Dear SSMJ reader,

We are pleased to announce that the November 2014 issue of the South Sudan Medical Journal is now available on our website – You can download it as a PDF or view the individual articles which are listed below.

This is a special issue for World AIDS Day, and we are proud that all the articles are by South Sudanese authors. We thank them for their contribution and also all the other people who reviewed or helped produce this issue – particularly Prof. James Hakim, who also penned the editorial. The hard copies of this issue are being funded by a generous grant from CordAid.

You can find all the previous issues of the journal on the website in the Archive section, and you can ‘search’ for particular items.

Remember that we welcome articles, case reports, questions, news items, and letters to the editor. Send your contributions to the Editor-in-Chief, Dr Edward Luka at Also please see and contribute to our Facebook Page and follow us on twitter: @SSMedJournal.

If you are able to help produce the journal, or develop the website, let us know by emailing

In this issue:


HIV Infection and the way forward for South Sudan

In the last thirty-three years HIV infection has spread to all corners of the world, but the largest concentration of the epidemic is in Sub-Saharan Africa where 70% of the 35 million people living with HIV/AIDS in 2013 are found. The advent of peace and independence in South Sudan brought a rush to rebuild the nation.

Clinical Guidance

Prioritizing resources for treatment of HIV/AIDS in resource poor settings

After two decades of war, South Sudan is facing a new challenge of having to deal with the AIDS epidemic. In 2010 an antenatal sentinel survey showed a national HIV prevalence of 3% [1]. It is estimated that about 230,000 people are living with HIV/AIDS and another 46,000 are urgently in need of antiretroviral therapy (ART) [2]. Prevalence among key populations is not clearly understood because of lack of data. UNAIDS has classified South Sudan as having a generalized epidemic [2].

UNICEF Infant and Young Child Feeding Counselling Card


The prevalence of HIV among blood donors at Juba Teaching Hospital Blood Bank, South Sudan

Objectives The aim of this study is to determine the prevalence of HIV among blood donors in Juba Teaching Hospital Blood Bank, South Sudan in 2013.

Utilization of PMTCT services at Juba Teaching Hospital, South Sudan

Objective: To determine the uptake of PMTCT services by mothers attending postnatal services at Juba Teaching Hospital.

HIV and TB co-infection in South Sudan: a three year retrospective study

Objective To determine the prevalence of HIV/TB co-infection among patients attending the HIV clinic at Juba Teaching Hospital (JTH) from 2011 to 2013.

HIV infection and its effects on fracture healing: a literature review

The Human Immunodeficiency Virus (HIV) is a virus that causes Acquired Immunodeficiency Syndrome (AIDS). The disease was discovered in 1983 in the Pasteur Institute, Paris by Barre and colleagues [1]. The causative agent is a Lentivirus, a subgroup of Retroviruses that is transmitted through body fluids. The main routes of entry include sexual intercourse, shared needles, and vertical transmission from mother to child during childbirth or breastfeeding. The World Health Organization (WHO) provides a staging system for HIV infection based on the clinical manifestations of the disease [2].

Kind regards,

The SSMJ team

PDF Version Available Here

Return to Top