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An Investigation of the Socio-Cultural Influence towards risky Sexual Behaviour among Adolescents in eSikhaleni High SchoolNkuna, Zweli Selby 18 August 2017 (has links)
MA (Sociology) / Department of Sociology / This study aims to investigate the socio-cultural influence towards the risky sexual
behaviour of adolescents in eSikhaleni, in context of the prevalence of HIV/AIDS
epidemic. The study will adapt a qualitative approach. It is an explanatory study goes
beyond simple description to model empirically the phenomenon under study. The
participants were drawn from two categories. The participants for the key informant
interviews were selected purposively and they include community leaders, high
schools principals and life orientation teachers. The adolescent’s learners were
selected using a snowball sampling technique. Data was analysed thematically,
matrices were created using to content thematic analysis. The responses were
grouped thematically. Broad categories were then generated to differentiate and
explain the thoughts expressed by the respondents. Invitations to participate on the
study were sent to respondents by submitting informed consent electronically and in
person. When participants completed the structured interview they were not required
to reveal their personal or contact details. The findings of the study reveals that risky
sexual behavior amongst adolescents learners is as a result of a number of factors
which include the diminishing role of parenting, death of morality in society, poverty
and deprivation just to name a few. The recommendations advanced speak to the
need for government to have a multipronged strategy of resolving the problem.
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Knowledge, attitudes and behaviour towards HIV/AIDS among youth in Namakgale Township in Mopani District, Limpopo Province, South AfricaNetshivhuyu, Gudani 18 September 2017 (has links)
MPH / Department of Public Health / Background: Young people in sub-Saharan Africa are most-at risk of HIV infection. This elevated
risk in the young black population may be explained by the lack of HIV/AIDS-related knowledge,
attitudes towards the epidemic and risky sexual behaviours.
Purpose: The aim of the study was to assess the level of knowledge, attitude and behaviour among
youth towards HIV infection and to explore the possible aetiological factors associated with the
youth’s vulnerability to HIV infection.
Methods and materials: This survey adopted a descriptive, cross-sectional design and a
quantitative approach.The survey population comprised of all youth aged 15-24 years visiting two
Namakgale clinics. An expected sample of (n=152) youths was recruited through convenience
sampling. Pretesting of the questionnaire was conducted on 15 youths at Mashishimale Clinic.
Data was collected using self-completed questionnaire. The data was captured using Microsoft
Excel and then analyzed using the Statistical Package for Social Sciences, version 22.
Results: Knowledge on HIV: The majority (77%) of the respondents could distinguish HIV and
AIDS and had knowledge that HIV could cause AIDS. The majority of respondents (80%) had
knowledge of how HIV was transmitted. The majority of the respondents, (84.9%) knew that
HIV/AIDS could not be cured. However, misconceptions about HIV transmission still exist for
example, 13.2 % of youth stated that mosquito bites could transmit HIV and whilst 22.4% believed
that witchcraft could cause HIV. The main source of HIV information was television (89%).
Attitudes towards PLHIV: About 82.9% disagreed that all PLHIV should live away from
Namakgale while 72. 4% stated that if their relative had HIV they would care for them. Overall,
Namakgale youth held positive attitudes towards PLHIV.
Risky sexual behaviours: About 61.8% of females, compared to their male counterparts (38.2%)
ever had sex. 61.8% of females compared to 50.0% of males have had sex before their 15th
birthday. 36.5% have had 3-5 lifetime sexual partners in comparison to 29.6% of their female
counterparts. 44.2% of males did not use condoms at last sex compared to their female
counterparts (33.3%).
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Recommendations: There is an urgent need for intensifying awareness campaigns on HIV and
AIDS as well as school-based interventions for youths who still harbour myths and misconceptions
about HIV transmission. Policy makers and the media should focus more on late adolescents (15-
19 years) risky sexual practices such as intergeneration sex (age group between sexual partners is
10 years or more), transactional sex etc.
