Submitted in fulfillment of the requirement for the Masters Degree of Technology (Public Relations Management), Durban University of Technology, Durban, South Africa, 2015. / The growing number of HIV/AIDS infections amongst the youth is a cause for concern, particularly with prevention messages being communicated through various media platforms. This signals gaps between the senders and receivers of these messages. Therefore, people are either not learning the message about the dangers of HIV, or are unable or unwilling to act on it. Mthatha is in the centre of the old Transkei region of the Eastern Cape. It falls under the King Sabata Dalindyebo Local Municipality and the OR Tambo District Municipality. Teenage pregnancy is a major challenge in this area, which indicates that most teenagers do not use protection during sexual intercourse. This suggests that the HIV infection rate may be too high. With there being no cure for this disease, communication has been identified as an ideal method of helping to curb the spread of this disease. The purpose of the study was to assess communication tools used to educate high school learners about HIV/AIDS in the Mthatha area. Data was collected through questionnaires administered to 341 high school learners. Three out of the eight high schools from the Mthatha Central Business District (CBD) in the Eastern Cape were identified for the study. The selection of these high schools was based on the demographics of the learners, which are age, gender and background. The findings have revealed that there are numerous methods used to educate learners about the HIV/AIDS pandemic. Learners identified mostly with three sources as the accurate tools of communication in HIV/AIDS education; Health education/curriculum, Entertainment-education and Peer Education.

Thesis (MPhil (Industrial Psychology. African Centre for HIV/AIDS Management))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: HIV/AIDS is a world wide pandemic and has caused threat in many organizations. Organizations are trying to put in place programmes to fight the spread of HIV/AIDS as it affects the productivity and profits due to increased absenteeism and turnover. The Joint United Nations programme on HIV/AIDS [UNAIDS] estimated that there are 40 million people living with HIV/AIDS world wide, 25 million has died and 15 millions are orphans due to HIV/AIDS. The Department of Agriculture [Limpopo] has recruited Peer Educators to assist in providing education, awareness and prevention programmes on HIV/AIDS to employees and stakeholders. However, it is essential to assess the knowledge, attitudes and perception of this Peer Educators in order to develop intervention measures to improve the effectiveness of the programme. The Department of Public Service Administration guideline on managing HIV/AIDS in the workplace (2002) requires departments to conduct KAP (knowledge, attitudes and perception) in order to have baseline data for responsive, relevant intervention strategies in the workplace. “HIV/AIDS workplace programmes can only be successful if the employees needs regarding knowledge, attitudes and practices have been thoroughly researched” (Family Health International, 2000). The aim of the study was to identify the knowledge, attitudes and practices of Peer Educators in the Limpopo Department of Agriculture. This will also assist to measure the impact of training provided to them. All Peer Educators were be given an opportunity to participate in the study. Self-administered questionnaire was be used to collect data and confidentiality was emphasized. Data was analysed using the SSP programme and Microsoft excel. The findings revealed an average knowledge of Peer Educators on HIV/AIDS, positive attitudes and safe sexual practice by using condoms. There is need for in service training for Peer Educators. The results also indicated the strong need of support from supervisors and management in the implementation of Peer Educators programme. The findings of the study will also assist the Limpopo Department of Agriculture to redesign the Peer Education Programme in order to minimize the risks and reduce the infection rate on HIV. Peer Educators are considered as key informants, it is significant to understand their level of knowledge, and what is their perception of risk to HIV/AIDS. / ARFIKAANSE OPSOMMING: Die doel van die studie was die bepaling van die kennisvlakke, houdings en persepsies van eweknie-opleiers in die Limpopo provinsie. Die resultate van die studie dui op sterk behoeftes aan verdere opleidng aan veral toesighouers en bestuurders van die Departement van Landbou van Limpopo provinsie. Voorstelle word aan die hand gedoen oor die wyse waarop hierdie opleidingsprogramme saamgestel behoort te word en riglyne word gegee vir die implementering daarvan.

Digitized using a Konica Minolta 211 PCL scanner at 300 dpi. / Thesis (MA (Psychology))--University of Stellenbosch, 2006. / Please refer to full text for abstract.

