Thesis (DPhil (Psychology))--Stellenbosch University, 2008. / HIV/AIDS has emerged as one of the biggest epidemics in modern human history, and is perhaps the most researched and written about epidemic. Southern Africa is at the epicentre of the global HIV/AIDS epidemic, with almost one third of the world’s HIVpositive population living here. HIV is known to affect predominantly vulnerable populations; thus it is surprising that persons with disabilities have been largely overlooked. Little is known about how HIV/AIDS affects persons with disabilities in South Africa. This dissertation, therefore, aims to explore the extent to which organizations and schools working with persons with disabilities are dealing with HIV/AIDS, and how they are dealing with it. The study made use of an integration of quantitative and qualitative research methods. An existing survey questionnaire used in the World Bank/Yale University Global Survey on HIV/AIDS and Disability was used, with permission, as the survey instrument in a national survey of disability organizations and special needs (LSEN) schools in South Africa. The survey was distributed by post and email to 601 organizations and schools across the country, in all nine provinces. Various contacts and postings of the survey were made to organizations and schools, in an attempt to improve response rates. The response rate from national disability organizations was 57%, while the response rate for regional and local organizations and schools was very poor, with an overall response rate of 18%. The sample, however, was representative of the population. The results of the survey indicate a high level of concern about HIV/AIDS as a risk for persons with disabilities. The majority of organizations and schools were involved in providing HIV prevention education. However, most organizations and schools felt that persons with disabilities were excluded from general HIV prevention campaigns, and were thus receiving less information. A second study, using qualitative research methods, used case studies of three organizations/schools to explore more in-depth staff difficulties, challenges and particularly anxieties related to dealing with sex, sexuality and HIV among persons with disabilities. The case studies were analysed from a psychosocial framework, using social constructionist theory with psychoanalytic theory, to explore how social discourses about HIV and disabilities are internalized by staff. It is theorized that people draw on particular social discourses, in this case about HIV and disability, as a defence against threats to the self. Texts were analysed using discourse analysis to identify social discourses. A further analytic layer used psychoanalytic theory to identify unconscious communication of emotions and defence mechanisms. The case studies found that staff have considerable anxiety with regards raising issues of sex, sexuality and HIV with persons with disabilities. Staff from all three organizations were varyingly anxious about needing to protect the people they work with from harm. Disabled people were constructed as innocent, vulnerable, and needing protection. In other cases disabled people were constructed as deviant and their behaviour needing to be controlled. The use of an integration of qualitative and quantitative methods is useful, in allowing to explore more in-depth the lived experience of research participants. While the survey indicated that organizations were providing HIV prevention education, the case studies revealed much anxiety about this, and in some cases education was partly avoided. The results also suggest that HIV prevention education may be used in a way to control and restrict disabled people’s sexual expression, using a demonizing discourse about sex as dangerous and in some circumstances immoral. This may be done in an absence of a discourse of pleasure, where disabled people may be empowered to have fulfilling sexual lives. The study also highlights sexual abuse and rape of persons with disabilities as a serious issue. The dissertation ends with recommendations for further research, including exploring the experience of disabled people themselves, and the need to address the silence around sexual abuse and rape of persons with disabilities.

