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Die rol wat die reg op toegang tot gesondheidsorgdienste speel in armoedevermindering in Suid–Afrika / Z. Strauss (Kruger)Strauss, Zannelize January 2010 (has links)
Section 27(1)(a) of the Constitution of the Republic of South Africa, 1996, entrenches everyone's right of access to health care services. The purpose of this dissertation is to determine the manner in which this right must be interpreted and implemented in order to alleviate poverty to the optimal extent possible, in South Africa. As a point of departure, the relationship between poverty and health, as well as the theoretical basis of poverty, is addressed in terms of soft law. Thereafter, the theoretical basis of the right of access to health care service is analysed and explained from both an international and a South African perspective. This is followed by an investigation into international law. The manner in which the United Nations International Covenant on Economic, Social and Cultural Rights is interpreted and implemented and whether or not this contributes to poverty alleviation, is investigated. This is followed by an analysis of the right in terms of the Constitution and case law. Particular attention is paid to the manner in which the courts interpret the right of access to health care services. It is then determined whether the state is implementing the right in such a manner as to contribute to the optimal alleviation of poverty, in South Africa. Finally, a conclusion is reached and recommendations are made as to ways in which the right can be interpreted and implemented to reduce poverty to the optimal extent possible, in South Africa. / Thesis (LL.M.)--North-West University, Potchefstroom Campus, 2010.
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Medicine prescribing patterns in HIV/AIDS and non HIV/AIDS children : a comparative study in the private health care sector of South Africa / Mocke, M.Mocke, Martlie January 2010 (has links)
Background: According to the United Nations AIDS Reference Group (2010) and World Health Organization (2010:2), approximately 33 million people in the world had HIV/AIDS in 2009 of which 2.6 million were children. More than 30 million of these individuals resided in low– and middle–income countries. South–Africa had the highest prevalence of HIV/AIDS in the world with an estimated 5.2 million patients in 2009 (Statistics South Africa, 2010:2). Although the prevalence of human immunodeficiency virus (HIV) infection among children is reported to be high, little is known about other medication administrated concomitantly with their antiretroviral drugs.
Objective: The general objective of this study was to investigate possible changes in the medicine prescribing patterns of HIV/AIDS and non–HIV/AIDS children.
Methods: A quantitative, retrospective drug utilisation review was performed utilising medicine claims data of a South African pharmacy benefit management company. Data for a four–year period (Jan 1, 2005 to Dec 31, 2008) were analysed. The study population consisted of all children <=12 years divided into those receiving ARVs (designated HIV positive) and those without (designated HIV negative).
Descriptive statistics such as average mean, standard deviation, t–test, d–values, and two way frequency tables were used to describe the results. Data were analysed using the Statistical Analysis System ® SAS 9.1 ® programme.
Results: The study population (children <= 12 years) represented 16.2% (n = 197 323) of the total population in 2005, 15.4% (n = 193 346) in 2006, 15.6% (n = 142 049) in 2007 and 13.3% (n = 98 939) in 2008. Children with HIV/AIDS represented 0.2% (n = 197 323) of the study population in 2005 and increased to 0.4% (n = 98 939) in 2008, whereas the percentage of children without HIV/AIDS decreased from 99.8% (n = 197 323) in 2005 to 99.6% (n = 98 939) in 2008. The total number of HIV/AIDS children that also received other medication concomitantly with their ARVs increased from 96.5% (n = 402) in 2005 to 97.2% (n = 427) in 2008. Males with HIV/AIDS who used other medication represented 52.6% (n = 388) in 2005 and increased to 53.3% in 2008 while female HIV/AIDS patients represented 47.4% in 2005 and decreased to 46.7% in 2008.
Prescriptions containing three ARV items represented 69.5% (n = 2 969) of the total number of prescriptions received by HIV/AIDS patients in 2005 and decreased to 67.7% in 2008. The combination of lamivudine, nevirapine and stavudine were the three products that appeared most frequently on prescriptions for HIV/AIDS children in the age group 0 <= 1 years and 1 <= 5 years from 2005 to 2008. In the age group 5 <= 12 years the combination most frequently prescribed was lamivudine, nevirapine and zidovudine.
