As the second decade of AIDS draws to a close, researchers and others involved in the AIDS effort have come to appreciate that complex interactions between social, cultural, biological and economic forces are involved in shaping the epidemiological course of the disease. Nevertheless, the process by which these variables interact and affect each other remains poorly understood, with many of the shaping forces yet to be fully explored. In South Africa, the sociocultural matrix in which the AIDS epidemic is embedded and its role in shaping the interpretation and experience of AIDS have not been fully analyzed. This thesis represents an attempt to elucidate the finer nuances of some commonly-held local beliefs, perceptions, symbolic representations, ethnomedical explanatory models and mythologies associated with AIDS. These associations are viewed as directly informing the way in which Zulu-speaking people are experiencing and responding to HIV/AIDS in KwaZulu Natal, currently home to 1/3 of the country's estimated 3 million HIV infected people. In particular, the focus is on the gender patterning of AIDS, with ethnographic data drawn from extensive field experience at St Wendolin's Mission, a peri-urban settlement in the Marianhill district of Durban. The shared perception of women as naturally 'dirty', as sexually 'out of control' and suspected of using witchcraft in new ways, are identified and discussed as key conceptual strands contributing to the sociocultural construction of HIV/AIDS in that community. It is argued that these notions are metaphorically joining and combining in ways that 'gender' the AIDS epidemic and simultaneously 'demonize' women. The central tenet of this thesis is that HIV/AIDS is fundamentally associated with women as a female caused and transmitted disease that can and does affect men. The author argues that the gendered construction of AIDS in St Wendolin's is a reflection of patriarchal resistance to women's changing roles and expectations that represent an overstepping of culturally defined moral boundaries. Deeply embedded ways of thinking associated with notions of gender are viewed as germane to the disempowerment of women that ultimately impedes the fight against HIV/AIDS. The thesis concludes with a discussion on the opportunity which the current AIDS epidemic presents for wider sociocultural transformation, and how this might be achieved through an AIDS 'education for liberation' based on the philosophies of Paulo Freire. / Thesis (Ph.D.)-University of Natal, Durban, 1999.

This study is undertaken against the background of a seemingly worldwide / Thesis (Ph.D.) - University of KwaZulu-Natal, Durban, 2009.

The purpose of the study was to assess the impact of structural violence and the spread of HIV/AIDS among women and girls in Bulawayo. It is noted that the spread of HIV/ AIDS is high among women and girls in Bulawayo, similarly to the rest of the world. There have been a number of studies that were carried out seeking to find out what causes the spread among women, but it seems as if there has not been a substantial solution to the problem, as the rate of infection is still escalating. There has not been much work done in connection with the causes of the spread of HIV/AIDS among in Bulawayo. A qualitative method of collecting data was used; these are structured individual interviews and focus group interviews. An interview guide was designed for individual interviews, who were informants in the city working directly with affected and infected women. To complement the interviews, focus groups interviews were held with two groups of people, “Touch the Hem” (HIV) support groups and a group of commercial sex workers in the city. An interview guide was also designed for the focus group interview, based on issues that needed clarity and verification from the individual interviews. Permission was granted by individuals involved and ethical considerations of conducting the study were carefully considered. The findings of the study indicated that the spread of HIV among women is caused by high levels of concurrent sexual partners, early sex by girls with older men who are already infected with HIV, gender imbalances, commercial sex work, domestic violence, imbalances in sexual relationships, lack of health information and poverty. It was indicated by the findings of this study that some of these causes have links with structural violence. It is recommended that both men and women should be educated on health and HIV related issues, and that exploitative and unjust, cultural, political and socioeconomic structural systems should be eradicated in order to establish positive peace. / Thesis (M.Com.)-University of KwaZulu-Natal, Westville, 2009. / HEARD Division.

This study explored the relationship between perceived familial support to self-esteem in gay and bisexual men along a continuum of infection with the AIDS virus. Subjects were primarily obtained from two HIV/AIDS care coordination, education and social support centers. All participants completed the Coopersmith (1967) Self-Esteem Inventory, the Perceived Social Support-Family (PSS-Fa) questionnaire by Procidano and Heller (1983) and a demographic questionnaire. Two hypotheses were proposed: 1) Self-esteem will increase with strength of perceived Perceived Familial Support familial support. 2) Self-esteem will decrease as the stage of HIV infection worsens. Significant support was found for the first hypothesis. The second hypothesis was not supported; however, some reasons are postulated. The continuum of HIV infection and self-esteem as it relates to stages of death and dying are discussed. Implications and suggestions for counseling HIV-infected persons are addressed. / Department of Counseling Psychology and Guidance Services

