This study takes the concept of ubuntu, which means humanness and applies it to healthcare issues in general, and women's health, in particular. Ubuntu is based on the reality of interdependence and relatedness. It is a philosophy or way of life that finds its roots and meaning in humanity. The values espoused in ubuntu emphasize caring, sharing, reciprocity, co-operation, compassion and empathy in recognition that for human beings to develop, flourish and reach their full potential, they need to conduct their relationships in a manner that promotes the well-being of others. The values championed in ubuntu are what inform and shape African cultural, social, political and ethical thought and action. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2007.

Thesis (MSc)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: This study aims to explore the existing knowledge, attitudes and practices regarding HIV/AIDS among Congolese refugees living in Cape Town in order to create awareness and suggest possible measures to avert the spread of the pandemic among them. The target population are Congolese refugees living in Cape Town, with a refugee or an asylum seeker status. Due to the total population and difficulties in contacting them, the participants (50) were randomly selected among traders and hair dressers. The study used a quantitative research design. The Desk Top Market train station in Cape Town is an open market place where most Congolese traders sell their goods to the public. The data were collected at this market area in Cape Town using a questionnaire. To avoid any possible discrimination or stigmatisation resulting from being identified as a refugee in the study, the Congolese were contacted from the market place without screening them on the basis of their status. The participants were, however, required to tick their status in a box provided on the questionnaire. Furthermore, strict confidentiality was maintained to avoid the possible stigmatisation arising from the Congolese traders’ refugee status. According to the findings Congolese refugees have knowledge about HIV/AIDS and the route of transmission. The majority knows how to protect themselves against HIV/AIDS but it seems this protection discontinue shortly after a quick trust between them and their partners. It is may be because most refugees are in need of financial protection on their arrival so they do not have any other choice than to let it go. During the process of data collection there was an opportunity to discuss with some of them protection and most of them stated that condom use is not safe as condoms breaks often. Many Congolese do not believe in male circumcision for the reduction of risk because 100% of them are circumcised and some still have contracted HIV/AIDS. Some of Congolese does believe HIV can be cured because they have seen people who were cured through prayers. The findings also indicate the level of awareness is very low in this community because they still believe they can just by looking at other individuals they can detect if someone is HIV positive or not. / AFRIKAANSE OPSOMMING: Hierdie studie was daarop toegespits om die bestaande kennis, houdings en praktyke met betrekking tot MIV/vigs onder Kongolese vlugtelinge in Kaapstad te ondersoek ten einde bewustheid te wek en moontlike maatreëls voor te stel om te keer dat die pandemie onder hulle versprei. Die teikenpopulasie was Kongolese wat in Kaapstad woon en oor vlugteling- of asielsoekerstatus beskik. Weens die groot omvang van die ondersoekpopulasie en uitdagings om met hulle in verbinding te tree, het die navorser lukraak vyftig (50) deelnemers uit die geledere van handelaars en haarkappers gekies. Die data is met behulp van ’n vraelys by die Desk Top-mark op Kaapstad-stasie ingesamel. Die studie het van ’n kwantitatiewe navorsingsontwerp gebruik gemaak. Die Desk Top-mark by Kaapstad-stasie is ’n buitelugmark waar die meeste Kongolese handelaars hul goedere aan die publiek verkoop. Om te voorkom dat enigeen wat in die studie as ’n vlugteling geïdentifiseer word enige moontlike diskriminasie of stigma ervaar, het die navorser voor die voet onderhoude met Kongolese by die mark gevoer sonder om hulle na hul verblyfstatus uit te vra. Die deelnemers moes egter hul status op die vraelys aandui deur die toepaslike blokkie te merk. Voorts is streng vertroulikheid gehandhaaf om enige moontlike stigma vanweë die respondente se vlugtelingstatus te voorkom. Die bevindinge toon dat Kongolese vlugtelinge wél oor ’n mate van kennis van MIV/vigs en die verspreiding daarvan beskik. Die meeste respondente weet hoe om hulself teen MIV/vigs te beskerm, hoewel daardie beskerming oënskynlik gestaak word kort nadat hulle ’n vertrouensverhouding met hul bedmaats ontwikkel. Dít kan daaraan toegeskryf word dat die meeste vlugtelinge met hul aankoms in die land finansiële beskerming nodig het en dus nie anders kan as om veilige sekspraktyke te laat vaar indien hul bedmaats daarop aandring nie. Gedurende die proses van data-insameling was daar geleentheid vir gesprek met die respondente, waaruit geblyk het dat kondoomgebruik na hulle mening nie juis veilig is nie, aangesien kondome dikwels breek. Min Kongolese glo dat manlike besnydenis die gevaar van MIV/vigs verminder, aangesien hulle almal besny is, maar sommige steeds MIV/vigs opdoen. Sommige glo dat MIV/vigs genees kan word, omdat hulle getuies was van hoe mense deur gebed gesond geword het. Die bevindinge dui ook op ’n baie lae bewustheidsvlak in hierdie gemeenskap: Baie glo steeds dat ’n mens met die blote oog kan bepaal of iemand MIV-positief is of nie.