Thesis (MA) -- University of Stellenbosch, 2004. / ENGLISH ABSTRACT: The relentless progression of HfV /AIDS epidemic has made it imperative that measures are put in place to minimise its impact on Small and Medium Enterprises (SME). mv is set to have a significant effect on every facet of the population, and SME is not immune. Business is likely to feel the impact ofmv/AIDS epidemic through reduced productivity, increased absenteeism, increased staff turnover, increased recruitment and training costs, increased cost of employee benefits and poor staff morale. One of the interventions is to implement a mv/AIDS policy and programme, yet a literature search showed that psychological studies of SME in implementing a mv/AIDS policy and programme are limited. The present study utilised the model of the theory of planned behaviour (Ajzen, 1985,1988, 1991), which is an extension of the theory of reasoned action (Fishbein & Ajzen, 1975; Ajzen & Fishbein, 1980). Intention to implement a mv/AIDS policy and programme was predicted by the theory of planned behaviour constructs such as attitude, subjective norm and perceived behavioural control. The theory of planned behaviour was found to be useful in assessing behavioural intention of SME in implementing a mv/AIDS policy and programme. These findings indicate that implementing an intervention like a mv/AIDS policy and programme by SMES is a behavioural intention motivated by attitudes, subjective norms and perceived behavioural control. / AFRIKAANSE OPSOMMING: Die meedoënlose progressie van die HIVNIGS pandemie het dit gebiedend noodsaaklik gemaak om maatreëls daar te stelom die impak daarvan op klein en medium sakeondernemings te minimaliseer. HIVNIGS sal 'n beduidende uitwerking hê op alle vlakke van die bevolking. Klein en medium sakeondernemings is geen uitsondering nie. Die uitwerking van die HIVNIGS pandemie sal tot gevolg hê 'n afname in produktiwiteit; 'n toename in personeelafwesigheid, personeelomset, personeelwerwing en - opleidingskoste, personeelvoordele; en swak personeel moreel. Een manier om die probleem aan te spreek is om 'n HIVNIGS beleid en program te implimenteer. Ongelukkig toon literêre navorsing dat psigologiese studies van klein en medium sakeondernemings om 'n HIVNIGS beleid en program te implimenteer, beperk is. Dié navorsing steun op die teorie van planmatige gedrag (Ajzen, 1985; 1988; 1991), wat 'n verlenging is van die teorie van beredeneerde optrede (Fishbein & Ajzen, 1975; Ajzen & Fishbein, 1980). Die oogmerk met die implimentering van 'n HIVNIGS beleid en program is bepaal deur die teorie van planmagtige gedrag soos waargeneem in geesteshouding, subjektiewe norme en waargenome beheerde gedrag. Daar is gevind dat die teorie van planmagtige gedrag nuttig is om die oogmerke en optrede van werknemers in klein en medium sakeondernemings te bepaal met die implimentering van 'n HIVNIGS beleid en program. Hierdie bevindings toon dat die implimentering en tussenkoms van 'n HIVNIGS beleid en program by klein en medium sakeondernemings'n gedragsoogmerk is wat gemotiveer word deur geesteshoudings, subjektiewe norme en waargenome beheerde gedrag.

Thesis (MPhil)--University of Stellenbosch, 2003. / ENGLISH ABSTRACT: This paper looks critically at particularly two harmful sexual practices most prevalent among the Zulu people in Kwazulu-Natal; virginity testing for girls, and the practice 'dry sex.' It is mostly the ripple effects of these practices, regarding the spread of mV/AIDS that is most alarming to medical science, leaving them no option other than to condemn this behaviour. This treatise however endeavours throughout to proffer understanding for the needs of a culture as diverse and unique as the Zulu people. Further, this paper often looks from an overarching African perspective, since despite African peoples' differences in terms of linguistics, geography, religiosity and general differences in daily run of the mill activities, there is a dominant socioreligious philosophy shared by all Africans. The, a, band c of virginity testing, and the resulting moral issues revolving around this practice are addressed. The main issues regarding the repercussions of virginity testing are discussed as well as the medical controversy involved in these issues. This will prove the limited effectiveness of this practice and the potential, yet serious and harmful ramifications it has for girls who are tested. In stark contrast to these girls, stands the girl who starts at a very tender age with the practice of 'dry sex', often encouraged and taught to her by female elders in order 'to please men'. This practice serves as a very powerful tool for commercial sex workers, venturing the streets and the truck driver stops, as it lures men into making her the preferred choice. So desperate are her socio-economic and cultural circumstances that she risks infection, and ultimate death, in order to comply with his need for unprotected and 'dry sex.' Numerous studies alert us to the fact that the drying agents used lead to lacerations of the vaginal walls, causing SID's, which in tum, exacerbate the spread of the disease. Zulu traditions and customs regarding sexuality and sexual relationships proffer essential insight into the Zulu people's sexual behaviour. In order to strike a balance between two diverse cultural groups, the West and African, a critical assessment of the West's own sexual history guides us to understand the West's 'sober' practice of