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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
21

Inequality in the labor market : insurance, unions, and discrimination

Höglin, Erik January 2008 (has links)
Diss. Stockholm : Handelshögskolan, 2008
22

Die Lösungsrechte des Versicherers bei Verletzung der vorvertraglichen Anzeigepflicht durch den Versicherungsnehmer : unter besonderer Betrachtung der Berufsunfähigkeitsversicherung /

Uhlenbrock, Inga. January 2005 (has links) (PDF)
Univ., Diss.--Köln, 2004. / Literaturverz. S. XXV - XXXVII.
23

Influência de fatores sócio-demográficos, clínicos e institucionais na concessão de benefícios por incapacidade laborativa pelo setor de perícias médicas do INSS em Juiz de Fora – MG em requerimentos de segurados com diagnóstico de transtornos mentais

Siano, Adriana Kelmer 13 February 2009 (has links)
Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-10-11T17:35:42Z No. of bitstreams: 1 adrianakelmersiano.pdf: 763660 bytes, checksum: be1ebee210adc19bb8b3a334c4b77cb2 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-10-22T12:50:27Z (GMT) No. of bitstreams: 1 adrianakelmersiano.pdf: 763660 bytes, checksum: be1ebee210adc19bb8b3a334c4b77cb2 (MD5) / Made available in DSpace on 2016-10-22T12:50:27Z (GMT). No. of bitstreams: 1 adrianakelmersiano.pdf: 763660 bytes, checksum: be1ebee210adc19bb8b3a334c4b77cb2 (MD5) Previous issue date: 2009-02-13 / OBJETIVOS: Analisar a relevância de transtornos mentais entre os requerimentos de Auxílio-doença e a influência das alterações normativas ocorridas em agosto/2005 (Cobertura Previdenciária Estimada – COPES) e maio/2006 (Pedido de Prorrogação – PP) sobre o perfil de concessão desses benefícios; caracterizar os segurados por meio de variáveis sóciodemográficas, clínicas e previdenciárias e em função de aspectos relacionados ao espaço (local de realização da perícia), ao tempo (quatro períodos) e às categorias de peritos médicos e suas especialidades médicas; correlacionar as variáveis de desfecho (conclusão pericial e tempo de afastamento) a variáveis relativas ao espaço, período de tempo e categorias de peritos médicos e às variáveis clínicas, sócio-demográficas e previdenciárias. MÉTODO: Análise retrospectiva de perícias iniciais realizadas em Juiz de Fora (MG) entre julho/2004 e dezembro/2006 nas agências Largo do Riachuelo e São Dimas, por peritos concursados e credenciados. Com base nas mudanças normativas e no quadro de peritos, subdividiu-se o período em: 1º) julho/2004 a julho/2005, antes da COPES; 2º) agosto/2005 a novembro/2005, após a COPES, com credenciados; 3º) dezembro/2005 a abril/2006, sem credenciados; 4º) maio/2006 a dezembro/2006, após o PP. RESULTADOS: Transtornos mentais mostraram-se a terceira razão de incapacidade presumida na Gerência do INSS de Juiz de Fora. Segurados com transtornos mentais eram mais freqüentemente do sexo feminino (66,8%) e vinculados ao INSS como autônomos (41,2%) ou desempregados (30,7%); tinham, em média, 44,3 anos de idade, 14,4 anos de filiação à Previdência e 7,6 anos de contribuição. Os diagnósticos mais freqüentes foram transtornos menores do humor (39,6%) e de ansiedade (34,5%); as comorbidades mais freqüentes foram psiquiátricas (33,6%); mudanças no diagnóstico da perícia inicial, em relação ao benefício anterior, aconteceram em mais de 50% dos registros. Reduziram-se a freqüência de deferimento (de 81,9% no 1º para 49,5% no 4º período), o número médio de renovações (de 3,5 no 1º para 1,7 vezes no 4º período) e o tempo médio de afastamento (de 397,4 dias no 1º para 247,6 dias no 4º período); e aumentou a reconsideração de conclusões periciais após a COPES (de 52,0% para 75,3%), com posterior redução no 4º período (36,5%). Maior chance de deferimento associou-se a segurados com idade de até 29 anos, empregados e do sexo masculino; maior chance de afastamento prolongado associou-se a idade acima de 50 anos, sexo masculino, longa evolução do transtorno e a mais de 4 renovações do benefício; as chances de deferimento e de afastamento prolongado foram maiores entre segurados com transtornos graves e com comorbidades. Peritos psiquiatras associaram-se a menor chance de deferimento e maior chance de afastamento prolongado. CONCLUSÃO: Este estudo sugere que as alterações verificadas no perfil de concessão de Auxílio-doença devem-se mais a mudanças