The ongoing urgency of addressing AIDS in South Africa has kept academics and activists focussed primarily on the immediate crises of AIDS ‘in the present’. This thesis, covering the period 1980 – 1995, examines narratives about, and responses to, AIDS ‘in the past’ and explores the interplay between these narratives and elites in medical and political communities trying to address AIDS during a period of political transition. The thesis begins by examining the hegemonic medico-scientific narratives about AIDS that featured in the South African Medical Journal, an important site of enquiry as AIDS was primarily conceived of as a ‘medical issue’. The SAMJ narratives, which often relied on constructed ‘AIDS avatars’, framed understandings of the syndrome and influenced responses to it by medical and political communities. The first community that the thesis explores is the African National Congress (ANC) in exile, which had to address AIDS in exile communities and prepare health strategies for ‘the new South Africa’. Secondly, the thesis analyses government responses to AIDS and argues that four phases of response can be identified. These phases were characterised by minimum concerns about obtaining information and providing health advice; efforts to gather infection data while exploiting political and public fear; attempts to extend health education and (belatedly) encourage broader engagement; and finally, consultative, democratic ideals. The thesis then examines the National Medical and Dental Association (NAMDA) a progressive medical organisation that worked with the ANC on influential health (and AIDS) strategies. NAMDA members ‘crossed over’ between various medical and political communities and both reinforced and challenged hegemonic AIDS narratives. Finally, the thesis moves from the abstract, via the practical, to the personal and concludes with a detailed account of the experiences of two sexuality activists at the intersections of these communities and narratives. By focussing on these medical and political communities, and analysing the relationships between these communities, the existing AIDS narratives, and individuals, the thesis also reveals the constructions of morality, ‘race’, gender, and sexuality that infused them. In doing this it shows how polemic and politics combined to influence practical responses to, and personal experiences of, AIDS.

According to the 2005 Ethiopian Demographic Health Survey, HIV prevalence in Gambella region where Fugnido refugee camp is located is 6%, which is the highest prevalence data recorded in the country. Similarly, the United Nations High Commissioner for Refugees (UNHCR) Health Information System (HIS) demonstrates that Fugnido has the highest HIV prevalence compared to other refugee camps in Ethiopia and furthermore shows variation in prevalence among the two main ethnic groups in the camp, namely Agnuak and Nuer (about 8.5% and 2.3% respectively). The study seeks to investigate why a significant difference exists in the number of people with known HIV positive status among the Agnuak community compared to the Nuer community in the Fugnido refugee camp in Ethiopia. It does this by investigating factors that are presumed to explain HIV high risk-behaviour and vulnerability. This was a cross-sectional study of Agnuak and Nuer tribes living at the Fugnido refugee camp. The sampled population involved men and women refugees from the ages of 15 to 49 years. The study used a mixed method approach or methodological triangulation. Cluster sampling technique was used for the quantitative data collection. The sample size was 831 refugees (439 Agnuak and 390 Nuer). Seven (7) Focus Group Discussions (FGDs) and 3 Key Informant (KI) interviews was used for the qualitative data collection. Findings show that the Agnuak were almost 4 times (OR=3.8, 95% CI [1.9-7.4] p < 0.05) more likely to practice risky behaviour compared to 0.3 times (OR=0.3, 95% CI [0.1- 0.9] p < 0.05) likelihood among the Nuer refugees. Factors associated with differences in risky behaviour for both Agnuak and Nuer included, inter alia, primary education as the highest level of education attained, 50% among the Agnuak (OR=0.5, 95% CI [0.3-0.8] p < 0.05), compared to Nuer community’s 30% (OR=0.3, 95% CI [0.2-0.6] p < 0.05). Access to HIV and voluntary counselling and testing (VCT) services was lower for the Agnuak (OR=1.8, 95% CI [1.1-2.9] p < 0.05) compared to the Nuer (OR=2.9, 95% CI [1.6-5.1] p < 0.05). Unlike the Nuer refugees, the Agnuak refugees who had experienced forced sex (OR=7.3, 95% CI [2.9-18.8] p < 0.05) and had a positive attitude (lack of or reduced stigma) towards HIV (OR=2.1, 95% CI [1.3-3.7] p < 0.05) were more positively associated with risky 6 behaviour (than the Nuer). The Nuer had no factor associated with risky behaviour that was different from that of the Agnuak. The study revealed more Agnuak refugees than Nuer refugees had been engaged in risky sexual behaviour by having multiple sex partners and being involved in transactional sex. The Nuer was more closed and reserved to having sexual relations outside of their group than the Agnuak were which contributed to their relatively lower HIV prevalence. Furthermore, there was very low condom use among the Nuer community compared to the Agnuak community, which was based on differential attitudes between the two communities concerning trust of partner and monogamous relations. The study findings recommend that humanitarian workers and community partners need to collaborate to develop congruent HIV interventions that go beyond traditional strategies of distributing condoms and focus on correct and consistent use of condoms in the camp. Humanitarian and community workers’ understanding the socioeconomic context of the communities and the influence of cultural and other factors, including behaviour with intervention strategies,could also curb the epidemic. / Sociology / M.A. (Sociology)