HIV positive children received 6.2 ± 4.62 prescriptions for other medication (non–ARVs) per year during 2005 compared to HIV negative children with 3.9 ± 3.71 (p < 0.0001, d = 0.5). In 2008 HIV positive children received 6.4 ± 5.02 prescriptions per year compared to HIV negative patients who received 4.36 ± 4.05 prescriptions (p < 0.0001, d = 0.5) in 2008.
HIV negative children received more central nervous system items, endocrine items and autacoids than HIV positive children, whereas HIV positive children received more respiratory system agents, dermatological, ear, nose throat and antimicrobials items.
Conclusion: The study showed that HIV positive children received significantly more prescriptions for other medication per year compared to their HIV negative counterparts. The top pharmacological groups mostly prescribed to both groups were respiratory agents, antimicrobials, analgesics, dermatological and ear, nose and throat items. / Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2012.
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Riglyne vir pleegouers by die bekendmaking van pediatriese MIVDavin, Reda J. (Reda Johanna) 05 October 2011 (has links)
Afrikaans text / Die studie ondersoek die leemte aan teoreties gefundeerde riglyne om pleegouers in die bekendmakingsproses van hulle kind se MIV-positiewe status te ondersteun Die studie geskied binne die teoretiese raamwerk van ʼn intervensienavorsingsmodel. In die empiriese navorsing is die vrese en probleme van pleegouers by die bekendmakingsproses ondersoek. Daar is bevind dat hierdie vrese en probleme in ag geneem moet word in die beoogde riglyne. Die kognitiewe ontwikkeling van die kind is deur middel van ʼn literatuurstudie ondersoek om vas te stel watter kennis, denke en inligting die kind op verskillende ouderdomme begryp. Daar is bevind dat kinders wat MIV-positief is, moontlike agterstande ondervind en dat die riglyne gevolglik gebaseer moet word op die toenemende ontwikkeling van die kind, met begrip vir individuele ontwikkelingsverskille. Voorts is bevind dat pleegouers se eie gereedheid ʼn belangrike rol speel. Alhoewel die pleegouer die bekendmakingsproses self moet aanvoer en hanteer is dit belangrik dat die pleegouers deur ʼn interdissiplinêre span ondersteun en begelei sal word. / This study investigates the absence of theoretical grounded guidelines to support foster parents when disclosing paediatric HIV. The study was done within the theoretical framework of an intervention research model. The empirical research investigated the fears and problems experienced by foster parents during the disclosure process. It was found that these fears and problems should be taken into account when compiling guidelines. The child‟s cognitive development was researched by way of a literary study in order to determine what knowledge, thoughts and information the child is able to grasp at different ages. It was found that children who are HIV positive could possibly lag behind and that the guidelines should therefore be based on the accumulative development of the child, with consideration given to individual developmental differences. Furthermore, it was established that foster parents‟ own readiness plays an important role. For this reason the foster parents should be supported and guided by an interdisciplinary team, but that they themselves should take care and execute the process of disclosure. / Social Work / M. Diac. (Spelterapie)
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Die evaluering van portuur-ondersteuning in skole (Afrikaans)Schoeman, Hannelie 02 December 2005 (has links)
The rising rates of high-risk behaviours, such as substance abuse, unsafe sexual practices and violence in South African schools, have accentuated the need for intervention and prevention programmes in the education system. High-risk behaviour is related to changes and uncertainties at community level. The traditional values and behavioural codes are undermined and there is no corrective action from the community to control this behaviour. This study describes the need for support of adolescents, who are in a state of development and change and whose abilities are increasingly being tested by stress factors from a rapidly changing environment. To meet these needs for support, an experimental peer support programme was implemented in schools. Peer support involves the provision of information about healthy lifestyles and high-risk behaviour, such as substance abuse, crime and HIV/AIDS-related aspects. Through peer support, healthy lifestyles can be modelled, and a forum for the discussion of problems established. Peer supporters can assist their peers in dealing with problems and a context