concretas na prática dos peritos que apenas às mudanças normativas e no Quadro de Pessoal. Evidencia que as avaliações periciais, principalmente quando realizadas por psiquiatra, mostraram-se adequadas. Destaca possíveis relações entre requerimentos de Auxílio-doença por transtornos mentais com desemprego e trabalho informal e a necessidade de ações que objetivem resgatar e valorizar a capacidade laborativa dos segurados com esses transtornos através da Reabilitação Profissional. / PURPOSES: To analyse the importance of mental disorders among the requirements of sickness benefits and the influences of the government regulations from August/2005 (Estimated Social Welfare Coverage – “COPES”) and May/2006 (Postponement Petition – “PP”) over the profile of payments of these benefits; to characterize the insured citizens through social and demographic variables, clinics and social-security profiles and in terms of aspects related to space (place of expertise examination), to time (four periods) and to the categories of experts and their medical specific knowledge; to correlate the variables of conclusion (expertise examination conclusion and time of dissociation from work) to variables related to space, period of time, categories of experts and to clinic, social, demographic and social-security profile variables. METHOD: Retrospective analysis of initial expertise examinations that have taken place in Juiz de Fora (MG, Brazil) between July/2004 and December/2006 among the agencies “Largo do Riachuelo” and “São Dimas”, by officially registered doctors. Based on changes of government regulations and in the group of skilled doctors, the period was divided into four ones: 1) July/2004 to July/2005, before “COPES”, 2) August/2005 to November/2005, after “COPES” and with registered doctors, 3) December/2005 to April/2006, with no registered doctors and 4) May/2006 to December/2006, after “PP”. RESULTS: Mental disorders were the third reason of presumed incapacity at the Executive Management of the “INSS” (Brazilian National Social Insurance Institute) in Juiz de Fora. Insured citizens with mental disorder were more frequently females (66,8%) and linked to “INSS” as insured citizens with no connections with firms (41,2%) or unemployed ones (30,7%); they were, on the average, 44,3 years old, they had 14,4 years of affiliation to the “INSS” and 7,6 years of contribution. The more frequent diagnoses from the initial expertise examinations were minor humor disorders (39,6%) and anxiety disorders (34,5%); psychiatric comorbidities were most frequent (33,6%); diagnose changes, in relation to prior examination were identified in over 50% of the registrations. The frequency of acts of granting was reduced (from 81,9% in the first, to 49,5% in the fourth period), the medium number of renovations (from 3,5% in the first, to 1,7 in the fourth one) and the medium time of dissociation from work (from 397,4 days in the first to 247,6 days in the fourth); and it has been increased the reconsideration of health condition examination conclusions after the “COPES” (from 52,0% to 75,3%), with ulterior reduction in the fourth period (36,5%). Better chances of act of granting were associated to insured citizens up to 29 years old, employed and males; better chance of extended dissociation was associated to ages over 50, males, long evolution of disorder and more than 4 renovations of benefits; the chances of acts of granting and extended dissociation were bigger among insured citizens with serious disorders and with comorbidities. Skillful and registered psychiatrists have associated themselves to lesser chance of acts of granting and bigger chance of extended dissociation. CONCLUSION: This study suggests that the transformations verified at the profile of welfare grants in due more to concrete changes in registered doctors practice than only to changes of regulations or to working staff. It makes evident that skillful appraisals, mainly when carried out by psychiatrists, have proved to be suitable. It stands out possible relations between requirements of sickness benefits because of mental disorders in the work, informal or not, and the need of actions whose purposes could be to rescue and to consider valuable the working capacity of insured citizens with these same disorders, through a Professional Rehabilitation.
24

