beauty conscious so I do not carry lipstick or make up. I believe that beauty is in the eyes of the beholder.
What do you do to relax?
Listen to music, the oldies like Brook Benton, Dolly Patton, and Jim Reeves stuff.
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| | Modified:
8/27/2012 11:43 AM | | Title:
Ms Matson Receives the IAS/ANRS Young Investigator Award |
Ms Caitlin Matson, Technical Specialist: Monitoring and Evaluation received the IAS/ANRS Young Investigator Award during the International AIDS Conference, in recognition of her outstanding abstract: Integration of Infant HIV testing at nine month immunisation visit in South Africa. She’s currently working for WRHI and one of its precursor organizations, Enhancing Children's HIV Outcomes, since 2008 focusing on implementing effective M&E tools and reporting formats, improving routine data quality through capacity building and use of strategic information, and designing and implementing operational research studies. Her research has been primarily in prevention of mother to child transmission of HIV, early infant diagnosis and paediatric HIV treatment and support. She has her MSc in Control of Infectious Diseases from the London School of Hygiene and Tropical Medicine.
Ms Matson developed the idea for the abstract ‘Integration of infant HIV testing at nine month immunization visit in South Africa: a proposed model of service delivery’ with Professor Sherman and Drs Black and Fairlie after regularly analysing data from South Africa’s National Health Laboratory Service on early infant diagnosis of HIV and conducting studies on children accessing anti-retroviral treatment. The proposed model was recommended by the World Health Organization in 2010 and involves using a testing algorithm for HIV-exposed infants at nine months of age with a screening antibody-based test and confirmatory PCR where the screening test is positive. The model has the potential to facilitate fast-tracking of HIV-positive infants into care before one year of age, shift testing of infants to antibody-based tests from nine months of age to reduce testing costs and enable exclusion of HIV-infection at one visit, and assist in monitoring of breastfeeding transmission in South Africa by serving as a proxy indicator. Ms Matson is working with her colleagues to obtain funding to pilot the model and determine feasibility and effectiveness in program settings. They hope that this model alongside the recently demonstrated successes in preventing mother to child transmission of HIV will contribute to a healthy, happy and long lived generation of South Africans.
The International AIDS Society (IAS) has a rich history of supporting investigators by presenting prestigious scientific awards to young and established scientists involved in innovative HIV/AIDS research throughout the world. The most long-standing of these awards was the IAS Young Investigator Award, a prize of US$500, which use to be awarded to young researchers presenting the highest scoring abstract in each of the conference’s tracks.
Following the IAS 2003 conference in Paris, the surplus of the conference was donated by the ANRS to set up a fund to establish the ANRS/IAS Prize which was awarded for the first time in 2005. The $3,000 prize was conferred annually to three young investigators from resource-limited settings presenting outstanding HIV/AIDS research directly or indirectly related to increasing access to prevention, treatment and care in resource-limited settings.
In 2009, to increase the profile of the awards and broaden their scope, the IAS and ANRS (via Françoise Barré-Sinoussi and Jean-François Delfraissy) decided to combine the awards to create the IAS/ANRS Young Investigator Award.
The US$2,000 IAS/ANRS Young Investigator Award is jointly funded by the IAS and the Agence Nationale de Recherche sur le sida et les hépatites virales (ANRS) to support young researchers who demonstrate innovation, originality, rationale and quality in the field of HIV/AIDS research. One prize is awarded to the top scoring abstracts in each of the conference tracks.
Eligible candidates are the presenting authors of abstracts submitted for the IAS or AIDS conferences, who meet the following criteria:
- The abstract must have been accepted as an oral presentation, poster discussion or poster exhibition by the Scientific Programme Committee
- The presenting author must be under 35 years of age
- The research demonstrates innovation, originality, rationale and quality
Information about the Young Investigator Award (from website: http://www.aids2012.org/Default.aspx?pageId=449) | | | |
| | Modified:
8/20/2012 11:03 AM | | Title:
Woman Fulfilling Their Destiny |  Dr Vivian Black, Director: Clinical Programmes
Who is Vivian Black?
