HIV/AIDS has emerged as the leading cause of death in South Africa, with young people being the most affected. Awareness of HIV/AIDS is quite high, yet prevalence rates have not stabilised and are still climbing. Lack of sexual behavioural change among young people is a major factor which explains why prevalence rates are still on the increase among this population. Sexual behaviour change is influenced by perceptions and attitudes, most notably perceived susceptibility. Information on the psychological factors that affect perceived susceptibility can provide an important base for the development of programmes aimed at reducing further transmission among young people. A survey, using a self-administered, anonymous questionnaire with close-ended questions to collect data, was conducted among Grade 11 learners (n = 318) in Rini, Grahamstown, South Africa. One of the constructs (namely Perceived Susceptibility) in the Health Belief Model informed the data collection. The data generated were first analysed descriptively, providing percentages for responses. Secondly cross-tabulations were calculated. The results showed that knowledge about HIV/AIDS is sufficient, young people receive accurate and non-conflictual messages about sex and HIV/AIDS, they are not discriminatory towards People Living With HIV/AIDS, they have adequate access to healthcare and their perceived susceptibility to HIV/AIDS is high. All these are factors which are favourable and conducive for positive sexual behavioural change. However, the study also found that there was little behaviour change among young people especially regarding regular condom use and decreased sexual activity.

AIDS is a serious South African health problem, with HIV infection in KwaZulu-Natal being at the local epidemic's forefront. Adolescents in this province are at additional risk because of their lifestyles. Information on existing risky behaviour and its psychosocial concomitants can provide an important base for educational interventions aimed at reducing further transmission. This study aims to provide baseline information on knowledge, attitudes and reported behaviour, relating to HIV/AIDS, among adolescents in KwaZulu-Natal. A survey, using an anonymous, self-administered questionnaire with closed-ended questions to collect data, was conducted among standard eight Zulu-speaking students (N = 1511) in five parts of the province. The theoretical framework that informed data collection was drawn from the Health Belief Model and Bandura's Social Cognitive Theory. The data generated were first analysed descriptively, providing percentages for responses to individual items. Secondly, cross-tabulations were calculated for relevant items using three independent biographical variables, namely: Locality (rural/peri-urban), gender and students' reports of sexual activity. The results showed inadequate knowledge concerning HIV/AIDS to provide a foundation for developing healthier attitudes. Although most students acknowledged the disease's severity, few reported feeling personally susceptible, denying the immediacy of the threat. Additionally, cues to action and the perceived benefits of adopting preventive behaviours were not influential. Barriers preventing condom use were not primarily logistical, with personal concerns being the main barriers to change. Furthermore, perceived self-efficacy in preventive behaviours was low. Recommendations regarding areas for future research, as well as considerations which will enhance the effectiveness of risk reducing interventions among similar populations, are provided.

M.A. / AIDS, the acquired immunodeficiency syndrome, has become a serious public health concern in most cities in countries worldwide. Since the discovery of AIDS there have been impressive advances in the understanding of the AIDS virus, its routes of transmission and its methods of prevention. But even these hard-won-discoveries have not yet led to a drug that can cure this deadly disease or to a vaccine that can prevent it. In the light of this it would appear that a different approach to the management of AIDS is currently of utmost necessity. AIDS can be prevented by empowering individuals with the knowledge of AIDS transmission and prevention, thereby eliminating their ignorance and increasing their understanding, empathy and compassion for those currently involved in dealing with this struggle. The implications of AIDS and the HI-virus (human immunodeficiency virus) range far beyond the AIDS/HIV patients themselves. The affects of HIV and AIDS are felt by family members, partners and friends whose relationships are placed under immense strain, co-workers who are confronted with their own fear and compassion and by those at high risk for the disorder who are continually faced with ridicule and discrimination. This study focused specifically on the workforce of South Africa whose economic productivity is essential for South Africa's continual development and existence. In the absence of a fully developed and integrated social infrastructure, South Africa is reliant on its workforce for its monetary contribution in support of the unemployed, underprivileged, disabled and desolate of this country. The aim of this study was to obtain a better level of understanding of the workforce's knowledge regarding HIV and AIDS, to become aware of misunderstandings and myths which could hamper prevention and to review current methods of public education in order to enhance future methods of knowledge empowerment. A healthy workforce can constitute a strong support network, and thereby not place further strain on an already overwhelmed economy and government.