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The Psycho-social Experiences of Children Living with Vertically Transmitted HIV/AIDS at Messina Hospital, South AfricaRamarumo, Takalani 21 September 2018 (has links)
MA (Psychology) / Department of Psychology / The aim of the study was to explore the psycho-social experiences of children living with
vertically transmitted HIV/AIDS in Messina Hospital, South Africa. The study utilised the
qualitative approach, in particular the exploratory research design. The population of the
study comprised both male and female children between the ages of 12-17 years, who are
receiving care and support at Fountain of Hope Clinic in Messina Hospital. Non-probability
sampling, in particular its sub-type, purposive sampling, was used to select the children who
participated in the study. Eleven participants (11) were interviewed, and the sample size of
the study was guided by data saturation during data collection. Semi-structured, open-ended
face to face interviews were used to collect data. In order to analyse data, the researcher
adopted thematic content analysis, following Tech’s eight steps of qualitative data analysis.
Three main themes emerged from the raw data, namely living with HIV/AIDS infection;
challenges of living with HIV/AIDS infection; and coping with HIV/AIDS. Sub-themes
emerged from the main themes. Ethical considerations were observed and trustworthiness
was ensured in the study. The study results were analysed and recommendations based on the
results were formulated to enhance the experiences of children living with vertically
transmitted HIV/AIDS. / NRF
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Burden of infection and genetic characterization of human herpes virus type 8 in HIV infected individuals in Northern South AfricaEtta, Elizabeth Mashu 16 May 2019 (has links)
Department of Microbiology / PhD (Microbiology) / Human herpes virus type 8 (HHV-8), also known as Kaposi’s sarcoma associated
herpes virus (KSHV), is the etiologic agent of Kaposi’s sarcoma (KS), and AIDS
related Kaposi’s sarcoma (AIDS-KS). HHV-8 which is a member of the Herpesviridae
family, exhibits extensive genetic diversity globally. In endemic regions, infection with
HHV-8 occurs very early on in life, which is an indication of both environmental and
vertical routes of transmission. The advent of HIV leads to the classification of an
AIDS-KS defining condition in HIV infections. This suggests that in regions where HIV
and HHV-8 are endemic, KS may become common in a mature HIV epidemic. Just
like the prevalence of HIV in Northern South Africa is generally high as in most regions
of the country, as the HIV epidemic matures in South Africa, it is important to
understand the burden and distribution of HHV-8 infection, and the likely genotypes
infecting the population. The main objective of the thesis was to establish the
epidemiology and infecting genotypes of HHV-8 in Northern South Africa (Limpopo
Province), where no data exists.
First, a systematic review of the literature was carried out for the entire African
continent to determine the seroprevalence and genotype distribution of HHV-8 in all
African countries (n=53). In this review, Sudan and South Sudan were considered as
one country. Articles were searched using the PRISMA guideline and exported using
an article grid. More than two-thirds (64%) of the studies reported on seroprevalence,
29.3% on genotypes; and 9.5% were on both seroprevalence and genotypes. About
45% (24/53) of the African countries had data on HHV-8 seroprevalence exclusively,
and more than half (53%) had data on either seroprevalence or genotypes. Almost
half (47%) of the countries had no data on HHV-8 infection. There was high
heterogeneity in the types of tests and interpretation algorithms used in determining
HHV-8 seropositivity across the different studies.
Generally, seroprevalence ranged from 2.0% in a group of young children in Eritrea to
100% in a small group of individuals with KS in the Central Africa Republic and a larger
group of KS in individuals in Morocco. Approximately, 16% of all the studies reported
on children. The difference in seroprevalence across the African region was not
significant (95% CI, X2 =0.86; p =0.35), although specifically, a relatively significant
ETTA MASHU ELIZABETH, PHD IN MICROBIOLOGY|UNIVERSITY OF VENDA, 2019|VIII
level of infection was observed in HIV-infected children. About 38% of the countries
had data on K1 genotypes A, A5, B, C, F and Z which occurred at frequencies of 5.3%,
26.3%, 42.1%, 18.4%, 5.3% and 2.6% respectively. Twenty-three percent of the
countries had data for K15 genotypes, whereas genotypes P, M and N occurred at
frequencies of 52.2%, 39.1% and 8.7% respectively. Data on HHV-8 inter-genotype
recombinant is scanty. Our finding suggests that HHV-8 is endemic on the entire
African continent, and in HIV endemic regions, but there is need for a harmonized
testing protocol for better understanding of HHV-8 seropositivity. HHV-8 genotype A5
and B for K1 gene and genotype P and M for K15 gene are the most predominant
genotypes in Africa. The review, for the first time, has provided information on HHV-8
burden on the entire African continent, and suggests that vaccine development efforts
for Africa should focus on genotypes B and P.
