Background: Sudan, among the Subsaharan African countries has a low prevalence of HIV infection particularly in the North of the predominantly Muslim population. The peace agreement (2005) which stopped the civil war in the South opened the boarders with the HIV-high prevalence countries of Central and West Africa. This is expected to increase the transmission of HIV in the whole of Sudan. Methods and results: The present study interviewed 635 HIV positive individuals reporting for testing in three voluntary counseling and treatment (VCT) centres in Khartoum. Socio-cultural determinants of the infection showed that the young adults less than 50 years constitute 66.1% of all infected, with 60% males, 40% females and majority 64.9% are either illiterate or had minimum level of education. 61% of them were Muslims and 39% were Christians or non believers, 50.1% were married. The quality of life changed in 89% of individuals.Conclusion: It is concluded that the infection with HIV in Sudan may increase and health education messages need to be tailored according to the sociocultural determinants of the infection in a multicultural, multi-religious country like the Sudan. Muslims will not be protected against HIV infection unless they adhere to the code of Islam.Keywords: human immuno-deficiency virus, Muslims, Subsaharan
This study tested the efficacy and effectiveness of systematically planned parenting enhancement program aimed toward breaking the cycle of high-risk mothers producing high-risk babies in Egypt. The assumption is that self-esteem and self-care are requisites to effective parenting, which can be enhanced or impeded by human and environmental forces. Given that parenting is a learned behavior, it can be repatterned by modifying human-environmental processes.This evaluation study tested the effectiveness of the parenting enhancement program (PEP) among a convenience sample of 56 Egyptian mothers (28 PEP and 30 non-PEP). The aim of PEP was to halt the process of high-risk parents producing high-risk children. PEP provided health education and parenting competency training and enhanced opportunities for self-direction. The hypotheses were that PEP mothers would improve in self-esteem, self care, and perceive their infants more positively than non-PEP mothers. A brief theoretical discussion is directed to the relationship between parenthood and self-esteem, self-esteem and self-care, and the maternal perception of the infant (MPI). Mothers were selected based on a list of infants registered with a well-baby clinic, which was part of a large teaching hospital in Alexandria, Egypt. Infants were selected at 6 weeks of age and followed for about 10 months. Parenting groups received 5 parenting classes of 1-2 hours duration. Data was collected at 3, 6, and 12 months postpartum. The following questionnaires were used to assess mother's perception, self-esteem, and self-care: the Broussard and Hartner Neonatal Perception Inventory (NPI and NPI II), a background information questionnaire, Rosenberg's Self-Esteem Scale, and Kearney and Fleisher's Self-care Agency Scale. Translations were made to Arabic by a master's level pediatric nurse and reviewed by several nurse professionals. A pilot study was conducted to test the feasibility of the study. The study findings revealed that both mothers' groups had low self-esteem, low self-care at baseline, and negative scores on MPI, and were comparable in age, number of years married, and number of pregnancies. Differences were observed in family income, living arrangements, and length of stay at home address; non-PEP mothers had a slightly higher socioeconomic status. The non-PEP mothers had better scores on self-esteem and self-care at 3 months postpartum, even though PEP mothers' scores improved. MPI was low for both mothers' groups at 3 months. PEP mothers' scores increased at 6 months, but both mothers' scores decreased at 12 months. Differences in socioeconomic status (SES) and low SES are attributed to the results. The implication is that sustaining support is needed after a sustained intervention.