The sharp increase in the number of older persons (60 years and older) is a distinctive demographic feature of the 20th century. Ageing populations and the unique challenges they pose have obliged countries worldwide to reflect on the problems relating to older persons. In 2002 the United Nations convened the Second World Assembly on Ageing at which the Madrid International Plan of Action on Ageing (MIPAA) was drafted and adopted. This plan sought to meet the challenges associated with ageing populations. In South Africa the elderly population is also increasing dramatically. The fact that older persons are starting to constitute a proportionally larger segment of the total population while they are, at the same time, amongst the poorest people in the country and dependent on others for support and care holds serious implications for South Africa. In post–apartheid South Africa (after 1994) residential care facilities were opened to all South Africans regardless of race or colour. Apart from dealing with diversity, residential care facilities have to manage the long–term care needs of older persons and their lack of the financial or human resources to sustain themselves. Against this background the South African government promulgated legislation in line with the recommendations of the MIPAA. The legislation seeks to lighten the burden placed on residential care facilities while, at the same time, emphasising the importance of enhancing the well–being of older persons. Despite the legislation and the policy frameworks, the circumstances in most residential care facilities in South Africa are challenging and call for action and psychosocial interventions. Given that racial segregation still exists in residential care facilities and the importance of the relational well–being of older persons, it was decided to explore the sense of community of older persons in South Africa who reside in a diverse and economically challenged residential care facility. A purposive sample was drawn of the male and female, and black and white older persons living in the facility. The study used the Mmogo–methodTM, interviews, focus groups, observations and reflective notes to collect qualitative data from the research participants. A possible limitation of the study is that some participants – being older persons – might experience some degree of being cognitively challenged or might struggle to express themselves. To counter this limitation and to ensure the trustworthiness of the findings, a variety of data collection methods were used in order to be able to cross–check the information gathered. Apart from this, specific data collection methods were used that make provision for cognitively challenged older persons. As the study involved older persons as a vulnerable group, special attention was paid to ethical considerations. Ethical approval was granted by the Ethics Committee of the North–West University, Potchefstroom Campus, as part of a larger project, being: “An exploration of enabling contexts (05K14).” The main finding of the study is the low sense of community that the older persons in this particular residential care facility experience. This is supplemented by two themes that emerged throughout the study, being the lack of social interaction between the residents and the residents' need to have a sense of purpose. The occurrence of these two themes is supported by findings in community psychology and sense of community theories, and some of the findings of the study are consistent with findings reported in the literature. The study concludes with recommendations on how the residents' sense of community could be enhanced. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2012.

The sharp increase in the number of older persons (60 years and older) is a distinctive demographic feature of the 20th century. Ageing populations and the unique challenges they pose have obliged countries worldwide to reflect on the problems relating to older persons. In 2002 the United Nations convened the Second World Assembly on Ageing at which the Madrid International Plan of Action on Ageing (MIPAA) was drafted and adopted. This plan sought to meet the challenges associated with ageing populations. In South Africa the elderly population is also increasing dramatically. The fact that older persons are starting to constitute a proportionally larger segment of the total population while they are, at the same time, amongst the poorest people in the country and dependent on others for support and care holds serious implications for South Africa. In post–apartheid South Africa (after 1994) residential care facilities were opened to all South Africans regardless of race or colour. Apart from dealing with diversity, residential care facilities have to manage the long–term care needs of older persons and their lack of the financial or human resources to sustain themselves. Against this background the South African government promulgated legislation in line with the recommendations of the MIPAA. The legislation seeks to lighten the burden placed on residential care facilities while, at the same time, emphasising the importance of enhancing the well–being of older persons. Despite the legislation and the policy frameworks, the circumstances in most residential care facilities in South Africa are challenging and call for action and psychosocial interventions. Given that racial segregation still exists in residential care facilities and the importance of the relational well–being of older persons, it was decided to explore the sense of community of older persons in South Africa who reside in a diverse and economically challenged residential care facility. A purposive sample was drawn of the male and female, and black and white older persons living in the facility. The study used the Mmogo–methodTM, interviews, focus groups, observations and reflective notes to collect qualitative data from the research participants. A possible limitation of the study is that some participants – being older persons – might experience some degree of being cognitively challenged or might struggle to express themselves. To counter this limitation and to ensure the trustworthiness of the findings, a variety of data collection methods were used in order to be able to cross–check the information gathered. Apart from this, specific data collection methods were used that make provision for cognitively challenged older persons. As the study involved older persons as a vulnerable group, special attention was paid to ethical considerations. Ethical approval was granted by the Ethics Committee of the North–West University, Potchefstroom Campus, as part of a larger project, being: “An exploration of enabling contexts (05K14).” The main finding of the study is the low sense of community that the older persons in this particular residential care facility experience. This is supplemented by two themes that emerged throughout the study, being the lack of social interaction between the residents and the residents' need to have a sense of purpose. The occurrence of these two themes is supported by findings in community psychology and sense of community theories, and some of the findings of the study are consistent with findings reported in the literature. The study concludes with recommendations on how the residents' sense of community could be enhanced. / Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2012.