can be created in which new and healthier behavioural patters can develop. Peer support is important because educators and teachers are unable to manage the large number of learners who are experiencing problems and schools offer limited professional psychological support to learners. The objectives mainly entailed the prevention of high-risk behaviour related to HIV/AIDS, crime and substance abuse, as well as the enhancement of learners’ psychological well-being and the social climate in schools. The peer support system was implemented in four experimental schools and four similar schools served as a control group. The schools involved were selected by means of a stratified sampling method. A total amount of 2045 respondents between the ages of 12 and 21 years participated in this study. The peer support system was evaluated in terms of a pre and post-measurement in order to determine the impact of the system on the schools and learners in the schools, and to determine whether the set objectives have been achieved. The hypothesis was that the peer support system would have a positive effect in reducing high-risk behaviour and improving the psychological well-being of learners. A questionnaire was used as a pre and post-measurement tool to determine whether there had been significant changes and/or improvements regarding high-risk behaviour, crime, school climate and psychological well-being in the school system. The experimental and control school communities were compared. Significant differences were found between the experimental group and the control group in terms of behavioural problems in the school, school climate, high-risk sexual behaviour and psychological well-being. Learners’ perception of problem behaviour in the school remained unchanged in the experimental group, whilst the control group’s measurements became statistically significantly (p<0,05) more negative over time. A statistically significant difference at the 5% significance level was found between the control group’s pre and post-measurements regarding learners’ experience of the school climate. The control group’s experience had become more negative at post-measurement, whilst the experimental group’s experience had remained unchanged over time. A statistically significant difference was found between the experimental and control groups (p<0,001) in respect of the level of sexual experience. The number of sexually experienced learners in the control group had increased at post-measurement, whilst the level of learners’ sexual experience had remained constant in the experimental group. Furthermore, a significant increase (p<0,001) was found in the level of sexual activity among the control group during the last 30 days, but not in the experimental group. This implicates that the intervention has had a preventative effect that counters the normal tendency of increased sexual activity with age. More than 60% of learners viewed their friends as sexually experienced. The perceived group norm for the experimental group remained the same over 18 months, whereas a significant increase (p<0,001) was found in the control group. No decrease was found in the psychological well-being of learners in the experimental group at post-measurement, whereas that of the control group had decreased significantly (p<0,05). No statistically significant differences were found for substance abuse and personal control of risk among learners. Although many other variables could play a role in these changes, the conclusion can be made that the peer support system probably had a preventative effect in schools. The study further indicates that approximately two thirds of all learners had been aware of the system and about 40% had used it. The peer system was generally evaluated as positive and the biggest problems were related to the implementation and organization of the system, as well as the confidentiality of information. Recommendations have been made regarding the improvement of project implementation. If enhanced co-operation from school staff can be obtained during implementation of the intervention, the peer support system could function better and a bigger impact in schools could be achieved. In conclusion, it is important that intervention programmes be promoted efficiently in schools in order to facilitate optimal functioning. / Dissertation (MA (Research Psychology))--University of Pretoria, 2006. / Psychology / unrestricted
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An exploration of the experiences of adolescents living with HIVPienaar, L.L. (Louisa Leanie) 16 August 2011 (has links)