Thesis (MBA)--Stellenbosch University, 2006. / ENGLISH ABSTRACT: In South Africa more people are living with AIDS than in any other country in the world. It is now evident that HIV/AIDS has developed into a pandemic that not only affects the health of individuals, but does expand to households, communities and the nation. The stigma of HIV/AIDS is most likely the single most important reason why people, organisations and the government tend to shy away from the problem. The prime aim of business is to make money, but the fact that AIDS affects people at the peak of their productive years when they would normally not require medical attention, will impact negatively on the organisation's bottom line results. Apart from government, business is the only group that has the capacity and resources to successfully implement strategies in the fight against HIV and AIDS. This study provides a theoretical introduction to HIV and AIDS but also indicates that small to medium size organisations are slow to react to the threat that HIV and AIDS will have to their business and also the country. The study shows that large organisations have definitely been successful in their fight against the disease. The study concludes that knowing the prevalence rate of HIV in a organisation and adapting the strategy accordingly is essential for long term sustainability of the organisation. CISCO was selected as the case study to substantiate the above-mentioned opinions and conclusions. / AFRIKAANSE OPSOMMING: In Suid Afrika woon daar meer mense met VIGS as enige in enige ander land in die wereld. Dit is tans duidelik dat MIV/VIGS ontwikkel het in 'n pandemie wat nie net die gesondheid van individue raak nie, maar wat ook uitkring na huishoudings, gemeenskappe en die nasie. Die stigma van MIV/VIGS is heel waarskynlik die grootste enkele rede waarom organisasies en die regering wegskram van die probleem. Die hoofdoel van 'n besigheid is om wins te maak, maar die feit dat VIGS mense tydens die toppunt van hulle produktiewe jare affekteer wanneer hulle normaalweg geen mediese versorging sou benodig nie, gaan 'n negatiewe effek op organisasies se winsgewendheid hê. Behalwe vir die regering is privaat besighede die enigste groep wat beskik oor die kapasiteit en hulpbronne om strategiee te implimenteer wat suksesvol sal wees in die stryd teen MIV en VIGS. Hierdie studie gee 'n teoretiese inleiding oor MIV en VIGS. Dit dui ook daarop dat klein tot medium grootte organisasies stadig reageer op die bedreiging wat MIV en VIGS vir hul besigheid en die land kan inhou. Die studie toon dat groter organisasies meer sukses behaal in hulle stryd teen die siekte. Die studie bevind dat dit vir die volhoubaarheid van 'n organisasie belangrik is om te weet wat die voorkoms syfers van MIV in die organisasie is en die strategie ten opsigte van MIV en VIGS dienooreenkomstig aan te pas. CISCO is as 'n gevallestudie gebruik om bogenoemde waarnemings en aanbevelings te staaf.

Thesis (MBA)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: No disease in modern times has created as much fear and panic as HIV/AIDS - undoubtedly one of the most formidable public health problems facing South Africa today. Traditionally, HIV/AIDS has not been regarded as a workplace issue, except for "high-risk" professions such as surgeons, dentists and emergency medical technicians. The stark reality is that HIV/AIDS will have an impact on all sectors of society and all aspects of human activity throughout South Africa. Because of the nature of the spread of the disease, it hits predominantly sexually active people. These are the people that make up the workforce. It can therefore be expected that HIV/AIDS will impact directly on the patterns of employment in South Africa. Furthermore, the economic consequences of the epidemic will result in pressures on the South African economy, which again will influence employment. Apart from affecting the general population, HIV/AIDS will have a direct impact on businesses in various areas. HIV/AIDS will also have a significant impact at community level that will, in turn, impact on businesses. If business in South Africa is to survive, these impacts have to be managed so that productivity can be maintained and costs can be contained. The objective of this study is to explore the impact of HIV/AIDS on employment by examining the South African labour market. From the study, it is clear that South Africa is certain to experience severe consequences arising from the HIV/AIDS epidemic. Even without taking the immense impact of HIV/AIDS into account, there are various problems facing the' South African labour market. Specific problems discussed are unemployment, low productivity and a shortage of skills. These are not the only problems associated with the South African labour market, but the extent of these problems is further exacerbated by the impact of HIV/AIDS. All sectors of the society need to be mobilised into action. This action must encompass both prevention of the spread of the disease, as well as caring for the sick and dying. / AFRIKAANSE