Les médecins généralistes libéraux sont inégalement répartis en France depuis longtemps. Ces inégalités se renforcent au détriment d’espaces moins attractifs. Des zones avec des difficultés d’accès aux soins, urbaines et rurales, apparaissent ou s’étendent. Depuis 2008, les pouvoirs publics accompagnent financièrement les maisons de santé pluriprofessionnelles en espérant qu’elles attirent et maintiennent des médecins dans ces espaces.Cette recherche étudie dans quelle mesure l’espace et le territoire participent à l’implantation de MSP, et en retour quels sont les effets de ces structures sur les espaces et territoires concernés. L’implantation des MSP et leurs effets seront étudiées à différentes échelles géographiques à partir d’approches quantitative et qualitative. Au plan quantitatif, l’analyse spatiale des MSP utilise plusieurs outils (typologies et SIG). Ceci est complété par plusieurs terrains dans lesquels il s’agit d’étudier la place des MSP dans des régions et territoires donnés, en recueillant les témoignages des principaux acteurs concernés. Les effets des MSP sur l’offre de soins sont étudiés sur le territoire métropolitain selon une approche nationale comparant l’évolution de la densité de généralistes libéraux dans des espaces avec MSP comparativement à des espaces « similaires » sans MSP. La conduite de terrains dans deux régions vient compléter et discuter les résultats.Mots clés : espace défavorisé, espace fragile, espace rural, évaluation de politiques publiques, géographie de la santé, maisons de santé pluriprofessionnelles (MSP), soins de premiers recours, médecins généralistes libéraux. / France faces an old and persistent problem, which is geographical imbalance of general practitioners. This uneven distribution grows at a steady pace due to less attractive areas. New urban and rural areas are emerging with limited access to primary health care, while existing ones grow even bigger. Since 2008, the liberal primary care team (PCT) are financially supported by the public authorities. They hope this structure will attract and retain general practitioner in the aforementioned areas.This study aims to explore how the space and the territory contribute to the localisation of PCT and how these structures affect spaces and territories. Localisation and impact of PCT are studied at different level, using quantitative and qualitative approaches. Spatial analysis of PCT is based on several tools such as SIG and typology in synergy with field investigation in two French regions. Effects of PCT on general practitioner density are studied on a national scale comparing the evolution of this density in space with PCT and similar space without PCT. The results are completed with field investigation.