The second component of the investigation focused on the burden of HHV-8 in an HIV
population in Northern South Africa (Limpopo Province). Plasma from 3501 HIV
infected individuals from 5 districts in Limpopo Province were assessed for antibodies
to both the lytic antigen (ORFK8.1) and the latent antigen (ORF73). The distribution of
infection was analyzed based on demographic, socioeconomic, and immunological
parameters. Statistical inferences for significant differences were determined by Chisquare
at a confidence interval of 95%. P-values less than 0.05 were considered
significant. About 19.0% of the study population was positive for antibodies to either
the lytic or latent antigens or both. Prevalence of antibodies to the lytic antigen was
significantly higher than prevalence of antibodies to the latent antigen (17.3% vs 4.1%;
p=0.0001). Significant differences were observed for age groups, racial population
groups, districts and year of sample collection (p=<0.0001, p=<0.0001, p=<0.0001 and
p=0.0385) respectively. Associations were found between both antigens in
comparison to the different variables such as age group, racial population groups and
districts (R2 value ranging between 0.886 and 1.0). The burden of HHV-8 has now
been established for the first time in Northern South Africa.
The third aspect of the investigation was a meta-analysis of HHV-8 seroprevalence in
Southern Africa in order to understand the impact of geographical location (urban vs
rural) on infection. The analysis revealed a significant association between urban
settings and HHV-8 infection (p=0.0001).
ETTA MASHU ELIZABETH, PHD IN MICROBIOLOGY|UNIVERSITY OF VENDA, 2019|IX
The fourth component of the thesis examined the detection of HHV-8 antigen through
polymerase chain reaction (PCR) in 534 participants in HIV infected and HIV noninfected
populations. A selection of mouthwash DNA samples were subjected to Next
Generation Sequencing (NGS) for subsequent genotype inference. Mouth wash
samples were obtained from each consenting individual before eating or smoking, and
their DNA was purified. A 233bp fragment of the ORF26 gene of HHV-8 was amplified
by PCR. HHV-8 was detected in 150 of the 534 participants (28.1%). A significant
difference in detection was observed for gender, HIV status, district and the level of
education (p=0,0003; p=0.0094; p=0.0002 and p=0.0095) respectively. Consensus
sequences were derived from NGS reads for 13 samples. The genotyping results
revealed that genotype Q, B, E and N are the genotypes predominant in the study
population. As such no mixed infections were detected.
Therefore, from the investigations foregoing have demonstrated for the first time the
following: (1) HHV-8 is endemic in the entire African continent, which suggest a coendemicity
in regions already endemic for HIV; (2) HHV-8 is endemic in Northern
South Africa; (3) Urban settings in Southern Africa are associated with high HHV-8
infection; (4) HHV-8 genotypes Q, B, E and N may be predominant in Northern South
Africa, with B and P common on the entire African continent. Hence, studies should
focus on the generation of full length HHV-8 genomes of the common genotypes to
support the selection of genes for vaccine design and development. / NRF
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Patient and nurse perspectives on loss to follow-up in HIV careModipane, Mahlatse Bridgette 16 May 2020 (has links)
PhD (Psychology) / Department of Psychology / Background: South Africa has world’s highest prevalence of HIV-positive people with
approximately 7.06 million HIV-positive people with 110 000 HIV- related deaths reported by
Statistics South Africa in 2017. South Africa has expanded access to anti-retroviral therapy
services, from urban centers to resource-constrained rural communities. The rate of loss,
however, to follow-up for patients on anti-retroviral treatment continues to increase.
Aim of the Study: The aim of this study was to determine patient and nurse perspectives on loss
to follow up among HIV-positive patients in Sekhukhune District of Limpopo Province, South
Africa. The findings of the study guided the development of a proposed strategy to decrease loss
to follow up among HIV-positive patients.
