The present study is a critical history of the Catholic Church‟s response to HIV and Aids in South Africa, with a special emphasis on KwaZulu-Natal. It attempts to document and reflect on what the church said and did in responding to HIV and Aids between 1984 and 2005. It relies upon both oral and literary sources which were collected between 2006 and 2009. These comprise of oral testimonies of Catholic clerics, lay leaders, and administrators as well as archival sources in the form of correspondence letters, plenary session minutes, magazine articles, and project reports. The study establishes that between 1984 and 1990 the Catholic Church saw Aids as a disease far removed from its sphere yet deserving certain visionary measures. To a larger extent, Aids was ignored. A moral perspective on the Aids disease prevailed throughout the period. However, isolated visionary leaders conducted awareness workshops. Between 1991 and 1999, however, Aids was seen as immediate, a problem closely related to the mission of the Catholic Church. Here Aids was confronted. The predominant theological response was „missiological,‟ expressed through the new pastoral plan, Community Serving Humanity. As a result, the main Aids related activity by the church was the care of PLWHA. Through home-based care and institutionalised care, Catholic local initiatives in responding to the disease mushroomed in the country with the Archdiocese of Durban taking a leading role. Between 2000 and 2005 Aids was seen as imminent in the church, a concept popularised as the „Church has Aids‟. As a result, the period witnessed a concerted effort by the Catholic Church to integrate Aids response into its mainstream activities. In this period, Aids was seen as a human rights issue. Consequently, the Catholic Church endeavoured to address rights to treatment, Aids related stigma, family violence and gender imbalances. „Responsibility in a Time of Aids‟ became a predominant theological concept. The Catholic Church became a pacesetter in care and treatment after securing oversees funding. However, prevention became the church‟s Achilles heel following an unrelenting condom controversy. The availability of large amounts of money and many financial donors led to the NGO-isation of the Catholic Church‟s Aids projects with regard to their identity, activities, and organization. By and large, HIV and Aids had a large impact on the Catholic Church at all levels, both theologically and organizationally. Therefore, the study argues that for the Catholic Church responding to the Aids epidemic was a complex organizational dilemma. On the one hand, the church‟s teachings compelled it to care for the sick with a compassionate love and uphold a naturalist ethical position on sexuality. On the other hand, the Aids disease was associated with what was perceived to be sinful behaviours such as prostitution, homosexuality and heterosexual acts outside marriage. The infected, therefore, were not only „sick‟ but „sinners‟ at the same time. Moreover, the means of HIV prevention advocated by the government and the better part of the society, the use of condoms, was in sharp contrast with the church‟s official teachings. The hierarchy set itself to defend the teachings while majority of the lay leaders and the medical practitioners called for its revision. Generally speaking, the Catholic Church‟s response to the HIV and Aids epidemic in South Africa was entangled by organizational controversies. In spite of warnings by visionary leaders such as Father Ted Rogers and the exemplary leadership of Archbishop Denis Hurley during the mid 1980s, the Catholic organizational focus on HIV and Aids was delayed until 1990. A concern to respond to HIV and Aids in the church increased considerably in the 1990s as attention shifted from the cry for freedom and democracy to the escalating Aids crisis. However, it was during the 2000s that conditions favoured the much needed integrated Aids response. The Aids crisis had become too obvious to ignore given the acute mortality rate. In conclusion the Catholic Church‟s response to HIV and Aids came relatively early with creative and visionary ideas but it was hindered by organizational and theological barriers. The Catholic Church‟s official HIV prevention policy was contradictory and ambiguous. The Catholic Church innovatively used two models, institutionalised care and home-based care, in the treatment and care of PLWHA and Aids orphans, home based care and Aids hospices. The Catholic Church demonstrated an outstanding ability to raise and disburse large amounts of funds, successfully channelling these to service delivery in its response to HIV and Aids. The Catholic Church Aids projects became NGO-ised following the influx of large foreign funds in the years of the 2000s. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2010.

