South Africa has not escaped the rising prevalence and severe impact of HIV/AIDS in relation women. From an economic and social vantage point, the HIV/AIDS epidemic hits women the hardest, with underprivileged black women the most susceptible to the virus. The theoretical framework of this research focuses on the intersection between HIV/AIDS, gender inequality and gender violence, and more specifically, on certain cultural practices and customs that contribute towards and exacerbate women’s subordination and inequality, which in turn, increase women’s exposure to become infected with HIV. Relevant to this focus is inevitably an investigation of perceived threats to specific fundamental human rights as a result of some entrenched practices that continue to reinforce women’s subordinate position in society, aggravated by the high incidence of gender violence. / Constitutional, International and Indigenous Law / LL.M.

The purpose of this study was to understand employees’ perceptions of the benefits of and the challenges in utilising VCT services at the workplace. With Mittal Steel in Vanderbijlpark as a case study, the researcher investigated the types of VCT services offered, the reasons why employees used these services, the perceived benefits and challenges related to these services, and made suggestions for service improvements. Using a qualitative approach, the main data-collection strategies were non-participant observation and in-depth interviews with five purposefully recruited research participants. The study showed that knowledge of HIV and AIDS among employees was adequate but that this could not be attributed to company efforts only. The study also revealed that employees utilised VCT for personal reasons rather than based on company incentives. Stigmatisation and discrimination appeared to be on the decline. It is recommended that the company could do more to market and promote HIV and AIDS awareness at the workplace. / Sociology / M.A (Sociology - Social Behavioural Studies in HIV/AIDS)

M.A. / Hubley (1990) notes that Acquired Immunodeficiency Syndrome (AIDS) is a relatively recently recognized disease. It is caused by infection with the Human Immunodeficiency Virus (HIV), which attacks selected cells in the immune system and produces defects in functioning. These defects may not be apparent for years. They lead, however, to a severe suppression of the immune system's ability to resist harmful organisms. This leaves the body open to an invasion by various infections, which are therefore called opportunistic diseases, and to the development of unusual cancers. The virus also tends to reach certain brain cells. This leads to so-called neuropsychiatric abnormalities or psychological disturbances caused by physical damage to nerve cells. Many of those infected with HIV may not even be aware that they carry and can spread the virus. Combating it is a major challenge to biomedical scientists and health-care providers. HIV infection and AIDS occur among the most pressing public policy and public health problems world-wide. Since the first HIV/AIDS cases have been reported in 1981, through mid-1993, more than 600 cases were reported in South Africa. This is only the tip of the iceberg of HIV/AIDS infection as it was estimated that between 2 and 2.5 million South Africans had been infected with the virus through the early 1990s but not yet developed the clinical symptoms. In terms of the historical data from previous surveys (ie. the results of the 1996 survey) in South Africa confirmed the trend of a growing HIV/AIDS epidemic. HIV infection has increased in all provinces, but Kwa-Zulu Natal and Mpumalanga had the highest HIV prevalence rates of 18,23% compared to 1994's '14,35% and 16-18%, compared to 12-16% respectively (see table 1).. Of particular concern are the pregnant women in South Africa under twenty years where a prevalence of 12,78% has been found. Thirty per cent of babies born to HIV positive women in South Africa are infected. Of the 3638 births in VVitbank — a rather small town in Mpumalanga-.Province — in 1996, 219 of the women were tested HIV positive (Masiphile Vol. 1: 1997).

This thesis aims to look at the agreement on Trade Related Intellectual Property Rights (TRIPS) with specific reference to their impact on South Africa's ability to combat HIV and AIDS. It begins by looking at the history of patents and intellectual property rights and illustrates why and how the TRIPS Agreement came into existence. The TRIPS Agreement exemplifies the disparities between developed and developing countries and this can clearly be seen with regard to the provision of anti-HIV and AIDS drugs. The developing world deals with the bulk of the HIV and AIDS epidemic whilst the developed world holds most of the patents on the medication needed to treat those living with HIV and AIDS. This situation lends itself to a rift between patient rights on the one hand, and patent rights on the other. Traditionally the state has been the provider of rights such as health, but TRIPS alters this to include strong patent protection that is in line with neo liberal doctrine. The thesis examines these tensions with specific reference to South Africa's ability successfully to implement programmes to combat HIV and AIDS.

This interpretive case study examines Grahamstown East Xhosa women's narratives on the nutritional value of traditional foods. It reviews reflexive learning interactions apparent in the co-engaged narratives of food preparation practices. The research design incorporates methods of reflective co-engagement through which a small team of women were approached as 'co-researchers' in order to work together on shared, local knowledge capital and nutrition concerns. It draws on findings generated using a combination of semi-structured interviews, cooking demonstrations, videography, photographs and field observations as methods of data collection. Data were member-checked and reviewed in a rural context before the emerging evidence was analyzed using Bassey's (1999) analytical statements. Contextual factors influencing the study are high poverty, unemployment and HIV/AIDS prevalence where nutrition levels have been found to be low. The women making up the study have spent the majority of their lives in the peri-urban area of Grahamstown and in some cases, are more than one generation removed from rural living and its associated knowledge. The accompanying shift to modernization was found to influence the interplay between their narratives and practice. Indigenous Knowledge is often characterized by being situated in practice with the knowledge-holders often not 'knowing that they know.' This study concludes that it is not possible to assume that knowledge can always be consciously expressed, especially when that knowledge is embedded in practice. Related to this, co-engagement and diversity among the group gave rise to greater disequilibrium as well as making the knowledge more explicit and hence, available for reflection. The study suggests that through the process of co-engagement and deliberation around indigenous ways of knowing, agency and cultural identity appears to be enabled and strengthened.

