The use of Expressive Therapy as a tool for impaired or disabled individuals is an alternate approach to help those with psychological issues. These issues may arise from the catalyst event causing the impairment or disability, or from their preceding everyday life. The affected individual is not always able to address these issues through verbal psychotherapy, due to their new found physical state. This Expressive Therapy Centre will provide a space for individuals to express themselves through their own personal modus operandi, for later discussion through a therapist guided healing process. Expressive Therapy, such as art, dance, music, drama and writing therapy, affords another route for the individual to express their emotions and experiences. This project considers the history of Expressive Therapy, in conjunction with the existing theories and approaches within the field. This research forms a clear understanding of this type of therapy, along with the required provision for specific spatial needs related to this therapeutic process. An investigation into the theories of Steven Holl, Peter Zumthor and Juhani Pallasmaa sets up current theoretical views around the perception and experience of architecture. Theories of the psychology of space are investigated in relation to health care facilities, and the experience of impaired or disabled individuals treated within traditionally or alternatively designed spaces. The link between nature and health is established through theories and research regarding the development of design drivers. This research focuses on the perception and experience of architectural spaces for such affected individuals. Owing to this, this thesis implores for the establishment of an Expressive Therapy Centre within the Chris Hani Baragwanath Hospital Complex. This paper illustrates the manner in which such a Centre will provide treatment to patients of the Chris Hani Baragwanath Hospital, as well as the surrounding community. The aim of this thesis is to develop a therapeutic healing environment, within an already active and functioning complex.

Thesis is submitted in partial fulfilment for the degree of Master of Architecture (Professional) to the Faculty of Engineering and the Built Environment, School of Architecture and Planning at the University of the Witwatersrand, Johannesburg, 2016 / Children often find hospitalisation an intimidating experience because hospitals are not always the most child-friendly place. This research report is about understanding the way in which an environment can be created that will aid recovery of children in hospitals, in order to inform the redesign process of the pediatric facility at Chris Hani Baragwanath Hospital (CHBH). Literature on the history of hospital design, architectural and evidence based design surrounding health-care architecture, and the psychological aspects that contribute towards a healing environment, shows that important design drivers are positive distraction, personal control and social support. These devices are used in precedent studies that successfully deinstitutionalised the hospital in the eyes of a child, in order to produce comfort and less anxiety. An indepth study is conducted of CHBH, with specific emphasis on the pediatric department, compiled from literature and site research. The history and challenges of the largest hospital in Africa are explored in order to arrive at an appropriate design response, which is taken through as a design proposal for a new pediatric facility at Chris Hani Baragwanath Hospital. / GR2017

Student Number : 9402058P - M Med Research Report - School of Clinical Medicine - Faculty of Health Sciences / Objective In view of recent suggestions that HIV infection may protect against pre-eclampsia, this study was done to estimate whether untreated HIV positive pregnant women have a lower rate of preeclampsia-eclampsia than HIV negative women. Methods Subjects for this study were pregnant women from Soweto, South Africa, who gave birth from March to December 2002 at midwife-run clinics or at the Chris Hani Baragwanath Hospital, and in whom the HIV status was known. A sample size calculation indicated that 2588 subjects would be required to show statistical significance at P<0.05 with a power of 80% for a reduction in the rate of preeclampsia from 8% to 5% with HIV seropositivity, assuming an HIV seroprevalence rate of 30%. Data collection was by record review from randomly selected patient files and birth registers. Results In the total sample of 2600 women, 1797 gave birth at the hospital and 803 at the midwife-run clinics. The HIV seroprevalence rate was 27.1%. Hypertension was found in 17.3% of women, with 5.3% having preeclampsia-eclampsia. The rates of preeclampsia-eclampsia were 5.2% in HIV negative and 5.7% in HIV positive women (P=0.61). CD4 count results were available for only 13 women (0.5%). Conclusion HIV seropositivity was not associated with any reduction in the risk of developing preeclampsia-eclampsia.