monogamy is no less 'permissive' and 'promiscuous' than the African's practice of polygamy. The paper also investigates the corresponding differences in relation to indigenous knowledge systems versus science. African people discern the body's physiology and anatomy metaphorically and symbolically. We cannot simply gloss over these perceptions, enforcing scientific-based knowledge in our educational programmes, without consideration and accommodation for a very unique way of interpreting one's daily experiences and one's unique self. It is not only our biased discernment of indigenous knowledge that complicates the Aids pandemic considerably, but it is also enhanced by the burden of stereotyped gender-roles. Not only is a paradigm shift regarding the imbalance of power very much needed, we also need to understand that the inculcated anger some men in the Zulu culture fosters is a force to be reckoned with, as it displays psychological underpinnings of damage, signalling very clearly the need for therapeutic measures of healing. Conversely, the female in the Zulu culture has started to empower herself, but not always in terms of a beneficial end in itself. Similarly, it must alert us to the fine line separating the virgin-whore dichotomy, fuelled by her poverty-stricken and maledominated existence. It would appear that what we are fighting for is more than the preservation of life whilst engulfed by AIDS's scourge, but a global vision where the individual, or a whole community, with regard to mVIAIDS, is "self-reproducing, pragmatically selfsustainable and logically self-contained." (Bauman 1994: 188) / AFRIKAANSE OPSOMMING: In die Zoeloe kultuur figureer daar veral twee tradisionele seksuele gedragspraktyke wat kommer wek by sommige Westerlinge, hier ter plaatse sowel as in die buiteland. Alhoewel hierdie praktyke as natuurlik, eksklusief en algemeen beskou word, is daar huidiglik stemme van protes wat waarsku dat die twee praktyke potentiele gevaar inhou vir die mens se gesondheid en geesteswelsyn. Die praktyke behels dat jong en weerlose meisies vanaf die ouderdom van ses jaar gereeld onderwerp word aan 'n vaginale toets om vas te stelofhulle nog 'n maagd is, en, die voorkeur van sommige mans om omgang te he met 'n vrou wat haar vagina op 'n 'onnatuurlike' wyse droog, hard en styf hou met die oog op 'n meer bevredigende seksuele ervaring vir die man. Baie vroue geniet ook hierdie ervaring. Die mediese wetenskap is veral bekommerd oor die moontlike verband tussen die nadelige repurkussies van die twee praktyke en die vinnige verspreiding van MIVMGS en pleit derhalwe dat daarmee weggedoen word. Die praktiseerders van eersgenoemde praktyk word byvoorbeeld gewaarsku dat dit mag lei tot gevalle van verkragting, anale seks asook kindermishandeling, terwyl laasgenoemde praktyk veral twee hoe risiko-groepe ten opsigte van die VIGSpandemie ten prooi val; die kommersiele sekswerkers in Kwazulu-Natal wat die praktyk gebruik as wapentoerusting, en die land se vragmotorbestuurders wat hierdeur verlei en aangemoedig word. Hierdie vorm van seksuele omgang ondermyn egter nie net kondoomgebruik nie. Studies het bewys dat die gebruik van 'n vaginale uitdrogingsmiddel daartoe kan lei dat die wande van die vagina mag skeur. Beide groepe loop derhalwe nie alleenlik die risiko om 'n seksueeloordraagbare siekte op te doen nie, maar om ook 'n VIGS-slagoffer te word. Terwyl die beperkte effektiwiteit van die twee praktyke deurkam word, poog die verhandeling om deurgaans 'n duidelike ingeboude begrip te handhaaf vir die unieke en eiesoortige karakter van die Zoeloe kultuur. Dit redeneer dat beide groepe, Afrikaboorlinge en Westerlinge, moet probeer verhoed om te polariseer en illustreer dat diverse kultuurgroepe almal, vanuit 'n kultuurhistories perspektief, meerdere of mindere tekens van promiskuiteit en permissiwiteit ten opsigte van seksualiteit toon. Dit spreek vanself dat die twee praktyke ondersoek moet word teen die agtergrond van die Zoeloe's se inheemse kennis met inbegrip van die wyse waarop die menslike fisiologie en anatomie metafories en simbolies verklaar word. Die digotomie wat bestaan tussen inheemse kennis en wetenskap vra dat ons boodskappe gekommunikeer moet word op 'n wyse wat beide gesigspunte konsolideer. Uiteraard kompliseer die stereotipering van geslagsrolle in die Zoeloe bevolking die VIGS-pandemie aansienlik. Dit dra in 'n groot mate daartoe by dat die VIGSpandemie nie suiwer as 'n biomediese probleem manifesteer nie, maar dat ander psigo-sosiale faktore in berekening gebring moet word. Dit werk byvoorbeeld 'n ongebalanseerde magsposisie in die hand wat sommige Zoeloe mans se sielkundige worsteling met hul diepgewortelde, polities geinspireerde woede belig en dui op sommige kontemporere Zoeloe vrouens se toenemende geneigdheid om seks aan te bied in ruil vir geld. Sy doen dit om sodoende haarself van die juk van die Zoeloe man se mag oor haar en haar neerdrukkende sosio-ekonomiese omstandighede te bevry. Die verhandeling beweeg dikwels buite sy grense en fokus nie net bloot op die gedrag van die Zoeloe bevolking nie, maar boorlinge van Afrika in die algemeen. Hierdie oorhoofse Afrika-perspektief vind regverdigingsgronde in die lig van die feit dat boorlinge van Afrika saamgesnoer word deur 'n oorheersende sosio-religieuse filosofie, desnieteenstaande die feit dat daar merkbare verskille voorkom ten opsigte van linguistiek, geografie, religieusheid en ander wat betref hul daaglikse gebruike en omgang.