Thesis (MTech (Tourism and Hospitality Management))--Cape Peninsula University of Technology, 2007 / The main objectives ofthis research were • To investigate how HIV/AIDS affect Southern African tourism, with specific reference to the tour operators. • To investigate measures taken by the Southern African tour operators and governments to combat HIVIAIDS and the chances of success. • To make some recommendations on what can further be done to fight HIV/AIDS in the Southern African tourism sector. T 0 conduct the literature study, the following methods were used: I. Literature search particularly about Southern Africa and in general, as well as news report has been conducted. H. Review ofHIV statistics. lll. Use of Internet. IV. Journals and government publications. RESULTS: The United Nations (2005: 22) indicates that Southern Africa is experiencing the highest rate of HIV infection in the world. The infection rate is particularly high among the young people (aged 15 - 49). This age group constitutes people who are economically active, and some of them work directly or indirectly in the tourism sector. THETA (2003: 4) conducted a study on a number of tourism and hospitality companies in South Africa. The study results indicate that 92% of the companies surveyed do not have HIVIAIDS educational programmes for their employees, and that 91% of the surveyed companies do not provide HIV/AIDS preventive measures like condoms to their workers at workplace.

Thesis (DTech (Tourism and Hospitality Management))--Cape Peninsula University of Technology, 2010 / Purpose: Botswana is one of the countries with the highest HIV/AIDS prevalence rate in the world. This research aims to investigate the impact of HIV/AIDS on the socio-economic environment in Botswana with special reference to the country’s tourism sector. Tourism plays a vital role in the economy of Botswana. It creates employment, earns foreign exchange, markets Botswana internationally, attracts foreign investments and contributes to Gross Domestic Products (GDP).Methodology: This report explains the HIV/AIDS situation and policy framework relative to the tourism sector in Botswana and in selected African countries through conducting an extensive literature review and empirical surveys. This is a quantitative research in which non-probability method is used to indentify the respondents. Here tourism general managers are identified and asked to identify their subordinates who are available and willing to participate in the survey by answering a self-administered questionnaire.Findings: This study indicates that HIV/AIDS threatens the Botswana tourism and the viability of the socio-economic factors. In general, the Southern African region is experiencing the highest rate of HIV infection in the world. The infection rate is particularly high among the young people (aged 15 – 49). This age group constitutes people who are economically active, and a number of them work directly or indirectly in the tourism sector. HIV/AIDS kills the economically active population – people who hold the skills, do the work, pay taxes, raise children, vote in the elections, and provide leadership. HIV/AIDS results in increased mortality and morbidity rates, and it also results in increased health expenditure. It also results in increased poverty level in the country.Practical implications: When observing the prevalence and impact of HIV/AIDS not only in the tourism sector but in general, it becomes evident that the fight against the disease should be a collaborative approach involving various sectors including tourism. Relying only on government and health sector to address the complex and systematic impact of HIV/AIDS cannot effectively combat the disease and its prevalence rate.Originality/value: This report analyses HIV/AIDS situation in Botswana in a creative way, contributing to the understanding of its impacts on the socio-economic environment as well as identifying strategies that can be used in addressing the impacts. This research is important for public policy makers, government officials, and tourism role-players to be aware of implications HIV/AIDS has on the socio-economic environment and take them into consideration in the policy formulation and implementation, business strategies and processes. It is also imperative to academics who would like to expand their knowledge on HIV/AIDS.