Vivian Black is a medical doctor with a background in microbiology. She is a mother of two beautiful girls and wife to a hard working pulmonologist. Vivian has worked with WRHI since 2003 initially as a sessional doctor, then full time since 2008 and she has grown as the organisation has grown. Vivian became a director in late 2010.
What does your work at WRHI entail?
This year most of my time and attention has focussed on supporting applications for grants for the organization. I support the National Department of Health in guideline development. As Director for Clinical Programmes, together with SLG, I am responsible for the strategic direction of clinical programmes. I am involved in research and I support staff to improve their research writing skills. I manage staff and relationships with the DoH. As is the nature of our time, I spend a lot of time email communication.
What are you most passionate about?
Infectious diseases and the well-being of children, particularly in South Africa. This is why I work in the field I do. If we can secure the health of parents, children have better opportunities in life.
What does Woman’s month mean to you?
I was very proud to take my girls on a woman’s day walk to Constitutional Hill on woman’s day where we had an opportunity to share the memory of hardship that many women faced in South Africa and the amazing ability of women to survive and even thrive after experiencing so much hardship and humiliation.
Despite the many hardships that are thrown their way, women have a great capacity to persevere and I am continually inspired by the women that I have the privilege to manage over the years.
If you could trade places with any other woman for a week, famous or not, who would it be?
I would not want to be anyone else, not even for a week. Which of your achievements are you most proud of?
Being a mother of two beautiful girls, how do you balance your work and home life?
I do not balance my life very well. When I am working on deadlines, of which there has been many this year, I am inclined not to give my family the time they need and deserve. I have been advised that when I get home from work until the children go to sleep, I should only focus on the family.
What’s the one thing people would be surprised to know about you?
Let’s keep that a surprise!
What are you reading at the moment?
Sad to say, three proposals
What is the key principle you live by?
I love the (modified) phrase from the Desiderata
“…Do not compare yourself with others, you may become vain and bitter;
for always there will be greater and lesser persons than yourself…”
What advice do you give to working mothers?
Ensure you get balance in your life. When you are at home, be there completely. Try and take a little time out for yourself.
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| | Modified:
7/23/2012 11:58 AM | | Title:
A day well spent for Madiba | 
On Wednesday 18 July,
Madiba turned 94 and the world celebrated the third international day in his honour.
Mandela Day is a call to action for people everywhere to take responsibility
for making the world a better place, one small step at a time, just as Nelson
Mandela did.
Nelson Mandela spent more
than 67 years serving his community, his country, and the world at large. On
Mandela Day people are called to devote just 67 minutes of their time to
changing the world for the better, in a small gesture of solidarity with
humanity, and in a small step towards a continuous, global movement for good.
The WRHI employees devoted
their 67 minutes cleaning and cooking for the Central Gauteng Mental Health
Society at their head office in Bertrams, Johannesburg. The Central Gauteng
Mental Health Society, formerly known as the Witwatersrand Mental Health
Society, was born on 23 November 1919 as the Society for Mental Hygiene and
Care of the Feebleminded, with statistics of 100 cases of mental deficiency
recorded. The Society managed to branch out into new activities such as an
occupational centre for boys in Johannesburg in 1941 and a home for indigent
women in 1942.
Over the years the
organisation never ceased to agitate for more accommodation for the mentally
disordered. They offer the following services; Disability, Health, Mental
Health, Community Development, Empowerment, Advocacy, Skills Development, Human
Rights, HIV/Aids and Mental Illness, Arts and Culture, Women and Children,
Orphaned and Vulnerable Children.
