This study endeavoured to explore and describe the experiences of social workers in their intervention with HIV and AIDS clients within the Department of Clinical Services of the Ministry of Health in Botswana. The researcher undertook a qualitative research study, using an exploratory, descriptive and contextual design to explore these experiences as perceived by the social workers. The method of data collection included semi-structured face-to-face interviews, as this was deemed most appropriate to the nature of the study. Data analysis was undertaken according to the outline of Tesch (1990), as stated in Creswell (1994:155). The findings were reported as themes, sub-themes and categories emanating from the data-analysis process. In ensuring the trustworthiness of the findings, the researcher adhered to Guba’s (1981) model (in Krefting, 1991:251). The research findings were subjected to a literature control, and culminated in the compiling of the research report. The research findings centred around the following five themes: · experiences of intervention with HIV and AIDS clients; · challenges in HIV and AIDS intervention; · measures to alleviate challenges of HIV and AIDS intervention; · intervention strategies utilised by social workers; and · suggestions and advice to new social workers. The recommendations resulting from this research project proposed inter alia that social workers need to be trained in specific and specialised areas related to HIV and AIDS intervention in the health setting, and that the support structures and a holistic multidisciplinary service delivery approach need to be put in place to assist social workers to be able to meet the needs of the clients as well as their own needs. Key Words: participants, clients/patient, qualitative, HIV and AIDS, experiences, intervention, strategies.

This study researched a project to set up a national television service for Botswana to find out whether the service could be used for rural development generally, and in particular to assist the Ministry of Health to implement its health projects in the rural areas and including the fight against the AIDS disease. It reviews conceptions of development and also analyses various communication models that usefully inform the conceptualisation of a TV service that can contribute to development. The study was done by going through reports of feasibility studies on the project and through letters of official correspondence among officials of the Government of Botswana who debated the subject of whether or not the country should have a national TV service. The reports and correspondence were supplemented with interviews of key people involved in the implementation of the project, as well as interviews of officials of the Ministry of Health. The findings of the study are that the Botswana television service project started and ended on a footing that forgot about television, a medium that is dependent on professional and organisational capacity and purpose, and as a result the project did not take-off. A qualitative method was used as the study required in-depth interviews during which new issues kept on emerging and nothing could be pre-determined because the study took place as the project was being implemented. The study was completed in June 2000, at a point where the project should have been completed but it was discovered that the station could not go on air as a television service had not been conceptualised and there was no management structure in place and the Government of Botswana appealed to the British Government for the staff of the British Broadcasting Corporation to come quickly to Botswana to rescue the project and put it on track, supposedly. The study has concluded that the Botswana television service project became stillborn because there was a lack of professional and intellectual capacity to conceptualise the service, and instead there had been too much concentration on the construction of the TV building and acquisition of equipment.

Thesis (MAgricAdmin (Agricultural Economics)--University of Stellenbosch, 2005. / HIV/AIDS has become a major concern globally as it affects different facets of a country’s economy as well as household economics. This study aimed to determine the impact of the disease on household food security. This was done by investigating the impact of the disease on household livelihoods, agricultural production for subsistence purposes and household consumption patterns. The study followed a case study approach, and Bokaa village in Kgatleng district, Botswana was selected as the study area. Data collection was done with the aid of a semi-structured questionnaire in multiple households as well as by gathering information from secondary sources. The study focused on the concept of food security as a theoretical base for the analysis, which was mainly a cross-case analysis. The analysis of individual cases is not presented in this thesis; nonetheless, individual cases are presented as illustrations and as backup for the synthesis. Furthermore, the analysis of food security only focused on calorie availability and not on nutritional quality. The study revealed that the impact of HIV/AIDS varied according to the status in which the household was before the onset of the disease or the subsequent death. Coping strategies also varied, depending on household status and the level of contribution the sick family member made to the household’s food budget. Inter-household effects and gender differentials have been observed during the time of caring for the sick family member. Inter-household effects have also been observed during times of food shortages. A high dependence on government safety nets has also been observed among these households, which contributed to some extent to lack of livelihood diversification. The results of this study reveal the need for empowering households through training for income-generating skills and practise of small-scale home gardening in a more sustainable way. The need for nutrition education was also revealed, in order that traditional and nutritious options can be included in the household food consumption patterns and not only be regarded as an option when preferred foods such as meat are not available.