This qualitative exploratory and descriptive study explored and described the experiences of HIV sero-discordant couples post diagnosis at the Perinatal HIV Research Unit in Soweto, Gauteng Province. Data was collected using in-depth interviews with each individual from seven HIV sero-discordant couples. Following thematic analysis, four themes emerged: immediate response to HIV sero-discordant results; challenges in relation to disclosure of HIV sero-status; limited information on HIV sero-discordant; and the impact of HIV sero-discordant on the couples. All these were mainly linked to poor counselling and inadequate support to HIV sero-discordant couples. The findings of this study have both clinical and policy development implications. Recommendations have been put forward for development of contextual relevant HIV Sero-discordant Couple Counselling and support guidelines focusing of enhancing knowledge and skills of health care professionals responsible for counselling and supporting HIV sero-discordant couples. / Health Studies / MA (Public Health)

This qualitative exploratory and descriptive study explored and described the experiences of HIV sero-discordant couples post diagnosis at the Perinatal HIV Research Unit in Soweto, Gauteng Province. Data was collected using in-depth interviews with each individual from seven HIV sero-discordant couples. Following thematic analysis, four themes emerged: immediate response to HIV sero-discordant results; challenges in relation to disclosure of HIV sero-status; limited information on HIV sero-discordant; and the impact of HIV sero-discordant on the couples. All these were mainly linked to poor counselling and inadequate support to HIV sero-discordant couples. The findings of this study have both clinical and policy development implications. Recommendations have been put forward for development of contextual relevant HIV Sero-discordant Couple Counselling and support guidelines focusing of enhancing knowledge and skills of health care professionals responsible for counselling and supporting HIV sero-discordant couples. / Health Studies / M. A. (Public Health)

Three years into the human territory, the fight against HIV/AIDS still prevails. According to Fuller (2008), it is estimated that by 2025, 80 million Africans will have been killed by this pandemic, while 90 million are estimated to be infected by HIV. Close to 3 thousand women are infected with HIV daily. In the beginning of 2008, some 22,5 million sub-Saharan Africans were living with HIV (Fuller 2008). In South Africa, 5 million people are estimated to be infected with HIV, 250 thousand die each year due to AIDS-related deaths, while a thousand people die daily and 17 hundred get infected daily. South African women are the hardest hit population group, compared to their male counterparts (Fuller 2008; Zuberi 2004). In South Africa this epidemic crawled under the shadow of denial, fear, ignorance, stigma and discrimination, which disrupted efforts to prevent further spread and care for the infected and the affected individuals and groups. South African women are subjected to gender inequality, sexual violence and rape, and in the presence of HIV/AIDS their plight became exacerbated. They became subjected to blame and rejection because people do not want to associate themselves with this group, who possess the deadly infectious disease which is associated with commercial sex workers, intravenous drug users and homosexuals. The aim of this research was to investigate the plight of anticipated and enacted stigma among the South African women who receive treatment as outpatients in the Chris Hani Baragwanath Hospital. The study was conducted among six women who are living with HIV/AIDS over a period of four weeks, with a qualitative research design adopted as research method. In-depth interviews were used as the primary tool for data collection. This study was conducted in order for the researcher to obtain insight into the subject of HIV- and AIDS-related stigma and to highlight the experiences of participants for policy and programme designing and development purposes.