Thesis (MTech (Nursing))--Cape Peninsula University of Technology, 2009. / At the request of the South African Department of Health's Western Cape Provincial Tuberculosis Control Directorate, the Cape Peninsula University of Technology, a Higher Education Institution, developed and implemented a Tuberculosis and Human Immunodeficiency Virus community outreach train the trainer project to train community members about Tuberculosis and Human Immunodeficiency Virus. This study aimed to provide a historical overview of the Cape Peninsula University of Technology Tuberculosis and Human Immunodeficiency Virus project and describe the experiences of the trainers involved. A descriptive case study design, using a qualitative approach was applied during this study. The historical overview of the project showed the need for a broad base of networking, securing funding and a project facilitator from the outset of such a project. This study found that trainers had experienced self-development in terms of knowledge, skills and self confidence and that the training had far reaching effects by spreading Tuberculosis and Human Immunodeficiency Virus information in diverse community settings, despite notable challenges experienced in the community settings. Community outreach training projects from a recognized training institution have a positive impact at community level. However, political commitment and development of the course content into a registered learnership are required for sustainability.

Orientador: Marcos Tadeu Nolasco da Silva / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-15T17:41:06Z (GMT). No. of bitstreams: 1 Sartori_AlessandraBizeliOliveira_M.pdf: 30306665 bytes, checksum: ec3a46c2c776f4f4eef2782070e413d4 (MD5) Previous issue date: 2010 / Resumo: A avaliação do desenvolvimento cognitivo em crianças e adolescentes é de fundamental importância. A inteligência operatória das lógicas elementares, como a conservação de quantidades, classificação e seriação são maneiras que a criança emprega para se adaptar e entender o mundo em que vive. A infecção pelo Vírus da Imunodeficiência Humana (HIV) pode afetar globalmente o desenvolvimento da criança. Este trabalho avaliou o desenvolvimento cognitivo de crianças e adolescentes infectados verticalmente pelo HIV e compará-lo com crianças saudáveis, pareadas para a idade, e com as mesmas condições socioeconômicas, utilizando o conjunto de Conjunto de Provas para o Diagnóstico do Comportamento Operatório de Piaget. A população de estudo consistiu em uma amostra aleatória de 36 pacientes, com idades de 7 a 12 anos. O resultado da avaliação cognitiva foi expresso na forma de um escore semiquantitativo e análise qualitativa em níveis de desenvolvimento cognitivo. Analisamos a associação do escore com o resultado do exame neurológico evolutivo, o estadiamento clínico, imunológico e virológico da infecção por HIV, dados referentes à Qualidade de Vida (usando o PedsQLTM), e dados socioeconômicos. Os resultados sugerem que crianças infectadas pelo HIV, com quadro clínico estável, apresentam desempenho cognitivo comparável ao de crianças com condições de vida semelhantes / Abstract: The assessment of cognitive development in children and adolescents is of fundamental importance. The intelligence operative of elementary logic, such as conservation of quantity, classification and seriation are ways that the child uses to adapt and understand the world we live. Infection with Human Immunodeficiency Virus (HIV) may affect the overall development of the child. This paper aims to assess the cognitive development of children and adolescents infected with HIV vertically and compare it with healthy children, matched for age, and with the same socioeconomic conditions, using the entire set of evidence for the Task Concrete Operational Piaget's. The study population consisted of a random sample of 36 patients, aged 7 to 12 anos. The result of the cognitive assessment was expressed in the form of a semiquantitative and qualitative analysis in levels of cognitive development. We analyzed the association of scores with the results of neurological evaluation, clinical staging, immunological and virological HIV infection, data on quality of life (PedsQLTM), and socioeconomic data. The results suggest that HIV-infected children with clinical stable, have cognitive performance comparable to that of children with similar conditions of life / Mestrado / Saude da Criança e do Adolescente / Mestre em Saude da Criança e do Adolescente