Thesis (MBA)--Stellenbosch University, 2003. / Some digitised pages may appear illegible due to the condition of the original hard copy / ENGLISH ABSTRACT: After sexual transmission of HIV, mother-to-child (MTCT) transmission is the most common cause of HIV infection in South Africa. The Western Cape government, through the Premier, has committed itself to providing access for all HIV positive women in the province attending antenatal clinics to MTCT prevention programmes by the end of 2003. The MTCT prevention programme is aimed at intervening transmission during pregnancy, during the birth of the baby and post delivery during breast-feeding of the newborn baby. The HIV virus attacks and destroys the cells of the immune system by being incorporated into the reproductive cycle of the cell. Antiretroviral drugs in the fight against HIV target two aspects of this replication cycle of the virus and as such do not halt the infection but slow it down by preventing the replication of the virus. MTCT internationally has been reduced dramatically by the use of antiretroviral drugs (AZT) antenatally, during birth and post-natally for mother and baby. However this regimen was found to be not suitable for resource-poor countries due to the complexity in administration, compliance and costs. Poor countries have developed alternative MTCT prevention programmes based on shorter course regimens and on alternative antiretroviral drugs. MTCT prevention In South Africa initially did not have the support of the national government. However, the -Western Cape Administration had developed a regional programme phasing in MTCT prevention at all state clinics within the province. The cost drivers associated with the MTCT prevention programme include costs associated with the HIV tests, costs for pre- and post-test counselling, costs for the antiretroviral drugs and costs for substitute feeding to replace breast-feeding to prevent viral transmission during breast-feeding. Depending on the option exercised, costs can be calculated per HIV positive baby averted. As regards substitute feeding, which is a substantial cost driver and a major disadvantage to the newborn baby as regards protection from common childhood diseases such as diarrhea, research from Tanzania showed that ARV therapy during childbirth could suppress HIV transmission through breast-feeding during the first few weeks after childbirth, thus enabling an optimal combination of breast-feeding in the first few crucial weeks of the newborn's life for the protective benefits of breast-milk and formula feeding thereafter to ensure protection for the infant from HIV transmission through breastfeeding. The data were subjected to a sensitivity or a "what-if' analysis usmg an Excel spreadsheet. Costs per HIV averted were calculated for each assumed parameter in the model that was developed. As regards prevalence, the MTCT prevention programme is most cost effective at the lower levels of the seroprevalence of HIV in the population served. If the seroprevalence is above the "cross-over" or "optimal" point for the regimen an alternative regimen should be assessed. As regards levels of identification and number accepting intervention the principle of an economy of scale applies and therefore, a level of 100 percent in both cases should be targeted. This will be dependent on wide scale advertisements and support for the programme with active efforts to destigmatise the infection. Innovative programmes such as the mothers-to-mothers-to-be (M2M2B) programme must be encouraged. / AFRIKAANSE OPSOMMING: Na seksuele oordraging van HIV is moeder tot kind (MTK) oordraging die algemeenste rede van HIV infeksie in Suid Afrika. Die Wes-Kaapse regering, deur die Premier, het hulself verbind om toegang vir alle HIV positiewe vroue in die provinsie, wat voorgeboorte klinieke bywoon, tot MTK voorkomingsprogramme voor die einde van 2003 moontlik te maak. Die MTK voorkomingsprogram is gerig op die tussenkoms van transmissie gedurende swangerskap, gedurende die geboorte en die nasorg tydens die borsvoeding periode van die pasgebore baba. Die HIV virus val die selle van die immuun sisteem aan en' vernietig dit. Die virus word geïnkorporeer tot die reproduksie siklus van die sel. Antiretrovirale wat teen die virus gerig is, is gerig teen twee aspekte van die replikasie siklus van die virus en sodoende sal die medikasie die infeksie nie staak nie, maar eerder vertraag as gevolg