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| | Modified:
6/29/2012 5:42 PM | | Title:
WRHI Research Day | 
A WRHI Research Day was held on the 11th May 2012 at Hugh Solomon Hall. Research days are held to showcase WRHI work and hot topics to colleagues from accross the organsation to enhance collaboration and learning. The one-day research event included the podcast from 2012 Conference on Retroviruses and Opportunistic Infections (CROI): What Can the Twisted Tale of PrEPO Result Teach Us? by Dr Jared Baeten from the University of Washington, Seattle.
Selected WRHI staff presented their work:
Dr John Mkandawire (jmkandawire@wrhi.ac.za) described WRHI’s HIV prevention programmes in the inner city Johannesburg. These programmes are targeted at Most at Risk Populations (MARPs) including sex workers, men who have sex with men, and migrants. These services aim to increase access to sexual and reproductive health services, prevent and treat, HIV and improve health outcomes for these difficult to reach groups.
Dr Nataly Woollet (nwoollet@wrhi.ac.za) talked about Counselling and Prevention focusing on mental health and HIV, and the intersection of violence and HIV.
Phina Kodisang (pkodisang@wrhi.ac.za) described the work of the Community Care Centre (CCC). . The CCC is a walk-in centre that works in partnership with other WRHI programmes, such as Outreach Services, and various organisations including local churches and schools, and NGO’s and CBO’s such as LoveLife and ProBono to provide a wide range of services to the community. The CCC aims to compliment clinic services by providing psychosocial and other support.
Dr Jonathan Stadler (jstadler@wrhi.ac.za) presented on adherence in Clinical Trials: preliminary results from VOICE C. Adherence is critical for clinical trials of experimental biotechnologies to demonstrate efficacy of product. Research to date has focussed on individual level factors that promote or inhibit adherence. The VOICE C study is qualitative assessment of those community level factors that influence adherence to trial products.
WRHI Research days are co-ordinated by the RLG. As part of the agenda, Director of Research Programmes, Dr Sinead Delany-Moretlwe, presented a detailed picture of the vision and mandate of WRHI’s research Leadership Group (RLG).
For more information about the research day, please contact the presenters, or the Communications Department. | | | |
| | Modified:
6/29/2012 5:27 PM | | Title:
WRHI signs the memorandum of agreement | 
Tuesday, 22 May 2012, Wits Reproductive Health & HIV Institute (WRHI), Sexual HIV prevention Programme (SHIPP), ANOVA Health, HIVSA, Right to Care and AZALI Health Care signed a memorandum of agreement with the City of Johannesburg Metropolitan Municipality at the City of Johannesburg Metropolitan office. WRHI was represented by Ms Mamotho Khotseng, Director: Provincial Programmes.
The overarching objective partnership between the WRHI and City of Johannesburg is to increase the number of patients receiving ART trough NIMART. The agreement serve to confirm that WRHI and CoJ will work together to provide and improve number of patient initiated on ART through the training and mentorship of professional Nurses and Coj Nurse Mentors for the agreed period of five years and depending on availability of donor funds.
“Our partnership will strengthen our relationship so that our people can receive a better health service’’ said Cllr. Nonceba Molwele, Member of Mayoral Committee for Health and Social Development. “Our success is measured by human lives preserved” she added.
In closure the President’s Emergency Plan for AIDS Relief (PEPFAR) representative, Mr M Marumo encourage partners to be innovative and push to excel with the little resources they have to bring about sustainable project. | | | |
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6/29/2012 5:11 PM | | Title:
Joint Primary Health Care Forum (JPHCF) Launch | 
On Tuesday, 08 May 2012, The Department of Health Director General and Ms Malebona Matsoso officially launched the Joint Primary Health Care Forum (JPHCF) hosted by WRHI in the Hugh Solomon Hall. Ms Matsotso delivered a keynote address on progress and challenges in primary health re-engineering.
The JPHCF is an alliance of civil Society organisations formed to improve access to health services at community level though supporting the implementation of South Africa’s primary health care system. It was founded in November 2011. The forum objectives and strategies have been developed from 67 recommendations generated by 189 delegates from civil society, government, and international organisations.