An exploration of alternative developmental programmes for HIV positive disability grant applicants

16 July 2015 (has links)
M.A. (Social Work) / Assistance with a disability grant has made a number of positive contributions, especially to improving the life of its beneficiaries. In addition to the increasing number of job demands by a multitude of people in the country, there are also thousands of people living with HIV and AIDS who apply, especially those who have no income, for a disability grant to meet their basic needs and promote positive health. Throughout the study, it has been identified that the disability grant not only benefits individual beneficiaries in most instances, but also benefits their families and plays a major role not only in ensuring food security, but is extended in meeting other basic needs of the households. By its nature, the disability grant is not permanent social assistance as beneficiaries only qualify for a period ranging from six to 12 months. The cancellation of the grant also leaves the beneficiaries in a vulnerable condition as on cancellation, some beneficiaries are not in a position to provide for themselves financially. For the purpose of the study, purposive sampling was selected for its convenience in getting information relevant to the study. The study was guided by its goal which was to explore the need for developmental programmes for HIV positive disability grant applicants, with the purpose of improving food security and self-reliance. The objectives of the study included the interrogation of grantees on their desire, or not, to be self-reliant, to solicit their ideas for developmental programmes, to consult with social workers who are experienced in the field of Antiretroviral (ARV) intervention on alternative developmental programmes for disability grant re-applicants, and to make recommendations to social workers regarding appropriate developmental programmes for disability grant re-application. Practically, South Africa has no alternative assistance which will ensure continuous food security once the grant has lapsed. This raises a need for initiatives to address this situation as it was discovered that disability grant beneficiaries feel that they can participate in income-generating activities and thereby take more control of their lives and be economically sufficient. Other factors that were identified included a will to change and self-determination. These factors were therefore identified as better tools to be utilised and invested in to encourage them to do things for themselves, as meeting their basic needs is their individual responsibility, especially in cases where the individual‟s medical condition has improved. These interventions need to consider the socio-economic factors of the grant applicants as services provided to them should not treat other factors in isolation since the focus has been on medical aspects; hence assistance with disability grants is only provided when they cannot provide for themselves due to poor health and poor physical strength.
25

Employees' perception of employers' response after workplace injury

Unknown Date (has links)
The purpose of this study was to (a) explore the lived experiences of school district employees who have sustained on-the-job injuries with specific attention to employee perceptions of employer response after injury and (b) examine whether purposeful empathetic response from the employer after workplace injury was related to changes in employee perceptions of employer response. This study included both qualitative and quantitative methods. In Phase 1, the sample for the interviews included nine workers from a large school district in South Florida who had active injury claims within two years before the study began. The Phase 1 findings were that the level of assistance and type of support received after reporting an injury varied among participants, despite working for the same employer; that the perceived response from the employer was more influential in affecting the participants' experience of workplace injury than participants' perception of the response of their coworkers; t hat the reaction from a majority of the school district employees (6 of 9) who were injured at work mirrored perceived employer response; and that more than half of the nine participants had unmet expectations of their employer with respect to how they were treated after experiencing workplace injury. In Phase 2, the 91 subjects that participated in the organizational response survey (See Appendix E and Appendix F) were employees from the same school district who were injured during an eight-week period. Data from three subscales (organizational support, return-to-work policies, and post-injury job satisfaction) on the survey instrument were compared between two groups. / An experimental group received purposeful empathetic response from both the employer at the local school or department level as well as contact from the employer's Risk Management department. Analysis of variance was used to compare responses of the groups. A Bonferroni adjustment of .05/3 or .017 was applied: the result was non-significant. This finding suggests that purposeful, empathetic contact alone was not enough to significantly affect the participants' scores. / by Nancy S. Patrick. / Thesis (Ph.D.)--Florida Atlantic University, 2010? / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2010. Mode of access: World Wide Web.
26