van die voorkoming van die replikasie. Moeder-tot-kind infeksie is internasionaal drasties verminder deur die gebruik van antiretrovirale (AZT) gedurende die tydperk voor geboorte, gedurende die geboorte en gedurende nasorg van die moeder en baba. Hierdie regimen is egter nie altyd moontlik in arm lande nie vanweë die kompleksiteit van die administratiewe toepassing en kostes. Arm lande het alternatiewe MTK voorkomingsprogramme ontwikkel, gebaseer op korter kursusse en alternatiewe antiretrovirale. Die voorkoming van MTK infeksie in Suid-Afrika het eers nie die ondersteuning van die nasionale regering geniet nie. Die Wes-Kaapse Adminstrasie het onafhanklik van die nasionale regering, streeksprogramme ontwikkel vir die infasering van MTK voorkoming in alle klinieke in die Provinsie. Die kostedrywers wat met MTK voorkomingsprogramme geassosieer word, sluit in die koste van HIV toetse, koste van voor-en-na toets berading, koste van die antiretrovirale en alternatiewe voeding om virale transmissie te voorkom gedurende die tydperk van borsvoeding. Afhangende van die opsies wat gebruik is, kan die koste van elke baba wat nie HIV opdoen nie, bereken word. Sover dit alternatiewe voeding aangaan, wat 'n belangrike kostedrywer is en 'n nadeel vir elke baba is sover dit teen beskerming van algemene kindersiekte soos diarrhea gaan het navorsing in Tanzanië bewys dat ARV terapie gedurende geboorte ook HIV transmissie deur borsvoeding gedurende die eerste paar weke na geboorte onderdruk wat 'n optimale kombinasie van borsvoeding in die eerste paar kritiese weke van die nuutgebore baba se lewe vir die beskermende voordele van moedersmelk en formulêre voeding daarna te versterk met beskerming van die baba teen HIV transmissie deur borsvoeding. Deur die gebruik van 'n Excel werkblad en 'n "wat as" metode van analiese koste van HIV opdoen in bereken word vir elke aanvaarding. Sover dit voorkoms betref is die MTK voorkomingsprogramme die mees effektief hoe laer die "seroprevalence" van HIV in die populasie gedien word. As die "seroprevalence" hoër as die optimale punt is, moet 'n ander metode bereken word. Sover dit die mate van identifisering en hoeveelheid die tussenkoms aanvaar in 'n mate van 100 persent moet in beide gevalle die mikpunt wees. Dit sal afhang van grootskaalse advertensies en ondersteuning van die programme met bedrywige pogings om die' infeksie te destigmatiseer. Nuwe programme soos die moeder tot nuwe moeder (M2M2B) program moet aangemoedig word.

Thesis (MBA)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: HIV infection has increased sharply in SA over the past decade, from almost zero to a level where between 4-6 million citizens are estimated to be HIV positive (i.e. around Il percent of the total population). Given the considerable lag and link between the HIV and AIDS epidemic, the mortality consequences of this exponential increase in HIV infection over the 1990s are more or less matter-of-fact over the coming decade; even drastic interventions can do little to avoid this reality, albeit possibly impactingfurther beyond. The health care industry, and more specifically the pharmaceutical industry, is the only industry that can have a direct impact on the outcome of the epidemic in terms of provision of antiretroviral drugs. More importantly, the decision by multinational companies to provide voluntary licensing to local SA pharmaceutical manufacturers for the manufacturing of generic ARVs has gone a long way into achieving the World Health Organisations' objective of providing an ARV cocktail for less than $1,00 per day. The mam aim of the study is to establish and study the micro-economic effect of HIV/AIDS on a South African pharmaceutical manufacturer and to evaluate their HIV/AIDS Policy with the framework of the mV/AIDS & SID Strategie Plan for South Africa 2000-2005. Both qualitative and quantitative methods were used to obtain data from various key informants, manufacturers and market survey companies. The analysis of quantitative data was done using Excel software and a descriptive analysis method was used to interpret the data. The key findings from the study are that Aspen Pharmacare will experience a 20,8 % HIV prevalence rate in 2005, which will progressively increase to a 25,6 % level in 2015. This prevalence level will be severely experienced in the skilled, semi-skilled and unskilled employment of the company during the 2010 period and will start to stabilise