One of the greatest and unresolved challenges that faces mankind today is HIV/AIDS and the effects that it has on people as well as society as a whole. South Africa is one of the countries worst affected by HIV/AIDS, with KwaZulu-Natal being one of the hardest hit provinces in the country. So, this pandemic is having a destructive effect on all spheres of life, and until a cure is found for this pandemic, it will continue to pose a threat to all of humankind. The aim of this study was to look at knowledge, attitudes, risk perception and condom use in two sites in KwaZulu Natal. The reason for doing this was because a study of this nature has not been done in these areas. A pre-existing dataset was used and data were analysed using the Statistical Package for the Social Sciences (SPSS). The analysis was done using crosstabulations, frequencies and multivariate logistic regression. The major findings of this study are: (i) both men and women of all ages are knowledgeable about HIV/AIDS and condoms, as well as condom use; (ii) more women perceive themselves to be at risk than do men; (iii) women view condoms more positively than men; and (iv) respondents indicated knowledge and risk perception, but majority of them were not practising safer sexual behaviour. In conclusion, it was observed that knowledge about HIV/AIDS and condoms are universal, however, people perceiving themselves to be at risk are not practising safer sexual behaviours Le. they are not using condoms. / Thesis (M.Dev.)-University of Natal, Durban, 2003.

This dissertation elicits focuses on sexual misconceptions which pose challenges to HIV/AIDS prevention and control among African adolescent girls in Umlazi Township, Durban. The study springs from the realisation that mere misconceptions related to sexuality could instigate risky behaviour resulting in HIV infection, and ultimately, result in premature death related to AIDS-related illnesses. Due to their physiological vulnerability, adolescent women are among a group at highest risk for contracting HIV in South Africa The study seeks, therefore, to understand how sexual misconceptions predispose girls to HIV infection against the context of gender, sexuality and reproductive health. The latter three issues are shaped by myriad forces working against the adolescent group. The study concludes with recommendations focused on challenging and removing sexual misconceptions with gender-sensitive interventions. / Thesis (M.A.)-University of KwaZulu-Natal, 2006.

This study on, ‘Facing HIV and AIDS: Understanding family support within a rural Kwazulu-Natal community’ aimed to explore how an HIV/AIDS diagnosis affects the family as a whole and to determine the role of the family as a primary support system. Although HIV and AIDS infects individuals, it also affects entire families. The researcher employed a qualitative research design to gain in-depth and rich data, and to hear the stories of all participants. The study is grounded in the systems theory and the risk and resilience theory framework. For purposes of clarity, much of the work was divided into the different levels of the systems theory. Risk and resilience aspects were identified in relation to the various themes. It was necessary to explore this topic, not only from the perspective of individuals living with HIV and AIDS, but also from the perspective of their family and community. Three sets of data were therefore utilised: interviews with individuals living with HIV and AIDS, interviews with family members of an individual living with HIV and AIDS, and a once-off focus group discussion to gain the perspective of community members. This helped to ensure sample and instrument triangulation. The type and amount of support that was offered affected the stigma experienced; and affected individual fears and goals, willingness to disclose and the utilisation of available services in the community. It was clear that receiving support reciprocally affected individuals, family and the community. The experience of not being supported resulted in aspects of risk – for example, being more vulnerable in the face of stigma and discrimination. The importance of family support was thus found to be vital in facing the HIV and AIDS journey with resilience. Recommendations are provided at micro, mezzo and macro levels. This study also hopes to assist service providers to provide the necessary services. / M.A. University of KwaZulu-Natal, Durban 2013.