Begreppet slutna utrymmen definieras som ett utrymme utan tillräcklig ventilation, som ej är utformat för kontinuerlig vistelse. Regelverk och flertalet rekommendationer gällande kraven på atmosfäriska mätningar har framtagits för att begränsa riskerna med att gå in i slutna utrymmen men ändå fortsätter olyckor att inträffa, olyckor där just atmosfären är den avgörande faktorn. Den här studien har med hjälp av analysmodellen Human Factors Analysis and Classification System – Maritime Accidents (HFACS-MA) kvalitativt analyserat 14 haverirapporter där personer har omkommit eller blivit svårt skadade på grund av syrebrist eller exponering för toxiska gaser i slutna utrymmen ombord på fartyg och sedan sammanställt resultaten för att få en bild över de främst bidragande anledningarna till olyckorna. Undersökningen har även analyserat räddningsaktionernas kvalitet på olika fartygstyper baserat på resultat från HFACS-MA analyserna och utlåtanden från haveriutredare och har även undersökt vilka förbättringar som kan göras för att räddningsaktioner i slutna utrymmen ska fungera så effektivt som möjligt. Studien fann att de främsta anledningarna till olyckor i slutna utrymmen, där just atmosfären är den avgörande faktorn, är bristande översyn från arbetsledare följt av överträdelser från den enskilde personen och problem med organisationen ombord. Resultaten pekar även på att tankfartyg har bättre räddningsorganisationer är torrlastfartyg, vilket genom jämförelse med andra studier kan härledas till att tankrederier fokuserar mer på säkerhetsledning än torrlastbranschen. Gällande förbättring av räddningsaktioner så har studien kommit fram till att besättningar borde öva mer i slutna utrymmen för att få bättre rutin på räddningsaktionerna så att dessa utförs med kunskap och träning istället för känslor och instinkt. / The term ”Enclosed space” is defined as a space with limited or no ventilation and which is not designed for continuous occupancy. Rules and several recommendations concerning the requirements for atmospheric measurements have been drafted to limit the risks involving enclosed spaces but still, accidents keep occurring, accidents where the atmosphere is the cardinal factor. This study has, with the aid of the analysis module Human Factors Analysis and Classification System – Maritime Accidents (HFACS-MA), qualitatively analyzed 14 accident reports where persons have perished or been severely injured due to lack of oxygen or exposure to toxic gases in enclosed spaces aboard ships. The results have then been compiled to get a broad picture of the most contributing causes for the accidents. The study has also analyzed the rescue operation’s quality on different types of vessels based on the HFACS-MA results and statements from the investigators and the study have also looked at what improvements can be made to ensure that rescue operations in enclosed spaces will work as effectively as possible. The study found that the most contributing causes for accidents in enclosed spaces, where the atmosphere was the cardinal factor, is the lack of supervision from supervisors followed by violations by individuals and organizational issues. The results suggest that tanker vessels have a better rescue organization compared to dry cargo vessels, which by comparison with earlier studies can be explained by the higher focus on safety management by tanker companies compared to dry cargo companies. When it comes to improving rescue operations, this study has concluded that crews should practice more in enclosed spaces in order to get a better routine so that the rescue operations are made based on knowledge and training instead of emotions and instinct.

Summaries in Afrikaans and English / Die Bruinvrou in die onderwys het 'n besondere rol om te vertolk veral in die !ewe van die volwassewordende kind asook in die hele skoolopset. Die doel van hierdie ondersoek was om hierdie rol te bepaal. Tersaaklike gegewens is verkry deur middel van Iiteratuurstudie, die outobiografiese teks, onderhoude asook vraelyste. Deur die inligting bekom, is vasgestel dat die omstandighede waaronder 'n groot gedcelte van die Bruinonderwyseresse werk, nie altyd gunstig is nie. Baie Bruinlccrclcrs woon in sosio-ekonomiese agtergeblewe gebiede waar misdaad en bendebcdrywighedc aan die orde van die dag is. Waardestelsels, leefstyl van die subkultuur, onvoldoende materiele versorging en gebrekkige opvoeding veroorsaak steuringe in die leerders se ingesteldheid teenoor die skool. Haar vrouwees laat die onderwyseres baie empatie toon in haar opvoedingskommunikasie met die leerder. Sy poog om toereikend na sy behoeftes om te sicn. As medcganger help sy die leerder om elke mylpaal wat hy bereik, te beskou as die begin van 'n ander. Deur haar meelewendheid word veral die milieugestremde Bruinkind se menswaardigheid erken. Baie bruinleerders het aangedui dat onderwyseresse rolmodelle vir hulle is. Sommige onderwyseresse word