OPSOMMING: Geen ander siekte in die moderne tyd het al soveel vrees en paniek geskep as MIV/VIGS nie ongetwyfeld een van die mees formidabele gemeenskapsgesondheidsprobleme wat Suid-Afrika huidiglik in die gesig staar. Oorspronklik was MIV/VIGS slegs met die werksplek geassosieer in terme van "hoë-risiko" beroepe soos dokters, tandartse en nood mediese personeel. Die naakte waarheid is dat MIV/VIGS 'n impak sal hê op alle sektore en aspekte van die samelewing in Suid-Afrika. As gevolg van die aard van die verspreiding van die siekte, tref dit hoofsaaklik seksueel aktiewe persone. Hierdie persone is die lewensaar van die arbeidsmag. Dit kan dus verwag word dat MIV/VIGS 'n direkte impak op werkverskaffingspatrone in Suid-Afrika sal hê. Die ekonomiese gevolge van die epidemie sal verdere druk veroorsaak op die Suid-Afrikaanse ekonomie, wat op sy beurt werkverskaffing sal beïnvloed. Buiten die impak van MIV/VIGS op die algemene bevolking, sal die siekte ook in verskeie areas van die besigheidsektor 'n uitwerking hê. Verder sal MIV/VIGS 'n aansienlike impak op gemeenskapsvlak hê, wat op sy beurt weer 'n uitwerking sal hê op besighede. As besighede in Suid-Afrika wil oorleef, moet hierdie aanslae so bestuur word dat produktiwiteit gehandhaaf word en kostes onder beheer gehou word. Die oogmerk van hierdie studie is om die impak van MIV/VIGS op werkverskaffing te ondersoek deur na die Suid-Afrikaanse arbeidsmark te kyk. Van die studie is dit duidelik dat Suid-Afrika ernstige konsekwensies as gevolg van die MIV/VIGS epidemie kan verwag. Selfs sonder om die ontsaglike impak van MIV/VIGS in ag te neem, is daar verskeie probleme wat die Suid-Afrikaanse arbeidsmark in die gesig staar. Spesifieke probleme wat bespreek word is werkloosheid, lae produktiwiteit en 'n tekort aan gespesialiseerde vaardighede. Alhoewel hierdie nie die enigste probleme is wat met die Suid-Afrikaanse arbeidsmark geassosieer word nie, word die spesifieke probleme vererger deur die impak van MIV/VIGS. Wat vereis word is dat alle sektore van die samelewing moet oorgaan tot aksie. Hierdie aksie moet beide die voorkoming van die verspreiding van die siekte, sowel as die versorging van die siekes en sterwendes omvat.

Thesis (MCur)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The overall objective of this study was to ascertain whether lay counsellors offer psychosocial counselling to clients at antiretroviral therapy clinics. The study was conducted at two clinics in the Greater Tzaneen municipality, Limpopo province, South Africa. The sample of 14 consisted of seven female lay counsellors and seven HIV positive clients, three females and four males, at Xihlovo and Nyeleti antiretroviral clinics. They were interviewed using 11-item and 12-item interview guides, respectively. Interviews were conducted in the local languages. Qualitative data were collected for the study. The data were audiotaped, translated, transcribed and then categorised into a thematic framework. HIV positive participants were found to be suffering from psychosocial consequences of living with HIV, such as shock, denial, anger and blame, fear of death, fear of disclosure, and intimate-partner violence. However, lay counsellors did not offer effective counselling that could relieve the psychosocial consequences. They instead used religion to console clients, discouraged clients from expressing their feelings, and minimised their clients’ concerns. It is recommended that lay counsellors be taught basic counselling theories as part of their training so that they are better able to screen their clients for psychosocial problems and provide basic counselling. / AFRIKAANSE OPSOMMING: Die algehele doelwit van dié studie is om te bepaal of leke-beraders psigo-sosiale berading aan kliënte by die die anti-retrovale terapie klinieke bied. Kwalitatiewe data is vir dié studie versamel. Die studie is by twee klinieke in die groter Tzaneenmunisipaliteit in Limpopo provinsie in Suid‐Afrika gedoen. Die eksperimentele groep van 14 het bestaan uit sewe vroulike leke-beraders en sewe MIV-positiewe kliënte: drie vrouens en vier mans, by Xihlovo en Nyeleti anti-retrovale klinieke. Daar was onderskeidelike onderhoude met hulle gevoer en die 11-item en 12-item onderhoudriglyne is toegepas. Onderhoude is in inheemse tale gevoer. Die data was opgeneem, vertaal, getranskribeer en in 'n tematiese raamwerk vasgevang. Daar is gevind dat die MIV-positiewe persone negatiewe psigo-sosiale gevolge ervaar: skok, ontkenning, woede, blaam, vrees vir die dood, vrees dat hul status openbaar sal word, asook geweld binne hul verhoudings. Leke-beraders het egter nie doeltreffende berading gegee om bogenoemde psigo-sosiale gevolge te verlig nie. Hulle het eerder godsdiens gebruik in 'n poging om hul kliënte te vertroos, nie die kliënte aangemoedig om hul gevoelens uit te druk nie en hul gevoelens en kommer afgemaak. Daar word aanbeveel dat leke-beraders basiese beradingsteorie as deel van hul opleiding ontvang sodat hulle psigo-sosiale probleme in hul kliente kan uitken en beter basiese berading kan verskaf.