M.Tech. / The most susceptible and vulnerable segment of society to HIV/AIDS infection is the population sector aged between twenty and forty years old. This threatens to impact negatively on South Africa’s economic, social and human development (Whiteside and Sunter, 2001). The aim of this descriptive pilot study is to elicit a homoeopathic symptom picture of HIV positive Black females living in Gauteng, and also to compare this symptom picture to existing HIV proving pictures. Ten HIV positive Black females living in Gauteng were interviewed from a homoeopathic perspective. The participants were aged between twenty-two and forty years, and were in the asymptomatic carrier phase or the AIDS related complex (ARC) phase of HIV infection. None of the participants were receiving antiretroviral treatment. The researcher utilized a set questionnaire to conduct the interviews with. Each interview was compared to one another to determine the common themes and trends emerging from the case histories. These common features were utilized to produce a unique homoeopathic symptom picture of HIV infection in Black females. This symptom picture was compared to the existing HIV proving pictures of Stallick’s and Norland’s AIDS nosodes and Chappell’s PC1. The symptom picture was repertorised using the Cara Pro computerized repertory programme to determine possible constitutional and genus epidemicus treatment options for HIV infection as well as to evaluate the miasmatic presentation of HIV. This study indicates that the HIV proving pictures of the AIDS nosodes and PC1 closely match the unique homoeopathic symptom picture derived from this study. Possible genus epidemicus treatment options include Iodium and PC1. A wide variety of constitutional prescription options materialized from this research. This study also supports the idea that HIV/AIDS is a miasm in its own right, and is represented by aspects of the psoric, sycotic, syphilitic, tuburculinic and cancer miasms. This work is dedicated to the memory of Bongi, a fun-loving, sincere and courageous woman, and to all the HIV/AIDS sufferers in South Africa. / Dr. J. Roohani Dr. K.S Peck Dr. T.A Blake

M.Ed. / HIV/AIDS needs to be treated as a national emergency and all organs of the society must be fully engaged in the struggle against it, learners in particular. Some are nursing their dying parents, while others are taking care of their siblings as they face death. So it will be the schools that can and must play an important role in helping to empower the learners with the necessary skills to be ready to meet whatever challenge they may have to face in life. Of all the learning areas, it is through the Life Orientation learning area that learners can be best empowered. Most of the problems can be faced and solved with effort. Learners need to have information about HIV/AIDS presented to them in a way which is appropriate to their age in the context of Life Orientation. Children generally know very little about HIV/AIDS and parents do not, or cannot give their children the necessary information and guidance about the disease (van Niekerk, 1991:80). Thus it is the duty of the school to fill the gap. Women and girls are the most vulnerable, as most of them are exposed to abuse and violence, particularly sexual abuse. They are financially and materially dependent on men, which means that they often cannot decide when, with whom and in what circumstances to have sex (Nursing Update, 2000). Schools can make an important contribution towards the prevention of HIV/AIDS. In the absence of a cure, education is the only defence we have (van Niekerk, 1991:80). Almost every young person attends the school, so education offers a great opportunity to discuss the disease, and help the young people to protect themselves from becoming infected, getting sick and dying. / Dr. M.C. van Loggerenberg

This study explores the following research problem: given that knowledge influences our behaviour, how do the belief systems of elderly Xhosa elderly people about HIV/Aids influence their behaviour? The goal of the study was to explore and describe the belief systems of Xhosa-speaking people about HIV/Aids, specifically focusing on elderly people. The goal was also to reach conclusions about how these belief systems influence their knowledge. The objectives were threefold: firstly to conduct interviews with respondents; secondly to do a literature study with the aim of doing a literature control; and, thirdly, to reach conclusions about the belief systems of elderly Xhosa-speaking people. The research employed a qualitative paradigm and a phenomenological qualitative design. The research setting was defined as a township area that is situated in the south-eastern part of Johannesburg or Gauteng area. The researcher chose ten respondents who were all Xhosa-speaking and elderly, and the interviews were conducted individually. Non-probability or judgemental sampling, which is also known as convenience sampling, was used. The interviews were audio taped and transcribed verbatim, and field notes were also used as another method of collecting data. The data was analysed according to the eight steps of Tesch (1990) in Cresswell (1995:155). The process of data verification was done according to Guba’s Model of Trustworthiness (in Krefting, 1991:215-222). The actions taken to ensure trustworthiness included prolonged and varied engagement, triangulation, peer examination of research methodology, interviewing techniques and skills such as probing, clarifying, reframing and establishing the researcher’s authority. Seven themes and eleven categories with their sub-categories were drawn from the data obtained during the interviews. The first theme was: how do people contract the HIV/Aids virus? Under this theme, there were eight categories: contraceptives, cancer, sexual intercourse, witchcraft, sexually transmitted disease, blood transmission, sores and respect for cultural norms. The second theme was prevention and treatment, which included the following categories: condoms, one partner and trust, traditional herbs, medicine and prayer. Theme three was: how did HIV/Aids develop? Theme four was: how can people avoid getting HIV/Aids? Theme five was: who gets HIV/Aids? Theme six was: who brought HIV/Aids? Theme seven was: do you know anyone who has HIV/Aids and how do you think the person was infected? Specific conclusions were drawn based on these findings. Firstly, it was concluded that people contract the virus in many ways, as mentioned above – such as through unsafe sexual intercourse (see paragraph 2 above). Secondly, people like immigrants and drug injectors are more susceptible to spreading the Aids virus. Thirdly, the issue of cultural dominance also increases the spreading of the virus due to the failure to practise safe sex. Fourthly, people lack knowledge about the virus. Fifthly, HIV/Aids cannot be cured by medicine, traditional means or even the church. Instead, it can be treated by using drugs, such as neviropine, zidovidine and other medicines which can stop the virus from multiplying its cells in the person’s system. However, further research is needed before we draw conclusions, especially on the issue of cultural beliefs towards the virus. The conclusions were complemented by specific recommendations. / Dr. E. Oliphant