in the latter part of 2015. The AIDS prevalence in the company will increase from a 2,0 % level in 2005 to a 4,4 % level in 2015. This increase is largely due to the increase in the prevalence rates in the semi-skilled and unskilled employees. At a senior management level the forecasted number of employees that will have clinical AIDS after 2010 is between 6 and 8. This clearly indicates that mv/AIDS prevalence at this level is independent of race and is lifestyle dependent. If the company were to have the full responsibility for the provision of benefits, based on the current expected employee benefit structures, the direct cost to company would add 10 % to salary and wages by 2005 and around 20 % by 2010. Indirect costs to company, such as recruitment and training, increased labour turnover, lost skills and intellectual property, etc. are estimated to be 2,5 % by 2005 and 5 % by 2010. With the high HIV/AIDS prevalence rates, especially amongst the unemployed, companies will have to carry the costs of their mv/AIDS patients for longer and register then with Aid for AIDS when it becomes too costly. More importantly employers will have to investigate the cost implication of assisting employee dependents, as this will have a direct impact on the morale of the employees. Aspen Pharmacares' mv/AIDS Policy goes beyond the requirements of the mv/AIDS Strategic Plan for SA in terms of the legal and social requirements. The company also has a Corporate Social Investment division that assists many NGOs, clinics, hospitals and communities. Based on the intellectual property, the pharmaceutical competencies and the continuous dialogue that exists between the pharmaceutical industry and the department of health, the researcher concludes, that pharmaceutical companies have an advantage over nonpharmaceutical companies in dealing with the mv/AIDS issues. The paper concludes by suggesting recommendations that companies can adopt to ensure that their mv/AIDS policy can form a significant component of their skills retention strategy. / AFRIKAANSE OPSOMMING: MIV infeksie het skerp gestyg in SA oor die laaste dekade, vanaf amper geen tot 'n vlak waar tussen 4-6 miljoen inwoners beraam word om MIV positiefte wees (minstens 11% van die totale bevolking). Gegee die aansienlike vertraging en skakel tussen die MIV en VIGS epidemie, word die eksponensiële toename in die sterfte syfer as gevolg van MIV infeksies gedurende die jare negentig as vanselfsprekend aanvaar in die komende dekade. Selfs ingrypende veranderinge kan min doen om hierdie katastrofe te keer. Die gesondheidsorg industrie, en meer spesifiek die farmaseutiese industrie is die enigste industrie wat 'n direkte slag kan slaan om die uitkoms van die epidemie te beinvloed, in terme van voorsiening van antiretrovirale medisyne. Die besluit van die multinasionale maatskappye om vrywillige lisensiëring aan plaaslike farmaseutiese maatskappye te bied, vir die vervaardiging van generiese antiretrovirale medisyne, is een stap vorentoe om by die doelwit van die Wereld Gesondheidsorg Organisasie se doelwit van die voorsiening van 'n daaglikse toediening van antiretrovirale medisyne van minder as $1.00 per dag. Die primêre doelwit van hierdie projek is om te bepaal wat die mikro-ekonomiese effek van MIV/VIGS op 'n Suid Afriakaanse farmaseutiese vervaardiger is en hul MIV/VIGS beleid te evalueer binne die raamwerk van die MIV/VIGS en SOS Strategiese Plan vir SA 2000-2005. Beide kwalitatiewe en kwantitatiewe metodes is gebruik om data te verkry vanaf verskeie bronne, vervaardigers en marknavorsings maatskappye. Die kwantitatiewe inligting was geanaliseer deur gebruik te maak van "Excel" sagteware en 'n beskrywende analitiese metode was gebruik om die data te interpreteer. Die hoof bevindinge van die studie is dat Aspen Pharmacare 'n MIV infeksie vlak van 20.8 % in 2005 sal ondervind, wat progressief sal toeneem tot 25,6 % in 2015. Hierdie infeksie vlak sal in die geskoolde, semi-geskoolde en ongeskoolde arbeid die ergste voorkom gedurende die 2010 periode en sal dan stabiliseer in die latere gedeelte van 2015. Die VIGS infeksie vlak in die maatskappy sal toeneem vanaf 2,0 % in 2005 tot 'n 4,4 % in 2015. Hierdie toename kan toegeskryf word aan die toename in die infeksie vlakke van die semi-geskoolde and ongeskoolde arbeid. Op die senior bestuurs vlak word beraam dat tussen 6 en 8 werknemers VIGS onder lede sal hê na 2010. Hierdie beraming toon duidelik aan dat MIV/VIGS op hierdie vlak onafhankilik van kleurgroup is en direk leefstyl verwant is. Gebaseer op die huidige verwagte werknemer voordele struktuur, en die feit dat die maatskappy volle verantwoordelikheid sou aanvaar vir die voorsiening van voordele, word beraam dat die direkte koste as gevolg van MIV/VIGS 'n toename van 10 % in 2005 en 20 % in 2010 by salarisse en lone sal voeg. 