Thesis (PhD)--Stellenbosch Univesity, 2011. / ENGLISH ABSTRACT: It is well established that South African women are disproportionately affected by HIV/AIDS and gender based violence. Research to date has provided evidence for neurocognitive decline in individuals infected with HIV/AIDS and in individuals who have experienced early life trauma. However, many gaps remain in our knowledge about the neurocognitive profile of HIV and childhood trauma in South African women. The present study focused on the neurocognitive effects of HIV infection and childhood trauma, both separately and in combination in South African women. The primary aim of the study was to assess neurocognitive functioning in HIV-positive and matched HIVnegative controls, with and without a history of childhood trauma. Moreover, the study sought to assess the synergistic relationship between HIV and childhood trauma in influencing neurocognitive outcomes, a relationship which has not yet been investigated. A neuropsychological battery sensitive to HIV-related impairments was administered to 83 HIV-positive and 47 matched HIV-negative women with histories of childhood trauma. A history of childhood trauma was assessed using the Childhood Trauma Questionnaire short form (CTQ-SF). Forty eight of the 83 HIV-positive women were exposed to childhood trauma. Among the control subjects, a total of twenty women were exposed to childhood trauma. Findings of the present study revealed neurocognitive deficits in memory and executive functions. Results demonstrated significant HIV effects in memory (HVLT-R learning and delay trials), and executive functions (Halstead Category test). Similarly, a trauma effect was evident in delayed recall (HVLT-R delay). Moreover, results revealed a significant interaction effect between HIV status and trauma status on the WAIS-III Symbol Search Task, a task of psychomotor speed. However, HIV-negative controls with a history of childhood trauma scored the highest on this task. Although this finding was unexpected, it may suggest that psychomotor speed may not be a sensitive or discriminating test of childhood trauma in healthy adults. The present study demonstrated evidence for HIV and trauma effects in the ability domains of learning and delayed recall and executive functions. Although the present study did not find evidence for a synergistic relationship between HIV and trauma, it did provide evidence for both HIV and trauma effects on neurocognition, a finding in keeping with previous studies. Future research should be prospective in nature and should better delineate the nature, severity, and temporal relationship of childhood trauma to neurocognitive outcomes, as well as the mediators and moderators of these outcomes. / AFRIKAANSE OPSOMMING: Dit is alombekend dat Suid-Afrikaanse vroue buite verhouding swaar deur MIV/vigs en geslagsgebaseerde geweld getref word. Navorsing tot dusver lewer bewyse van neurokognitiewe verswakking by individue met MIV/vigs sowel as individue wat vroeg in hulle lewe reeds trauma ervaar het. Tog is daar steeds vele gapings in ons kennis oor die neurokognitiewe profiel met betrekking tot MIV en kindertrauma onder Suid- Afrikaanse vroue. Hierdie studie konsentreer op die neurokognitiewe uitwerking van MIV-infeksie en kindertrauma, afsonderlik sowel as gesamentlik, op Suid-Afrikaanse vroue. Die hoofdoel van die studie was om neurokognitiewe funksionering by MIV-positiewe vroue te bepaal en dit met gepaste MIV-negatiewe kontrolepersone te vergelyk, met én sonder 'n geskiedenis van kindertrauma. Daarbenewens wou die studie die sinergistiese verwantskap tussen MIV en kindertrauma in hul impak op neurokognitiewe uitkomste bepaal – 'n verwantskap wat tot dusver nog nie ondersoek is nie. 'n Neurosielkundige toetsbattery wat gevoelig is vir MIV-verwante swakhede is onder 83 MIV-positiewe vroue en 47 gepaste MIV-negatiewe kontrolepersone met 'n geskiedenis van kindertrauma afgeneem. 'n Geskiedenis van kindertrauma is met behulp van die kort weergawe van die kindertraumavraelys (CTQ-SF) vasgestel. Agt-en-veertig van die 83 MIV-positiewe vroue is as kinders aan trauma blootgestel. Van die kontrolegroep het 20 vroue in hul kindertyd trauma beleef. Die studie het neurokognitiewe tekorte in korttermyngeheue én uitvoerende funksies aan die lig gebring. Die resultate het 'n beduidende MIV-verwante uitwerking op korttermyngeheue (hersiene Hopkins- verbale leer-en-vertragingstoets, oftewel HVLT-R) sowel as uitvoerende funksies (Halstead-kategorietoets) getoon. Eweneens het die studie op 'n duidelike traumaverwante uitwerking op herinneringsvermoë (HVLT-R-vertraging) gedui. Daarbenewens het die WAIS-II- (Wechsler-volwassene-intelligensieskaal) simboolsoekopdrag – 'n psigomotoriese spoedtoets – 'n beduidende wisselwerkingseffek tussen MIV-status en traumastatus getoon. Tog het MIV-negatiewe kontrolepersone met 'n geskiedenis van kindertrauma die beste in hierdie opdrag gevaar. Hoewel hierdie bevinding verrassend was, kan dit daarop dui dat psigomotoriese spoed dalk nie 'n gevoelige of diskriminerende toets van kindertrauma by gesonde volwassenes is nie. Die studie het bewys gelewer van MIV- en traumaverwante uitwerkings op korttermyngeheue en uitvoerende funksies. Hoewel die ondersoek nie bewyse van 'n sinergistiese verwantskap tussen MIV en trauma kon vind nie, het dit wél bevestig dat MIV en trauma neurokognitiewe werking beïnvloed – 'n bevinding wat in pas is met vorige studies. Toekomstige navorsing behoort ondersoekend te wees en die aard, felheid en tydgebondenheid van die verwantskap tussen kindertrauma en neurokognitiewe uitkomste, sowel as die mediator- en moderatorveranderlikes van hierdie uitkomste, beter te omskryf.