The focus of the JPHF is promotion of equitable and comprehensive primary health care in both communities and facilities, within the district health system. Their interests are to significantly improve access to health promotion, prevention, treatment, care and support services at local level.
The Forum will focus on four main themes:
· Employment and scope of work of community health care workers and home based carers
· Recruitment, selection and training of community health care workers and home based carers
· District and Sub-district health systems strengthening
· Monitoring the implementation of re-engineering of primary health care
The introduction of Primary Health care Outreach teams is one of the most radical moves to improve health care in South Africa. Team of six Community Health Workers supervised by professional nurse, are to be allocated to specific wards within communities in order to ensure all the health challenges are addressed in good time before deteriorating into serious ill health.
“Community Health Workers outreach team will also support all aspect of Maternal and child to Health. Successful implementation of this system will impact on South Africa’s ability to make progress towards United Nations Millennium Development Goals 4 and 5 which challenge us to reduce under-5 child mortality by 66% by 2015” says Dr Mabatho Kekana, Medical Manager of Hlabisa Hospital in KZN.
Previously, WRHI has supported PHC re-engineering at a policy level. WRHI has now begun working with the districts it supports to implement key aspects of the programme in order to understand the implications of restructuring that the ambitious strategy will require. In addition, WRHI have just submitted a number of funding applications to fund the continuation of this work going forward. | | | |
| | Modified:
6/29/2012 4:57 PM | | Title:
WRHI partners with SAPS to fight HIV/AIDS |
Despite the various awareness campaigns, pleas, preventative measures, programmes, etc that have been put in place, police officials were still injuring and killing family members, loved ones, friends, colleagues and, ultimately, themselves because of the lack of knowledge about HIV and AIDS.
WRHI and SAPS has joined forces to fight HIV and AIDS by providing SAPS members with HIV testing and counselling through their employees wellness events, which is aimed to promote and emphasize health care, support and awareness on illnesses such as HIV and reproductive health issues.
Since the partnership which commenced in 2010, the sessions were able to boost the member’s morale, decrease anxiety and perception about HIV and AIDS.The major highlight of this partnership was when the project made presentations on Medical Male Circumcision and new advances in HIV prevention at the annual SAPS Peer Educators conference, delegates from the SAPS National office were present and highly recommended the good work WRHI is doing.
The partnership has been further scaled up with the Men & HIV team, which is now part of the week long Peer Educators training for SAPS, done quarterly for various clusters in Gauteng Province. Basic HIV, gender based violence and male friendly services are part of the trainings that the Men & HIV team delivers to SAPS.
The SAPS is a male dominated organisation which has been known for its low uptake of Voluntary Counselling and testing, there has been a marked improvement in the number of SAPS members willing to test over the past two years with an average of 30 members testing at each station when the WRHI visits with its mobile clinic. Other service providers had difficulties in reaching half this number of Police offices testing per station.
A number of factors could be attributed to the success of the Men and HIV project, firstly, brief lectures about HIV and the importance of testing as well as a addressing myths and misconceptions about HIV are done before the testing process. This is an important buy-in process and members are assured that individual concerns will be addressed effectively with professional counsellors during the pre-test consultations.
The services are customer oriented and follow up appointments with the nurse are made with members preferring to attend the male clinic on Esselen Street where full HIV services are then rendered, which include CD 4 count profiling, and ARV initiation. SAPS members have a medical aid option that covers ARV medication with their GP and the male nurse usually encourages them to join that package with their respective medical aid.