Thesis (PhD)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: This qualitatively oriented Practical Theological research journey, informed by the philosophical ideas of postmodern, contextual, participatory and feminist theologies, postmodern and social construction epistemologies was based on a participatory action research through the therapeutic lens of narrative inquiry. The thesis is about the spiritual problems and spiritual needs of people living with HIV and AIDS and how they can be addressed as part of a holistic approach to their care within the primary healthcare delivery system in Zimbabwe. The research curiosity was prompted by the HIV and AIDS policy in Zimbabwe that advocates for a holistic approach to the care of HIV and AIDS patients within the primary health care delivery system. The recognition that healthcare has to be holistic for the best outcome for patients creates an expectation that spiritual care will also be incorporated into clinical practice. However there is a puzzling blind spot and a strange silence about the spiritual problems and spiritual needs of people living with HIV and AIDS within the HIV and AIDS policy. This has had the effects of reducing intervention programmes to purely medical, psychological and sociological. This research sought to correct such an approach by highlighting the role of spiritual care in the healing process of people living with HIV and AIDS as part of the holistic approach to their care. The core information, on which this research is based, comes from the experiences of people living with HIV and AIDS who are receiving care within the primary health care delivery system in Zimbabwe. It sweeps away statistics and places those questing for spiritual healing at the core of the study. All the participants in the study affirmed that the why me questions as a summation of their indescribable and unimaginable spiritual pain felt in the spirit were directed to God. They confirmed that their spiritual problem was spiritual pain and their spiritual need therefore was spiritual healing from the spiritual pain of which God is believed to be the healer. The belief that God is the ultimate healer of the spiritual pain stood out from the midst of problem saturated narratives of spiritual pain and suffering as the unique outcome to reconstruct the alternative problem free stories of healing. The research opted for an approach that is informed by the experiences of people living with HIV and AIDS. In the light of the stories shared by the participants in this study, it became evident that there is an existing need within the Primary Health Care delivery system in Zimbabwe to provide spiritual care to people living with HIV and AIDS. The research aimed at co-creating a spiritual care approach in which those living with HIV and AIDS as well as those working with them can be empowered to re-author the stories of patients‟ lives around their self preferred images. The narrative approach was explored in this research as a possible therapeutic approach that could be used to journey pastorally with people living with HIV and AIDS in a non-controlling, non-blaming, non-directive and not knowing guiding manner that would permit the people living with HIV and AIDS to use their own spiritual resources in a way that can bring spiritual healing to their troubled spirits. The research also emphasizes the position of the people living with HIV and AIDS which they can inhabit and lay claim to the many possibilities of their own lives that lie beyond the expertise of the pastoral caregiver. The strong suggestion emerging from this study is that a spiritual care approach to healing must of necessity be integrated into the holistic approach to the care of people living with HIV and AIDS in Zimbabwe. The wish of participants that their spiritual well-being be considered in their health care adds momentum to this suggestion. Hence the research argues for the inclusion of a spiritual and pastoral approach to spiritual healing which links the patient‟s spirituality and pastoral care. The research does not claim to have the solutions or quick fix miracle to the complicated spiritual pain of people living with HIV and AIDS and neither claims to have the power to bring any neat conclusions to the spiritual healing of people living with HIV and AIDS. However, the research has the potential to stimulate a new story of spirituality