Botswana occupies an unenviable position of having the highest HIV / AIDS infection rate in the world, and this has generated pressures on health facilities as they are over stretched beyond their coping capacities to attend to the ever-increasing numbers of people who are infected. To relieve the health care system, the Botswana government has adopted the CHBC programme as an instrument for taking care of the infected and affected people. The CHBC programme, which is care given to long term and terminally ill people adopts the approach that, the family and the community assisted by the health professionals are the primary source of support and care. CHBC has always been in existence, though it was not given the attention it deserves until the realities of HIV / AIDS pandemic striked and doubted the ability of the health facilities to accommodate the ever increasing HIV / AIDS cases. CHBC gained more support as a result of the HIV / AIDS pandemic. This is the case because of the programmes' rationale that, the home is the best place to care for many of the people with terminal illness. The programme gives patients chance to be looked after in a familiar environment and by their relatives. The aim of this study is to establish the existence of a CHBC Policy in the Good hope Sub-district in Botswana, and if it exists to find out whether implementation is congruent to the Policy guidelines, whether its implementation is done in the most effective way, and if not, to identify obstacles to effective implementation of the Policy in the Goodhope Subdistrict. The hypothesis of this study is that, CHBC for people living with HIV / AIDS is ineffective in the Good hope Sub-district of Botswana because of shortage of resources, the unexpected (low) support the Programme gets from the community and the incorrect understanding of HIV / AIDS issues especially the modes of transmission by the community. The sample used consisted of 57 research participants (10 HIV / AIDS patients, 10 care-givers, 10 Policy makers, 10 health professionals, 5 traditional doctors, 5 spiritual healers, 5 village headmen, 1 village chief and 1 NGO representative). The literate respondents were given structured questionnaires to complete while those who are illiterate were helped by the researcher to fill in the questionnaires. The focus group discussion and participant observation methods of data collection were engaged. The study's findings were that, the CHBC Policy does exist in the Good hope Sub-district of Botswana. The study further discovered that, implementation of the Policy is not as effective as expected, and this has been attributed to the following problems; shortage of resources (manpower, transport, food etc) and the community's reluctance to give it support. The study recommends that, the government should provide resources to train more professionals who would address the problem of manpower inadequacies. There is need for communities to be mobilised so that they join hands in the fight against HIV / AIDS. The Government has to see to it that enough resources are allocated to the CHBC Programme. There is need for HIV / AIDS education in order to equip the community with the necessary information on HIV / AIDS issues. All caregivers need to be given relevant training on HIV / AIDS issues. Lastly there is need for further research in this field in order to find better ways of improving CHBC Programme. / Thesis (M.A.)-University of Durban-Westville, 2003.

This study focuses on the impact of HIV/AIDS on women in Namibia. Namibia, with a population of only 1.7 million people, is ranked as the seventh highest country in the world in terms of HIV/AIDS infections. The percentage of women living with HIV/AIDS in Namibia accounts for 54% of the total of 68 196 people in the country living with the virus. Women are also diagnosed with the disease at a younger age (30) in comparison to their male counterparts (35 years). Desoite their needs, women living with HIV/AIDS bear a triple burden of caring for those living with HIV/AIDS, caring for themselves and coping with the responses to their infection. There are few focused intervention strategies to support and care for women living with HIV/AIDS in Namibia.

<p>The district health report for Livingstone, Zambia, outlined an increasing prevalence of HIV/AIDS iun the district. In 1998 the prevalence wsas at 29%, in 2000 at 30%, in 2002 at 31.8% and in 2004 at 31%. This was above the national prevalence of 20% according to CBoH statistics of 2004. The district has been implementing the HIV/AIDS prevention in various organizations during the past 3 years. Most of the organizations implementing the HIV/AIDS preventive activities do not work collaboratively with other sectors and this has resulted in un-coordinated activities and wstage of the limited resources. This exploratory qualitative study aimed at undestanding participants' perceptions of factors influencing coordination between different organizations that are involved in the implementation of HIV/AIDS activities, and to note the impact that this had in the implementation of activities in a multisectoral approach to HIV/AIDS prevention.</p>

<p>The 24-item scale has been used extensively to assess the attitudes towards AIDS precautions. This study investigated the usefulness and validity of the instrument in a South African setting, fourteen years after the development of the instrument. If a new structure could be found statistically, the HIV/AIDS prevention strategies could be more effective in aiding campaigns to change attitudes and sexual behaviour.</p>

Thesis (MEd(Rel Ed)) -- University of South Australia, Adelaide, S Aust, 1994

To obtain more complete mortality data following HIV and AIDS diagnosis in Australia, HIV/AIDS diagnoses between 1980 and 2003 were linked to the National Death Index. Based on 6900 known deaths, and 1455 known non-deaths, sensitivity and specificity of the linkage was estimated to be 82% and 92% respectively. Mortality rates were compared by calendar period, pre-ART (<1990), pre- and early-HAART (1990-1996) and late-HAART (1997-2003). Mortality following AIDS decreased from 590.2/1000 person years pre-ART to 77.4 during the late-HAART period. Mortality following HIV diagnosis prior to AIDS increased from 9.7 to 20.2/1000 person years. The total number living with diagnosed HIV infection in Australia was estimated to have increased from 7873 at the end of 1989 to 12828 in 2003. Risk factors for survival following HIV and AIDS diagnosis were assessed using Cox regression. Age >40 years and certain HIV exposure results were associated with poorer survival following HIV. Predictors of poorer survival following AIDS were age >40 years, females exposed to HIV through receipt of blood, CD4 count <20 and certain AIDS illnesses. Parametric models of survival following HIV and AIDS diagnosis were assessed using likelihood based criteria. Goodness of fit was assessed by comparing observed with model predicted numbers of deaths. Weibull models were found to fit best to both survival following HIV and AIDS. Parametric survival models were used to project deaths after HIV and AIDS across three scenarios of HAART usage. Deaths following HIV were projected to remain low, but to increase from 223 in 2005 to 288, 292 and 282 in 2010 if the HAART usage remains stable at 2005 levels, increases to 70% of all people with diagnosed HIV by 2010 and decreases to 39% of all people with diagnosed HIV respectively. Deaths after AIDS diagnosis were projected to increase unless if HAART usage increases to 100% of AIDS diagnoses by 2010.