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Adherence: Perceptions and behaviour of patients on Antiretroviral in Vhembe District of Limpopo Province, South AfricaTakalani, Tanganedzani 20 September 2019 (has links)
MA (Psychology) / Department of Psychology / Background: An estimated 70% of people in Sub-Saharan Africa out of 25 million are living with HIV. HIV is a debilitating disease, however, antiretroviral treatment helps promote effective viral suppression, reduces the risk of transmission and prevents death (WHO, 2013). To ensure positive treatment outcomes, high levels of Anti-Retroviral Therapy (ART) adherence, 95%, is necessary, however, research indicates that 23% of Africans are achieving less than 80% adherence, potentially impacting negatively on prognosis.
Aim: The aim of this study was to determine adherence, explore perceptions and behaviour of patients on Antiretroviral Therapy attending Thohoyandou Health Centre, in Vhembe District, Limpopo, South Africa.
Methodology: This was a mixed method which employed both quantitative and qualitative research approaches. In quantitative, triangulation was utilised through a questionnaire and patients’ file, simple random sampling was used to select 105 male and female patients aged 18-60 who are on ART at Thohoyandou Health Centre; data were collected and SPSSversion 25 was used to analyse the data through descriptive, cross tabulation and inferential statistics using Chi-square.Qualitative phase – phenomelogical research design was utilised, twenty participants were purposively sampled and individually interviewed, ATLAS. ti program was used to analyse the data collected.
Results: 67% of respondents were females, 34% of the respondents’ age range was 50-60 years, 44.8% were single, 48.6% had tertiary education and 69.5% were unemployed. The self-report of ART adherence of 87.6% among patients was indicated, with 19.6% who reported defaulting ART, 14.3% admitted to missing medical appointments. The reasons for missing medical appointments were: forgetfulness, not a convenient time, patient feeling better, transportation challenges and being too sick to attend. The objective evaluation of patients’ CD4 count at baseline revealed that 40.9% of patients had a CD4 count of <200c/mm3, out of 40.9% respondents (15.2%) were those aged between 41-50 years, 31.4% of respondents did not know their CD4 count for various reasons (defaulted on treatment, missed appointments). CD4 count follow-up data after six months revealed that 33% of patients had a CD4 count <200c/mm3 and 39% accounted for unknown CD4 count.
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Three themes emerged from the data, namely: Knowledge of HIV were respondents presented a negaitive and positive perception of ths diagnosis; barriers to ART adherence where sub-themes included discrimination, strigma, rejection, inadequate knowledge about the diagnosis and treatment, side effects; coping strategies where acceptance, religion and social support serve as corner stones for patients. Association was examined and findings did not reveal any significant association between gender, marital status, education, occupation; however, age was significantly associated with non-adherence to ART with X2 = 3.69, df = 1, p = < .002.
Recommendations: The study recommends intensification of health education campaign against stigma, discrimination, rejection and other barriers to enhance positive attitude towards HIV patients that wil consequently stimulate adherence and alleviate the burden associated with taking treatment unswervingly. Given the high percentage of infected older respondents, government must also focus its resources to educate illiterate and older people about HIV, adherence and management in order to achieve the golden standardrate of 95% adherence. Strategies to facilitate and normalise adherence among males is indicated. / NRF
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Adherence of antiretroviral therapy and mental health of HIV-diagnosed patients in Vhembe District, Limpopo ProvinceManenzhe, Tovhowani 20 September 2019 (has links)
MA (Psychology) / Department of Psychology / Background: Given that there is 57.7 million HIV-diagnosed people living in South Africa and the government has established the largest public antiretroviral programme in the whole world but only 53% are adhering. Adherence remains a challenge, due to presence of mental health issues among HIV diagnosed. Aim: The aim of this study was to investigate adherence to antiretroviral therapy and mental health of HIV-diagnosed patients in Vhembe District, Limpopo Province.