Essays on Macroeconomics and Health

Laun, Tobias January 2012 (has links)
This thesis consists of four independent papers covering macroeconomic topics such as unemployment insurance, retirement, business cycles and disability insurance. The unifying theme connecting all papers is the importance of health when addressing these issues. The first paper derives the optimal insurance against unemployment and disability in a setting where individuals can determine the probability of becoming disabled by exerting prevention effort. The second paper develops a life cycle model of labor supply and retirement to study the interactions between health and the labor supply behavior of older workers, in particular disability insurance and retirement. The third paper looks at the role of health in a business cycle framework. Here, health is treated as an asset that generates time and utility. The last paper derives a theoretical model of the application decision for disability benefits and proposes an empirical strategy for measuring screening stringency in the disability insurance program. / <p>Diss. Stockholm :  Stockholm School of Economics, 2012. Introduction together with 4 papers</p>
27

Falling through the cracks : income security and the South African social security system

Bredenkamp, Caryn 03 1900 (has links)
Thesis (MA)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: This thesis focuses on the extent to which the South African social security system succeeds in providing protection in the vulnerable periods of the life-cycle and against the major contingencies of unemployment, disability and disease. Through a detailed examination of the different social insurance and assistance programmes, it isolates which particular population segments (by occupation, income quintile and race group) "fall through the cracks" in the provision of income security. It does not look only at the articulation between different social insurance and social assistance programmes, but also acknowledges how social security complements other governmental interventions, such as social services, and non-state sources of income security, such as those provided by the private insurance market and the family and community. Part One of the thesis is devoted to an examination of social insurance in South Africa, in other words, to those programmes that seek to compensate for a loss of income in the event of particular contingencies and that are funded by contributions from employers and employees. In addition, theoretical perspectives on social security, and social insurance in particular, are provided, with a discussion of the various economic arguments in favour of and against the provision of social security. Part Two of the thesis examines the range of non-contributory social assistance - cash benefits paid form general revenue - that are available to South Africans who qualify in terms of the means tests. Each chapter provides an analysis of the extent to which the social assistance programme under analysis provides a safety net for the relevant category of vulnerable people. It does this by examining the appropriateness of the programme structure, take-up rates and the fiscal sustainability of the programmes. In addition, the budgetary process by which revenue is allocated to social assistance programmes and expenditure trends are examined. The thesis concludes that although the South African social security system has achieved a fairly advanced level of development and covers a fairly wide range of risks, there are a number of constraints facing its further expansion. Social insurance schemes provide generous benefits, but their membership is restricted to the employed. Expanding coverage by social insurance would require substantial growth in remunerative employment which, given prevailing labour market conditions, seems unlikely. The provision of more generous social assistance programmes catering for a broader range of contingencies is severely curtailed by already high fiscal expenditure on welfare and macroeconomic constraints. Moreover, changing demography, household structures and dependency burdens, especially as the HIV/AIDS epidemic spreads, seem likely to increase demands on social assistance programmes. Consequently, until employment can be expanded so that more people can contribute to their own income security, the informal social security provided by the family and/or community will remain the first line of support for many. / AFRIKAANSE OPSOMMING: In hierdie tesis word gefokus op die mate waartoe die Suid-Afrikaanse bestaansbeveiligingstelsel daarin slaag om ondersteuning tydens kwesbare periodes in die lewensiklus en beskerming teen groot gebeurlikhede soos werkloosheid, ongeskiktheid of langdurige siekte te bied. Daardie bevolkingsegmente (volgens beroep, inkomstegroep of ras) wat nie volledig toegang tot inkomstesekuriteit het nie, word uitgesonder deur 'n gedetaileerde ondersoek van die verskillende maatskaplike versekerings- en bystandsprogramme. Daar word ook gekyk na die artikulasie tussen die verskillende programme sowel as na hoe ander regeringsintervensies (bv. verskaffing van maatskaplike dienste) en private bronne van inkomstesekuriteit - verskaf deur die privaat versekeringsmark, die gemeenskap en die familie - deur maatskaplike bystand aangevul word. Deel Een word gewyaan 'n ondersoek van maatskaplike versekering in Suid-Afrika - daardie programme wat vir inkomsteverlies weens spesifieke gebeurlikhede probeer kompenseer en wat tipies deur bydraes van werkgewers en werknemers befonds word. Teoretiese perspektiewe op bestaansbeveiliging in die algemeen en maatskaplike versekering in besonder word ook verskaf en argumente vir en teen die verskaffing van bestaansbeveiliging word bespreek. Deel Twee ondersoek die reeks nie-bydraende bestaansbeveiligingsprogramme wat uit algemene owerheidsinkomste befonds word, asook bestedingstendense in maatskaplike bystand. Die tesis kom tot die gevolgtrekking dat, alhoewel Suid-Afrikaanse bestaansbeveiliging 'n redelik gevorderde vlak van ontwikkeling bereik het en 'n wye reeks risiko's dek, daar 'n aantal beperkinge op verdere uitbreiding is. Maatskaplike versekeringskemas bied uitgebreide voordele, maar lidmaatskap is tot indiensgeneemdes beperk. Uitbreiding van dekking vereis beduidende groei in formele indiensneming, wat onwaarskynlik lyk, gegewe huidige arbeidsmarktendense. Die verskaffing van gunstiger maatskaplike bystandsprogramme gemik op meer gebeurlikhede word ernstig deur reeds hoë fiskale uitgawes op welsyn en deur makroekonomiese oorweginge beperk. Verder sal veranderende demografiese strukture, huishoudingstrukture en afhanklikheidslaste, veral teen die agtergrond van die toename in HIVNIGS, aansprake op maatskaplike bystandsprogramme vergroot. Gevolglik sal die informele inkomstesekuriteit gebied deur die familie en/of gemeenskap die eerste of enigste ondersteuning vir groot dele van die bevolking bly, totdat indiensneming genoeg uitgebrei kan word sodat meer mense tot hul eie inkomstesekuriteit kan bydra.
28