Another winning strategy is Peer educators who constantly engage officers on campaign days the importance of testing and sharing information as well as pamphlets throughout the campaign. Peer educators play a pivotal role in recruiting, counselling and building relations with officers; this pays off with high quantity of officers reached with information, education and communication material as well as HIV testing. The qualities of services are deemed to be of high quality as standard operation procedures for HIV counselling and testing are followed with stringent precision. | | | |
| | Modified:
6/29/2012 4:52 PM | | Title:
Bacterial Vaginosis Is Associated with Higher Risk of Female-to-Male Transmission of HIV | An investigation led by UCSF has found that the risk of female-to-male HIV transmission is increased three fold for women with bacterial vaginosis, a common disorder in which the normal balance of bacteria in the vagina is disrupted.
“Previous research has shown that bacterial vaginosis can increase a women’s risk of becoming infected with HIV as much as 60%. Our study is the first to show that the risk of transmitting HIV is also elevated.
Our findings point to the need for additional research to improve the diagnosis and treatment of bacterial vaginosis, which is extremely common in sub-Saharan Africa, the region of the globe with the highest burden of HIV,” said the study’s lead author, Craig R. Cohen, MD, MPH, professor of obstetrics, gynecology and reproductive sciences at UCSF.
The study is being published in PLoS Medicine.
The new research assessed the association between bacterial vaginosis and female-to-male HIV transmission risk in a prospective study of 2,236 HIV positive women and their uninfected male partners from seven African countries. After controlling for socio-demographic factors, sexual behavior, male circumcision, sexually transmitted infections, pregnancy and levels of HIV in the blood of the women with HIV, bacterial vaginosis was associated with a significantly increased risk for female-to-male transmission of HIV.
Bacterial vaginosis is a condition where the normal balance of microorganisms naturally found in the vagina is altered. This disruption of vaginal flora takes place when bacteria that are helpful are reduced and more harmful bacteria are increased. Besides increasing the risk of becoming infected with HIV, bacterial vaginosis can increase the risk of acquiring other sexually transmitted infections and increase the risk of preterm delivery. In addition, HIV-infected women with this disorder may have higher levels and greater shedding of the virus from the cervix and vagina.
“We looked at the increased shedding of HIV in the genital tract, but that was not sufficient to explain the increased risk of female-to-male HIV transmission. It is also possible that bacterial vaginosis causes inflammation and that could be a factor. We don’t really understand the relationship between vaginal flora and inflammation,” said Cohen.
In addition, he said, “we think it’s likely that the sharing of genital tract microbiota between women and men may be implicated as a cause of the transmission risk. The interrelationship of the sharing of flora remains poorly understood and is an important avenue for future research.”
Notwithstanding the need for better understanding of the role of vaginal flora, the development of more therapeutics for bacterial vaginosis, including better drugs and probiotics, would be a significant boost to women’s health in general, as well as help decrease HIV acquisition and transmission risks, added Cohen.
Study co-authors include Jairam R. Lingappa, Jared M. Baeten, Ting Hong, and Connie Celum from the University of Washington, Musa O. Ngayo and Elizabeth A. Bukusi from the Kenya Medical Research Institute, Carol A. Spiegel from the University of Wisconsin, Deborah Donnell from the Fred Hutchinson Cancer Research Center, Saidi Kapiga from the London School of Hygiene and Tropical Medicine, and Sinead Delany from the University of Witwatersrand.
Funding for this research was provided by the Bill & Melinda Gates Foundation.
The AIDS Research Institute (ARI) at UCSF houses hundreds of scientists and dozens of programs throughout UCSF and affiliated labs and institutions, making ARI one of the largest AIDS research entities in the world.
UCSF is a leading university dedicated to advancing health worldwide through advanced biomedical research, graduate level education in the life sciences and health professions, and excellence in patient care.
| | | |
| | Modified:
7/2/2012 1:10 AM | | Title:
Shandukani PPP Wins Prestigious Colosseum Award for Conservation | 
Shandukani is a Venda word meaning ‘change’. And the Shandukani Maternal & Child Health Centre is changing the way we think about conservation and urban development. The former Van Niekerk operating theatre (built in 1927) on the grounds of the old Hillbrow Hospital has been transformed into a state-of-the-art facility for maternal and child health care.