Method: A qualitative research design was used with non-probability purposive sampling and with
probability systematic sampling. The sample of patients comprised 30 HIV-positive people
classified as lost to follow-up from clinics with high prevalence rates of lost to follow-up patients.
Eight nurses, four from clinics with high rates and four from clinics with low lost to follow-up rates
comprised the sample of nurses. Semi-structured interviews were conducted using the study
research questions as a guide. Eight interviews were conducted with nurse clinic managers and
30 with the patients. Content analysis was used to analyze the data.
Results: The key themes that emerged from the study included patients’ and nurses`
perspectives on factors contributing to loss to follow up among HIV- positive patients; and
Patients’ and nurses’ perspectives on strategies that would address barriers to loss to follow up
among HIV- positive patients. Sub-themes on patients’ and nurses’ perspectives on factors
contributing to loss to follow up among HIV- positive patients included: Lack of understanding of
anti-retroviral treatment; fearful to disclose HIV status; lack of confidentiality; negative side effects;
use of traditional medicine; self-transfer from one clinic to another. Patients’ and nurses’ elicited
the strategies that would assist patients to remain in care and to take antiretroviral treatment
consistently. The strategies included: providing patients with health education; working as a team;
implementing social support group programme; providing nurses with in-service education on
ethics and ethos. Informed by various intervention models in HIV care: Information Motivational
Behavioural model; Health Belief Model; Social Action Theory and Social Cognitive Theory; I
proposed a strategy that may reduce the rate of non-adherence and loss to follow up among
patients with HIV in Limpopo Province. / HWSETA
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Adherence: Perceptions and behaviour of patients on Antiretroviral in Vhembe District of Limpopo Province, South AfricaTakalani, Tanganedzani 20 September 2019 (has links)
MA (Psychology) / Department of Psychology / Background: An estimated 70% of people in Sub-Saharan Africa out of 25 million are living with HIV. HIV is a debilitating disease, however, antiretroviral treatment helps promote effective viral suppression, reduces the risk of transmission and prevents death (WHO, 2013). To ensure positive treatment outcomes, high levels of Anti-Retroviral Therapy (ART) adherence, 95%, is necessary, however, research indicates that 23% of Africans are achieving less than 80% adherence, potentially impacting negatively on prognosis.
Aim: The aim of this study was to determine adherence, explore perceptions and behaviour of patients on Antiretroviral Therapy attending Thohoyandou Health Centre, in Vhembe District, Limpopo, South Africa.
Methodology: This was a mixed method which employed both quantitative and qualitative research approaches. In quantitative, triangulation was utilised through a questionnaire and patients’ file, simple random sampling was used to select 105 male and female patients aged 18-60 who are on ART at Thohoyandou Health Centre; data were collected and SPSSversion 25 was used to analyse the data through descriptive, cross tabulation and inferential statistics using Chi-square.Qualitative phase – phenomelogical research design was utilised, twenty participants were purposively sampled and individually interviewed, ATLAS. ti program was used to analyse the data collected.
Results: 67% of respondents were females, 34% of the respondents’ age range was 50-60 years, 44.8% were single, 48.6% had tertiary education and 69.5% were unemployed. The self-report of ART adherence of 87.6% among patients was indicated, with 19.6% who reported defaulting ART, 14.3% admitted to missing medical appointments. The reasons for missing medical appointments were: forgetfulness, not a convenient time, patient feeling better, transportation challenges and being too sick to attend. The objective evaluation of patients’ CD4 count at baseline revealed that 40.9% of patients had a CD4 count of <200c/mm3, out of 40.9% respondents (15.2%) were those aged between 41-50 years, 31.4% of respondents did not know their CD4 count for various reasons (defaulted on treatment, missed appointments). CD4 count follow-up data after six months revealed that 33% of patients had a CD4 count <200c/mm3 and 39% accounted for unknown CD4 count.
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Three themes emerged from the data, namely: Knowledge of HIV were respondents presented a negaitive and positive perception of ths diagnosis; barriers to ART adherence where sub-themes included discrimination, strigma, rejection, inadequate knowledge about the diagnosis and treatment, side effects; coping strategies where acceptance, religion and social support serve as corner stones for patients. Association was examined and findings did not reveal any significant association between gender, marital status, education, occupation; however, age was significantly associated with non-adherence to ART with X2 = 3.69, df = 1, p = < .002.