Thesis (M Social Work)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: HIV/AIDS is one of the worst pandemics affecting the world today. It cuts across all boundaries and many people are infected as well as affected. The virus has reached all the corners of the globe, but the most hit by it is Africa, especially southern Africa, which carries more than half of the population infected and affected by HIV/AIDS. The top five countries whose populationsare infected with HIV are in southern Africa. Lesotho is amongst the top three on this list and also has problems of poverty and a high unemployment rate. Women and children, who are the target groups that are most affected by poverty, are also those living in rural areas. Thus, being an HIV-positive mother living in the rural areas of Lesotho means one has to deal with poverty, the inaccessibility of services and the psychological impacts of HIV. The aim of the study was to gain a better understanding of the views of health service providers on the need and accessibility of support services for HIV-positive mothers in the rural areas of Lesotho from an ecological perspective. To achieve this aim, the objectives were: to offer an overview of the phenomenon of HIV and describe the psychosocial needs and sociocultural circumstance of HIV-positive mothers in the rural areas of Lesotho, and to discuss the HIV-positive mothers’ need for support services from an ecological perspective. Both quantitative and qualitative research approaches were used. The research utilised exploratory and descriptive design. Purposive sampling was used to select the 30 participants who took part in the study. Data was gathered by means of semi-structured questionnaires that were administered during individual interviews. The questionnaires were formulated on the basis of information retrieved during the literature review. The findings of the study reveal that HIV-positive mothers living in the rural areas of Lesotho have economic, social and cultural circumstance as factors hindering their treatment and prevention of HIV/AIDS. They are also faced with the psychological impacts of HIV, and the findings revealed that disclosure was the key to addressing their problems. The findings also show that most mothers receivedemotional, instrumental, informational and appraisal support from their families at the micro-level of the ecological perspective. The other levels – meso, exo and macro – provided only limited support for the mothers. The recommendations are that these mothers need social support at all levels of the ecological perspective to meet their needs / AFRIKAANSE OPSOMMING: MIV/vigs is een van die ergste pandemies in die moderne wêreld. Dit ken geen grense nie, en vele mense ly hetsy daaraan of daaronder. Die virus het reeds alle uithoeke van die aarde bereik. Tog gaan Afrika, veral Suider-Afrika, die swaarste daaronder gebuk, en word meer as die helfte van die totale populasie wat aan of onder MIV/vigs ly hier aangetref. Die vyf lande met die hoogste MIV-infeksiesyfers ter wêreld is almal in die streek geleë. Lesotho is een van die drie lande boaan hierdie lys, en het terselfdertyd te kampe met die probleme van armoede en ’n hoë werkloosheidsyfer. Vroue en kinders, synde die groepe wat die ergste deur armoede geraak word, woon ook meestal in landelike gebiede. ’n MIV-positiewe moeder in die landelike gebiede van Lesotho moet dus armoede, ontoeganklike dienste sowel as die sielkundige uitwerking van MIV trotseer. Die doel van hierdie studie was om vanuit die ekologiese perspektief ’n beter begrip te vorm van gesondheidsdiensverskaffers se sienings oor die behoefte aan en toeganklikheid van steundienste vir MIV-positiewe moeders in die landelike gebiede van Lesotho. Om hierdie doel te bereik, was die oogmerke om ’n oorsig van die MIV-verskynsel te bied, die psigososiale behoeftes en sosiokulturele omstandighede van MIV-positiewe moeders in die landelike gebiede van Lesotho te beskryf, en die moeders se behoefte aan steundienste vanuit die ekologiese perspektief te bespreek. ’n Kwantitatiewe sowel as ’n kwalitatiewe navorsingsmetode is gevolg, en die navorser het van ’n verkennende en beskrywende ontwerp gebruik gemaak. Doelgerigte steekproefneming is gebruik om die 30 studiedeelnemers te kies. Data is met behulp van semigestruktureerde vraelyste gedurende individuele onderhoude ingesamel. Die vraelyste is opgestel op grond van inligting wat in die literatuuroorsig bekom is. Die studie bevind dat ekonomiese, maatskaplike en kulturele omstandighede MIV/vigs-behandeling en -voorkoming vir MIV-positiewe vroue in die landelike gebiede van Lesotho belemmer. Daarbenewens moet hulle die sielkundige uitwerking van MIV die hoof bied, en die studie dui op openbaarmaking as die sleutel om hul probleme te hanteer. Die bevindinge toon ook dat die meeste moeders emosionele, fisiese, inligting- en bevestigende steun van hul families op die mikrovlak van die ekologiese perspektief ontvang. Die ander vlakke – meso, ekso en makro – bied slegs beperkte steun. Die studie kom tot die gevolgtrekking dat hierdie moeders op alle vlakke van die ekologiese perspektief maatskaplike steun moet ontvang om in hul behoeftes te voorsien.