The research endeavoured to voice the told and untold stories of adolescents living with HIV undergoing continual disease management at the Kalafong Hospital Paediatric HIV Clinic. Through the telling of their stories the adolescents had the opportunity to make sense of their illness experiences. Some of the participating adolescents had limited opportunities to discuss their experiences with friends or family members. The research was completed within the qualitative social constructionist narrative approach. Six adolescents from the clinic participated voluntarily in the research. The participants attended the clinic regularly for disease management and were on ART. The study explored the experiences of the adolescents by means of two semi-structured individual interviews. Expressive art in the form of drawings and poetry were used to aid storytelling. Through collaborative exploration of the adolescents‟ stories, it became possible to co-construct the meanings that they attached to their experiences of HIV, which informs their identity. The interview transcripts were analysed, re-storied, and placed within a narrative framework of understanding, based on the three-dimensional space approach by Clandinin and Connelly (2000). The framework of understanding aided the researcher to look at the different contexts, identities, and social significant aspects found in the adolescents‟ stories. Multiple identities were constructed in their stories such as patient, scholar, friend, family, and athlete identities. These were constructed based on their experiences in the family and cultural, school and social, and medical contexts. The adolescents attributed different meanings to their stories of living with HIV such as that of normality, sameness, realism, and difference. The unique and similar aspects that were found in the adolescents‟ stories were identified and discussed with reference to various concepts such as disclosure, adherence, and ART. It was found that status disclosure was done by staff at the clinic and it occurred during young adolescence. All the adolescents, except one who was not aware of her status, showed insight into the chronic nature of their disease. Five adolescents‟ statuses have not been disclosed to anyone outside the families. In only one instance, the family was not aware of his status. Most adolescents assumed primary responsibility for ART. They expressed conflicting ideas about the role of ART. Some adolescents had to cope with side effects, the possibility of accidental status disclosure and non-adherence, and fears of rejection. The research, employing a narrative approach, endeavours to contribute to create a holistic understanding of HIV/AIDS in the context of health care. Lack of communication and impersonal staff interactions with patients were identified as barriers to disease management. The research recommends that the clinic should provide ongoing support to the adolescents with regards to disclosure of their status to friends, family, and partners, and adherence to medication. The social significant aspects found in the adolescents‟ stories will be disseminated to the staff at the clinic. This will assist the multi-disciplinary team to gain a better understanding of the reality of the adolescent and how these experiences inform their identity. / Dissertation (MA)--University of Pretoria, 2010. / Psychology / unrestricted
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TOMATO FLESHY FRUIT QUALITY IMPROVEMENT: CHARACTERIZATION OF GENES AND GENOMIC REGIONS ASSOCIATED TO SPECIALIZED METABOLISM IN TOMATO FLESHY FRUITFernández Moreno, Josefina Patricia 18 September 2016 (has links)
Tesis por compendio / [EN] Until recently, the genetic improvement of tomato (Solanum lycopersicum) was focused in agronomic traits, such as yield and biotic or abiotic stresses; therefore the interest in tomato fruit quality is relatively new. The tomato fruit surface can be considered both an agronomic trait as well as a quality trait, because it has an effect on consumer impression in terms of color and glossiness but also it underlies the resistance/sensitivity to cracking or water loss with consequences on fruit manipulation (e.g. transport and processing). The cuticle is deposited over the cell wall surrounding the epidermal cells and it is the first barrier in the plant-environment interface. The cuticle composition includes two main groups of metabolites: cuticular waxes and cutin. Other metabolites can be founded into the cuticle matrix, as triterpenoids and flavonoids. Those minor cuticular components are involved in the correct functionality of the cuticle. Understanding cuticle biosynthesis and genetic regulation requires the development of fast and simple analytical methodologies to study those