The purpose of this study was to get a better sense of what collaborative efforts between the allopathic and indigenous health systems to address HIV/ AIDS look like 'on the ground' with the hope that revealed successes and failures could inform other initiatives. The pilot investigation took the form of a small case study of the Community Health and HIV/AIDS project at the Valley Trust in KwaZulu Natal's Valley of a Thousand Hills where HIV/AIDS collaboration with traditional healers has taken primarily three forms: 1) incorporation in the formal primary health care system as CHWs (TH/CHWs); 2) formal short-term HIV/AIDS training (Trained); and 3) informal second-hand HIV/AIDS training or information sharing (Untrained). The investigation focused primarily on how the indigenous healers' involvement in the Valley Trust's varying training programs affected their knowledge ofthe disease, their engagement in HIV/ AIDS awareness and prevention efforts, their treatment of HIV/AIDS patients, and their perception and relationship with the formal medical system. The findings show that collaboration between traditional and formal health services, in the form of the Valley Trust's training, results in 'better' HIV/AIDS work by participating traditional healers through enhanced performance on HIV/AIDS knowledge tests. As indicated by their superior performance on correlating knowledge indices, TH/CHWs engaged in the most effectual community prevention activities of the three groups. Additionally, the TH/CHW group appeared to have the most confidence and experience in treating patients with HIV/AIDS. Additionally as compared to the other two groups, their treatment methods were more varied, induding psycho-spiritual ceremonies, diet, traditional medicinal herbs, and support of biomedical efforts. Given the comparative success of TH/CHWs, it was ironic that only the healers' themselves indicated wanting more izangomas to serve as Community Health Workers. As leaders among participating healers, TH/CHWs were critical to the success of the Valley Trust's collaborative project. The findings of this case study suggest that the nature of the varying trainings offered by the Valley Trust accounted for the primary difference in the effectiveness of the healers' subsequent HIV/AIDS work. The study implies that both the skills-based nature and long-term supervision of the CHW training were instrumental in their superior performance. These findings point to the fact that indigenous healers can not function effectively as extension services without investment in infrastructure development and ongoing support. In terms of the collaboration between biomedical and indigenous health systems operating at the Valley Trust, the primary point of contention between the participating parties was the collaboration's unidirectional referral system (healers would refer patients to the clinic and not vice versa). Discrepancies in the collaborative partners' perceptions of one another, which were revealed in the study, point to the need for greater dialogue and formal linkages between participating groups. A referral system of some content and magnitude appears to be the most critical and pressing issue the new structure needs to address. / Thesis (M.Dev. Studies)-University of Natal, Durban, 2002.

The study aims to explore women's psychosocial needs and concerns following an HIV positive diagnosis. It also seeks to understand nature and various sources of care and support that women need for learning how to live with an HIV positive diagnosis. Finally, to understand what women need from HIV/AIDS health care and social service providers. In order to achieve these aims, a sample of 12 HIV positive women age between 20 and 40 was approached and interviewed at the Centres for Disease Control Clinic (CDC) in one of the local hospital in Pietermaritzburg. A qualitative research approach using semi- structured in-depth interviews was used in the study. The findings of the study reveal that HIV positive women are still faced with a range of psychosocial needs, different to that of HIV infected men. Their main psychosocial concerns centre on the welfare of their children rather their own health. Women fear rejection from their sexual relationships and as a way of coping with this, they choose to abstain from intimate relationships. Many women receive limited support from their families, health, and social welfare systems. / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2004.

The study examines the role religious institutions play in responding to health crises in the community with particular focus on mV/AIDS. The thesis argues for the importance of focusing on health outcomes rather than the traditional "economic" models for assessing health sector in time of AIDS crisis. Health outcomes measures: good practice, increases accountability of services, quantifies the values of interventions where traditional research data may be impractical or lacking. It even assists in determining resource allocations and help to monitor and improve standards of care. This opens the door to focus on religious institutions, where selecting and measuring outcomes could be deeply connected to a community's or institution's mission and be able to describe a specific desirable result or quality of institution's services. The role of religious institutions has not been well recognized in dealing with health issues, and in particular within the religious community itself. Religious communities have not recognized their enormous assets, which they could mobilize in an effort to create good health conditions while facing the challenges of the HIV / AIDS pandemic and other diseases. The study examines the involvement of a local Anglican Church, St Paul's in health in the urban context of Pietermartzburg, KwaZulu-Natal. The asset-based approach guides the study in capturing the basic notion that assets carry value and may be used to create greater value. The research findings show that the worshippers of St Paul's Anglican Church seem to have little understanding of their religious asset portfolio, which can be used effectively to improve the health conditions and health prospects of those in need in order to build healthy communities. The study argues that religious congregations and other faith-based organizations can play a vital role in local public health systems and community-based health improvements initiatives. In addition, faith communities can act as conveners and mobilizers of community residents and other faith-based groups around issues of health policy and interventions for health promotion and disease prevention (e.g. nutrition, care, VCT, etc.). / Thesis (M.Th.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.

