Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2008.

Thesis (M.Sc. (Pharmacy)) - Rhodes University, 2008.

Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.

Diss. Tromsø : Universitetet i Tromsø, 2006.

The majority of the people living with HIV in the North West Province are part of households living in an unfavourable economic situation (Kotze, Roux & Wessels 2001 :83). The AlDS pandemic has intensified their poverty situation even more, which is emphasized by Nattrass (2004:150) in the following statement: 'The AlDS pandemic is both a cause and effect of poverty.' Adding to this, the majority of the poverty-stricken people living with HIV in the Potchefstroom district do not feel supported after having been diagnosed HIV positive (Pienaar, 200455-58). Once there is a clearer understanding of how South Africans experience living with HIV. counsellors, nurses and other health care workers will be better equipped to meet the needs of these people (Coetzee & Spangenberg 2003:216). Therefore, guidelines that can serve as useful tools for professional nurses and other health care workers, including volunteers, who are working with poverty-stricken people living with HIV, were developed in this study in order to address the gap in the support during the HIV infection. The objective of this research was to explore the experience and to identify the support needs of poverty-stricken people living with HIV in the informal settlements in the Potchefstroom district and to formulate guidelines for effective support for poverty-stricken people living with HIV. A qualitative, phenomenological design was used which enabled the researcher to understand the way in which poverty-stricken people experience living with HIV and to identify their support needs. In-depth interviews, consisting of 24 one-to-one interviews and one focus group were conducted to obtain the data. The population studied in this research consisted of the poverty-stricken people living with HIV in the informal settlements in the Potchefstroom district in the North West Province, South Africa. Purposive sampling was used to select participants with the assistance of mediators who are working for the Non Governmental Organisations dealing with HIV and AlDS in the Potchefstroom district. The sample size was determined by data saturation, which was reached after 25 interviews. Data analysis was carried out simultaneously with data collection. In consensus discussions, the researcher and the co-coder reached consensus on the main and sub themes. From the research findings, six main themes were identified. The first two main themes are the facilitative and impeding experiences of poverty-stricken people living with HIV. The remaining four main themes include the needs of poverty-stricken people living with HIV, namely; basic needs, psycho-social needs, cultural-spiritual needs and self-actualisation needs. It could be concluded that the experience of poverty-stricken people living with HIV in the Potchefstroom district is closely related to their support needs. In order to address these needs holistically and to enhance the quality of life of poverty-stricken people living with HIV, the needs should firstly be addressed individually and according to culture. Following that, the collective needs can be addressed by a support system addressing basic, psychosocial, cultural-spiritual and selfactualisation needs for which an experiences and needs framework and guidelines were formulated. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2005.

Understanding why, when, and with whom women engage in opportunities for HIV & AIDS education is critical in exploring the extent to which popular education strategies promote transformational learning among women in Malindi, Kenya. Three central questions animate this research: a) What do rural women who participate in HIV & AIDS popular education programs learn about HIV & AIDS, b) through what range of pedagogical practices and theories does their learning occur, and c) how does this learning contribute to transformative changes that improve women's health, at both individual (e.g., beliefs, behaviour) and communal levels (e.g., group actions)? Employing a qualitative research design, face-to-face interviews, and document analysis of secondary sources enabled a rich and in-depth exploration of specific learnings and actions among Kenyan women. Qualitative analysis of eight semi-structured interviews reveals three dimensions of transformative learning among adult women in Malindi, including a) striving towards openness, b) culture of support, and c) connected knowing. These inter-related themes outline the potential for Kenyan women's HIV & AIDS education to move beyond instrumental, and communicative, to more empowering transformative learning. / Thesis (Master, Education) -- Queen's University, 2010-09-13 15:18:43.535