verplig om jarelank dieselfde graad te onderrig. Aangesien hulle so 'n betekenisvolle rol in die volwassewording van die kind speel, is dit nodig dat hulle ervaring opdoen van die verskillende grade in die skool. Die vrou is baie veelsydig en het moontlikhede wat tocreikcnd aangewend kan word in al die fasette van die skoolopset. Sy kan '11 baie belangrike bydrae lewer in die organisasie en administrasie van die skool as sy die geleentheid gebied word. Haar ingesteldheid op die menslike en die belangrikheid van gesonde verhoudinge asook haar hoe pligsbesef dui daarop dat die onderwyseres by magte is om 'n uitstekende onderwysleier te wees. Nieteenstaande die feit dat onderwyseresse volgens statistieke oorverteenwoordig is in die onderwys, is hulle onderverteenwoordig in bestuursposte. Alhoewel die Grondwet van die Republiek van Suid Afrika 1996, gebaseer is op die beginsels van gelykheid en menswaardigheid, is seksisme en diskriminasie op grond van geslag nog steeds ernstige struikelblokke vir die onderwyseres op haar weg na beter vooruitsigte in die onderwys. Aanbevelings vir praktykverbetering asook verdere navorsing is gemaak. / The Coloured woman in education has a particular role to play, especially in the life of the child growing towards adulthood as well as in the school in general. The aim of this investigation is to determine that role. Relevant information had been obtained by means of literary sources, autobiographical texts, interviews and questionnaires. Having obtained this information, it was established that the circumstances in which a large proportion of Coloured female educators work, are not always favourable. Many coloured learners live in socio-economic disadvantaged areas where crime and gangsterism prevail. Value systems, lifestyles of the subculture, inadequate material care and a serious lack of education are causing disruptions of learners' inclination towards the school. Being a woman enables the female educator to show considerable empathy in her pedagogic communication with the learners. She endeavours to sufficiently provide in their needs. As pedagogic accompanist she assists the learner to see every milestone that he/she achieves as the basis for another. Her involvement brings about an acknowledgement of the human dignity of the milieu-deprived Coloured child. Many coloured learners have indicated that their female educators are their role models. Some female educators are compelled to teach the same grade for years. Their significant role merits experience of teaching the various grades at school. Women are very versatile and have potential which can be utilized adequately in all the facets of the school situation. They can make very important contributions towards the organisation and administration of the school as a whole, given the opportunity. Their focus on human nature and the importance of sound relationships as well as their high sense of duty are indicative of the ability female educators have to become excellent leaders in education. They are nevertheless under-represented in educational management positions. Although the Constitution of the Republic of South Africa, 1996, is based on the principles of equality and human dignity, sexism is still a stumbling block in the path of female educators. Recommendations for an improvement m educational practice as well as further research were made. / Educational Studies / D. Ed. (Filosofie van die Opvoeding)

Text in Afrikaans, abstract in Afrikaans and English / Wanneer psigometriese toetsing op groepe uit verskillende sosio-ekonomiese agtergronde toegepas word, presteer individue uit agtergeblewe omgewings swakker as bulle ewekniee uit meer ontwikkelde omgewings. Hierdie individue se toegang tot hoofstroom loopbaangeleenthede word dikwels bemoeilik as gevolg van die beperking. Die leerpotensiaal benadering word aangebied as belowende alternatief om die probleem, wat 'n sosio-ekonomiese oorsprong het, te oorbrug. Die resultate van die studie bewys die stelling gedeeltelik waar, maar met buitengewone inspanning. In die finale ontleding van die resultate is dit duidelik dat die verbeterde voorspelling eerder toegeskryf kan word aan die optimale vlak van ontwikkeling wat die individu bereik net voor die toetsing, en nie soseer sy/haar leerpotensiaal nie. / Applying psychometric tests to groups from different socio-economical backgrounds, inevitably result in the individuals from deprived backgrounds performing noteably poorer than their counterparts from more developed backgrounds. These individuals also find enterance to the mainstream careers difficult because of this restriction. The learning potential approach to assessment is presented as a promising alternative to overcome the problem that is related to the socio-economic background of the individual. The results of this study partly confirm the value of the learning potential approach, but only with extra-ordinary effort. In the final analysis of the results it is clear that the improved predictive accuracy was rather due to the optimal level of development the individuals reached just before the testing, and not so much their learning potential. / Psychology / M. Sc. (Sielkunde)