Against the backdrop of the growing problem of AIDS orphans in South Africa and greater sub-Saharan Africa, this qualitative enquiry examines the lives of three South African orphaned children living with HIV / AIDS in a children's home in Cape Town. It aims to generate rich, child-centred descriptions of some of the significant experiences of the children's lives. Drawings, dialogue and narrative were employed to generate the primary data. This was supplemented by collateral interviews and other relevant records, e.g. medical and biographical. Existential-phenomenological theory informed the approach to data collection and analysis. Each child produced a series often to twelve impromptu drawings over a period often weeks. These drawings and transcripts of the children's verbal descriptions of their drawings were extensively analysed. Significant themes for each participant as well as themes common to all three were identified. Some of the central themes emerging include loss, abandonment, death, disease awareness and coping. The children's ability to develop adaptive coping mechanisms and resilience in the face of traumatic loss and terminal illness was a particularly outstanding feature of the findings. Recommendations are made regarding future research to address the lack of qualitative, child-focused investigations as well as appropriate interventions for addressing the psychosocial needs of orphaned children living with HIV/AIDS.

The HIV/AIDS epidemic has serious effects on society. It has been described as the biggest threat to the development of South Africa, with severe economic, social and human impact. In the Lady Frere District in the Eastern Cape Province, like in many other areas that are greatly affected by the epidemic in this country, young people are considered by the local Department of Health to be a particularly vulnerable group due to various predisposing biological, social, cultural, and economical factors. Despite the efforts that have been made to educate and encourage prevention, especially by the local Masibambane Non-governmental Organisation (MNGO) to inform these communities about the dangers of the epidemic, people's behaviour have been slow to change and the disease continues to spread. This research is conducted against the escalating HIV / AIDS pandemic in the Lady Frere District. The fundamental aim of this project is to examine the intermediary function of the MNGO in HIV/AIDS responses. The study seeks to evaluate the way in which this local NGO operates on the ground in contributing to a community's response to the HIV/AIDS pandemic. In other words, the thesis tries to indicate how this local NGO, in dealing with the HIV/AIDS issue, interfaces with the community and related stakeholders. It examines how young people in the Lady Frere District perceive HIV/AIDS. A literature review demonstrates that the specific aims and objectives of this project represent a fairly new area of research in South Africa. I propose in the thesis that a simple act of joining and being regularly involved in a community organisation such as the MNGO will have significant impact on individuals' health and well-being. The thesis is crying for a need to restore the notion of "ubuntu" (meaning humanity) which is fundamentally based on social capital to assist these communities to rebuild trust which is essential in people living with HIV/AIDS. Based on my assessment it seems that intermediary NGOs, like the traditional NGOs and the private sector, will have little impact in terms of changing the conditions of the poor and the marginalised people. This is because in practice, like the conventional NGOs, intermediary NGOs serve the interests of donors and national governments or those who give them financial support to continue existing.

The students are the future economic backbone of the country and it is essential that measures are taken to reduce the number of new HIV infections in this segment of the population. Free voluntary counselling and testing for HIV was introduced at the Nelson Mandela Metropolitan University as one of the prevention strategies to curb the spread of HIV. This service has grown steadily over the years but strategies need to be formulated and implemented to improve the existing service and thereby increase the utilisation of the testing service. This treatise takes the form of an investigative survey involving literature review and a survey of all the individuals who utilised the VCT service over a three month period. The author has attempted to portray the general views and best practices of experts in the field of VCT service delivery. The identified best practices were used as an assessment tool to determine to what extent the VCT service at the NMMU complies with national and international standards. The quantification of these insights must be viewed with caution since the survey sample was relatively low due to time constraints. It has been shown that the VCT service at the NMMU largely complies with national and international standards although several recommendations have been presented for consideration.

The aim of the study was to investigate the management of HIV /AIDS programmes at the workplace in four selected organisations in Chris Hani District, Eastern Cape Province of South Africa. Four organisations were studied, two public organisations and two private organisations. With the use of triangulation method, two hundred employees were administered a semi- structured questionnaire while for (four) managers, semi structured in-depth interviews were conducted. The major findings of this study outline that all the four organisations studied have HIV/AIDS programmes and policies for their employees. However, there were no budget allocations for these programmes to be fully implemented for effectiveness. From the data, it can be concluded that HIV/AIDS has a negative impact on organisations‟ production like high training costs, high labour turnover and high absenteeism from work. This has been as a result of managers who did not put their total commitment towards HIV/AIDS management at their workplaces in the same way they have done to other core areas of businesses of their organisations. The study therefore recommends the management of these organisations to demonstrate a clear commitment to the HIV/AIDS management strategies by fully implementing the HIV/AIDS management programmes in their workplaces. It is very crucial for employees to see this commitment in a concrete form through non-discrimination and support for the people living with HIV/AIDS. Clear unambiguous commitment will go far in developing mutual trust between employers and employees and facilitate an atmosphere where people are willing to undergo VCT and to possibly disclose their status. Furthermore, managers are recommended to hire quality service providers to carry out intensive de-stigmatisation processes. This will create a supportive environment and adequately address the fears of employees about HIV/AIDS issues at the workplace. All these recommendations will go a long way in assisting organisations achieve their strategic business objectives and reduce the negative impact of HIV/AIDS at their workplaces.

Department of Public health / MPH