<p>It is within the context of the persistent feminisation of the HIV and AIDS pandemic that this study, based on the normative provisions of the African Women's Protocol, focused on gender, sex and sexuality in the context of HIV and AIDS. The regime of the African Women's Protocol embodies a framework that can be utilised to combat HIV/AIDS amongst women in Africa by addressing some of the most important issues that need to be tackled if women are to live through this epidemic.</p>

MA, Faculty of Humanities (Social Anthropology), University of the Witwatersrand, 2001

The South African HIV/AIDS epidemic has reached startling proportions in the last decade. Although the disease itself makes no distinction between age, race or gender, for a variety of historical, cultural, biological and socio-economic reasons, it currently affects more women, particularly black women, than men. Therefore this study examines the narratives of HIV positive, black, resource-poor, mothers who have gained access to free antiretroviral treatment. The aim of this study is to explore the effect of this treatment on their lives and how they cope with having HIV/AIDS. Their narratives were collected during interviews and then a modified version of Mauthner & Doucet's (1998) voice-relational method was used to analyse the data. The five transcripts were firstly discussed as separate stories, focusing on their background and the voice of I. Subsequently, six central shared themes were examined, these were: poverty, relationship with partner, stigma and discrimination, support, acceptance/religion, hope and strength. / Thesis (M.A.)-University of KwaZulu-Natal, 2005.