Recommendations: The study recommends intensification of health education campaign against stigma, discrimination, rejection and other barriers to enhance positive attitude towards HIV patients that wil consequently stimulate adherence and alleviate the burden associated with taking treatment unswervingly. Given the high percentage of infected older respondents, government must also focus its resources to educate illiterate and older people about HIV, adherence and management in order to achieve the golden standardrate of 95% adherence. Strategies to facilitate and normalise adherence among males is indicated. / NRF
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Adherence of antiretroviral therapy and mental health of HIV-diagnosed patients in Vhembe District, Limpopo ProvinceManenzhe, Tovhowani 20 September 2019 (has links)
MA (Psychology) / Department of Psychology / Background: Given that there is 57.7 million HIV-diagnosed people living in South Africa and the government has established the largest public antiretroviral programme in the whole world but only 53% are adhering. Adherence remains a challenge, due to presence of mental health issues among HIV diagnosed. Aim: The aim of this study was to investigate adherence to antiretroviral therapy and mental health of HIV-diagnosed patients in Vhembe District, Limpopo Province.
Methods: This was a mixed method study using a combination of quantitative and qualitative research approaches. In the quantitative approach, triangulation was utilised in the form of a questionnaire and patients records. Simple random sampling was used to select 134, descriptive analysis using SPSS version 25. For the qualitative approach, a phenomenological research designs was considered and convenience sampling was used to select fifteen participants (15). Data was collected using semi-structured interview; responses were analysed using a computer-aided program called, ATLAS ti. Results: The self-report of adherence was 94.8 %, objectively 39.6% of CD4 count <200c/mm3 at baseline and 34.3% CD4 count after six months was found. 16.5% of females and 2% of males defaulted treatment and 14.9% of missed medical appointments 1-6 times. This study also revealed the mental health issues that HIV-diagnosed patients are struggling with after the diagnosis include the stages of grief, stress, depression, anxiety, mistrust, shame, stigma and discrimination. Recommendation: Effective strategies need to be enhanced and tailor made in effort to encourage patients to take ART diligently. The healthcare providers, community members and the government should be made aware of mental health issues. / NRF
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Implementing antiretroviral treatment programmes to support employees living with HIV in adherence: the case of companies partnering with the Swedish workplace HIV/AIDS programme (SWHAP)Mosehle, Tselane Dricca 02 1900 (has links)
Text in English with abstracts and keywords in English, Tswana and Sepedi / Providing support to employees living with HIV to adhere with treatment at home and at work is the key to prolong life and wellbeing of those who are infected and affected by HIV/AIDS pandemic. This study was qualitative explorative research. The study used qualitative method of collecting data which allowed the researcher to conduct interviews at the natural settings where it was convenient for participants to take interview calls.
The purpose of this study was to explore how implementation of ART programmes support employees living with HIV (ELWHIV) to adhere with treatment at home and work so that gaps and areas of improvement are identified. The study took place at SWHAP companies that are based in Ekurhuleni, Gauteng. The study used purposive sampling to identify key informants who were directly involved in the implementation of the ART programmes. Data was largely analysed using content, thematic and triangulation analysis. Theory of social ecology and empowerment theory were applied as companies are seen using workplaces as safe space to provide counselling and psychosocial support to ELWHIV through Reality Wellness.
Findings:
The findings of the study revealed that ART programmes are in place in SWHAP companies and are also ongoing. The study also reveals that Reality Wellness provided counselling and psychosocial support to ELWHIV to adhere with treatment at home and at work. The study further reveals that ELWHIV fear to disclose their HIV status because of stigma and discrimination.
Recommendations:
More dialogue and further studies on ART programmes particularly on ART adherence at home and at work need to be done. Management should take ownership and get involved directly with ART programmes and enhance support to ELWHIV to adhere with treatment at home and at work. / Go tshegetsa badiri ba ba tshelang ka mogare wa HIV gore ba obamele tiriso ya kalafi kwa gae le kwa tirong go botlhokwa go tshegetsa botshelo le itekanelo ya ba ba tshwaeditsweng le ba ba amilweng ke leroborobo la AIDS. Thutopatlisiso eno e ne e lebelela mabaka mme e tlhotlhomisa. Mokgwa wa go lebelela mabaka go kokoanya data o letlile mmatlisisi go dira dipotsolotso mo mafelong a tlwaelo a banni-le-seabe moo go neng go le bonolo mo go bone go araba megala ya dipotsolotso.