Brain tumors are the second leading cause of cancer deaths in young adults ages 20- 39. (Armstrong et al., 2004) According to the South African Medical Research Council, there was an estimate 801 deaths because of brain cancer in South Africa in 2000. If these statistics are compared to other types of cancers like breast-, lung- and prostate cancers, is the prevalence of the diagnoses of brain tumors, a very small percentage. According to the Mayo clinic in South Africa, the estimate number of brain tumor incidences was 3% in 2007. Despite of these statistics with regards Brain tumors, one in six South African men and one in seven South African women will be diagnosed with cancer during their life times. Despite this small percentage, the diagnoses of brain tumors have escalated the last few years. The reason for these new statistics is still unknown. With exercise that is becoming one of the most important adjuvant therapies for most diseases or illnesses, we may sustain this idea of using exercise intervention as an adjuvant therapy for brain tumor cancers we can prove this through many researches that has been done in the last few years. (Schwartz, 2003) Studies done by different researchers they found that exercise intervention is becoming increasingly recognized as a safe, feasible and beneficial supportive therapy for cancer patients both during and after the cessation of adjuvant therapy. (Jones et al., 2006) Exercise influences a lot of different systems in the body, to the advantage of the cancer patient (Schwartz, 2003) and emerging new research shows that physical exercise may boost brain function, which include improve mood. (Kong, 1999) Exercise, according to Cotman and Berchtold (2002) is commonly believed to be a behavioral strategy to relieve stress, and reduce depression and anxiety in humans. Exercise intervention further influence following aspects of the human body, namely brain deprived neurotrophic factor (BDNF) and 5-HT (Serotonin). Improvement of these could, in fact, lead to a better quality of life (QoL) of a brain tumor patient (Cotman&Berchtold, 2002). Fatigue that sets in, due to the different cancer therapies, is also a factor that has an affect on depression and anxiety of the patient. Keeping still and rest to prevent fatigue were followed in previous regiment when working with cancer patients was followed. This approach, in fact, has a very negative effect on the patient. Being diagnosed with a brain tumor the patient will never be emotionally prepared for this type of information and it usually shatters their sense of well being and their personal security. All of these factors, especially depression, affect the patient’s QoL. (Vaynman et al., 2004) An exercise regiment for brain tumor patients has not yet been developed properly, because exercise intervention for familiar cancers could be problematic and not suitable for brain tumor patients. (Schwartz, 2003) Therefore, the purpose of this study is to further the knowledge and the field of expertise of exercise as an adjuvant therapy in brain tumor patients to better QoL over a larger period of time. AFRIKAANS : Die tweede grootste leier in siektes tussen die ouderdomme van 20-39 jaar wat lewens eis is Brein gewasse (brein kanker). (Armstrong et al., 2004) Volgens die Suid- Afrikaanse Mediese Navorsingraad, is daar tot 801 gevalle van breingewas sterftes in die jaar 2000 aangemeld. As hierdie statistieke vergelyk word met statistieke van kanker wat meer prominent voorkom soos byvoorbeeld bors-, long-, en protaatkanker, lyk die voorkoms van breinkanker diagnosis maar na ‘n baie klein persentasie. Die Mayo Kliniek in Suid-Afrika het in 2007 bevind dat die voorkoms van breinkanker in Suid-Afrika ‘n persentasie van 3% uitgemaak het. Ten spyte van hierdie statistieke betreffende breingewasse, sal een uit elke ses mans en een uit elke sewe vroue, gediagnoseer word met een of ander kanker gedurende hulle leeftyd. Alhoewel die persentasie wat reeds genoem is maar na ‘n klein hoeveelheid lyk, het die voorkoms van breingewasse baie toegeneem in die laaste paar jaar en selfs maande. Die rede vir hierdie aansienlike toename is steeds onbekend. Oefening word al hoe belangriker en word al hoe meer deur verskeie dokters voorgeskryf om te dien as ‘n bykomende behandeling vir verskeie siekte toestande. Dit word veral ook vir kanker pasiënte voorgeskryf. Oefen intervensie kan dus gebruik word vir breinkanker pasiënte, hierdie stelling gestaaf kan word, aangesien daar verskeie navorsings reeds bewys het dat oefening as bykomende terapie gebruik is vir kanker pasiënte. (Schwartz, 2003) Hierdie studies het bevind dat oefening as ‘n veilige, uitvoerbare en voordelige