My study is an exploration of four women educators' experiences of living "openly" with HIV in their respective workplaces. All four women were from the different geographical demarcations ofthe Ethekweni region. I used in-depth interviews , as outlined by Seidman (1999), to learn more about the experiences of the four women. The key findings of my study were (l) the evidence of HIV/AIDS-related stigma and discrimination against people living with HIV, (2) the inclusion of people living with HIV, shown by employers and colleagues and (3) the emergence of a new generation that is better informed, receptive and supporti ve of people living with HIV. / Thesis (M.Ed.) - University of Kwazulu-Natal, 2005.

All over the world HIV/ AIDS has created a new stigma and discrimination, bigotry and ignorance that have resulted in a new class of outcasts. AIDS 2000 will break the silence on this affront to human dignity. This was the theme of the XIII Annual AIDS Conference held in Durban in 2000. Fours years later, there is little evidence of this reality. There are communities of people living with HIV/ AIDS that still live lives cloaked in secrecy. HIV/ AIDS is not losing momentum. HIV/ AIDS has infected 50 million, and killed 16 million since the epidemic began (The Mercury,19 May 2000). In Africa, HIV positive women now outnumber infected men by two million. Recognition of the potentially devastating effects the disease could have, took place very slowly, in Africa. It is only since the middle to late nineteen eighties that a general understanding has established itself in society of how imp ortant the fight against HIV/ AIDS will be. In South Africa the dramatic transition to democracy in the early nineteen nineties meant that political considerations had to be given priority. In 1997, the KwaZulu Natal (KZN) cabinet launched an initiative to bring public attention to the effects the epidemic would have on our society. In 1999 this was followed up with the Cabinet's AIDS Challenge 2000 strategy which was to have been be funded to the extent of R20 million per year (The Mercury, 19 May 2000). HIV / AIDS has established itself at pandemic levels in the province of KZN (The Mercury, 19 May 2000). Uno fficial figures of people living with HIV/ AIDS stand at 40%. This has huge implications for education as it is stated that there will be at least 750 000 orphans- children with no parents in KZN by 2010 (The Mercury, 19 May 2000). This means that educators who are already burdened with responsibility will have to respond in direct and indirect ways to the pandemic. The researcher in this study has lived in Umhlatuzana, a suburb on the outskirts of Chatsworth for the past twenty years. I teach History and Life skills at a secondary school in Chatsworth. Since the introduction of Outcomes Based Education in 2000, HIV/ AIDS has become a part of the Life Orientation programme. My interest in HIV/ AIDS grew with the launch of the Government initiated Tirisano project - an HIV/ AIDS awareness initiative . As HIV-AIDS coordinator, my duties included teaching learners about HIV/ AIDS awareness and about the causes and prevention of HIV/ AIDS through responsible behaviour. Accordingly, I have set up a school HIV/ AIDS committee made up of both learners and staff, drafted and implemented a School AIDS Policy and held workshops at school. As the HIV/ AIDS coordinator I have attended many training workshops and seminars in and around Chatsworth. This exposure to issues concerning HIV/ AIDS, together with available literature has led me to conclude that HIV/ AIDS is still very much a taboo subject, even among so called 'enlightened educators'. Due to the scarcIty of available literature regarding Indians! living with HIV/ AIDS and according to The Mail and Guardian, because media representations and billboards depict Black, White or Coloured but no Indian repr esentations of people living with HIV/ AIDS, many Indians still think that it is someone else's disease, or 'that sickness' (02 December 2003). While stud ying the module 'Diversity and Education' at Masters level, I began to understand that being an HIV/ AIDS coordinator was much more than teaching learners about HIV / AIDS awarene ss of prevention and modes of transmission. The module 'Diversity and Education' was designed to develop a deeper understanding of the critical issues and skills required to create safe and inclusive schools for learners and educators who are living with and are affected by HIV/ AIDS. Through the Diversity and Education module I developed a raised understanding of the negative impact of HIVism on the lives of people living with HIV/ AIDS. According to Francis, HIVism refers to the negativetreatment meted out to people living with HIV/ AIDS (2004). Altho ugh the Department of Education has to be applauded in creating an awareness of the epidemic, there is concern that an important area of HIV/ AIDS has been neglected: The issues regarding human rights and HIV/ AIDS. It was especially during the Diversity and Education sessions togeth er with related literature that I discovered that globally, many women have negative experiences of living with HIV/ AIDS. An article that appeared in the Sunday Tribune, Herald (07 December 2003) prompted my research . It was a stolY of an Indian woman, Theresa Naidoo, who was HIV positive. In her story she communicates her experiences of betrayal, prejudice and discrimination. Her sto ry has inspired the research er to explore the experiences of other Indian women living with HIV/ AIDS. The researcher contac ted the Chatswo rth HIV/ AIDS coordinator, Kogie David, who is based at the Chatsworth Child and Family Welfare Centre . She coordinates the HIV/ AIDS counselors in the Chatsworth district. The researcher explained the nature of her research study and was informed that there were many women like Theresa, living with HIV/ AIDS. / Thesis (M.Ed.) - University of KwaZulu-Natal, 2005.