'n Toename van 2,5 % in 2005 en 5 % in 2010 word beraam vir indirekte koste (werwing van personeel, opleiding, ens.)as gevolg van MIV/VIGS. Met die hoë MIV/VIGS infeksievlakke, veral onder werkloses, sal maatskappye die kostes vebonde aan hul MIV/VIGS werknemers vir langer moet verduur en dan later sulke werknemers registreer by "Aid for AIDS" indien dit onbekostigbaar word. Belangriker is die feit dat werknemers die koste implikasie bepaal in die verband, omdat dit 'n direkte invloed sal hê op werknemer selfvertroue. Aspen Pharmacare se MIV/VIGS beleid bied meer as die wettige en sosiale vereistes soos uiteengesit in die MIV/VIGS en SOS Strategiese Plan vir SA 2000-2005. Die maatskappy het ook 'n Korporatiewe Maatskaplike Beleggings afdeling wat 'n bydra lewer by NGOs, klinieke,hospitale en gemeenskappe. Gebaseer op die intelligensie eiendom, die farmaseutiese bekwaamheid en die aanhoudende gesprekvoering wat bestaan tussen die farmaseutiese bedryf en die department van gesondheid, oortuig die navorser dat farmaseutiese maatskappye 'n voordeel het bo nie-farmaseutiese maatskappye in die hantering van die MIV/VIGS strydvraag. Hierdie studie sluit af met aanbevelings wat maatskappye kan toepas om te verseker dat hul MIV/VIGS beleid 'n betekenisvolle komponent van hul bekwaanheids retensie strategie is.

This phenomenological study discusses the problem of whether the agents or actors who design strategies take full account of the concepts that their plans are designed to change. Therefore, I critically assess DramAidE's methodology in order to show how efficient it is in the light of Freirean pedagogy. In that, the study investigates whether there is an analytically bulletproof communication form that necessarily achieves behaviour change, as has occasionally been attributed to Freire. The theoretical framework of this study includes development communication theories along with the Entertainment-Education approach (EE) used in health communication. More specifically, the study is informed by Freirean critical pedagogy and behaviour change theories. On the other hand, the Social Learning Theory (Bandura, 1977), the Fixation of Belief Model (Peirce, 1877) and the concepts of intimate and social realms (Arendt, 1958) are also used to explain the realities observed in DramAidE's programmes. The methodologies used, in addition to the literature review, consisted of semistructured in-depth interviews along with focus group discussions with DramAidE's staff, schoolchildren, teachers and caregivers. Among the results established by this study, it is worth mentioning the growing interest displayed by beneficiaries towards DramAidE's programmes. Life-skills claimed by learners included aspects such as self-confidence, assertiveness, decision making skills, informed sexuality, and improved communication. However, serious discrepancies were noticed between these life-skills, how well they were mastered and how effectively the learners put them into practice. Reasons for that proved to be rooted chiefly in peer pressures and cultural stumbling blocks, for example gender inequality and violence against females. This means that peer educators needed a more supportive environment to extend DramAidE's action. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2004.

The first two official AIDS cases were diagnosed in South Africa in 1982. During the same period of the 1980s, the black/African population was experiencing an accelerated fertility decline, following a period of accelerated mortality decline. Demographers invoked the demographic transition theory to explain the observed mortality and fertility decline. According to the demographic transition theory, mortality and fertility rates would continue declining to low, post transitional levels with increasing modernization. The relatively higher prevalence of HIV/AIDS estimated among black/African South Africans is expected to alter their demographic transition. This research investigated the impact of HIV/AIDS on the demographic transition of black/Africans by 2021.