The dissertation seeks to investigate, examine, and critically analyse the reasons why Pietermaritzburg churches lack gender sensitivity in combating HIV/AIDS. The dissertation's focus is on Springs of Hope Support Group Project (SOH) - a support group that seeks to meet the felt needs amongst the HTV positive people around Pietermaritzburg. Amongst other motivations, the dissertation was undertaken as a contribution to the church in its fight against the spread of HIV/AIDS in South Africa. The methodology that was used involved field and library research as well as observations of other HIV/AIDS support groups. The primary source of this dissertation consists of interviews that were conducted among SOH members, NGOs workers, and Church ministers. Chapter one is an introduction to the whole dissertation and includes an introduction to chapter one, experiences of African women, the story of Ann Ntombela, the background of the study, statements of the problems and motivations, objectives of the study, research hypothesis/promises, significance of the study, the theoretical frameworks, critical reviews of existing literature, research methodology, research ethics, expected results, limitation of the study and a summary and conclusion. Chapter two deals with the negative effects of colonialism and failure of development on African women. Its objective is to unearth the factors behind the deplorable social, political, and economic position of African women before HIV was reported. It seeks to find out why the plight of African women has worsened since the coming of colonialism and the start of development efforts. Chapter three deals with gender. It relates the effects of development failure to the plight of African women. Matters of marginalization, exploitation and oppression of African women are dealt with at length. Chapter four focuses on HIV/AIDS infection, transmission, prevention, cure and treatment. It also tackles the matter of the vulnerability of African women to HIV/AIDS at length by relating chapter two to the realities that facilitates the infection of the virus especially on women. Chapter five deals with the field research and formulation of a gender sensitive approach to combating HIV/AIDS. It also seeks to formulate 'a church based gender sensitive approach' as the way forward in combating the spread of HIV/AIDS amongst African women in Pietermaritzburg. This chapter elaborates on how the church should reposition itself in order to be relevant and effective to women who are HIV positive. Chapter six is the conclusion of this dissertation. It includes a summary, a theological reflection and conclusion of the whole dissertation. / Thesis (M.Th.)-University of KwaZulu-Natal, PIetermaritzburg, 2004.

The essential question behind this thesis is: How can we respond to the pastoral needs of Christian Indians in Northdale/Raisethorpe, with regards to the HIV/AIDS pandemic, when there is this silence among those that are infected and affected and the lack of concern from the church ? This topic desires to research the silence among the Christian Indians of Northdale/Raisethorpe to look into the possibility that it is a myth that HIV/AIDS is not a threat to the Christian Indians of Northdale/Raisethorpe. Certain aspects of this problem need to be investigated to prove the myth and to open an avenue for pastoral counselling and care. In this investigation I intend to revisit and open a new dialogue with the clergy to set up combined structures that will alleviate the suffering in the Northdale/Raisethorpe community in regards to the HIV/AIDS pandemic. The interview collections and research findings support the hypothesis that it is a myth that HIV/AIDS is not a threat to Christian Indians of Northdale/Raisethorpe. / Thesis (M.Th.)- University of Natal, Pietermaritzburg, 2002.

Through the oral history approach, this study documents shifts in the pastoral agency of manyano leaders in the HIV and AIDS context of the KwaZulu-Natal Midlands from 1990-2000 and 2000-2010. The two time periods are significant as they mark changes in socio-economic and socio-political influences on HIV and AIDS in South Africa. The model used to investigate the agency of the manyano leaders has been drawn from James Scott’s (1990) theory of power relations between dominant and subordinate groups. Scott’s (1990) theory guided this study in analysing the agency of manyano leaders in two ways. Firstly, the theory guided the study’s analysis of the interviews beyond the superficial level to uncover discourses that in Scott’s (1990) terms operate in the public realm, hidden realm and in the realm of ‘infrapolitics’. Secondly, Scott’s (1990) theory helped uncover some of the shifts in the subversive agency of the manyano leaders’ response to the HIV and AIDS epidemic during the two time periods of 1990-2000 and 2001-2010. In both periods, the manyano leaders’ agency revealed that they opt for just and liberative responses on behalf of those that have been marginalised by the epidemic. The study revealed that in the first period, the agency of the manyano leaders’ faced more resistance in the public realm due to dominant political, religious and social attitudes that fuelled HIV and AIDS-related stigma and denial. As a result, much of their response to challenges raised by the epidemic took place in the hidden realm. In the second period, discourses of HIV and AIDS became more public and as a result, this study has argued, their agency has also become more public. From the results of this study, lessons have been drawn that contribute to a critical appreciation of manyano leaders’ pastoral agency in the context the HIV and AIDS epidemic in the KwaZulu-Natal Midlands. / Thesis (M.Th.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.