The study aimed to explore and describe the factors influencing disclosure of Human Immunodeficiency Virus (HIV) status to sexual partners by people infected with HIV in Botswana, by undertaking an exploratory and descriptive qualitative study. Data was collected through in-depth interviews with people infected with HIV who had disclosed their HIV status to their partners. The major findings of the study confirmed disclosure as a multi-stage process. People infected with HIV experienced mainly positive and some negative outcomes following disclosure. Disclosure was associated with the discloser’s motivations, personal and cultural beliefs, risk-benefit assessment, individual circumstances (context), previous experiences, and perceived degree of control over private information. The communication privacy management (CPM) theory helped explain the findings. The key factor influencing disclosure was protecting others. Non-disclosers had also seriously considered disclosing to partners. / Health Studies / M.P.H

The study aimed to explore and describe the factors influencing disclosure of Human Immunodeficiency Virus (HIV) status to sexual partners by people infected with HIV in Botswana, by undertaking an exploratory and descriptive qualitative study. Data was collected through in-depth interviews with people infected with HIV who had disclosed their HIV status to their partners. The major findings of the study confirmed disclosure as a multi-stage process. People infected with HIV experienced mainly positive and some negative outcomes following disclosure. Disclosure was associated with the discloser’s motivations, personal and cultural beliefs, risk-benefit assessment, individual circumstances (context), previous experiences, and perceived degree of control over private information. The communication privacy management (CPM) theory helped explain the findings. The key factor influencing disclosure was protecting others. Non-disclosers had also seriously considered disclosing to partners. / Health Studies / M.P.H

In this study both qualitative and quantitative methods were used to find out to what extent the Lobatse Town Council employees used Voluntary Counseling and Testing (VCT) HIV and AIDS services, the reasons for using or not using the services, the preferred service providers reasons for choosing a service provider. Lastly recommendations were made on how the uptake HIV and AIDS VCT services could increased amongst the employees. A sample of 200 respondents was selected from the employees of the Lobatse Town Council, and it was established that 65.5 percent of the respondents had used VCT. Females had a higher testing participation rates than males, white collar respondents had a higher testing participation than the blue collar respondents. There was a higher rate amongst the married than the single respondents and the older ages of 30 and above than the young ages of 29 years and under. In the study it was also established that the majority of the respondents considered voluntary counselling and testing for HIV and AIDS as being important. However there were some groups that were more positive than others regarding the importance of testing. More females than males were positive regarding the importance of testing, and also amongst the employment categories the white collar respondents were more positive than the blue collar respondents regarding the importance of HIV and AIDS testing. Furthermore it was established that the most important reason for testing amongst the employees that did test for HIV and AIDS was that they felt that they needed to undergo testing before they tested. The respondents that did not test for HIV and AIDS indicated that the most important reason for not testing was that they were scared the results could not be kept confidential. The research also showed that the most preferred service provider was Tebelopele. Tebelopele was the most used and preferred service provider amongst both gender and age groups, all marital groups and the blue collar group in the employment categories. However, for the white collar group the most preferred service provider was the private practitioners. The most common reason for choosing a service provider was confidentiality and privacy. Lastly, the research makes recommendations on what needs to be done to increase the uptake of VCT HIV and AIDS testing amongst the Lobatse Town Council employees. One of the recommendations is that there was a need to educate the employees of the Lobatse Town Council and that the education should be specific for each group. For example from the group discussion the participants felt that the reason to why males did not want to utilise HIV and AIDS VCT was because they lacked knowledge on the importance of testing. Also the respondents indicated that there was a need to remove stigma and discrimination through removing confidentiality attached to HIV and AIDS. It was also, recommended that the Lobatse Town Council formulate and implements a workplace policy on HIV and AIDS