specialized metabolites using large populations (e.g. mutant collections or introgression lines), together with the identification of genes and genomic regions responsible of their production. This thesis aims to contribute to our understanding of the molecular programs underlying tomato fruit quality by providing: i) a general protocol to profile cuticular waxes in different species, including tomato; ii) a QTL map for cuticular composition (i.e. cuticular waxes and cutin monomers) using the Solanum pennellii introgression line population; iii) a detailed protocol of the reverse genetic tool so-called Fruit-VIGS to assist in the study of gene function in tomato fruit; and iv) a thorough characterization of the first null allele for the transcription factor SlMYB12 (i.e. Slmyb12-pf) in tomato fruit which provides new insights into the regulation of the flavonoid biosynthetic pathway in the fruit peel by high resolution mass spectrometry and RNA-Seq approaches. / [ES] Hasta hace poco, la mejora genética del cultivo del tomate (Solanum lycopersicum) había estado centrada principalmente en caracteres agronómicos, como la productividad y la resistencia a estreses, tanto bióticos como abióticos. Así, el interés en la calidad del fruto de tomate es relativamente reciente. La superficie del fruto del tomate puede considerarse tanto un carácter agronómico como de calidad, pues influye en la primera impresión de los consumidores en términos de color y brillo, así como también en los procesos de resistencia o sensibilidad a la rotura ('cracking') o a la pérdida de agua. Estos factores determinan el aspecto del fruto y condicionan atributos relacionados con su manipulación (transporte y procesado). La cutícula se deposita sobre la pared celular de las células epidérmicas y es la primera barrera que interacciona con el ambiente. Está constituida por dos grandes tipos de metabolitos: las ceras cuticulares y la cutina. Otros metabolitos pueden aparecer embebidos en la matriz cuticular, como es el caso de los triterpenoides y los flavonoides. Estos metabolitos contribuyen a la correcta funcionalidad de la cutícula. La compresión de la biosíntesis y regulación génica de la cutícula requiere del desarrollo de metodologías de análisis sencillas y rápidas para el estudio de estos metabolitos especializados en grandes poblaciones (colecciones de mutantes o líneas de introgresión), así como para la identificación de genes y regiones génicas responsables de la producción y acumulación de dichos compuestos, pudiendo ser muy útiles para implementar programas de mejora de la calidad del tomate. El objetivo de esta tesis es contribuir a la comprensión sobre los programas moleculares subyacentes a la calidad del fruto de tomate, proporcionando: i) un protocolo general de análisis del contenido de ceras cuticulares en diferentes especies, incluyendo el tomate; ii) un mapa de QTL de la composición cuticular (incluyendo ceras y monómeros de cutina) obtenido con la población de líneas de introgresión de Solanum pennellii; iii) un protocolo detallado de uso de la herramienta de genética reversa Fruit-VIGS con el que realizar estudios de funciones génicas en fruto de tomate; y iv) una minuciosa caracterización de un nuevo alelo nulo del factor de transcripción SlMYB12 (Slmyb12-pf) en fruto de tomate, proporcionando nueva información sobre la regulación de la ruta biosintética de los flavonoides en la piel del fruto, utilizando espectrometría de masas de alta resolución y de nuevas tecnologías de secuenciación. / [CA] Fins fa poc de temps, la millora genètica de la tomata (Solanum lycopersicum) anava dirigida fonamentalment als caràcters de tipus agronòmic, com la productivitat i la tolerància a estressos biòtics o abiòtics, resultant que l'interés per la qualitat dels fruits és relativament nou. La superfície de la tomata pot ser considerada tant com un caràcter agronòmic com un de qualitat, ja que és l'aspecte de la superfície del fruit el que confereix al consumidor la primera impressió de color, brillantor, però és també la pell del fruit la responsable de la diferent susceptibilitat del fruit a desenvolupar clevills o que el fruit sofrisca més o menys pèrdues d'aigua, tot tenint importants conseqüències en la manipulació (i.e. transport i processament del fruit). La cutícula és dipositada per sobre de la paret cel·lular que envolta la capa de cèl·lules epidèrmiques i constitueix la primera barrera en la interfase planta-medi ambient. La composició de la cutícula presenta dos grups principals de metabòlits: les ceres i la cutina. També es poden trobar altres metabòlits els triterpenoids i el flavonoids. Aquests darrers components cuticulars menors són implicats en el correcte