Maikemisetso a thutopatlisiso eno, e ne e le go tlhotlhomisa ka moo go tsenngwa tirisong ga mananeo a ART go tshegetsang badiri ba ba tshelang ka HIV (ELWHIV) ka go na go obamela tiriso ya kalafi kwa gae le kwa tirong gore go kgone go supiwa diphatlha le dikarolo tse di ka tokafadiwang. Thutopatlisiso e dirilwe kwa ditlamong tsa SWHAP tse di kwa Ekurhuleni, Gauteng. Go diragaditswe mokgwa wa go tlhopha sampole go ya ka maikaelelo a thutopatlisiso go supa basedimosetsi ba botlhokwa ba ba neng ba na le seabe ka tlhamalalo mo go tsenngweng tirisong ga mananeo a ART. Go lokolotswe data go dirisiwa molokololo wa diteng, morero le tiriso ya melebo e e farologaneng go lokolola. Go dirisitswe tiori ya ikholoji ya loago le tiori ya maatlafatso ka ntlha ya fa ditlamo di bonwa di dirisa mafelo a tiro jaaka dibaka tse di bolokesegileng tsa go tlamela tshegetso ya maikutlo le tshegetso ya tlhaloganyoloago go badiri ba ba tshelang ka HIV ka itekanelo ya nnete.
Diphitlhelelo:
Diphitlhelelo tsa thutopatlisiso di bontsha gore mananeo a ART a gona mo ditlamong tsa SWHAP mme a tswelela pele. Itekanelo ya nnete e tlamela ka tshegetso ya maikutlo le ya tlhaloganyoloago go badiri ba ba tshelang ka HIV gore ba obamele tiriso ya kalafi kwa gae le kwa tirong. Gape thutopatlisiso e bontsha gore badiri ba ba tshelang ka HIV ba tshaba go senola seemo sa bona sa HIV ka ntlha ya sekgobo le go tlhaolwa.
Dikatlenegiso:
Go tshwanetse ga nna le dipuisano le dithutopatlisiso tse dingwe tsa manaeo a ART, bogolo segolo kobamelo ya tiriso ya ART kwa gae le kwa tirong. Botsamaisi bo tshwanetse go nna beng ba, e bile bo nne le seabe ka tlhamalalo mo mananeong a ART le go tshegetsa badiri ba ba tshelang ka HIV gore ba obamele tiriso ya kalafi kwa gae le kwa tirong. / Go fa bašomi bao ba phelago ka HIV gore ba obamele go nwa dihlare ka gae le mošomong ke selo se bohlokwa go dira gore ba phele lebaka le letelele le gore bao ba fetetšwego le go angwa ke leuba la AIDS ba phele gabotse. Dinyakišišo tše di bile tša boleng le tša go utolla. Mokgwa wa go kgoboketša tshedimošo wa boleng o kgontšhitše monyakišiši go dira dipoledišano ka seemong sa tlhago sa mokgathatema fao go bilego bonolo go yena go araba megala ya dipoledišano.
Maikemišetšo a dinyakišišo tše e bile go utolla ka fao go tsenya tirišong ga mananeo a ART go thekgago bašomi bao ba phelago ka HIV (ELWHIV) go obamela go nwa dihlare ka gae le mošomong gore dikgoba le dibaka tša kaonafalo di tsebje. Dinyakišišo tše di dirilwe ka dikhamphaning tša SWHAP tšeo di lego ka Ekurhuleni, Gauteng. Go dira sampole ka maikemišetšo go phethagaditšwe ka nepo ya go tseba baseboši ba bohlokwa bao ba bego ba kgatha tema thwii ka mananeong a ART. Tshedimošo e sekasekilwe ka go šomiša tshekatsheko ya diteng, ya morero le ya seemokhutlotharo. Teori ya ekholotši ya leago le theori ya maatlafatšo di dirišitšwe ka ge dikhamphani di bonwa e le tšeo di šomišago mafelo a mošomong bjalo ka mafelo ao a bolokegilego a go fana ka keletšo le thekgo ya tša menagano go ELWHIV ka go diriša temogo ya seemo sa makgonthe.