Insurances against job loss and disability : Private and public interventions and their effects on job search and labor supply

Andersson, Josefine January 2017 (has links)
Essay I: Employment Security Agreements, which are elements of Swedish collective agreements, offer a unique opportunity to study very early job search counselling of displaced workers. These agreements provide individual job search assistance to workers who are dismissed due to redundancy, often as early as during the period of notice. Compared to traditional labor market policies, the assistance provided is earlier and more responsive to the needs of the individual worker. In this study, I investigate the effects of the individual counseling and job search assistance provided through the Employment Security Agreement for Swedish blue-collar workers on job finding and subsequent job quality. The empirical strategy is based on the rules of eligibility in a regression discontinuity framework. I estimate the effect for workers with short tenure, who are dismissed through mass-layoffs. My results do not suggest that the program has an effect on the probability of becoming unemployed, the duration of unemployment, or income. However, the results indicate that the program has a positive effect on the duration of the next job. Essay II: The well-known positive relationship between the unemployment benefit level and unemployment duration can be separated into two potential sources; a moral hazard effect, and a liquidity effect pertaining to the increased ability to smooth consumption. The latter is a socially optimal response due to credit and insurance market failures. These two effects are difficult to separate empirically, but the social optimality of an unemployment insurance policy can be evaluated by studying the effect of a non-distortionary lump-sum severance grant on unemployment durations. In this study, I evaluate the effects on unemployment duration and subsequent job quality of a lump-sum severance grant provided to displaced workers, by means of a Swedish collective agreement. I use a regression discontinuity design, based on the strict age requirement to be eligible for the grant. I find that the lump-sum grant has a positive effect on the probability of becoming unemployed and the length of the completed unemployment duration, but no effect on subsequent job quality. My analysis also indicates that spousal income is important for the consumption smoothing abilities of displaced workers, and that the grant may have a greater effect in times of more favorable labor market conditions. Essay III: Evidence from around the world suggest that individuals who are awarded disability benefits in some cases still have residual working capacity, while disability insurance systems typically involve strong disincentives for benefit recipients to work. Some countries have introduced policies to incentivize disability insurance recipients to use their residual working capacities on the labor market. One such policy is the continuous deduction program in Sweden, introduced in 2009. In this study, I investigate whether the financial incentives provided by this program induce disability insurance recipients to increase their labor supply or education level. Retroactively determined eligibility to the program with respect to time of benefit award provides a setting resembling a natural experiment, which could be used to estimate the effects of the program using a regression discontinuity design. However, a simultaneous regime change of disability insurance eligibility causes covariate differences between treated and controls, which I adjust for using a matching strategy. My results suggest that the financial incentives provided by the program have not had any effect on labor supply or educational attainment.
29