Thesis (MPhil--Stellenbosch University, 2013. / ENGLISH ABSTRACT: The incidence of HIV/AIDS in Botswana is one of the largest in the world taking its toll on many lives and posing developmental challenges to the nation. Nearly 25% of the population is living with HIV and 14% are newly infected; AIDS is acknowledged as the major cause of death. Most HIV and AIDS studies have been dominated by surveillance, biomedical and ethical methodologies. These approaches failed to stem the tide of HIV infection because they did not follow-up with the tracking of risky behaviours and the underlying causes of the behaviours. This research scrutinized socio-economic factors in relation to the spread of the epidemic. Available literature showed that little or no attention has been paid to the socio-economic backgrounds in which individuals exist in connection with understanding HIV and AIDS. This study used an economic model of risky sexual behaviour to explore the link between socio-economic status and the practice of HIV self-protective/preventive behaviours in Maruapula, Gaborone, Botswana. The research is vital as it goes beyond surveillance in an effort to establish why the community of the study is susceptible to HIV infection. This research l used both collected data and that from BAIS II. / AFRIKAANSE OPSOMMING: Die navorsing is oor die verhouding tussen sosio-ekonomiese status en die praktyk van MIV self-protective/preventive gedrag binne Maruapula distrik. Die doel van die studie is om vas te stel of daar 'n verband tussen sosio-ekonomiese status en die praktyk van MIV-voorkomende gedrag onder die inwoners, van Maruapula, Gaborone, Botswana. Data is ingesamel deur die gebruik van vraelyste en die ontleding van die statistiek het getoon dat die is geen verwantskap tussen sosio-ekonomiese status en die praktyk van MIV self-protective/preventive gedrag onder die inwoners. Aanbevelings gebaseer op die bevindinge is gemaak met betrekking tot MIV-voorkoming in die woongebied in die besonder en in die land in die algemeen.

This study examines the role of Community Based-Organisations (CBOs) in the response to HIV/AIDS as a development challenge drawing examples from the Gabane Community Home-Based Care CBO in Botswana. The study adopted qualitative methods of research and used group discussions, relative unstructured interviews, direct observation and literature review as methods of data collection. The study found out that HIV/AIDS is indeed a development problem and that it can be dealt with using some existing development approaches such as the sustainable livelihoods approaches. The study further identified specific roles that CBOs play in the response to HIV/AIDS. It also revealed the potential that CBOs have in achieving development. In addition, the study identified and outlined challenges that CBOs face in responding to HIV/AIDS. Key recommendations are that CBOs must integrate poverty reduction interventions in their activities. They must also form coalitions and strengthen their capacity to sustain their activities and manage partnerships. / Development Studies

This study examines the role of Community Based-Organisations (CBOs) in the response to HIV/AIDS as a development challenge drawing examples from the Gabane Community Home-Based Care CBO in Botswana. The study adopted qualitative methods of research and used group discussions, relative unstructured interviews, direct observation and literature review as methods of data collection. The study found out that HIV/AIDS is indeed a development problem and that it can be dealt with using some existing development approaches such as the sustainable livelihoods approaches. The study further identified specific roles that CBOs play in the response to HIV/AIDS. It also revealed the potential that CBOs have in achieving development. In addition, the study identified and outlined challenges that CBOs face in responding to HIV/AIDS. Key recommendations are that CBOs must integrate poverty reduction interventions in their activities. They must also form coalitions and strengthen their capacity to sustain their activities and manage partnerships. / Development Studies

Quantitative, descriptive research, using self-completion questionnaires, was conducted to determine the level of HIV/AIDS knowledge of the learners in Sefhare. The sample, comprising 92 learners, was selected from forms 1-3. Of the learners, 53.4% knew what HIV/AIDS stand for, but only 13.6% said AIDS is caused by HIV and only 4.5% said AIDS is an incurable disease. The ABC of protecting oneself against HIV (abstain from sex, be faithful to one sex partner, use condoms) was mentioned by merely 57.6% of the learners. The learners’ lack of knowledge should be addressed by school HIV/AIDS programmes offered at schools in Botswana. As 81.5% of the learners were willing to be tested for HIV, this service should be made available with simultaneous confidential personal HIV/AIDS education, irrespective of the HIV test results. Teachers’ and parents’ HIV/AIDS knowledge should also be updated regularly. / Health Studies / M.A. (Public Health)