bykomende intervensie vir kanker pasiënte erken word. Hierdie intervensie kan tydens en na hoof kanker behandeling gebruik word (Jones et al., 2006). Oefening beinvloed verskeie sisteme in die liggaam, tot voordeel van die kanker pasiënt. (Schwartz, 2003) Nuwe navorsing het ook aan die lig laat kom dat fisieke aktiwiteit ‘n persoon se breinfunksie bevorder, wat onder andere ‘n baie groot invloed het om die pasiënt se gemoedstoestand. (Kong, 1999) Volgens, Cotman and Berchtold (2002), is daarvolgens studies bewys dat oefenterapie ‘n manier is om stres te verlig, sowel as depressie en angstigheid in meeste mense. Oefenterapie beinvloed ook die volgende aspekte positief in die menslike liggaam naamlik, Brein ontnemende neurtrofiese-faktor (BDNF) en 5-HT (Serotonien). Verbetering van hierdie faktore, kan ly tot ‘n beter kwaliteit van lewe van ‘n pasiënt wat met ‘n breingewas gediagnoseer is (Cotman&Berchtold, 2002). Uitputting (moegheid) wat gewoonlik intree as gevolg van kanker terapie, is ook ‘n faktor wat ‘n effek het op die depressie- en angsvlakke van ‘n pasiënt. In vroeë behandelingsprotokol van kankerpasiënte, moes die pasiënt so stil as moontlik verkeer om sodoende uitputting of moegheid te voorkom. Hierdie benadering het in die uiteinde ‘n baie negatiewe effek op die pasiënte tot gevolg gehad. ‘n Persoon wat met ‘n breingewas gediagnoseer word sal nooit emosioneel voorbereid wees op hierdie diagnose nie en sodoende kan dit lei tot ‘n ineenstorting van die persoon se geestestoestand en persoonlike sekuriteit. Hierdie “ineenstorting” kan ‘n groot invloed hê op die kwaliteit van lewe van hierdie pasiënt (Vaynman et al., 2004). ‘n Oefenintervensie protokol vir breinkanker pasiënte is nog nie voldoende vasgestel nie, aangesien oefenterapie intervensies wat vir bekende kankers problematies en selfs gevaarlik kan wees vir breingewas pasiënte nie. (Schwartz, 2003) Daarom is die doel van die studie, om inligting te verkry en kennis in te samel om die veld van deskundiges uit te brei om sodoende ‘n oefenterapie protokol neer te lê vir breinkanker pasiënte. Hierdie protokol sal dus dien as ‘n bevordering van kwaliteit van lewe van hierdie pasiente deur middel van oefen intervensie as bykomende behandeling. Copyright / Dissertation (MA)--University of Pretoria, 2012. / Biokinetics, Sport and Leisure Sciences / unrestricted

Den här uppsatsen har för avsikt att undersöka vad invånares samhällsengagemang i ett ”särskilt utsatt område” i form av trygghetsvandringar och samrådsmöten kan säga om integration. Genom etnografiskt fältarbete och deltagande observation ämnar studien fånga deltagarnas perspektiv på sitt engagemang, undersöka vad engagemanget har för inverkan på lokalsamhället och invånarnas känsla av trygghet, samt vad samhällsdeltagandet och dess inverkan kan säga om integration. Det empiriska materialet analyseras och diskuteras utifrån relevanta teorier om gemenskap, sociala gränser, trygghet samt social respektive strukturell integration. Invånarnas verksamhet och engagemang syftar till att öka tryggheten i stadsdelen, och skapar parallellt ett forum för språkövande och personliga möten över sociala och etniska gränser. Relationsskapandet bland invånare i stadsdelen tycks i sig indirekt leda till ökad trygghet, samt en känsla av gemenskap. Strukturella faktorer på makronivå uppenbarar sig emellertid som barriärer för invånarnas deltagande och delaktighet i en övergripande samhällelig och nationell gemenskap. / The aim of this thesis is to examine what residents’ community participation by way of local night patrol for social reassurance and community meetings in a “deprived neighborhood” has to say about integration. Through ethnographic field study and participant observation the study aims to capture the participants’ perspective of the participation, examine what impact the engagement has on the local community as well as what the affects and participation has to say about integration. The empirical material is analyzed and discussed from the basis of relevant theories of community, social boundaries, social reassurance as well as structural respectively social integration. The engagement of the residents aims to increase the feeling of social security and reassurance in the local community, and parallelly it creates forum for language practice and social encounters that goes beyond social and ethnic boundaries. The increasement of personal relationships seems to indirectly lead to a higher level of social reassurance as well as a feeling of solidarity in the community. Structural factors on a macro level, however, seems to work as barriers for the residents’ participation and involvement in a general societal and national fellowship and community. / الهدف من هذا الأنشاء هو الوصول لكيفية تأثير اهتمام المواطنين لحالة المجتمع في " الضاحيه الخاضعة للأستضعاف الخاص عن طريق التجول لتأمين الأمان ولقائات التشاورية على موظوع الاندماج العرقي   عن طريق استخدام التكنيك للادراسات العليا التي يتم عن طريق الحضور في المكان المناسب للمشاركه الشخصيه والأنتباه المباشر على طريقة اشتراك واهتمام المواطنين لفهم جدية اهتمامهم وتأثير هذا الاهتمام لحصول المواطنين على المزيد بلاحساس بلأمان وكيف يؤدي هذا لفهم حالة الاندماج العرقي                                                                                                                                 المواد التي تحصل عن طريق التجربة تدرس وتناقش عن طريق نضريات وثيقة الصل .