Entraves institucionais para concessão de auxilio doença acidentario da previdencia social no municipio de Indaiatuba / The institucional hindrances in the path to obtain the concession of the Brazilian National Social Security's accident-compensation, in the Municipality of Indaiatuba

Alves, Lucia Helena Neves 14 July 2007 (has links)
Orientador: Sergio Roberto de Lucca / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-07T16:48:57Z (GMT). No. of bitstreams: 1 Alves_LuciaHelenaNeves_M.pdf: 1047857 bytes, checksum: b7e66e5a6d52cf2b14c0db2abeefad18 (MD5) Previous issue date: 2006 / Resumo: A Lei 8213/91, artigo 20 define a doença do trabalho como a doença adquirida ou desencadeada em função de condições especiais em que o trabalho é realizado e que com ele se relacione diretamente. Confirmado o nexo causal com o trabalho, o beneficiário (segurado da Previdência Social) recebe o benefício por incapacidade laborativa, denominado auxílio-doença acidentário. Entretanto, o nexo técnico que estabelece a relação de causalidade entre a doença e o trabalho é de competência legal da perícia médica do INSS. Para que o segurado tenha o reconhecimento do nexo causal, garantindo-lhe alguns direitos, é necessário requerer administrativamente a alteração no tipo de benefício (auxílio-doença previdenciário para auxílio-doença acidentário). Este estudo tem por objetivo identificar os entraves institucionais para concessão do auxílio-doença na Previdência Social. O estudo foi realizado na Agência da Previdência Social na cidade de Indaiatuba. É um estudo descritivo, com uma população de 148 casos atendidos para esse fim, no período de 1995 a 2004, em listagem feita em 08/11/2004. A fonte de dados empregada na pesquisa foi extraída das Comunicações de Acidente de Trabalho (CATs) constantes nos processos de transformação de auxílio doença previdenciário para auxílio-doença acidentário e, posteriormente, de entrevistas com os segurados, funcionários e representantes sindicais de cinco entidades com sede na cidade. O estudo concluiu que a maior freqüência nesses processos se deu entre os operadores de máquinas, com idade média de 37 anos e com doenças osteomusculares. A proporção entre os sexos, todavia, mostrou-se homogênea. Em relação às dificuldades para caracterização de nexo causal entre o trabalho e a doença, foram apontadas pelos servidores problemas de ordem técnica e político-administrativo. Os representantes sindicais e os segurados apontaram que a maior dificuldade foi a avaliação e conclusão médico-pericial para estes casos, ocorrendo inclusive pareceres antagônicos entre a assistência médica do SUS ou de convênios e a perícia médica / Abstract: Law nº 8213/91, in article 20, defines occupational disease as the disease acquired or unleashed by the special conditions in which work is done and has a direct relation to it. Once the causal relationship is confirmed, the worker receives compensation from the Brazilian National Social Security System for working disability, which is called accident-compensation. The technical nexus that establishes work-relatedness for compensation lies in the legal sphere of the expert medical board of the National Insurance and Social Security Institute 1(INSS). In order to obtain the recognition of the causal relationship, which assures some rights to the insured worker, it is necessary to file a claim at the INSS to change the type of compensation (from social security illness-compensation to accident-compensation). The aim of this study is to identify the institutional hindrances (medicolegal roadblocks) in the path to obtain the concession of illness compensation from the Social Security System. The investigation was carried out at the Social Security Agency in the town of Indaiatuba, state of São Paulo, Brazil. It is a descriptive study with 148 cases analyzed for this purpose in the period between 1995 and 2004, in a listing dated November 8th, 2004. The source of data used in this study was derived from CATs2 pertaining to claims filed to change benefits from illness-compensation to accident-compensation and subsequent interviews with the claimants, with employees at the Social Security Agency and union representatives of five entities with headquarters in town. The study reached the conclusion that machine operators, mean age 37, with musculoskeletal disorders, were the most frequent claimants. The proportion between genders, however, was homogeneous. Establishing the relation between work and illnesses was difficult due to technical and policy-administrative problems, as pointed out by the employees at the Agency. Union representatives and claimants referred that the greatest difficulty lied in the evaluations and conclusions of the expert medical board at the INSS for these claims.There were even opposing reports between clinicians working for SUS(the public medical care system)or for private health-insurers and the medical experts at the INSS / Mestrado / Epidemiologia / Mestre em Saude Coletiva
30