Shandukani is a flagship public/private partnership between the Wits Reproductive Health & HIV Institute (WRHI) and Vodacom, Altron and Altech that paves the way for future innovation in community regeneration. The preservation of one of the city’s important architectural assets combined with the recycling of function and form to create a contemporary clinic has won Shandukani this year’s Colosseum Award for Conserving Joburg, announced last night at the Halala Awards ceremony.
The award is given for exemplary work in conservation of heritage buildings in the inner city. The project must fulfil renovation criteria as set out in national and provincial heritage policies. The Colosseum Award came about in 1982 during the struggle to save the Colosseum building from demolition. It has become a key feature of the Halala Joburg Awards, which aim to encourage efforts to build sustainable and inclusive renewal projects that recognise roles and relationships between the private and public sectors.
With significant heritage value and historical importance, it was imperative that the building’s architectural integrity be preserved whilst incorporating modern clinical functionality. A professional team, led by specialist conservation architects, Henry Paine and Partners and represented by Kylie Richards, worked tirelessly to make this vision a reality. Henry Paine described the work as one of his “favourite projects ever”. “It offers everything,” he said, “…social benefits to the community, history and heritage, and interesting construction.” The Provincial Heritage Resources Authority Gauteng
(PHRAG) was on hand to make sure all alterations were done sensitively and in harmony with the surroundings.
The WRHI, whose work encompasses research, training and health systems strengthening in the field of reproductive health, HIV and related diseases, was the developer for this visionary collaboration, for the ultimate benefit of the Gauteng Department of Health and the inhabitants of the inner city. The floating trophy, designed by Cecil Skotnes, will reside at the WRHI for one year. The Institute will also receive a permanent award and a signed Cecil Skotnes print.
The professional team:
Architect: Henry Paine + Partners
Structural Engineer: Bapedi Consulting Engineers
Quantity Surveyor: Bham Tayob Khan Matunda
Project Manager: PM Africa Project Management
Electrical Engineers: Nala Consulting Engineers
Main Contractor: GVK-Siya Zama Building Contractors (Gauteng) (Pty) Ltd.
Ends.
For more information contact:
Programme Manager, Hillbrow Health Precinct
Yael Horowitz
083 706 9996
Programme Manager, External Relations
Ellen Crabtree
011 358 5397 begin_of_the_skype_highlighting 011 358 5397 end_of_the_skype_highlighting
Notes to Editors:
Shandukani is a public/private partnership project that represents support for the inner city community, community clinics and health programmes, and HIV and related disease support in an integrated manner. The Gauteng Department of Health is the recipient of a world class medical and research facility made possible by the generous R28m CSI grant from the Vodacom, Altron and Altech companies.
The project epitomises the objectives of the Hillbrow Health Precinct that seeks to create a visionary, world-first health precinct not only addressing HIV/AIDS and TB but also poverty; and urban renewal in Johannesburg’s inner city. The Shandukani facility acts as a ‘tipping point’ for further regeneration opportunities in the Hillbrow Health Precinct as it becomes a catalyst on which to lever further investment and interest.
The building was originally designed by Gordon Leith, a Joburg architect who left a legacy of wonderful homes, hospitals, office buildings, residential blocks and banks across the Witwatersrand and as far afield as Cape Town and Bloemfontein. | | | |
| | Modified:
6/29/2012 4:10 PM | | Title:
School holiday programme for youth in Hillbrow | 
From 27 -29 June 2012, Youth Friendly Services and Paediatric Projects is running a School Holiday Programme for youth in Hillbrow, between the ages of 12-22 years. The 2012 theme for the programme is “Yes I Can”.
The programme is designed to empower youths with accurate knowledge about their sexual, life skills and reproductive health issues with more emphasis on HIV prevention messages. The programme includes art, drama and other creative and fun activities to keep the youth attentive.