as a vital resource in the healing process of people living with HIV and AIDS and ignoring it may defeat the purpose of a holistic approach to the care of people living with HIV. The re-authoring of alternative stories is an ongoing process but like in all journeys, there are landmarks that indicate achievements, places of transfer or starting new directions or turning around. Hence this research process may be regarded as a landmark that indicated a new direction in the participants‟ journey towards spiritual healing. / AFRIKAANSE OPSOMMING: Hierdie kwalitatief-georiënteerde Praktiese Teologie navorsingsreis, geïnformeer deur die filosofiese idees van postmoderne, kontekstuele, deelnemende en feministiese teologie, postmoderne en sosiale konstruksie epistemologie, is gebaseer op deelnemende aksie-navorsing deur die terapeutiese lens van narratiewe ondersoek. Die tesis handel oor die spirituele probleme en navorsingsbehoeftes van mense wat met MIV en vigs leef en hoe dit aangespreek kan word as deel van ʼn holistiese benadering tot hul sorg binne die primêre gesondheidsorg-diensleweringstelsel in Zimbabwe. Die navorsing-belangstelling het ontwikkel na aanleiding van die MIV en vigs beleid in Zimbabwe wat ʼn holistiese benadering tot die sorg van MIV en vigs pasiënte in die primêre gesondheidsorg-diensleweringstelsel bepleit. Die erkenning dat gesondheidsorg holisties moet wees om die beste uitkoms vir pasiënte te bied, skep ʼn verwagting dat spirituele sorg ook by kliniese praktyk ingesluit sal word. Daar is egter in die HIV en vigs beleid ʼn raaiselagtige blinde kol, ʼn vreemde stilte oor die spirituele probleme en spirituele behoeftes van mense wat met MIV en vigs leef. Die gevolg is dat intervensie-programme gereduseer word tot slegs mediese, sielkundige en sosiologiese programme. Hierdie navorsing streef om dié benadering reg te stel deur die beklemtoning van die rol van spirituele sorg in die heling-proses van mense wat met MIV en vigs leef as deel van die holistiese benadering tot hul sorg. Die kerninligting waarop hierdie navorsing gegrond is, vloei voort uit die ervarings van mense wat leef met MIV en vigs en sorg ontvang binne die primêre gesondheidsorg-diensleweringstelsel in Zimbabwe. Dit vee statistiek van die tafel af en plaas diegene wat soek na spirituele heling, in die hart van die ondersoek. Al die deelnemers aan die ondersoek het bevestig dat hul “Waarom ek?” vrae, as opsomming van hul onbeskryflike, ondenkbare geestelike pyn, aan God gerig is. Hulle het bevestig dat hul spirituele probleem spirituele pyn is, en dat hul spirituele behoefte dus spirituele genesing is van die spirituele pyn, die pyn waarvan geglo word dat God die geneser is. Die geloof dat God die opperste geneser is, het uitgestaan te midde van die probleem-deurdrenkte narratiewe van spirituele pyn en lyding as die unieke uitkoms om alternatiewe probleem-vrye verhale van heling te herkonstrueer. Die navorsing het ʼn benadering gekies wat geïnformeer is deur die ervarings van mense wat leef met MIV en vigs. In die lig van die verhale wat die deelnemers aan die studie gedeel het, het dit duidelik geword dat daar ʼn behoefte is dat spirituele sorg ook aan mense wat leef met MIV en vigs verskaf word in die primêre gesondheidsorg-diensleweringstelsel in Zimbabwe. Die doel van die navorsing was om saam ʼn spirituele sorg benadering te skep waarin diegene wat met MIV en vigs leef, sowel as diegene wat met hulle werk, bemagtig kan word om die stories van pasiënte se lewens te herskryf in terme van pasiënte se verkose beelde. Die narratiewe benadering is in hierdie studie ondersoek as ʼn moontlike terapeutiese benadering wat gebruik kan word om pastoraal te reis met mense wat leef met MIV en vigs op ʼn manier wat nie kontroleer, beskuldig, voorskryf of weet nie, maar wat mense wat met MIV en vigs leef eerder begelei en toelaat om hul eie spirituele bronne te gebruik op ʼn manier wat spirituele genesing vir hul gekwelde siele kan bring. Die navorsing beklemtoon ook die posisie van mense wat leef met MIV en vigs waarin hulle spirituele moontlikhede, areas van hul lewens kan eien en bewoon, moontlikhede wat buite die bereik van pastorale versorgers lê. Uit hierdie studie vloei ʼn sterk suggestie dat ʼn spirituele benadering tot genesing noodwendig geïntegreer moet wees in die holistiese benadering tot die sorg van mense wat leef met MIV en vigs in Zimbabwe. Deelnemers se wens