The challenges experienced by the people living with HIV on the termination of temporary disability grant in a semi-urban area in Gauteng

Moetseloa, Mpolokeng Cecilia 02 1900 (has links)
Text in English / The South African government provides people living with HIV Temporary Disability Grants to assist them with money when they cannot work due to being disabled by HIV. The toll of the disease has contributed to the inability to be employed among black South Africans. The aim of this exploratory qualitative study was to investigate the challenges experienced by people living with HIV when their Temporary Disability Grants are terminated in the semi-urban area of Gauteng. The temporary disability grant is terminated after six months of receiving it. In-depth interviews were conducted with people who live with HIV who are members of Ekupholeni Mental Health and Trauma Centre support group. Thematic analysis was used to analyse data. The findings of the study revealed that the termination of Temporary Disability Grant affects the running of the households of people living with HIV, causes poor management of the disease, non-adherence to treatment which leads to viral rebound, poor nutrition as a result of poor finances. The findings of this study are significant for the policy review on how long a person should receive the disability grant and the criteria used to apply for a disability grant, and to encourage the people living with HIV to start their own gardening programmes for food supply. Moreover, to encourage the introduction of a Chronic Disease Grant (CDG) for people who live with HIV. / OKUFINYEZIWE Uhulumeni waseNingizimu Afrika uhlinzeka abantu abaphila ne-HIV Izibonelelo Zesikhashana Zabaphila Nokukhubazeka, ama-Temporary Disability Grants, ukubasiza ngemali ngesikhathi bengakwazi ukuthi bayosebenza ngesizathu sokukhubazeka ngenxa ye-HIV. Ubunzima balesi sifo sebubenomthelela wokuthi kube nokungaqasheki kwabantu abamnyama baseNingizimu Afrika. Injongo yalolu cwaningo oluchaza kabanzi kwakuwukuphenya ngezinselelo ezibhekana nabantu abaphila ne-HIV uma Izibonelelo Zesikhashana Zabaphila Nokukhubazeka zinqanyulwa endaweni yasemalokishini aseGauteng. Isibonelelo sesikhashana sabaphila nokukhubazeka sinqanyulwa emva kokutholakala kwaso izinyanga eziyisithupha. Ukuxoxisana okunzulu kwenziwa nabantu abaphila ne-HIV abangamalungu esikhungo Sezempilo Yangokomqondo, Ekupholeni nabayiqembu lokusekelana Lesikhungo Sokuphazamiseka Emqondweni. Ukuhlaziywa kwale ndikimba kwenziwa ukucwaninga imininingwane eyayiqoqiwe. Okwatholwa yisifundo kwaveza ukuthi ukunqanyulwa Kwesibonelelo Sesikhashana Sabaphila Nokukhubazeka kuthikameza ukuqhubeka