التحديات الأجتماعيه،الأمان والاندماج العرقي الاجتماعي التركيبي بموضوع المشاركه هدف اهتمام وعمل المواطنين هو توفير الأمان الأكثر في ضواحي المدينه وإيجاد امكان الغه ولقائات                                                           .اجتماعيه خارجه عن المعدوديات العرقي     بناء العلاقات مابين المواطنين في الضواحي تؤدي بطريقه غير مباشرة على مزيد من الأمان .وإحساس المشاركه العوامل الأنشائيه الغير قادرة للتغير تظهر وتؤدي الى ايجاد حواجز أمام حضور ومساهمة .المواطنين للمشاركة الوطنية

Focusing on the rights of children who are deprived of their family environment and remain in child-headed households in the context of the HIV epidemic in Africa cannot be more relevant at present as the continent faces a significant increase in the number of children who are left to fend for themselves due to the impact of the epidemic. The impact of the epidemic is so severe that it is likened to an armed conflict. In sub-Saharan Africa, an estimated 22.4 million people are living with HIV, and in 2008 alone, 2 million people died of AIDS-related illnesses. Such massive loss of human lives is itself a tragedy. However, the repercussions of the epidemic suffered by children may be less visible, yet are just as far-reaching, and in all likelihood longer lasting in their effects. Initially, it appeared that children were only marginally affected by the epidemic. Unfortunately, it is now clear that children are at the heart of the epidemic. In sub-Saharan Africa, an estimated 14 million children lost their parents to AIDS-related illnesses and an unimaginable number of children consequently find themselves in deepened poverty. Traditionally, children who are deprived of their family environment in Africa have been cared for by extended families. However, the HIV epidemic has dramatically affected the demography of many African societies. As the epidemic continues to deplete resources of the affected families and communities, extended families and communities find it more and more difficult to provide adequate care to the increasing number of children who are deprived of parental care. As a result, more and more children are taking care of themselves in child-headed households. The foremost responsibility of states with regards to children who are deprived of parental care is to support families and communities so that they are able to provide adequate care to children in need of care, thereby preventing children from being deprived of their family environment. While strengthening families and communities, as required by articles 20 of the Convention of the Rights of the Child and 25 of the African Charter on the Rights and Welfare of the Child, as well as other international guidelines such as the 2009 UN Guidelines for the Alternative Care of Children, states also have the responsibility to provide ‘special protection and assistance’ to children who are already deprived of their family environment and are living in child-headed households. The important question is how to interpret the right to alternative care, and special protection and assistance, with respect to children in child-headed households. The study examines the international standards and norms regarding children who are deprived of their family environment including children in child-headed households and explores the ways those children are supported and protected in South Africa, against the background of related developments in a number of different African countries, including Namibia, Southern Sudan and Uganda. In 2002, the South African Law Reform Commission made the important recommendation that child-headed households should be legally recognised. The Children’s Amendment Act (No 41 of 2007), which amended the comprehensive Children’s Act (No 38 of 2005) gave effect to this recommendation by legally recognising child-headed households under prescribed conditions. It is a bold step to strengthen the protection and assistance given to children in child-headed households. However, child-headed households should not be legally recognised unless all the necessary protection and assistance measures are effectively put in place. In order to design and implement the measures of protection and assistance to children in child-headed households, a holistic children’s rights-based approach should be a guiding light. A rights-based approach, which articulates justiciable rights, establishes a link between the entitlement of children as rights-holders and legal obligations of states as duty-bearers. States have the primary