funcionament de la cutícula. Per tal de comprendre la biosíntesi i la regulació genètica de la cutícula cal desenvolupar tecnologies analítiques senzilles i rapides que permeten estudiar aquests metabòlits especialitzats en poblacions grans de plantes (i.e. Col·leccions de mutants o de línies d'introgressió), a més de la identificació de gens i regions genòmiques que són responsables de la seua producció. Aquesta tesi té com a objectiu contribuir a millorar la nostra comprensió dels programes moleculars que afecten determinats aspectes de la qualitat de la tomata mitjançant els següents objectius: i) proporcionar un protocol general per obtenir perfils de ceres cuticulars en diferents espècies, inclosa la tomata; ii) obtenir un mapa de QTL per a la composició cuticular (i.e. ceres cuticulars i monòmers de cutina) mitjançant la utilització de la població de línies d'introgressió de Solanum pennelli; iii) descriure amb detall el protocol d'una eina de revers genètica denominada Fruit-VIGS que resulta molt adequada per estudiar funció gènica a la tomata; y iv) fer una caracterització exhaustiva del primer al·lel nul del factor de transcripció SlMYB12 (ie. Slmyb12-pf) en tomata la qual proporciona informació nova sobre la regulació de la ruta de biosíntesi de flavonoides en la pell de la tomata mitjançant espectrometria de masses d'alta resolució i RNAseq. / Fernández Moreno, JP. (2015). TOMATO FLESHY FRUIT QUALITY IMPROVEMENT: CHARACTERIZATION OF GENES AND GENOMIC REGIONS ASSOCIATED TO SPECIALIZED METABOLISM IN TOMATO FLESHY FRUIT [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/55505 / TESIS / Premios Extraordinarios de tesis doctorales / Compendio
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Pollination-Induced Gene Changes That Lead to Senescence in <i>Petunia × hybrida</i>Broderick, Shaun Robert January 2014 (has links)
No description available.
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Home-based HIV counselling and testing : perceptions and acceptance in a rural farming community of South AfricaKasselman, Olivia 11 1900 (has links)
Summaries in English, Afrikaans and Zulu / South Africa is facing an ongoing public health crisis with increasing and alarming
human immunodeficiency virus (HIV) statistics. Farmworkers in South Africa are highly
vulnerable and susceptible to HIV. This study involved the farmworker community on a
farm in the North West province of South Africa. The purpose of this study was to
explore the perceptions and acceptance of home-based HIV counselling and testing
(HBHCT) in a rural farming community, using an interactive World Café method to
stimulate creative discussions around questions that matter. Thirty-one farmworkers
participated in the World Café. This study had an explorative approach and qualitative
design.
The study did not investigate the number of HIV infections or sexual practices on the
farm, and did not offer an HIV test or any other medical treatment to any participant.
Data were collaboratively analysed by the researchers and the participants. Content
analysis of data was conducted. The findings indicated that majority of the farmworkers
had a positive perception of HBHCT, and that there was a serious need for HIV
prevention and intervention in this community. Some concerns were raised among the
participants regarding the confidentiality of HBHCT, attention should therefore be paid
to these concerns.
More research is needed to establish linkage to care after HBHCT. It remains unclear
whether the migrant farmworker population would be effectively linked to HIV care and
treatment without legal identification documentation. The acceptance of HBHCT in the
farming community by farmers, should be explored. The study found that there would be a high level of acceptability if HBHCT were to be
offered to farmworkers in this region. This study created insight into the HIV care and
prevention needs of the local farmworker community, as well as highlighted the barriers
the farmworkers face in attending primary healthcare (PHCs) clinics for HIV testing. / Suid-Afrika staar ’n voortdurende openbare gesondheidskrisis in die gesig met
toenemende en onrusbarende menslike immuungebrekkige virus (MIV)-statistieke.
Plaaswerkers in Suid-Afrika is uiters kwesbaar en vatbaar vir MIV. Hierdie studie het die
plaaswerkergemeenskap van ’n plaas in die Noordwes-provinsie van Suid-Afrika
geteiken. Die doel van hierdie studie was om die sieninge en aanvaardingsvlakke van
tuis-gebaseerde MIV-berading en -toetsing (TSMBT) te ondersoek, deur gebruik te
maak van die “World Café”-metode om kreatiewe bespreking rondom belangrike vrae te
stimuleer. Een-en-dertig plaaswerkers het deelgeneem aan die “World Café”.