Evidence suggests that caring for orphans and vulnerable children affected by HIV and AIDS remains one of the greatest challenges facing South Africa. Statistics indicate that there are 1.91 million AIDS orphans in the country (UNICEF, 2012; Statistics South Africa, 2009:8)). The majority of these orphans live in rural and poor urban households. Caring for orphans and vulnerable children places severe strain on support systems, such as the extended family; this spills over into the community. Providing care and support also places an extra burden on the already overstretched welfare sector and drains state resources. The primarily objective of this study was to explore community resilience strategies on challenges faced by orphans and vulnerable children affected by HIV and AIDS in Ekurhuleni Metropolitan Municipality, Gauteng. A purposive sample of 32 participants was selected and field data were collected over a period of two months using a structured research guide. A combination of data collection methods was employed in order to explore different perspectives of community resilience strategies on challenges faced by orphans and vulnerable children affected by HIV and AIDS in Benoni. Emerging data illustrate a clear account on the impact of the AIDS epidemic in Benoni. All of the respondents were directly or indirectly affected by the epidemic. This should be located within the high prevalence of HIV and AIDS and the high number of orphans in Ekurhuleni. The study findings further suggest a correlation between socioeconomic challenges and the AIDS epidemic in Ekurhuleni. This is demonstrated through the challenges experienced by orphans and vulnerable children in Benoni, which include: non-disclosure by parents of their illness; economic deprivation and disrupted schooling; children caring for an ill parent with AIDS and child-headed households; emotional, sexual and economic exploitation, stigmatisation and discrimination. Despite these challenges, through community resilience the Benoni community has taken some initiatives to mitigate against these challenges. This includes the establishment of a community vi based organisation which provides basic services to orphans and vulnerable children in Benoni. To date this organisation has successfully provided material and psychosocial to more than 278 orphans. The success of this initiative confirms the importance of community driven interventions using the resilience framework to supports orphans and vulnerable, rather than dependency on the government imposed programmes- top down approach. However, community based programmes need to be strengthened by the government and non-governmental organisations in order to maximise benefits.

High levels of HIV stigma are reported for people living with HIV or AIDS (PLHA) and PLHA have to cope with this. These experiences may differ in a rural and urban setting. Obtaining a true reflection of the level of HIV stigma experienced by PLHA in a rural and urban setting and their level of coping self-efficacy, while dealing with this stigma, will be helpful in planning future intervention strategies. The study aims to compare qualitative expressed experiences with quantitative measures of levels of HIV stigma and coping self-efficacy of PLHA in a rural and urban setting. Secondly the aim is to establish the relationship between the levels of HIV stigma experiences of PLHA and coping self-efficacy of PLHA. The study took place in the North West Province, in both a rural (n=12) and urban (n=11) setting. Participants were selected by means of purposive sampling. A convergent parallel design was used within a mixed method approach. In-depth interviews provided qualitative data. Quantitative data came from two scales, the HIV and AIDS stigma scale-PLWA (HASI-P) (Holzemer et al., 2007a) and the Coping self-efficacy scale (CSE) (Chesney, Neilands, Chambers, Taylor, & Folkman, 2006). The study revealed that HIV stigma does exist, and is experienced by PLHA in the North West province in both a rural and an urban setting with no significant difference. Qualitative data confirmed the results of the HIV stigma measure, and also provided a rich understanding of the differences in contexts between the two settings. Additional types of stigma found to those included in the HASI-P point to shifts in the way people and communities experience HIV stigma. Results of the CSE scale showed that PLHA from both rural and urban settings employed the three types of coping self-efficacy as described by Chesney et al. (2006), with no significant difference between the two groups. Statistical correlations within the HASI-P revealed correlations between certain types of stigma experienced, indicating that HIV stigma is not experienced in a single dimension but can extend to more than one area of the lives of PLHA. Correlations within the CSE scale illustrate that ways PLHA cope may be related to each other Recommendations focus on further research options, policy development and implementation in practice. The goals of the research were reached in that it was confirmed that HIV stigma and coping self-efficacy of PLHA in rural and urban settings, using qualitative and quantitative methods, does exist. The relationship between HIV stigma and coping self-efficacy of PLHA was established through the correlation of scales and through the evidence found during in-depth interviews; that HIV stigma exists and that PLHA develop coping self-efficacy to deal with it. / Thesis (MA (Research Psychology))--North-West University, Potchefstroom Campus, 2013