responsibility to provide appropriate protection and assistance to children who are deprived of their family environment. This is a legal obligation of states, not a charitable action. A rights-based approach is further important in that it ensures that both the process of mitigation strategies and the outcome of such efforts are firmly based on human rights standards. The study argues that legal recognition should be given to child-headed household only after a careful evaluation based on the international standards with regard to children deprived of their family environment. It further argues that measures of ‘special protection and assistance’ should be devised and implemented using a rights-based approach respecting, among others, children’s rights to non-discrimination, to participation and to have their best interests given a priority. / Thesis (LLD)--University of Pretoria, 2009. / Centre for Human Rights / unrestricted

Introducción: Existe mayor prevalencia de Infecciones de Transmisión Sexual (ITS) y de Virus de Inmunodeficiencia Humana (VIH) en las personas privadas de la libertad (PPL) debido a las condiciones de encarcelamiento y las conductas de riesgo de los presos. En el Perú, existe poca información relacionada a los factores asociados a adquirir ITS en establecimientos penitenciarios (EP). El objetivo del estudio es evaluar dichos factores. Métodos: Estudio transversal analítico basado en el Censo Nacional Penitenciario 2016 en Perú. La variable dependiente fue autorreporte de ITS diagnosticado por personal de salud luego de ingresar al EP. Las variables de exposición fueron características sociodemográficas, y autorreporte de HIV, depresión, ansiedad, y adicción. Se usó la regresión de Poisson en forma multinivel usando los EP como primer nivel para obtener razones de prevalencia (RP) crudas y ajustadas con intervalos de confianza al 95%. El análisis se estratificó según el sexo. Resultados: 75207 PPL fueron incluidos. La prevalencia de ITS adquirida en EPs fue 0,22% para hombres y 0,63% para mujeres. En el análisis multivariado para varones, se encontró asociación con cada año adicional de edad (RP 1,03; 1,01-1,05), ser homo/bisexual (RP 2,69; 1,00–7,22), encarcelamiento previo (RP 2,15; 1,50-3,08), ansiedad (RP 4,25; 2,13-8,48) y VIH (RP 54,13; 28,26-103,58). La educación superior (RP 0,13; 0,03-0,51) se asoció a menor prevalencia. En mujeres hubo asociación con depresión (RP 5,27; 2,36-11,76) y VIH (RP 5,00; 1,33-18,76) mientras que tener educación superior (RP 0,15; 0,02-0,92) y ser soltera (RP 0,37; 0,14-0,96) resultaron reducir la prevalencia. Conclusión: Se encontró una prevalencia de ITS menor a la reportada en otros países. Tanto en hombres como en mujeres, ITS se asoció al autorreporte de ansiedad/depresión y VIH, mientras que el mayor nivel educativo se asoció a menor prevalencia. Mayor edad, ser homo/bisexual y encarcelamiento previo aumentaron la prevalencia de ITS solo en hombres. / Background: There is a higher prevalence of Sexually Transmitted Infections (STIs) and Human Immunodeficiency Virus (HIV) in people deprived of liberty (PDL) due to incarceration conditions and risk behaviors among inmates. There is little information in Peru related to the main factors associated with acquiring STIs in correctional facilities (CF). The main objective of the study is to evaluate these factors. Methods: Analytical cross-sectional study based on a secondary analysis of the 2016 National Penitentiary Census in Peru. The dependent variable was self-report of STIs diagnosed by healthcare personnel after entering the CF. Exposure variables were sociodemographic characteristics and self-report of HIV, depression, anxiety, and addiction. Multilevel Poisson regression, placing the EPs in the first level, was used to obtain crude and adjusted prevalence ratios (PR) with 95% confidence intervals (95%CI). The analysis was stratified for men and women. Results: 75207 PPL were included. The prevalence of acquired STIs in CFs was 0.22% for males and 0,63% foe females. In the multivariate analysis for men, there was association with older age (PR 1.03; 1.01-1.06), being homo/bisexual (PR 3,15; 1,08–9,20), prior incarceration (PR 2,05; 1,46-2,89), anxiety self-report (PR 3,30; 1,24-8,74) and HIV (PR 43,6; 19,8-95,9). Higher education (PR 0,14; 0,03-0,59) was associated with less prevalence. Among women, there was association with depression (PR 5,79; 2,28-14,7) and HIV diagnosis (PR 5,06; 1,21-21,1); while higher education (RP 0,15; 0,02-0,92) and being single (RP 0,37; 0,14-0,96) were associated with less prevalence. Conclusions: The prevalence of STIs was lower than reported in other countries. In both men and women, STIs were strongly associated with self-report of anxiety/depression and HIV, while higher education was associated with lower prevalence. Older age, being homo/bisexual, and previous incarceration increased the prevalence of STIs only among men. / Tesis