ngendlela efanele kwamakhaya abantu abaphila ne-HIV, kubangele ukungalawuleki kahle kwesifo, ukungabambeleli ekuphuzweni kwemithi okubangela ukuthi igciwane lihlasele kabusha, ukungadli ngokufanele ngenxa yokuswela imali. Okutholakala kulolu cwaningo kusemqoka ekubuyekezweni kwenqubomgomo yokuthi kumele umuntu anikezwe isibonelelo sokuphila nokukhubazeka isikhathi esingakanani kanye nemigomo esetshenziswayo ukufaka isicelo semali yesibonelelo sokuphila nokukhubazeka, kanye nokukhuthaza abantu abaphila ne-HIV ukuthi baqale izinhlelo zabo zezingadi ukuze bathole ukudla. Ngaphezu kwalokho, ukukhuthaza ukuqala ukusebenzisa Isibonelelo Sezifo Ezingelapheki, i-Chronic Disease Grant (i-CDG) sabantu abaphila ne-HIV. / KGUTSUFATSO Mmuso wa Afrika Borwa o fana ka Dithuso tsa Nakwana ho batho tshwerweng ke HIV le ba Koafetseng ho ba thusa ka tjhelete nakong eo ba sa sebetseng ka lebaka la ho tshwarwa ke HIV le ho koafala. Sekgahla sa kokwana se bakile bothata ba ho hloka mesebetsi ka hara batho ba batsho ka hara Afrika Borwa. Maikemisetso a dipatlisiso tsena ke ho hlahloba diphephetso tseo batho ba phelang ka HIV ba kopanang le tsona nakong eo Dithuso tsa Nakwana tsa ho Kowafala di felang dibakeng tsa seka-ditoropo Gauteng. Dithuso tsa Nakwana tsa ho kowafala di fihla pheletsong ka moea dikgwedi tse tsheletseng ka mora ho di fumantshwa. Di-inthavu tse tebileng di ile tsa tshwarwa le batho ba phelang ka HIV bao e leng ditho tsa sehlopha se tshehetsang sa Ekupholeni Mental Health and Trauma Centre. Manollo ya mookotaba o ile wa sebediswa bakeng sa ho sekaseka lesedi. Tse fumanweng ka hara dipatlisiso tsena di hlahisa hore ho fela ha Dithuso tsa Nakwana tsa Ditjhelete di ama tsamaisong ya malapa a batho ba phelang ka HIV, di baka taolo e fokolang ya bohloko, ho se ikamahanye le phekolo ho etsang hore bohloko bo kgutle hape, phepo e sa lokang e bakwang ke tjhelete e nyane. Tse fumanwanwang ka hara dipatlisiso tsena ke tsa bohlokwa bakeng sa hore maano a shejwe hape mabapi le hore e k aba nako e kae moo mokudi a lokelang ho fumantshwa thuso, mmoho le tsela e sebediswang ho etsa kopo ya dithuso tsa bokowa, le ho kgothalletsa batho ba phelang ka HIV hore ba iqalle manane a temo bakeng sa phepelo ya dijo. Ho feta moo, ho kgothaletsa ho hlahiswa ha Dithuso tsa Mahloko a sa foleng (Chronic Desease Grant) bakeng sa batho ba phelang ka HIV. MANTSWE A SEHLOOHO Bokowa, dithuso tsa bokowa, baamohedi ba dithuso tsa bokowa, batho ba phelang ka HIV le AIDS, ho fela ha dithuso tsa bokowa le phekolo ka dipidisi tsa anthiritrovaerale. / Sociology / M.A. (Sociology (Social Behaviour Studies in HIV and AIDS))

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