dat hul spirituele behoeftes ook in hul gesondheidsorg oorweeg word, gee aan dié suggestie verdere momentum. Derhalwe argumenteer hierdie navorsing ten gunste van die insluiting van ʼn spirituele en pastorale benadering tot spirituele genesing wat die pasiënt se spiritualiteit en pastorale sorg verbind. Die studie maak nie daarop aanspraak dat dit antwoorde of ʼn wonderbare kits-oplossing bied vir die gekompliseerde spirituele pyn van mens wat leef met MIV en vigs nie, of spirituele genesing netjies afsluit nie. Die navorsing het egter wel die potensiaal om ʼn nuwe verhaal te stimuleer van spiritualiteit as ʼn deurslaggewende bron in die genesingsproses van mense wat leef met MIV en vigs. Om spiritualiteit te ignoreer, mag dalk die doel verydel van ʼn holistiese benadering tot die sorg van mense wat met MIV en vigs leef. Die herskryf van alternatiewe verhale is ʼn voortdurende proses, maar soos alle reise, is daar landmerke wat prestasies aandui, en ook punte van verplasing, rigtingverandering of selfs ommekeer. Hierdie navorsing kan beskou word as ʼn landmerk van ʼn verandering van rigting in deelnemers se reis na spirituele genesing.

Thesis (MA)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: Counselling has been recognised as an important component ofHIV and AIDS care, and an essential part ofHIV testing. Counsellors are involved in a dynamic interrelationship with their clients as well as with the organisations in which they work. From a psychoanalytic framework, unconscious anxieties can playa role in the work of the counsellor. Transference and countertransference are processes, which are involved in the counselling situation. While these processes can be a source for understanding the client, they may also become problematic for the counsellor when they overwhelm the counsellor. This study explores the experiences of HIVIAIDS counsellors attached to Lifeline, Khayelitsha in Cape Town. Twenty-nine counsellors were interviewed using individual interviews and focus group discussions. Results explore the counselling training and activity; the difficulties of counselling; what helps the counsellor to cope; and the general impact that counselling has had on the counsellors' lives. The findings reveal the difficult and often distressing aspect of counselling persons with HIVand AIDS. A number of issues facing the client, as well as cultural and workplace issues may cause difficulties for the counsellor. In addition, the nature of the disease, and the issues it creates for the patient, can arouse a number of anxieties in the counsellor related to their own past. The results reveal some possible limitations to an individual client-centred approach. The study concludes that psychodynamic issues should form part of the counsellor's training, and be explored during regular counsellor supervision. / AFRIKAANSE OPSOMMING: Berading is erken as 'n belangrike komponent in HIV en VIGS sorg, en 'n essensiele deel van HIV toetsing. Beraders is betrokke in 'n dinamiese verhouding met hul kliënte so wel as die organisasies vir wie hulle werk. Vanaf 'n psigoanalitiese raamwerk kan angs in die onderbewussyn, 'n rol speel in die werk van beraders. Oordrag en teenoordrag is prosesse wat betrokke is by die beradingsituasie. Alhoewel die proses 'n bron is wat tot beter verstandhouding met die kliënt kan lei, mag dit ook die berader oorweldig. Hierdie studie verken die ervaringe van beraders verbonde aan LifeLine, Khayelitsha in Kaapstad. Nege-entwintig beraders is individueelonderhoude mee gevoer en het aan fokus groepe deelgeneem. Resultate ondersoek die berading opleiding en aktiwiteite; die problematiese aspek van berading; wat die berader help om klaar te kom; en die algemene impak wat berading het op die lewe van 'n berader. Die resultate onthul die moeilike en dikwelse stresvolle aspek van berading met HIV en VIGS pasiënte. 'n Aantal aspekte wat die pasiënte mee toe doen kry so wel as kulturele en werksplek faktore kan sake vir die berader beïnvloed. Verder kan die aard van die siekte en die probleme wat die siekte vir die pasiënt veroorsaak lei tot angs vir die berader ten opsigte van sy ofhaar eie verlede. Die resultate onthul verskeie tekortkominge tot 'n individueeie kliëntgesentreerde berading. Die studie beslus dat psigodinamiese probleme dalk deel moet vorm in die berader se opleiding, asook verder ondersoek moet word in gewone berader toesighouding.