This dissertation reports on a study undertaken to determine interventions that community libraries can engage in to improve HIV/AIDS awareness. Chapter One describes the background for the study by providing information portraying the background, research problem, aim and objectives -as well as the research methodology to be followed to ensure its successful completion. Chapter Two examines the social role and responsibility of the community library - with reference to HIV/AIDS awareness. International and national sources are used to establish what role the community libraries should play in providing resources for communal benefit. Chapter Three deals with HIV/AIDS awareness interventions currently engaged in by community libraries as well as proposed interventions. A list and description of intervention types is included. This list forms the foundation for the interview guide. Chapter Four describes the interview process. Chapter Five reports on the results of the interviews. Chapter Six provides an integrated summary of the findings from the literature review and those from the interviews in the Bojanala region. Chapter Seven concludes with a summary of recommendations and suggestions for possible further research. Essentially, the study consists of an examination of the social role and responsibility of the community library regarding HIV/AIDS awareness. An international and national literature review of the types of interventions that community libraries can embark upon to promote HIV/AIDS awareness amongst community members of all age groups. An investigation - by means of interviews with librarians/library workers in the Bojanala region - on what interventions are currently undertaken to promote HIV/AIDS awareness among the community of the Bojanala region. Recommendations regarding the types of interventions that community libraries in South Africa may provide to assist in enhancing HIV/AIDS awareness. The literature review identified the social role and responsibility of the community library; interventions currently engaged in by community libraries; and pointed the way for proposed HIV/AIDS awareness interventions that community libraries could embark on as part of their social responsibility role. It was clear from the national and international literature review that the community library - with its years of experience in information acquisition, organisation, dissemination and use - is a natural ally in supporting HIV/AIDS awareness. The aim of this investigation was to determine the social role and responsibility of community libraries in the promotion of HIV/AIDS awareness. The interventions that community library services could embark on to promote HIV/AIDS awareness. The researcher investigated the interventions that the Bojanala region could embark on to comply with the vision of the Department of Social Development (2002:9) ”that both the government and civil society as a whole develop well directed and purposeful programmes to tackle the HIV/AIDS pandemic.” This was done through face-to-face interviews with librarians/library workers responsible for managing community projects. Compared with the HIV/AIDS prevalence rate in other regions and provinces (Northern Cape and Limpopo) with similar populations, the Bojanala region was identified as a region with a high HIV prevalence rate. The recommendations made by the researcher covered nine sections pertaining to HIV/AIDS interventions, namely: Users Policies HIV/AIDS information resources Collection Development Partnerships HIV/AIDS awareness programmes Interventions Promotion Staff training The recommendations that emerge from the research could be implemented in any community library in any given country with a high HIV/AIDS prevalence rate. / Information Science / (M. Tech. (Business Administration))

This study examined the role of the Anglican Church in the prevention of the spread of HIV and AIDS in the Limpopo Province, South Africa, using a random sample of 51 members of the Zoutpansberg parish. The study found that the Church currently contributes to the prevention of the spread of HIV among its congregation through HIV-related activities to reduce stigma, prejudice and discrimination against people living with HIV and AIDS (PLWHA). At the same time, however, much still needs to be done in the areas of cultural perception, sexual practices, and myths surrounding HIV and AIDS. Most of the respondents indicated that they would like to see the Church play an active role in voluntary counselling and testing (VCT), marital counselling, and encouraging openness with regard to HIV and AIDS. It is recommended that the Church should extend its activities to include members of the community outside the congregation in the prevention of the spread of HIV and AIDS. / Health Studies / M.A. (Health Studies)

