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 spread of HIV/AIDS in South Africa has evoked many responses from the national government, Non-Governmental Organizations and the church. There are many reasons why the church should respond to this challenge of HIV/AIDS and join hands with the worldwide effort to provide care and support for people living with HIV/AIDS in our society. As the epidemic increases, many people in South Africa are falling sick, suffering physically, emotionally and spiritually and many are abandoned and desolate. Men, women, young people and children are dying; families and communities are severely affected socially and economically. This thesis examines the response of the Evangelical Lutheran Church in Southern Africa (ELCSA) to AIDS and suggests a more adequate strategy to deal with HIV/AIDS. First, it examines the incidence and· impact of HIV/AIDS, noting the emotional, physical and socio-economic impact of HIV/AIDS. Secondly, this thesis develops a theological response to AIDS. The involvement of ELCSA is examined via research into six parishes in the Umgeni circuit of the South Eastern Diocese (Kwa-Zulu Natal). It argues that a seven-fold framework best describes the sort of strategy needed to fight against the spread of HIV/AIDS. This seven-fold framework includes the following: AIDS education, AIDS counseling, Livelihood support for people living with HIV/AIDS, Advocacy for the people living with HIV/AIDS,Pastoral and practical care for people living with HIV/AIDS, Helping the bereaved families during funeral arrangements and providing grief counseling, and Support systems for AIDS orphans. / Thesis (M.A.)-University of Natal, Pietermaritzburg, 2001.

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.

South Africa's first democratic elections were held in 1994. Since then, the government has engaged itself in a process of reconstruction and development through the formulation of policies and legislation which are in line with the country‟s Constitution of 1996. Some of these policies and legislation pertain to the issue of children‟s human rights. This study, firstly, sought to analyze key South African policies and legislations related to children‟s rights that have emerged since 1994. These documents include, the Constitution of the Republic of South Africa of 1996; the Children‟s Act 38 of 2005; Education White paper 6: Building an Inclusive Education and Training Systems (Department of Education, 2001), the South African Schools Act 84 of 1996; and the National Policy on HIV/AID for learners and educators in public schools and students and educators in further education and training institutions (1999). Secondly, the study aimed to explore whether children‟s rights are a myth or reality in South Africa by analyzing secondary data gathered from a large scale research project conducted in the province of KwaZulu-Natal, titled “Mapping the Barriers to Basic Education in the context of HIV/AIDS”. The data were collected from teachers, learners in grade 3, 6 and 9; School Governing Bodies, parents, and organizations - non governmental and community based organisations working in the district. The study used an in-depth qualitative case study approach. The study involved formal and non-formal centres of learning and their communities from four community contexts: rural, deep rural, urban and peri-urban. The data set provides insight into the lives of children in these contexts. The findings suggest that several barriers experienced by children and their families to accessing their social rights embedded in key South African policy documents related to key themes that emerged in the study: risks and vulnerabilities; control, regulation and powerlessness; the commitment of quality education not being met; and childhood poverty. / Thesis (M.Ed.)-University of KwaZulu-Natal, Pietermaritzburg, 2008.

Since the 1970's, the increasing scale and complexity of development schemes has led to mounting public concerns about their environmental impacts. Environmental assessment and management developed out of a recognised need to protect the biophysical environment from overuse and degradation . Evidence suggests that the issues continue to become more complex and we need to equip ourselves to deal with them. The complexity of issues we face today demands a holistic and integrated management approach. This thesis highlights the weakness in the application of environmental impact assessment (EIA) to deal with current issues . The conceptualization of EIA within the ecological modernisation discourse has limited the use of the tool to adequately consider issues outside the biophysical environment. On the African continent, social issues such as HIV/AIDS are becoming more dominant than biophysical impacts. EIA must thus be re-framed to address concerns regarding the HIV/AIDS impact of development schemes. An alternative discourse of social justice is put forward as an approach that will take EIA closer to achieving sustainable development. The hypotheses put forward in the thesis were investigated through the use of both primary and secondary data sources. Extensive interviews and case studies formed the bulk of the data generated through the study. The results of the investigation showed that there are varying views on the purpose of EIA, that social issues continue to be underplayed in the process and that HIV/AIDS is considered a valid impact to be assessed in EIA. It must be noted that although HIV/AIDS is recognized as a common impact of development projects, particularly in Africa , the approach to dealing with the issue has been very different across EIAs and the issue is dealt with in an ad hoc manner. In order to expand the applicability of environmental assessment in Africa , a framework has been developed to integrate HIV/AIDS into the EIA process. The premise behind the framework is that HIV/AIDS can impact on the viability of a development scheme and conversely, development schemes can increase the transmission of HIV. The framework considers the social, economic and cultural drivers that create living and working environments, which promote the transmission of HIV. By applying the appropriate tools throughout the EIA process, one can identify potential impacts. Mitigation and management interventions can then be built into an HIV/AIDS component of the environmental management plan. This approach will allow environmental assessment practitioners; decision-makers and developers to better understand the critical issue of HIV/AIDS and ultimately contribute to managing the pandemic and further sustainable development in Africa. / Thesis (M.Sc.)-University of KwaZulu-Natal, 2005.