“School holiday is a risky time for children and youth, they get bored and are free to roam around during the school holidays they get exposed to potentially dangerous situations, the programme assists in keeping them out of the streets ” said Lynnette Murimba, Paeds Manager.
NB: Picture Caption
Some of the Hilbrow youth participating on the programmes | | | |
| | Modified:
6/29/2012 3:08 PM | | Title:
WRHI signs a memorandum of agreement |
Tuesday, 22 May 2012, Wits Reproductive Health & HIV Institute (WRHI), Sexual HIV prevention Programme (SHIPP), ANOVA Health, HIVSA, Right to Care and AZALI Health Care signed a memorandum of agreement with the City of Johannesburg Metropolitan Municipality at the City of Johannesburg Metropolitan office. WRHI was represented by Ms Mamotho Khotseng, Director: Provincial Programmes.
The overarching objective partnership between the WRHI and City of Johannesburg is to increase the number of patients receiving ART trough NIMART. The agreement serve to confirm that WRHI and CoJ will work together to provide and improve number of patient initiated on ART through the training and mentorship of professional Nurses and Coj Nurse Mentors for the agreed period of five years and depending on availability of donor funds.
“Our partnership will strengthen our relationship so that our people can receive a better health service’’ said Cllr. Nonceba Molwele, Member of Mayoral Committee for Health and Social Development. “Our success is measured by human lives preserved” she added.
In closure the President’s Emergency Plan for AIDS Relief (PEPFAR) representative, Mr M Marumo encourage partners to be innovative and push to excel with the little resources they have to bring about sustainable project. | | | |
| | Modified:
6/28/2012 10:09 AM | | Title:
WRHI hosts Annual Research Day |
A WRHI Research Day was held on the 11th May 2012 at Hugh Solomon Hall. Research days are held to showcase WRHI work and hot topics to colleagues from accross the organsation to enhance collaboration and learning. The one-day research event included the podcast from 2012 Conference on Retroviruses and Opportunistic Infections (CROI): What Can the Twisted Tale of PrEPO Result Teach Us? by Dr Jared Baeten from the University of Washington, Seattle.
Selected WRHI staff presented their work:
Dr John Mkandawire (jmkandawire@wrhi.ac.za) described WRHI’s HIV prevention programmes in the inner city Johannesburg. These programmes are targeted at Most at Risk Populations (MARPs) including sex workers, men who have sex with men, and migrants. These services aim to increase access to sexual and reproductive health services, prevent and treat, HIV and improve health outcomes for these difficult to reach groups.
Dr Nataly Woollet (nwoollet@wrhi.ac.za) talked about Counselling and Prevention focusing on mental health and HIV, and the intersection of violence and HIV.
Phina Kodisang (pkodisang@wrhi.ac.za) described the work of the Community Care Centre (CCC). . The CCC is a walk-in centre that works in partnership with other WRHI programmes, such as Outreach Services, and various organisations including local churches and schools, and NGO’s and CBO’s such as LoveLife and ProBono to provide a wide range of services to the community. The CCC aims to compliment clinic services by providing psychosocial and other support.
Dr Jonathan Stadler (jstadler@wrhi.ac.za) presented on adherence in Clinical Trials: preliminary results from VOICE C. Adherence is critical for clinical trials of experimental biotechnologies to demonstrate efficacy of product. Research to date has focussed on individual level factors that promote or inhibit adherence. The VOICE C study is qualitative assessment of those community level factors that influence adherence to trial products.
WRHI Research days are co-ordinated by the RLG. As part of the agenda, Director of Research Programmes, Dr Sinead Delany-Moretlwe, presented a detailed picture of the vision and mandate of WRHI’s research Leadership Group (RLG).