The role of natural resources in the lives of rural children impacted by HIV/AIDS remains unexplored. This study highlights wild food use by rural children vulnerable to the impacts of HIV/AIDS as an important and regular activity that supplements their domestic diets. This work found that with an increase in vulnerability to HIV/AIDS, children rely more on wild foods. Through an 18 month project in the Eastern Cape, using a broad quantitative and qualitative school and non-school survey, individual interviews, food diaries, participant observation, interactive photography, and other participatory techniques, a total of 850 children's coping strategies and livelihoods were examined. The quality of children’s domestic diets was, on average, 60% lower than the Food and Agricultural Organization (FAO) guidelines. However, 62% of the children interviewed were supplementing their diets with wild foods, 30% having over half their diet supplemented with wild foods. Dietary diversity showed a 13% increase when wild food supplementation occurred. While traditionally rural children rely on reciprocal networks during times of crisis, we found that these networks were eroding from the pressures of HIV/AIDS. Begging, for some children, was replaced by wild food collection and a significantly larger proportion of children more vulnerable to HIV/AIDS relied on wild foods more than did less vulnerable children. Considering the heightened nutritional and energy needs of children, combined with the impact of HIV/AIDS on household food access, wild foods represent the last freely attainable food sources available to them. Hunting and collection of wild food is a group activity, which was found to have valuable psychosocial benefits. Commercialisation of wild foods was observed among 38% of the children, with significantly more vulnerable children selling wild foods. The use of wild foods by rural children also had positive influences on the preservation of indigenous ecological knowledge.

Worldwide, the Human Immunodeficiency Virus (HIV) pandemic has proven to be a health care challenge from the perspective of testing and treatment, including how to create sustainable positive prevention, prevention after becoming HIV positive, that is culturally relevant and gender sensitive. South Africa has been severely affected by the HIV and AIDS epidemic and the agricultural sector is no exception. This statement is supported by the findings of the International Organisation for Migration (IOM) study. According to an IOM study, the HIV prevalence rate among farm workers in the country is about 40%, the highest ever recorded in Southern Africa. A study conducted in Limpopo and Mpumalanga farms revealed that the prevalence of the twenty-three farms was 39, 5% which is twice the UNAIDS (Joint United Nations Programme on HIV and AIDS) national prevalence percentage of 18, 1% in South Africa. The researchers of this study could not pin-point a single factor causing this high rate of HIV infection on these farms. A multitude of factors, such as multiple and concurrent partnerships, transactional sex, irregular condom use, presence of sexually transmitted infections and sexual violence. The research also showed that almost half of the women working on farms around these provinces are HIV positive, compared to only a third of the male workforce. Purpose: The purpose of this study was to explore and describe the role of culture and gender in the spread of HIV and AIDS among farm workers in South Africa; with the view of developing culture and gender sensitive HIV and AIDS prevention strategies. descriptive and explorative qualitative approach was adopted. In depth individual semi-structured interviews were used to explore and describe the role of culture and gender in the spread of HIV and AIDS among farm workers. Purposive and convenient sampling methods were used to select participants who met the inclusion criteria in the Tshitwani and Barota farming community in the Vhembe District, Limpopo Province, South Africa. Religious and cultural beliefs were believed to be fuelling the spread of HIV among farm workers. Multiple sexual partners and inconsistent condom usage was common among participants. It was evident that stigma and social isolation leading to non- disclosure had adverse repercussions as some participants stated that they would spread HIV intentionally. Powerlessness and lack of decision-making by female farm workers was common as they were dependent on their male partners to make decisions regarding sexual matters in their relationship. Conclusion: More HIV prevention programmes tailored to dispel fears about stigma and correct myths about HIV-transmission should reach ordinary men and women in order to curb the spread of HIV among farm workers. The researcher believes that the strategies that emanate from this study would be applied in other settings other than the farming community. / Health Studies / D. Litt. et Phil. (Health Studies)