The initial purpose of this study was to describe and analyse the language situation at Baragwanath Hospital. This was seen as a microcosm of the language situation in urban South Africa. As such, this study set out to identify problems and offer suggestions in resolving the difficulties experienced in communication in this hospital as well as in other medical institutions in the rest of the country. Before attempting such an investigation, a sound theoretical framework had to be established. In order to gain familiarity with the research field, concepts on sociolinguistics had to be researched and described. In order to apply particular concepts to the situation under investigation, the concepts had to be defined and interpreted first. This study has made a contribution to the theoretical debate regarding various sociolinguistic concepts, in that it has shown how these concepts apply to the South African situation. The next step in the research process involved making a decision about which method would be most appropriate for collecting data. Therefore, various approaches were investigated in order to find the appropriate one. The techniques of data collection and the recruitment of respondents had to be refined before the main data collection process could begin. Then began the journey of discovery. The detailed description of the language situation at Baragwanath Hospital presented in chapter 3 forms the crux of this study. This is the first time that such a comprehensive, qualitative description of the entire language situation in this hospital has been done. An appropriate method for data analysis had to be devised. This entailed various levels of analysis and interpretation. A description of the language situation at Baragwanath Hospital would have been incomplete without presenting a few of the various scenarios that took place in this hospital. Many important conclusions were reached during the course of the research. The most important of these were: 1. A huge communication problem exists at Baragwanath Hospital. 2. Either interpreters will have to be hired to overcome this problem; or nurses will have to be paid more for their interpreting services. / African Languages / D. Litt. et Phil.

Three years into the human territory, the fight against HIV/AIDS still prevails. According to Fuller (2008), it is estimated that by 2025, 80 million Africans will have been killed by this pandemic, while 90 million are estimated to be infected by HIV. Close to 3 thousand women are infected with HIV daily. In the beginning of 2008, some 22,5 million sub-Saharan Africans were living with HIV (Fuller 2008). In South Africa, 5 million people are estimated to be infected with HIV, 250 thousand die each year due to AIDS-related deaths, while a thousand people die daily and 17 hundred get infected daily. South African women are the hardest hit population group, compared to their male counterparts (Fuller 2008; Zuberi 2004). In South Africa this epidemic crawled under the shadow of denial, fear, ignorance, stigma and discrimination, which disrupted efforts to prevent further spread and care for the infected and the affected individuals and groups. South African women are subjected to gender inequality, sexual violence and rape, and in the presence of HIV/AIDS their plight became exacerbated. They became subjected to blame and rejection because people do not want to associate themselves with this group, who possess the deadly infectious disease which is associated with commercial sex workers, intravenous drug users and homosexuals. The aim of this research was to investigate the plight of anticipated and enacted stigma among the South African women who receive treatment as outpatients in the Chris Hani Baragwanath Hospital. The study was conducted among six women who are living with HIV/AIDS over a period of four weeks, with a qualitative research design adopted as research method. In-depth interviews were used as the primary tool for data collection. This study was conducted in order for the researcher to obtain insight into the subject of HIV- and AIDS-related stigma and to highlight the experiences of participants for policy and programme designing and development purposes.

The initial purpose of this study was to describe and analyse the language situation at Baragwanath Hospital. This was seen as a microcosm of the language situation in urban South Africa. As such, this study set out to identify problems and offer suggestions in resolving the difficulties experienced in communication in this hospital as well as in other medical institutions in the rest of the country. Before attempting such an investigation, a sound theoretical framework had to be established. In order to gain familiarity with the research field, concepts on sociolinguistics had to be researched and described. In order to apply particular concepts to the situation under investigation, the concepts had to be defined and interpreted first. This study has made a contribution to the theoretical debate regarding various sociolinguistic concepts, in that it has shown how these concepts apply to the South African situation. The next step in the research process involved making a decision about which method would be most appropriate for collecting data. Therefore, various approaches were investigated in order to find the appropriate one. The techniques of data collection and the recruitment of respondents had to be refined before the main data collection process could begin. Then began the journey of discovery. The detailed description of the language situation at Baragwanath Hospital presented in chapter 3 forms the crux of this study. This is the first time that such a comprehensive, qualitative description of the entire language situation in this hospital has been done. An appropriate method for data analysis had to be devised. This entailed various levels of analysis and interpretation. A description of the language situation at Baragwanath Hospital would have been incomplete without presenting a few of the various scenarios that took place in this hospital. Many important conclusions were reached during the course of the research. The most important of these were: 1. A huge communication problem exists at Baragwanath Hospital. 2. Either interpreters will have to be hired to overcome this problem; or nurses will have to be paid more for their interpreting services. / African Languages / D. Litt. et Phil.