M.Tech. / The worldwide dissemination of Human Immunodeficiency Virus (HIV) over the past four decades has entered our consciousness as one of the most catastrophic examples of the emergence, transmission and propagation of a virus (Department of Health, 2000; Stebbing et al., 2004). Globally, an estimated 40.3 million people are living with the virus. In 2005 alone, the World Health Organisation estimated that there were close to five million new HIV infections worldwide (UNAIDS/WHO, 2005). Southern Africa is experiencing an HIV/AIDS epidemic of shattering dimensions and, unfortunately, shows little evidence of possible future declines in HIV prevalence. It remains by far the worst-affected region, with 25.8 million people infected at the end of 2005. Of these infected, only one in ten Africans were receiving anti-retroviral treatment (ART) in mid-2005 (Dorrington et al., 2001; UNAIDS/WHO, 2005). Since South Africa carries the biggest global burden of HIV, it is difficult to provide and sustain treatment for all individuals infected with HIV (Department of Health, 2004b). Previous research on the efficacy of homoeopathic treatment in HIV has been done by Brewitt et al (1999) and Da Silva et al (2005) with beneficial results. The aim of this study was to determine the effect of homoeopathic growth factors (HoGF’s) on CD4 cell count, measurements such as weight and body mass index (BMI), symptoms associated with HIV/AIDS, and quality of life of participants living with HIV. The research was conducted on a sample of twenty five participants (n=25) drawn from a population of persons from eighteen to sixty years of age. Twenty two participants (n=22) completed the research. Participants were recruited from the Inkanyezi ARV Clinic, situated in an informal settlement in Orange Farm, south of Johannesburg, South Africa. The recruited participants were requested to read and sign the Participant Information and Consent form (Appendix A) providing them with the necessary information regarding the research. The duration of the clinical trial was thirteen weeks. Analysis of CD4 cell count, measurements of weight and body mass index (BMI) and symptoms associated with HIV/AIDS were conducted at day 1, week 5, week 9 and week 13. A quality of life questionnaire was conducted and analysed at day 1 and week 13. The HoGF medication was administered to each participant, who received sufficient medication until the next follow up consultation. This allowed the researcher to monitor patient compliance. One tablet was given three times a day, for a thirteen-week period. The participants were instructed to suck or chew the pleasant tasting, white tablet. The statistical models such as the repeated measures ANOVA analysis test, the non-parametric Wilcoxon test and the McNemar test were used to statistically analyse the data. The resultant analyses of the data have provided the following conclusions. HoGF treatment did not improve overall immune function of the participants, as there was a decrease in the average CD4 cell count of the HIV infected adults over the 13 week period. HoGF was effective in increasing immune functionality of the major symptomatic group but did not show improved immune functionality in the asymptomatic or minor symptomatic groups. There was, however, an overall decrease in the occurrence of the common symptoms of HIV seen in the entire sample group and HoGF intervention stabilised weight and BMI over the trial period. HoGF treatment also demonstrated an improvement in the quality of life of the participants. There were no reported signs of adverse side effects while on HoGF treatment. The results of this study are expected to initiate further research in the area of homoeopathy and HIV/AIDS. It is recommended that future studies include a control group with placebo for inter-group comparisons. This HoGF treatment can therefore be seen as a possible complementary treatment option for treating the common symptoms associated with HIV/AIDS in the absence of ART, and maintaining wellness in HIV patients. / Dr. R. Razlog Dr. M. Da Silva