Methods: This was a mixed method study using a combination of quantitative and qualitative research approaches. In the quantitative approach, triangulation was utilised in the form of a questionnaire and patients records. Simple random sampling was used to select 134, descriptive analysis using SPSS version 25. For the qualitative approach, a phenomenological research designs was considered and convenience sampling was used to select fifteen participants (15). Data was collected using semi-structured interview; responses were analysed using a computer-aided program called, ATLAS ti. Results: The self-report of adherence was 94.8 %, objectively 39.6% of CD4 count <200c/mm3 at baseline and 34.3% CD4 count after six months was found. 16.5% of females and 2% of males defaulted treatment and 14.9% of missed medical appointments 1-6 times. This study also revealed the mental health issues that HIV-diagnosed patients are struggling with after the diagnosis include the stages of grief, stress, depression, anxiety, mistrust, shame, stigma and discrimination. Recommendation: Effective strategies need to be enhanced and tailor made in effort to encourage patients to take ART diligently. The healthcare providers, community members and the government should be made aware of mental health issues. / NRF
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Women storying HIV/AIDS in communityNieuwmeyer, Susan Mary 11 1900 (has links)
The research is about African women living with HIV and women
grieving the death of loved ones as a result of AIDS. We discuss
the women's preferred care for the ill person and for the family as
well as for the bereaved family. We consider together the effects
of HIV/AIDS in the community: the stigma attached to the disease
and the fears of people that they may contract HIV. The women
and I acknowledge the closely woven relationships between faith
and culture in a predominantly Xhosa community.
Participatory action research is used and contextual feminist
theology within a postmodern social construction approach to
narrative pastoral therapy. / Philosophy, Practical and Systematic Theology / M.Th. (Practical Theology)
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Women storying HIV/AIDS in communityNieuwmeyer, Susan Mary 11 1900 (has links)
The research is about African women living with HIV and women
grieving the death of loved ones as a result of AIDS. We discuss
the women's preferred care for the ill person and for the family as
well as for the bereaved family. We consider together the effects
of HIV/AIDS in the community: the stigma attached to the disease
and the fears of people that they may contract HIV. The women
and I acknowledge the closely woven relationships between faith
and culture in a predominantly Xhosa community.
Participatory action research is used and contextual feminist
theology within a postmodern social construction approach to
narrative pastoral therapy. / Philosophy, Practical and Systematic Theology / M.Th. (Practical Theology)
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Need analysis for AIDS-related bereavement counselling programmes to assist women affected by HIV/AIDS - an indonesian perspectiveDamar, Alita P. 30 September 2008 (has links)
AIDS-related bereavement counselling programmes / The aim of this study was to determine whether there is a need for specific
bereavement counselling programmes for women affected by HIV/AIDS in Indonesia,
where death is believed to be fated.
Six AIDS-bereaved women were recruited. Data analysis was conducted based on the
women's interview transcripts and journal entries.
The women experienced at least three traumatic life events. The most challenging
experience was learning that they have contracted a disease they knew to be mostly
associated with prostitution. Given the short lapse of time between their husbands'
deaths and learning about their seropositivity, biographical disruption appeared to
have acted as an "analgesic", while concerns to protect their children seemed to have
triggered biographical reinforcement. This phenomenon may have brought about a
positive bereavement outcome.
Specific counselling programmes for women affected by HIV/AIDS are needed, but
emphasis should first be placed on improving their wellbeing and their perception of
stigma. / Sociology / M.A. (Sociology (Social Behaviour Studies in HIV/AIDS))
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An evaluation of the development process of the Young Workers' Campaign Programme in South AfricaTshabalala, Muziwakhe Alfred 30 June 2006 (has links)
The study was about the process evaluation of the development of the YOUNG
WORKERS CAMPAIGN (YWC) Programme to document and analyses the
involvement and participation of stakeholders in the development process.
The purpose of the study was on the assessment of stakeholder participation and
involvement in the development of the YWC to maximise the effectiveness,
acceptability and sustainability of the intended programme.
Informant interviews, focus group interviews and document analysis were the
primary means of collecting data for this research study.
The main findings are as follows: Few of the stakeholders were involved in the
conceptualisation phase of the YWC Programme and their roles in the
development process were not clearly described. Stakeholder analysis was not
done and their involvement in decision-making was limited.