For more information about the research day, please contact the presenters, or the Communications Department. | | | |
| | Modified:
6/22/2012 2:00 AM | | Title:
Joint Primary Health Care Forum (JPHCF) Launch |
On Tuesday, 08 May 2012, The
Department of Health Director General and Ms Malebona Matsoso officially launched
the Joint Primary Health Care Forum (JPHCF) hosted by WRHI in the Hugh Solomon
Hall. Ms Matsotso delivered a keynote address on progress and challenges in
primary health re-engineering.
The JPHCF is an alliance
of civil Society organisations formed to improve access to health services at
community level though supporting the implementation of South Africa’s primary
health care system. It was founded in November 2011. The forum objectives and
strategies have been developed from 67 recommendations generated by 189
delegates from civil society, government, and international organisations.
The focus of the JPHF is
promotion of equitable and comprehensive primary health care in both
communities and facilities, within the district health system. Their interests
are to significantly improve access to health promotion, prevention, treatment,
care and support services at local level.
The Forum will focus on
four main themes:
•
Employment and scope of work of community
health care workers and home based carers
•
Recruitment, selection and training of
community health care workers and home based carers
•
District and Sub-district health systems
strengthening
•
Monitoring the implementation of
re-engineering of primary health care
The introduction of
Primary Health care Outreach teams is one of the most radical moves to improve
health care in South Africa. Team of six Community Health Workers supervised by
professional nurse, are to be allocated to specific wards within communities in
order to ensure all the health challenges are addressed in good time before
deteriorating into serious ill health.
“Community Health Workers outreach team
will also support all aspect of Maternal and child to Health. Successful
implementation of this system will impact on South Africa’s ability to make
progress towards United Nations Millennium Development Goals 4 and 5 which
challenge us to reduce under-5 child mortality by 66% by 2015” says Dr Mabatho Kekana, Medical Manager of Hlabisa
Hospital in KZN.
Previously, WRHI has supported PHC re-engineering at a
policy level. WRHI has now begun working with the districts it supports to
implement key aspects of the programme in order to understand the implications
of restructuring that the ambitious strategy will require. In addition, WRHI
have just submitted a number of funding applications to fund the continuation
of this work going forward. | | | |
| | Modified:
6/22/2012 2:02 AM | | Title:
Community Programme host SMME Seminar for the community |
As parts of series of
workshops that Community Programme is embarking in Hilbrow, Johannesburg, SMME seminar
was held at WRHI, Hugh Solomon Hall on the 05 June 2012, for unemployed
residents of Hillbrow.
The purpose of the seminar
was to provide an opportunity for networking and information sharing on
starting small business. The community was given a platform to engage with various
micro finance and support institutes like Zhauns, African Bank of South Africa
(ABSA), Micro Enterprise Development Organisation (MEDO), Small Enterprise
Development Agency (SEDA), Gauteng Enterprise Propeller (GEP), National Youth
Development Agency (NYDA) and Gauteng Development Economic Development.
Zhauns, the number one
supplier and manufacturer of machineries
that makes amongst other thing, toilet rolls, soap, washing powder, peanuts
butter, encourages the community to not just sit around doing nothing but to
get some of their affordable machineries that they can operate from home to
start small business.
Rene Truter, from MEDO
informed resident about their free, non-financial entrepreneur programmes which
include; training on basics of starting and running businesses, networking o opportunities
with other entrepreneurs, share services such as bookkeeping and free access to
computer, phone and other equipment.
Ms Siphiwe Ndlovu, from GDED
emphasised on the policy and prerequisite that needs to be followed when
starting a business. She also encourage emerging entrepreneurs to go for a
specialised businesses and move away from being ‘jack of all trades’ as it
affects their scoring.
Mr Mlandu Kona from ABSA
gave a detailed presentation on how to get financial assistant for micro
businesses as well as ABSA’s terms and conditions.
In conclusion, Dr John
Mkandawire, Technical Head for Community Programmes thanked everyone who braced
the cold weather to be part of the seminar. He encouraged finance and support
institutes to work together to assist community to curb the unemployment rate. | |
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