Hierdie studie het nie die aantal MIV-infeksies of seksuele praktyke op die plaas
ondersoek nie, en ook nie ’n MIV toets of enige ander mediese behandeling vir enige
deelnemer aangebied nie.
Die studie het gevind dat die meerderheid van die plaaswerkers ’n positiewe persepsie
van TSMBT gehad het, en dat daar ’n dringende behoefte aan MIV-voorkoming en -
ingryping in hierdie gemeenskap is. Bekommernis is uitgespreek deur die deelnemers
rakende die konfidensialiteit van TSMBT, dus moet aandag hieraan geskenk word.
Die studie het gevind dat daar ’n hoë vlak van aanvaarding van TSMBT sal wees as dit
aan die plaaswerkers in hierdie streek gebied word. Hierdie studie skep insig in die MIVsorg-
en -voorkomingsbehoeftes van die plaaslike plaaswerkergemeenskap, en
beklemtoon die hindernisse vir plaaswerkers om die primêre gesondheidsorgkliniek te
besoek vir MIV-toetsing. / INingizimu-Afrika ibhekene nokuqhubeka kokukhula kwenkinga yezempilo, kanye
nokudlondlobala okushaqisayo kwezibalo zegciwane lesandulela ngculazi (HIV).
Abasebenzi basemapulazini eNingizimu-Afrika ibona abasengozini enkulu
yokutheleleka ngegciwane lesandulela ngculazi. Lolucwaningo lwenziwe emphakathini
wabasebenzi basemapulazini esifundazweni sase-North West eNingizimu-Afrika.
Inhloso yalolucwaningo bekuwukubona imibono kanye nezinga lokwamukela
ukululekwa nokuhlolela igciwane lesandulela ngculazi emakhaya(i-HBHCT)
emphakathini wasemapulazini kusetshenziswa Isizinda sokucobelelana ngolwazi (i-
World Cafe) ukukhuthaza izingxoxo ezakhayo nokubuza imibuzo esemqoka. Bangama-
31 abasebenzi basepulazini ababambe iqhaza esizindeni sokucobelelana ulwazi (i-
World Cafe).
Lolucwaningo aluzange luphenye izibalo zabantu abatheleleke ngegciwane lesandulela
ngculazi kanye nezinga labo lokuzibandakanya ocansini, futhi aluzange lunike
abebebambe iqhaza ithuba lokuhlolela igciwane lesandulela ngculazi(HIV) kanye
nokulashwa kwanoma iluphi uhlobo.
Imiphumela iveze ukuthi iningi labasebenzi basemapulazini babe nemibono emihle
mayelana nosizo lokululekwa nokuhlolela igciwane lesandulela nngculazi (HIV)
emakhaya (HBHTC), futhi kunesidingo esikhulu sokuthi kungenelelwe kulomphakathi
ukuze kuvikelwe igciwane lesandulela ngculazi (HIV). Kube nokukhathazeka
kwababebambe iqhaza mayelana nezimfihlo zokulekelelwa ngokwelulekwa kanye
nokuhlolela igciwane lesandulela ngculazi emakhaya(HBHCT),ngalokhoke kufanele
kubhekelelwe lokho kukhathazeka.
Ucwaningo luveza ukuthi kuzokwamukelwa ukuqala usizo lokwalulekwa nokuhlolela
igciwane lesandulela ngculazi (HBHCT) kubasebenzi basemapulazini kulesisifundazwe.
Lolucwaningo luveze ngokujulile izidingo zokunakekela kanye nokuvikela igciwane
lesandulela ngculazi (HIV) emphakathini wabasebenzi basemapulazini kulendawo,
laphinde lwaveza nezithiyo (Barriers) abasebenzi basemapulazini abahlangana nazo
mabevakasha emitholampilo (PHCs) ukuyohlola igciwane lesandulela ngculazi. / Health Studies / M.P.H. (Public Health)
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