Dikutollo:
Dikutollo tša dinyakišišo di utolla gore mananeo a ART a tsentšwe tirišong ka dikhamphaning tša SWHAP ebile a tšwela pele. Temogo ya seemo sa makgonthe e fana ka keletšo le thekgo ya menagano go ELWHIV ka nepo ya gore ba omabele go nwa dihlare ka gae le mošomong. Dinyakišišo di tšwela pele go utolla gore ELWHIV ba tšhoga go tsebagatša maemo a bona a HIV ka lebaka la kgobošo le kgethologanyo.
Ditšhišinyo:
Dingangišano tše dingwe le dinyakišišo go tšwela pele ka go mananeo a ART, kudukudu mabapi le go obamela go nwa dihlare tša ART ka gae le mošomong, di swanetše go dirwa. Ba taolo ba swanetše go tšea maikarabelo a mananeo a ART le go kgatha tema ka go ona thwii le go maatlafatša thekgo go ELWHIV ka nepo ya go obamela go nwa dihlare ka gae le mošomong. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)
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The perception of African American faith-based organizations regarding African Americans with HIVOtey, Tamara Dochelle 20 January 2015 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / Shelby County has the fastest growing rate of HIV infection in the State of Tennessee and the majority of the people with HIV/AIDS are African Americans. 2011 CDC report stated Memphis had the fifth highest proportion of new HIV infections. The African American church is a natural and potentially powerful venue to facilitate health awareness. The purpose of this qualitative study was to explore the views of African American faith-based leaders (FBLs) toward offering HIV prevention services in faith-based organizations (FBOs).
The theoretical framework for this study was the Consolidated Framework for Implementation Research (CFIR). The fourth domain of CFIR, characteristics of the individuals, is concerned with organizational change which occurs on the individual level. CFIR provided a means to ensure effective implementations, data coding and analysis. Interpretative Descriptive (ID) design, which seeks to discover associations, relationships, and patterns within the described phenomenon, was used. The targeted population was African American Faith-based Leaders from areas known to have high rates of HIV and sexually transmitted infections (STIs). Purposeful sampling was employed to recruit participants. Data was generated through face-to-face, semi-structured interviews. The researchers categorized and analyzed the data to form the concepts and themes identified using a coding scheme which was applied to all data.
Faith-based leaders revealed that they had a role in HIV prevention. The themes that emerged were their role to provide education on HIV, minister with compassion, teach Biblical doctrine, maintain a community focus, and partner with expert healthcare professionals. Perceived barrier concepts identified were lack of knowledge, denial, stigma, fear, keeping issues private, and the breakdown of family and community values. Findings suggest that FBLs had some knowledge of the health disparities and ongoing stigma concerning HIV remains a major barrier. The participants interviewed were open to HIV preventions on different levels to address HIV but needed more education.
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An evaluation of the development process of the Young Workers' Campaign Programme in South AfricaTshabalala, Muziwakhe Alfred 30 June 2006 (has links)
The study was about the process evaluation of the development of the YOUNG
WORKERS CAMPAIGN (YWC) Programme to document and analyses the
involvement and participation of stakeholders in the development process.
The purpose of the study was on the assessment of stakeholder participation and
involvement in the development of the YWC to maximise the effectiveness,
acceptability and sustainability of the intended programme.
Informant interviews, focus group interviews and document analysis were the
primary means of collecting data for this research study.
The main findings are as follows: Few of the stakeholders were involved in the
conceptualisation phase of the YWC Programme and their roles in the
development process were not clearly described. Stakeholder analysis was not
done and their involvement in decision-making was limited.
In order to address the problem of participation, YWC stakeholders should pass
through a process of stakeholder analysis, that is, they should be assessed in
terms of contribution and value-adding to the development process. / Sociology / M.A. (Social Behaviour Studies HIV/AIDS)
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