HN/AIDS in South Africa has grown to very serious proportions. An estimated number of 5.3million South Africans are infected with HIV and the majority of these infections are in the reproductive age group. Based on Annual Antenatal survey 2002,of the total 2.95 million were women aged 15-49, with an estimation of 91271 babies infected through mother to child transmission. Breastfeeding is said to be an ideal food for growth and development of a child. Given that HIV is transmissible through breastfeeding, the paper aims at examining patterns and attitudes towards breastfeeding in the era of HIV/AIDS. A total of 400 respondents drawn from Mafikeng district were interviewed. The majority were aged 20-39, never married, rural, unemployed with high school level of education. Areas of interest were knowledge about HIV/AIDS, patterns of breastfeeding and attitudes towards alternative methods of infant feeding for an HIV positive mother. Previous reports gave clarity to HIV transmission rates at various stages of life. Evidence has shown that rates of transmission are higher in early stages than late stages of life. Few weeks of life from 6-8 weeks may particularly be a period of high risk than ages above three months. Transmission might have occurred during pregnancy, labor or through breastfeeding, whereby data has shown that colostrums have high concentration of Human Immune Virus than mature milk. The study shows that breastfeeding is still regarded as an important infant feeding method that is ideal for child's growth and development but HIV infection is seen as a disturbing factor to successful breastfeeding. Fifty four percent of respondents did not breastfeed exclusively as promoted by UNICEF and WHO; mean duration for exclusive breastfeeding is two months, support is given by SADHS 1998, mean duration for complementary feeding is two months which gives an indication that more infants are at higher risk of contracting the virus should their mothers test positive which in turn gives rise to high infant /childhood morbidity and mortality rates. There is a need to strengthen and expand programmes such as VCT and PMTCT in all communities especially in rural setting where there is lack of pure water supply and proper sanitation. Efforts to reduce the risk of transmission should therefore be centered on promoting the understanding that mixed feeding or breastfeeding with supplementary feeding carries the highest risk of HIV transmission compared to exclusive breastfeeding or exclusive formula feeding. / Thesis (M.Soc.Sc. (Population Studies) North-West University, Mafikeng Campus, 2004

<p>It is within the context of the persistent feminisation of the HIV and AIDS pandemic that this study, based on the normative provisions of the African Women's Protocol, focused on gender, sex and sexuality in the context of HIV and AIDS. The regime of the African Women's Protocol embodies a framework that can be utilised to combat HIV/AIDS amongst women in Africa by addressing some of the most important issues that need to be tackled if women are to live through this epidemic.</p>

Health Studies / M.A. (Health Studies)