Doctorat en sciences sociales, politiques et économiques / info:eu-repo/semantics/nonPublished

The issues of capacity and capacity development in the response to HIV and AIDS is a topic of intense academic interest and is on the agenda of development practitioners, particularly as these issues are linked to community HIV and AIDS competence and sustainability of civil society organisations and community capacity. The capacity development model of the Southern African AIDS Trust is one of the more illuminating examples of capacity development of civil society organisations for the enhancement of community HIV and AIDS competence in southern Africa. The thesis examines the conceptualisation and implementation of the Southern African AIDS Trust's capacity development model in order to identify and understand the multi-dimensional factors that influence the success and sustainability of HIV and AIDS responses. It argues that, even though the conceptualisation, formulation and implementation of the model were appropriate and yielded acceptable benefits to communities in relation to HIV and AIDS, the sustainability of the model depended fundamentally on the availability of requisite resources. The dependence on external resources, the availability of which is in large part beyond the control of the Southern African AIDS Trust and its community-based beneficiaries, undercuts the sustainability of the model and the programmes delivered through it. Community capacities and community-based HIV and AIDS responses are sustainable only to the extent that communities have sufficient resources to build capacities and develop responses, or can leverage and negotiate external inputs. The degeneration of capacity in intermediary organisations (such as Southern African AIDS Trust) that support community competence undermines models that at first sight seem suitable for effective capacity enhancement with regard to HIV and AIDS programmes. In this regard, the thesis also focuses on the organisational crisis within Southern African AIDS Trust and the ramifications this had for community HIV and AIDS competence.

The problem this research seeks to address concerns related to the role allocated and strategies implemented by HIV and AIDS education NGOs, in mitigating the impact of HIV and AIDS in Nelson Mandela Bay. The problem is approached as a development challenge and examples are drawn from the undertakings of South African Partners (SAP), an NGO operating in the education field. The study adopted qualitative research, relative unstructured interviews, direct observation and literature review as methods of data collection. The study further identified specific roles that education NGOs play in response to HIV/AIDS and delineated the strategies that HIV and AIDS education NGOs employ in responding to HIV/AIDS. The research found that HIV/AIDS education NGOs have become important channels through which people affected and living with HIV/AIDS participate in development, share their experience and access information and resources. Further noted was that HIV/AIDS results in a diminished workforce and a higher allocation of state funds to public healthcare. The research findings showed that an education NGO in a prison context serves to mobilise the prison community and sensitise it to HIV and AIDS issues. This, through its addressing of the needs and causes of HIV infections in prison. SAP aid recipients were found to be satisfied for the most part, with the service rendered them by the education NGO. The study found that HIV prevention educational sessions were quite effective in disseminating HIV and AIDS basic information and that SAP achieves their goals through their training of facilitators who employ the STEPS curriculum. The trained facilitators facilitate group discussions, distribute condoms and lubricants through partnerships, and solicit behavioural change through the use of theatre to disseminate HIV prevention information. Key recommendations of the study are that HIV and AIDS education NGOs must integrate poverty reduction interventions in their activities and that further, they would do better to form coalitions in order to strengthen their capacity to sustain their activities and manage partnerships. Education NGOs should form partnerships that provide social protection. Ruther recommended is that education NGOs should further their curriculum in consideration for sexual preferences.

The aim of this research was to provide a preliminary investigation of how the HIV and AIDS epidemic will impact on management of municipalities, specifically George Municipality. Municipalities provide a large proportion of essential basic services and also represent one of the primary opportunities for public participation and decision-making at a community level. This paper takes George Municipality in the Western Cape as a case study of the current and potential impact of HIV and AIDS on public demand for services and on the municipality's capacity to govern and provide services. It also reviews the responses of the municipality to HIV and AIDS.The research was conducted using a questionnaire which was distributed to municipal officials in the different departments but also included a review of relevant literature and analysis of quantitative data. The study focused on a single case: An investigation into the impact of HIV and AIDS on municipal management of George Municipality. The study identified strategies utilised by the municipality to reduce the impact of HIV and AIDS. The study drew on people's experiences, perceptions and interpretations of the impact of HIV and AIDS on municipal management, responses and any other related factors that may have impeded the realisation of the reduction of the impact of HIV and AIDS on municipal management in the George Municipality.Fifty questionnaires were distributed, 40 copies by hand delivery and ten copies via e-mail to employees ranging from general worker to senior management. Employees participated in the study through interviews and answering of the questionnaires. An internet search was also conducted using Wed Crawler and by visiting the official website of the George Municipality for all policies, minutes, reports and all other relevant documents regarding HIV and AIDS. The researcher also drew on personal observations because she has been in George for almost six years and is also employed by George Municipality. Participants who were selected by the researcher for interviews purposes were five councillors and five ward committee members because councillors are decision makers in the municipality. The rest were given questionnaires to complete. Data was analysed by using interpretation analysis, namely codes to explain data collected. Results were presented in the form of tables and conclusions warranted by the data are presented. Statistical analysis was done to check correlation between the different aspects in the questionnaire. According to the research findings it can be confirmed that more of the budget needs to be allocated for employment of suitably qualified persons like occupational nurses, who will drive HIV and AIDS education and awareness campaigns. HIV and AIDS mainstreaming should be regarded as a priority in order make people aware about the realities of HIV and AIDS in communities. Leadership and management buy-in should be obtained to win the fight against the epidemic. A comprehensive strategy should be compiled and implemented to reduce the spread and stigma of HIV and AIDS. Proper planning should be done for compiling the strategy. This strategy should specify the budget for HIV and AIDS and how HIV and AIDS is going to be integrated into an IDP. Prevention and management strategies used by the organisation should be explained.