Thesis (MPhil)--Stellenbosch University, 2005. / On t.p.: HIV/AIDS Management. / ENGLISH ABSTRACT: This article describes the approach taken by a company to successfully implement prevalence testing for HIV at one of its manufacturing sites in KwaZulu-Natal. Ninety point four percent of the employees on site on the day of testing subjected themselves to voluntary anonymous testing. No rewards or incentives whatsoever were offered or given to the participants. The problem faced by the company was that there was increasing mortality amongst its employees, particularly those in the lower job grades, mainly machine operators and other lesser skilled positions. The cost of insured benefits provided by the company’s provident fund for death and disability were increasing and less money could be allocated to funding for retirement. In the absence of any empirical data the company had no idea how they would be affected by the HIV/AIDS pandemic, other than attempting to use provincial averages. The level of knowledge of HIV and AIDS in the company was judged as relatively poor. Many of the staff, more so the senior staff, had little or no exposure to the disease and what effect it had on those suffering from it or those supporting sufferers. Little had been achieved to manage HIV and AIDS until a workshop was organised by the company for representatives from all branches to attend. Various information topics about HIV were covered at the workshop, which concluded with the site representatives having to work out and table an action plan, and make a personal pledge of what they were going to do to help in the fight against HIV and AIDS. The workshop was attended by all board members, senior management, shop stewards and shop floor representatives. One of the key features of the presentations was by a senior official of the union, who then assisted throughout the rest of the workshop. Site plans were then later followed up when a central committee visited the sites and presentations on progress were made.At the workshop mention was made of the need to conduct prevalence testing and also the establishment of a HIV/AIDS committee. The site committee made the decision that prevalence testing should take place and consulted the workforce themselves and also through shop stewards. Once it was felt that sufficient support would be forthcoming a date for testing was set. The company had in the meantime contracted with a service provider to do testing where needed. A briefing session attended by the HIV/AIDS committee, shop stewards, the management team and two executive directors was arranged. A doctor employed by the service provider addressed the group and answered their concerns and demonstrated the saliva test on himself. On the day of testing senior management and the senior shop steward walked the factory floor encouraging employees to participate. This intervention has laid the foundation for a successful management campaign against HIV and AIDS in the workplace. / In hierdie artikel word die benadering wat n maatskappy gebruik om die voorkomsyfer van MIV by een van sy vervaardigingsterreine in KwaZulu-Natal to toets, beskryf. Op die dag waarop toetsing plaasgevind het, het 90,4% van die werknemers op die terrain hulleself vrywilliglik laat toets. Tydens hierdie anonieme toetsing is geen belonging of voordele van enige aard aan die deelnemers gebied nie. Die problem wat die maatskappy gehad het, was dat daar n toenemde sterftesyfer onder werknemers in die laer posvlakte soos masjienoperateurs en werknemers in posiese wat minder vaardighede vereis. Daar was stygende koste (in terme van dood en ongeskiktheid) van versekerde voordele waarvoor die maatskappy se voorsieningsfonds voorsiening maak, wat tot gevolg gehad het dat daar minder geld beskikbaar was vir pensionfondse. Omdat daar n tekort van empiriese data was, het die maatskappy geen idée gehad van die effek wat die MIV/VIGS-pandemie op hom sou uitoefen nie, behalwe deur die gebruik van provinsiale gemiddeldes. Die kennis van MIV/VIGS binne die maatskappy is as swak bestempel. ’n Groot hoeleevheid van die personeel, veral die in senior poste, het min of geen blootstelling gehad van die virus en die effek wat dit op VIGS-lyers en die ondersteuners van VIGS-lyers het nie. Min is gedoen on MIV/VIGS te bestuur, totdat n werkswinlek deur die maatskappy georganiseer is vir verteenwoordiges van al, die takke. ’n Verskeidenheid onderwerpe in verband met MIV/VIGS is deur die werkswinkel gedek. Een daarvan was dat die terreinverteenwoordiges n aksieplan moes opstel en n persoonlike eed moes afle dat hulle sou help in die stryd teen MIV/VIGS. Die werkswinkel is deur al die raadslede, senior bestuurslede, werkswinkelassistente en –verteenwoordiges bygewoon. Die hoofsaak van die voorleggings is deur n senior uniebeampte gelei, waarna hy vir die verloop van die program geassisteer het. Terreinplanne is opgestel en dit is later opgevolg deur n sentralle komitee wat die terreine besoek het en voorleggings gelewer het in verband met die vordering wat gemaak is. Tydens die werkswinkel is melding gemaak van die noodsaaklikheid van die toetsing van die voorkomsyfers van MIV en die instelling van n MIV/VIGS komitee. Die terreinkomitee het besluit dat die voorkomstoetsing moes plaasvind nadat die werkersmag en werkswinkelsttistente gekonsulteer is. Nadat besluit is dat die nodige ondersteuning uit hierdie toetsing sou voortspruit, is ’n datum vir die toetsing voorgestel. Vir die interementydperk het die maatskappy ’n diensverskaffer gekontrak om die toetsing, waar nodig, waar te neem. ’n Inligtingsessie is gereel wat deur die MIV/VIGS-komitee, werkswinkelassistente, die bestuurspan en twee uitvoerende direkteure bygewoon is. ’n Dokter, wat deur die diensverskaffer in diens geneem is, het die groep te word gestaan en antwoorde verskaf op hulle vraagstukke. Hy het ook die speekselftoets op himself gedemonstreer. Op die dag wat die toetsing plaasgevind het, het die seniorbestuur en werkswinkel-assistant deur die fabriek geloop en werknemers anngemoedig on aan die toetsing deel te neem. Hierdie intervensie het gelei tot die stigting van n suksesvolle bestuursveldtog teen MIV/VIGS in die werksplek.