The lack of a contextualised, relevant communication strategy focusing specifically on HAST diseases in the Limpopo Province was the impetus for this research. The purpose of this study was, therefore, to explore the knowledge, perceptions and utilisation of health facilities for HAST in order to develop an acceptable and effective communication strategy for the Province to address the high rate of HAST diseases. The study followed a qualitative approach guided by the major tenets of the Health Belief Model, namely, to determine modifying factors, individual beliefs and cues for action. An in-depth literature review was followed by focus group interviews with the community members and personal interviews with District and Provincial Deputy Directors. Based on these findings, a communication strategy was drafted and piloted for three months in one of the districts in Limpopo. Further refinement of the communication strategy followed after member-checking and further interviews with directors HAST. The final strategy specifically focused on risk groups with each of the diseases in terms of their beliefs and perceptions. It further resulted in guidelines for health providers in terms of the content and implementation of effective communication strategies within the context of educational, cultural, social and economic factors relevant to Limpopo / Health Studies / D. Litt. et Phil. (Health Studies)

This study aimed to test the efficacy of the memory box as a medium in Gestalt Therapy, specifically within a therapeutic group with AIDS orphans in the middle childhood phase of development. The aim was to explore and describe the utilisation of the memory box, as a medium for telling one's story, within the safety of the Gestalt play therapy group. It was felt that the increased self-awareness fostered by belonging to a supportive group could enhance self-concept. The research included qualitative and quantitative data. Theoretical and the meta-theoretical assumptions affecting children, in the middle childhood phase, orphaned through HIV/AIDS, were reviewed. The group sessions were described and the data obtained from the pre and post-test was graphically illustrated. The information was then compared to ascertain whether the objectives had been met. Results show that the memory box, used in Gestalt play therapy groups, with AIDS orphans was effective. / Social Work / M.Diac. (Play Therapy)

This study applied the theory of reasoned action (TRA) and its extension, the theory of planned behaviour (TPB) to the design of a workplace HIV/AIDS health promotion programme. The purpose of the study was to determine if the variables of the TRA and TPB would predict intentions to change HIV/AIDS health behaviour, whether a theory-based intervention would result in health behaviour change over time and if there would be any significant health behaviour differences among participants who received a theory-based intervention and those who received an information-only intervention. In a longitudinal, quasi-experimental study, 170 government employees were divided into two groups. One group comprised 92 employees who participated in a HIV/AIDS health promotion workshop based on the theories of reasoned action and planned behaviour. The other group comprised 78 employees who took part in an educational information session about HIV and AIDS. An elicitation study was conducted with a sample of 38 employees from the research population two months prior to the commencement of the study. The findings of the elicitation study informed the design of research questionnaires and an intervention workshop. Both groups of participants (theory-based workshop and information-only workshop) were measured on HIV/AIDS health behaviour intentions and HIV/AIDS health behaviour (condom use, seeking HIV testing and monogamy) across three measurement periods over a six month period. The results of the study showed that the combined theoretical variables predicted intentions to use condoms and to seek HIV testing, with attitudes having the main effect on intentions. There was, however, no significant health behaviour change across the three measurement periods. There were also no health behaviour differences between the two intervention conditions at one month and six months post-intervention. The study concludes that the intervention based on the theories of reasoned action and planned behaviour did not produce health behaviour change. The study also identified barriers to AIDS health behaviour in the South African context that the theories of reasoned action and planned behaviour cannot explain. Ways in which the theories of reasoned action and planned behaviour can be adapted to HIV/AIDS education in collectivist cultures are proposed. / Psychology / Thesis (D. Phil. (Psychology))

A structured questionnaire was used to survey the perceptions of programme coordinators, fieldworkers and beneficiaries of the role of church-based programmes in addressing HIV and AIDS in the inner-city of Durban. One hundred and ninety two respondents were recruited from seventeen churches. Findings indicate that fear of HIV- and AIDS-related stigma and discrimination abound. The material and spiritual roles of church-based programmes in addressing the needs of people infected with HIV and affected by HIV and AIDS were stressed by the respondents. Whereas programme coordinators were well informed about HIV and AIDS, information that can dispel fears about stigma and correct myths about HIV-transmission should be tailored to reach ordinary men and women. It is recommended that further research be conducted on the preventive aspects of church-based programmes in the Durban inner-city. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)