Thesis (M.Ed.) --University of Limpopo, 2004. / This study investigates how schools respond to and manage HIV and AIDS within the Limpopo Province of South Africa. Twenty-two stakeholders (parents, learners, HODs’, teachers and principals) and two government (provincial) officials participated in the present study. Three schools were selected by means of purposive sampling. Qualitative data were collected by means of two methods, namely, interviews and document analysis. By way of data processing and analysis, the responses from three schools in the Limpopo Province were categorized for the purpose of the study. The study found that stakeholders do not seem to understand issues related to HIV and AIDS, and that there are no proper mechanisms in place to deal with these issues. / University of the North

Thesis (MPH) --University of Limpopo, 2009 / The aim of the study was to determine the challenges of scaling up and strengthening quality-assured laboratory services for diagnosis and monitoring tests for HIV / AIDS patients on Anti- retroviral Therapy (ART). The objectives of the study were to: review the current national HIV/AIDS/STI/TB policy, Laboratory policy, ART strategic plan and guidelines on the implementation of ART services in Zambia; assess the knowledge, attitudes, and practices (KAP) of medical doctors/clinicians and knowledge and practices of laboratory staff in the diagnosis and monitoring tests for HIV / AIDS patients on ART; assess the quality of laboratory services for diagnosis and monitoring tests of HIV / AIDS patients on ART in Zambia compared to WHO standard guidelines; quantify the time taken for CD4 count results to reach the ART centres and determine the difference between the knowledge, attitudes and practices (KAPs) of medical doctors/clinicians in the ART centres with and without laboratory services for diagnosis and monitoring tests for HIV/AIDS patients on ART in Zambia. The study design was a cross-section descriptive survey of one hundred and thirty-seven (137) ART centres in the public health sector of the nine (9) provinces in Zambia. The study population consisted of six directors and managers from the Ministry of Health at national level, medical doctors/clinicians, laboratory staff, district directors of health, in charge of ART centres, and data-entry clerks in charge of Health Information Management Systems (HIMS) from one hundred and thirty-seven (137) ART centres in the public health sector in Zambia. The study findings indicated that only 23% of public sector laboratories were offering a full complement package of quality-assured laboratory services to support the ART programme in Zambia. The HIV/AIDS policy, Laboratory policy, Laboratory Standard Operating Procedures (SOPs) and guidelines on ART scale-up implementation plans exist at national level but had not been fully disseminated to all the ART centres. The average number of qualified laboratory staff at district hospitals surveyed was one (1) qualified laboratory personnel which is lower than the WHO recommendation of four (4) staff per district hospital. Most of the laboratories had no CD4 count machines to support ART V services. Unfortunately, CD4 count results took more than a week to reach the ART centres. Laboratories surveyed indicated a lack of equipment maintenance plans and service contracts. External Quality Assessment for diagnosis and monitoring tests for HIV/AIDS patients on ART was not yet well established. The findings also indicated that Medical Doctors/Clinicians working in the ART centres with laboratory services to support ART programme had better prognosis and treatment of patients on ART compared to those working in the ART centres without laboratory services. There was no difference in the knowledge, attitude and practices of Medical Doctors/Clinicians in the diagnosis and monitoring tests for the management of HIV/AIDS patients on ART in ART centres with and without laboratory service to support the ART programme in Zambia. In conclusion, the Ministry of Health should improve and increase accessibility to fully functional laboratory services to support ART programmes in order to reduce turn-around time for the CD4 count results to reach the ART centres. CD4 count machines should be provided to all the laboratories in ART centres and include service maintenance contracts to support ART services. The policy and decision makers should improve and strengthen the quality of laboratory services by disseminating the National HIV/AIDS policy, Laboratory policy, Laboratory SOPs and guidelines on ART scale-up implementation plan. The recruitment, training and improvement of redistribution of qualified staff should be accelerated to accommodate the current high workload, range of tests performed and an increase in laboratory operations with ART scale-up programme. A standard format of recording and reporting CD4 count results should be put in place (i.e. computerised or manual system). The Ministry of Health should develop guidelines and establish quality assurance systems and affiliate the laboratories to participate in the &ADC regional External Quality Assurance for accreditation such as the South African National Accreditation Systems (SANAS), to support the ART programme.

Note:

Thesis (M. Aud.)--University of Canterbury, 2007. / Typescript (photocopy). Includes bibliographical references (leaves 61-64). Also available via the World Wide Web.

<p>The use of high active antiretroviral therapy in people living with HIV/AIDS is increasing worldwide. In Rwanda, above 70 % of people in need of antiretroviral therapies is getting them. This drug therapy is associated with abnormal fat redistribution and metabolic complications which increase the risks of cardiovascular and diabetes diseases among these patients. The best recommended preventive and treating modality for these complications is physical activity participation. Despite this recommendation, there is lack of information about physical activity in HIV individuals under high active antiretroviral therapy. The current study aims to determine physical activity levels among people living with HIV treated with high active antiretroviral therapy in Kigali, Rwanda. A cross-sectional design using quantitative method was used. The participant&rsquo / s levels of physical activity participation and their association with anthropometric profiles were measured, using a structured self-administered questionnaire adapted from the Sub-Saharan Africa Activity Questionnaire. Based on a scientific calculation, 407 clients passing through the clinics were included in the study. A convenient sample of people attending the clinics approached to participate voluntarily in the study. The statistical package for social sciences version 19.0 and descriptive statistics were used to analyze the data. Inferential statistics like Chi-square test was used to determine the associations between physical activity levels and anthropometric profiles (p&lt / 0.05). Of the participants, 77% were female with a mean age of 38.82 years (SD=8.9. According to body mass index and weight hip ration, approximately 40% and 43% were obese and overweight respectively. Obesity was more common amongst the females (45%). The study found a high prevalence of inactivity in the following activities, of leisure-time (82.6%), household (71%), walking to/from work (61.7%) and work related physical activities (75%). Obesity was found to be strongly associated with inactivity in all types of activity. The findings of the current study highlighted the lack of motivation, lack of time and fear of worsening the disease amongst the strong barriers to physical activity participation. The current study recommends education about the benefits of physical activity participation and encouragement of patient treated with high active antiretroviral therapy in Rwanda to be emphasized on to improve their lives.</p>

Spiritan Life No. 16 -- September 2007 -- Spiritans in Aids and Health Ministries -- CONTENTS -- Editorial -- (pg 3) -- AIDS Ministry, John Kingston -- (pg 6) -- The Struggle Against AIDS - Illusions, Delusions and Vision, Jean-Evangeliste Kazadi Katumbay -- (pg 9) -- AIDS partnership with Africa (APA), Owen Lambert -- (pg 25) -- Father, you too have AIDS, Gerard Majella Nnamunga -- (pg 29) -- Collaborating with young people in the fight against HIV/AIDSin Mozambique, Ronan White -- (pg 33) -- Spiritan charism alive! - Health services at Usa-river Health Center, Arusha, Tanzania, Joseph Triphon MASHAKA -- (pg 42) -- Together we will overcome AIDS, Jean-Simon NGELE EYENE -- (pg 46)

Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008. / Full text also available online. Scroll down for electronic link.

published_or_final_version / Speech and Hearing Sciences / Master / Master of Science in Audiology

published_or_final_version / Public Health / Master / Master of Public Health

No description available.