According to global statistics more than half of all people living with HIV are women, the majority of whom live in sub-Saharan Africa. South Africa adapted the WHO guidelines on PMTCT to the local situation. In South Africa the prevalence of HIV amongst pregnant women attending public antenatal care is high, although new infections are declining. Studies on missed opportunities in PMTCT have been conducted in other areas of South Africa, but none in the North West Province. Three health institutions deemed to have more patient attendance were chosen for the study from a particular sub-district. The purpose of this study was to identify and describe the missed opportunities in the PMTCT programme in a sub-district of the North West Province, the results of which may assist in the improvement of PMTCT services. A descriptive study design was used to identify and describe the missed opportunities in the PMTCT programme during pregnancy, labour and postnatal period. The sample consisted of 125 the records of pregnant women whose babies were born in January 2010. Entry to the health care facilities was gained through written permissions from the Department of Health and the facilities. Missed opportunities identified were that 0.8% (1/125) of pregnant women whose records were audited, was not tested for HIV infections and 9.6% (12/125) had no information on testing. Of the 35 women who were found to be HIV positive, only 74.3% (26/35) had confirmatory test done while it was not done in 2.9% (1/35). Furthermore, only 57.1% (20/35) had their blood for CD4 cell count taken, for 2.9% (1/35) no blood was taken for CD4 cell count and there was no information for the remaining 40.0% (14/35). Only 2.9% (1/35) HIV positive pregnant women continued with HAART during labour, 62.9% (22/35) received ARVs for PMTCT and for 34.2% (12/35) there was no information recorded. Prophylaxis for prolonged rupture of membranes was not given in 5.7% (2/35) of these women during labour. There were no records of any TB screening for such women and infant feeding counselling were never carried out. Lack of recording was the major problem identified in this study. / MCur, North-West University, Potchefstroom Campus, 2014

High levels of HIV stigma are reported for people living with HIV or AIDS (PLHA) and PLHA have to cope with this. These experiences may differ in a rural and urban setting. Obtaining a true reflection of the level of HIV stigma experienced by PLHA in a rural and urban setting and their level of coping self-efficacy, while dealing with this stigma, will be helpful in planning future intervention strategies. The study aims to compare qualitative expressed experiences with quantitative measures of levels of HIV stigma and coping self-efficacy of PLHA in a rural and urban setting. Secondly the aim is to establish the relationship between the levels of HIV stigma experiences of PLHA and coping self-efficacy of PLHA. The study took place in the North West Province, in both a rural (n=12) and urban (n=11) setting. Participants were selected by means of purposive sampling. A convergent parallel design was used within a mixed method approach. In-depth interviews provided qualitative data. Quantitative data came from two scales, the HIV and AIDS stigma scale-PLWA (HASI-P) (Holzemer et al., 2007a) and the Coping self-efficacy scale (CSE) (Chesney, Neilands, Chambers, Taylor, & Folkman, 2006). The study revealed that HIV stigma does exist, and is experienced by PLHA in the North West province in both a rural and an urban setting with no significant difference. Qualitative data confirmed the results of the HIV stigma measure, and also provided a rich understanding of the differences in contexts between the two settings. Additional types of stigma found to those included in the HASI-P point to shifts in the way people and communities experience HIV stigma. Results of the CSE scale showed that PLHA from both rural and urban settings employed the three types of coping self-efficacy as described by Chesney et al. (2006), with no significant difference between the two groups. Statistical correlations within the HASI-P revealed correlations between certain types of stigma experienced, indicating that HIV stigma is not experienced in a single dimension but can extend to more than one area of the lives of PLHA. Correlations within the CSE scale illustrate that ways PLHA cope may be related to each other Recommendations focus on further research options, policy development and implementation in practice. The goals of the research were reached in that it was confirmed that HIV stigma and coping self-efficacy of PLHA in rural and urban settings, using qualitative and quantitative methods, does exist. The relationship between HIV stigma and coping self-efficacy of PLHA was established through the correlation of scales and through the evidence found during in-depth interviews; that HIV stigma exists and that PLHA develop coping self-efficacy to deal with it. / Thesis (MA (Research Psychology))--North-West University, Potchefstroom Campus, 2013