In order to address the problem of participation, YWC stakeholders should pass
through a process of stakeholder analysis, that is, they should be assessed in
terms of contribution and value-adding to the development process. / Sociology / M.A. (Social Behaviour Studies HIV/AIDS)
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An investigation into the stigmatization of HIV-positive clients at clinics in the Leribe districtEkeji, Immaculata Nwogo 06 1900 (has links)
A quantitative approach was used to investigate the stigmatization of HIV positive
clients in the Leribe District of Lesotho. The study population included 5200 HIV positive
patients who enrolled for ARV in government clinics. A randomly selected sample of
520 clients responded through a questionnaire and interviews. The statistical package
(STATA version 9) was used to analyze data. The objectives of the study were to
explore the type and level of stigmatization of HIV-positive clients and to describe ways
in which health workers in the PHC can reduce the stigmatization of HIV-positive clients
at the clinics. The findings revealed that types of stigmatization included separation,
isolation, labeling and discrimination. Ways to reduce the stigma within a community
based primary health care facility included educating people living with HIV on how to
protect themselves from multiple infection, providing effective counselling to clients and
families maintaining confidentiality, and using change strategies to change attitudes of
health care providers. The integration of HIV-related activities is a strong
recommendation and the importance of the consistent availability of ARV treatment was
emphasized. / Public Health / M.A. (Public Health)
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Re-reading 2 Samuel 13:1-14:33 in Tanzanian contexts: towards an HIV/AIDS Biblical HermeneuticsMuneja, Mussa Simon 10 1900 (has links)
It is arguably clear that the AIDS epidemic has infected and affected our world in radical
ways. Although every sector, including Biblical Studies, has come to its ‘senses’, by realising
the urgency to respond; there still appears to be inadequate contextual engagement with
the biblical text to stimulate empowering and transformative readings of the Bible. This case
study is aimed at contributing to scholarship by determining the extent to which the church,
the academy and Persons with HIV have adhered to stigmatising interpretations. The
theoretical framework used, was the reader response method as applied within the context
of African theology because it is socially located. The data was collected through focus
groups and personal interviews. The purposive sampling included 70 participants, who were
divided into three key categories: academic theologians, university students and persons
with HIV. All participants in the study re-read 2 Samuel 13:1-14:33 in order to ascertain if
the characters therein could be relevant to the context of AIDS. The overall findings showed
that characters from 2 Samuel 13:1-14:33 can provide an empowering message in the
context of AIDS. Although this biblical text has often been misused to promote stigma, this
study confirmed that it was nonetheless possible to use the same text to unearth
redemptive and empowering interpretations. Therefore the study recommends that the
move towards an HIV/AIDS Biblical Hermeneutics invites socially engaged scholars along
with ordinary readers to read the text together for transformative purposes. / Old Testament and Ancient Near Eastern Studies / D. Div. (Old Testament)
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Developing a laboratory based CCMT programme status reporting system in the Ekurhuleni Health DistrictCassim, Naseem 18 July 2014 (has links)
The purpose of this study was to develop a laboratory based Comprehensive Care, Management and Treatment of HIV and AIDS (CCMT) programme status reporting system using a methodological research study design. Quantitative data was collected using a request form and qualitative data was collected using structured questionnaires. For the study 1190 eligible CD4 samples were received, of which 1004 (84%) had a valid CCMT programme status. Overall 32% of the CD4 samples had a pre-ART status (n=383) and 52% had an ART status (n=621). The remaining 16% of CD4 samples (n=186) did not have a valid CCMT programme status. A pre-ART register was generated and assessed using a structured questionnaire. Based on the study findings a recommendation has been made to adopt the two-tick design for all NHLS request forms where programmatic data is collected. Additionally the CCMT programme status reporting system is recommended for rollout to other health districts / Health Studies / M.A. (Public Health with specialisation in Medical Informatics)
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Needs assessment for the establishment of an HIV and AIDS support group programme within the South African Police Services: Head Office DivisionsMoganedi, Matshemo Joyce 11 1900 (has links)
This study is a need assessment for the establishment of an HIV and AIDS support group within the South African Police Services (SAPS), Head Office Divisions and the purpose was to explore the extent to which an HIV and AIDS support group was needed for HIV and AIDS-infected and affected personnel within the South African Police Services (SAPS). The SAPS employees as well as HIV and AIDS programme managers participated in the study. A combination of quantitative and qualitative data was used in the study. The former was obtained from a survey of 90 SAPS personnel based at the SAPS Head Office Divisions in Pretoria. The latter, on the other hand, was obtained from in-depth interviews with five SAPS HIV and AIDS programme managers, also based at Head Office Divisions in Pretoria.The overall results showed that an internal workplace HIV and AIDS support group for infected and affected employees was seen as necessary to deal with the psycho-social and emotional needs of the personnel. The study participants were generally of the view that such a support group would go a long way in addressing some of the challenges and obstacles – such as stigma, discrimination, judgement and so forth – faced by HIV and AIDS-infected and faced employees within the SAPS. In general, it was envisaged that a workplace support group would create a warm and caring environment that would enable employees to feel safe and supported by their colleagues – including commanders and managers – in dealing with their HIV and AIDS situations. / Health Studies / M.A. (Social Behaviour Studies in HIV and AIDS)
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