This study focuses on the impact of HIV/AIDS on women in Namibia. Namibia, with a population of only 1.7 million people, is ranked as the seventh highest country in the world in terms of HIV/AIDS infections. The percentage of women living with HIV/AIDS in Namibia accounts for 54% of the total of 68 196 people in the country living with the virus. Women are also diagnosed with the disease at a younger age (30) in comparison to their male counterparts (35 years). Desoite their needs, women living with HIV/AIDS bear a triple burden of caring for those living with HIV/AIDS, caring for themselves and coping with the responses to their infection. There are few focused intervention strategies to support and care for women living with HIV/AIDS in Namibia.

<p>This study aimed to explore the gender imbalances that exist in access to education and participation in schooling of the female orphans and vulnerable children, and also how this relates to the continuing feminisation of the HIV and AIDS pandemic in Zambia. The study was based on the premise that the girl child is disadvantaged in this area, and the HIV and AIDS pandemic in worsening the situation for female orphans and vulnerable children.</p>

The purpose of this study was to investigate how rural Ugandan women engage with discussions of HIV and AIDS on community radio. It explored how this audience may relate such broadcast discussions to their own lived experience of HIV and AIDS. It is explained in the study that, while the Uganda government has an official policy of openly discussing matters of HIV and AIDS, health communication strategies still operate within a context where there is an underlying "culture of silence" that discourages openness about sexual matters. It is also pointed out that there are widespread gender disparities among rural communities, which severely limit women's ability to make use of health communication initiatives aimed at educating them. Against this backdrop, the study sets out to explore audience responses to a particular example of Speak Out and Listen, a weekly programme broadcast on Mama FM, a Kampala-based radio station managed by the Uganda Media Women's Association (UMWA). The study maps out responses to the programme by a particular group of rural women. It is argued that these research participants' comments confirm the importance, noted in literature dealing with health education, of drawing for content on what members of an audience have to say about their own lived context. It is proposed that, despite the existence of a 'culture of silence', the women's comments demonstrate an ability to speak with confidence about their experience of living with HIV and AIDS. Thcy are able, more particularly to discuss the constraints placed by gendered power relations on women's ability to draw on the educational content of programming that targets people living with HIV and AIDS. As such, the comments that such women offer represent a valuable resource for HIV and AIDS related programming. The principal conclusion of the study is that health communication initiatives such as Speak Out and Listen would benefit from facilitating conversations with their target audience about their lived experience of HIV and AIDS, and incorporating such discussion into their programmes

This paper explores the utility of Weingarten's (2003) witness positions in the understanding of compassion fatigue in people who care for their own family members with AIDS. The research is embedded in Weingarten's theory of witnessing and narrative theory and practice. The literature review explores the shift from hospital-based care to community/home-based care which has led to family members assuming the role of caring for their family members with AIDS, an overview of the effects of caring for AIDS patients on caregivers and an overview of Weingarten's (2003) theory of witnessing with special emphasis on the witnessing positions and their consequences. Interviews, based on narrative theory and practice in which Weingarten's theory is rooted, gave access to the participants' experiences, which were then analysed and interpreted through a framework developed from the witnessing theory. This article demonstrates the utility of Weingarten's (2003) theory of witnessing to people who are caregivers to their own family members with AIDS. I argue that witness positions occupied by caregivers during witnessing determine whether the caregivers will experience compassion fatigue. The negative consequences related to compassion fatigue that will be reviewed could probably be prevented through active, intentional, compassionate witnessing.

The study aimed to explore and describe the factors influencing disclosure of Human Immunodeficiency Virus (HIV) status to sexual partners by people infected with HIV in Botswana, by undertaking an exploratory and descriptive qualitative study. Data was collected through in-depth interviews with people infected with HIV who had disclosed their HIV status to their partners. The major findings of the study confirmed disclosure as a multi-stage process. People infected with HIV experienced mainly positive and some negative outcomes following disclosure. Disclosure was associated with the discloser’s motivations, personal and cultural beliefs, risk-benefit assessment, individual circumstances (context), previous experiences, and perceived degree of control over private information. The communication privacy management (CPM) theory helped explain the findings. The key factor influencing disclosure was protecting others. Non-disclosers had also seriously considered disclosing to partners. / Health Studies / M.P.H