The effects of gender and age on the behavioral risk of HIV/AIDS are not clearly understood as previous distinct studies which have been carried out, have given disputable and contradictory outcomes. This study therefore, discusses the statistical methods which can be used to model the influence of age and gender on the behavioral risk factors of HIV/AIDS. In general, generalized linear models are the main methods which can be applied to depict the impact of age and gender on the behavioral risk of becoming infected with HIV/AIDS virus. In this study, the main methods used were logistic regression, log-linear regression and multiple regressions. Behavioral risk was taken as the dependent variable while age, gender, number of sexual partners, religious beliefs and alcohol and drug abuse were fitted as predictor variables. The three statistical methods gave significant results for gender and insignificant results for age. Furthermore, comparisons were made on the three regression methods and the logistic regression gave the best results. It was therefore concluded that gender plays a significant role on the behavioral risk of HIV/AIDS. The results of the study showed that gender of the student and number of sexual partners had a significant effect on the risk behavior of the university students. In future, it may be very important to find out why age is not a significant factor on risk behavior of HIV/AIDS among university students.

M.A. / Virtually unheard of two decades ago, AIDS is, at the turn of the century, one of the best known and most talked about disease on the globe. A decade ago, HIV was regarded primarily as a serious health crisis. What had first appeared to be a disease confined to certain well-defined populations such as gay men and haemophiliacs became a disease that threatened everyone, everywhere. AIDS has become a fullblown threat to development and its social and economic consequences are felt widely not only in the workplace but also in the human resource field and the economy in general. The HIV epidemic is the most important challenge facing South Africa since the birth of democracy. The implications of HIV in the workplace are scary. Even though HIV affects all of us, it has become a workplace issue that must be addressed simply because work is one of the most important dimensions in the life of the individual. The workplace can be a scene of prejudice, discrimination, rejection and harassment, for people affected by HIV, and those feelings are fuelled by ignorance and fear of infection. HIV-positive employees suffer high levels of depression, anxiety, fear and a great degree of uncertainty associated with the diagnosis. Instead of rejecting, stigmatising and isolating positive employees, a collective commitment is needed by the workplace to treat positive employees with dignity and respect. Because the workplace is such an important element in the individual's life, it has been demonstrated to be life lengthening and fulfilling for employees to remain in familiar, supportive and productive surroundings even after being diagnosed HIV-positive (Masi, 1993). The researcher examined how HIV affects employee functioning in the work environment. A qualitative research design is followed using a framework based on Straus and Corbin (1990). Purposive, non-probability sampling is used. Data is captured by using an unstructured, open-ended interview schedule. In this study data analysis is completed manually. Literature is reviewed to validate the findings and lastly conclusions and recommendations are presented.

The study aimed to develop an in-depth understanding of the challenges faced by social workers rendering Occupational Social Work (OSW) services, particularly in establishing and maintaining workplace support groups for employees living with HIV and AIDS. The study used a qualitative research approach, aided by exploratory, descriptive and contextual research design. Data was collected from eight participants with semi-structured interviews and was analyzed by applying eight steps for data analysis as proposed by Tesch, cited in Creswell (2003:191). Data verification was done by applying Guba’s model (in Krefting, 1991). The themes, which emerged from the interviews, were: the recruitment of members in workplace support groups and the challenges faced by social workers rendering OSW services. The findings indicate that, critical as their roles may be, social workers experience numerous challenges when providing workplace HIV and AIDS support groups. These include HIV and AIDS disclosure, management, organisational and logistical challenges / Social Work / M.A. (Social Science)