Thesis (MBA (Business Management))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: By understanding the costs of HIV/AIDS, businesses can understand the incentives for preventing and treating the disease better. This report primarily investigates whether there is a difference in the relationship between HIV/AIDS prevalence rates and related costs in different sectors in South Africa. With an HIV prevalence ratio of approximately 10:1 for the mining and financial sectors, it is difficult to motivate that more research should be done on the impact of HIV/AIDS on the financial sector. However, if the study indicates a higher cost ratio between the two sectors it could increase the priority of the epidemic in the financial sector, giving rise to a bigger incentive to fight the epidemic. The estimated HIV/AIDS-related cost of an infected manager is R120 000 compared to the cost of R4 600 for an infected unskilled employee. From this analysis it is estimated that the HIV prevalence ratio between highly skilled and semi- and unskilled labour is 1:2.5, while the HIV cost ratio between the different skill levels is 1:0.2. This clearly indicates that there could be a significant difference between the HIV prevalence ratio and the HIV cost ratio for different levels of skills. From the Absa and AngloGold average salary information reviewed, the assumption was made that the Absa employees are more skilled than the AngloGold employees. With the knowledge of this difference in skill levels between the two companies in the different sectors, and the information above regarding the difference in HIV/AIDS-related costs for different skill levels, it is possible that the HIV/AIDS-related costs in the financial sector could be in line with the costs in the mining sector. Using HIV prevalence as an indication of the impact of the disease on the financial sector, a high-level cost estimate could be R150.9 million, compared to R3 985 million if the difference in the relationship between HIV/AIDS prevalence and related costs are taken into account. These materially different estimates could cause companies in the financial sector to make incorrect decisions regarding HIV/AIDS budgets for HIV/AIDS prevention and treatment, as incorrect indicators of the impact of the epidemic on the profit of the organisation are used. / AFRIKAANSE OPSOMMING: Deur die koste van MIV/vigs te verstaan, kan besighede die dryfvere vir die voorkoming en behandeling van MIV/vigs beter verstaan. Die verslag ondersoek hoofsaaklik of daar ’n verskil is in die verhouding tussen die voorkomsyfer en verwante koste van MIV/vigs in verskillende sektore in Suid Afrika. Met die MIV-voorkomsverhouding van ongeveer 10:1 vir die mynwese en finansiële sektore, is dit moeilik om verdere navorsing oor die impak van MIV op die finansiële sektor te regverdig. Indien hierdie studie egter ’n hoër kosteverhouding tussen die twee sektore aantoon, kan dit die prioriteit van die epidemie in die finansiële sektor verhoog, wat sal lei tot dryfvere om die epidemie te beveg. Die beraamde MIV/vigs-verwante koste van ’n besmette bestuurder is R120 000, vergelykend met die koste van R4 600 vir ’n besmette ongeskoolde werknemer. Uit ontledings kan beraam word dat die MIV-voorkomsyfer tussen hoogs geskoolde en half- en ongeskoolde werknemers 1:2.5 is, terwyl die MIV-kosteverhouding tussen die verskillende vlakke 1:0.2 is. Die inligting toon dat daar beduidende verskille tussen die MIV-voorkomsverhouding en die MIV-kosteverhouding vir verskillende vlakke van geskooldheid kan wees. Volgens Absa en AngloGold se inligting oor gemiddelde salarisse is die aanname gemaak dat Absa-werknemers meer geskoold is as AngloGold-werknemers. Met die kennis van hierdie verskil in vaardigheidsvlakke tussen die twee maatskappye in die onderskeie sektore en die inligting hierbo rakende die verskil tussen MIV/vigs-koste vir verskillende vaardigheidsvlakke, is dit moontlik dat die MIV/vigs-verwante koste in die finansiële sektor in ooreenstemming met dié in die mynwesesektor kan wees. As MIV-voorkoms as ’n aanwyser van die impak van die koste op die finansiële sektor gebruik word, kan ’n hoëvlak-kosteberaming R150.9 miljoen wees, vergelykend met R3 985 miljoen, as die verskil in die verhouding tussen MIV/vigs-voorkoms en verwante koste in berekening gebring word. Die wesenlik verskillende beramings veroorsaak dat maatskappye in die finansiële sektor foutiewe besluite rakende MIV/vigs-begrotings vir MIV/vigs-voorkoming en -behandeling maak, aangesien foutiewe aanwysers van die impak van die epidemie op die wins van die organisasie gebruik word.

Thesis (MBA)--Stellenbosch University, 2003 / ENGLISH ABSTRACT: National and international studies on the impact of the HIVand AIDS epidemie, create a picture of serious negative effects on the South African economy, together with immense suffering and despair for her people. The untimely death of millions of people due to a disease is totally unnatural and basically unimaginable and it is therefore not surprising that people, organisations and government tend to shy away from the problems. Businesses drive growth and development, mobilise investment, nurture innovation, provide employment, develop skills, pay taxes and provide returns to investors. Outside the political arena businesses is the only group that do have the capacity and resources to make a major and effective contribution to the fight against the HIV and AIDS epidemic. This study provides a theoretical introduction to HIV and AIDS but more importantly it indicates that the business world has woken up to the threat of the HIV and AIDS epidemic and are reacting to it. The study concludes that the battle is not won as yet. There is room for improvement and major enhancements are required to current strategies and programmes to make it more effective. Eskom was selected as the case study to substantiate the abovementioned opinions and conclusions. / AFRIKAANSE OPSOMMING: Nasionale en internasionale studies oor die impak van die MIV en VIGS-epidemie dui op die ernstige negatiewe gevolge vir die Suid-Afrikaanse ekonomie. Dit veroorsaak ook geweldige lyding en wanhoop onder mense. Die ontydige dood van miljoene mense weens 'n siekte is heeltemal onnatuurlik en ondenkbaar. Dit is daarom geen wonder nie dat mense, organisasies en die regering daarvan wegskram. Sakeondernemings dryf groei en ontwikkeling, mobiliseer beleggingsmoontlikhede, moedig vernuwing aan, skep werkgeleenthede, ontwikkel vaardighede, betaal belasting en verskaf 'n opbrengs aan beleggers. Buite die politieke arena is sakeondernemings die enigste groep wat die kapasiteit en hulpbronne het om op grootskaal 'n doeltreffende bydrae te lewer tot die bekamping van die MIV en VIGS epidemie. Die studie is 'n teoretiese inleiding tot MIV en VIGS. Die belangrikste aspek wat na vore kom, is dat sakeondernemings wakker geskrik het oor die bedreiging van MIV en VIGS en dat hulle daarop reageer. Die studie kom tot die gevolgtrekking dat die geveg nog nie gewen is nie. Daar is baie ruimte vir verbetering en grootskaalse veranderinge is nodig om die huidige strategieë en programme meer doeltreffend te maak. Eskom is as gevallestudie gebruik om bogenoemde menings en gevolgtrekkings te ondersteun.

Thesis (MEdPsych (Educational Psychology))--University of Stellenbosch, 2004. / For the purpose of this reserach journey I sought to document the experiences of one family living with HIV/AIDS. I became particularly interested in learning how they coped with sadness, grief and loss and what it was that contributed to hope in their lives. I undertook to find an answer to the research curiosity: How does a family living with HIV/AIDS experience and cope with bereavement and loss and how would a researcher's life-story be changed during this research? ...

Thesis (DTh (Practical Theology and Missiology))--University of Stellenbosch, 2005. / The basic premise of this study is that the congregation is the key to providing homebased pastoral care support to HIV-positive people in poor contexts. In so doing, the church does not only perform a social function to poor HIV/AIDS-affected families, but it also acts in accordance with the calling of mediating God’s Kingdom (diakonia), thus spreading the gospel, and showing unconditional sacrificial love and compassion. The Church embodies the gospel, which is the instrument of hope and salvation to despairing HIV/AIDS-people in the community.