Written for the School of Dietetics and Human Nutrition. Title from title page of PDF (viewed 2009/06/30). Includes bibliographical references.

Thesis (MMed.)-University of KwaZulu-Natal, Durban, 2009. / Full text also available online. Scroll down for electronic link.

This study examined traditional Shona beliefs and practices in light of HIV/AIDS in the rural communities of the Chipinge District in Zimbabwe. The focus of the study was to examine selected Shona traditional beliefs and practices, and evaluate how they respond to the HIV/AIDS threat. The study aimed to examine the traditional beliefs and practices that people in Chipinge rural communities still practise, have stopped practising, or have modified due to the encroachment of HIV/AIDS into the communities’ socio-moral space. It also aims to discuss the traditional beliefs and practices that are safe and those that expose people to HIV infection, in addition to the communities’ knowledge about HIV/AIDS. Grounded in the traditional Shona religious landscape, and from a phenomenological perspective, the study utilised a qualitative survey research design. Using purposive and snowball sampling procedures, 72 study participants, knowledgeable in the Shona people’s traditional beliefs and practices, were selected. The study used non-scheduled structured interviews and a questionnaire, with both closed and open-ended questions, to gather data from the participants. Most participants defined HIV/AIDS as a blend of sexually transmitted infections (STIs) that take time to treat. They believed that AIDS results from ‘pollution’ caused by sexual intercourse with ‘unclean’ women, while a few attributed it to having unprotected sex with an infected partner. Results show that kuputsa (pledged or child marriage), barika (polygamy), and kugara nhaka (wife inheritance) are harmful marriage practices that expose people to HIV infection. As old habits die hard, the study suggests modifications to such marriage practices, where people willing to be involved should take an HIV antibody test. Given that information about HIV/AIDS is communicated through posters and pamphlets written in English, it would benefit the community, if the Ministry of Health and Child Care could provide information in the Ndau language. / Thesis (PhD)--University of Pretoria, 2017. / University of Pretoria Postgraduate Bursary / Old Testament Studies / PhD / Unrestricted

Study background Nursing plays a pivotal role in the care of people living with HIV and AIDS and makes an obvious contribution in influencing HIV and AIDS policy. Studies suggest that despite their knowledge and experience nurses do not systematically inform policy. Against the background of the research problem above, the following research question was posed: How can a model for HIV and AIDS care, research and policy interface be developed? Purpose of the study and objectives The purpose of this study was to develop and describe a model for HIV and AIDS care, research and policy interface. The study objectives were developed in two phases relevant to the methodology of developing a model. Phase One objectives Phase 1 objectives – The identification and classification of concepts in relation to HIV and AIDS care, research and policy interface.  To examine how HIV and AIDS stigma influences nurses‟ provision of prevention, care and treatment to patients and families.  To explore and describe how HIV and AIDS affects the workforce.  To examine the HIV and AIDS policies and interventions Phase 2 objectives Phase 2 objectives – Concept definition, description and model development  To describe a conceptual framework  To construct the relational statements amongst the identified concepts Methods Three different instruments were used in both qualitative and quantitative collection of data. These were the Human Resource Management (HRM) Rapid Assessment Tool, the Clinical Survey and the Interview Guide. Content and construct validity were used to determine rigour of the quantitative instruments; trustworthiness of the qualitative data was established according to Lincoln and Guba (1985) and Krefting‟s (1991) considerations of trustworthiness Results Concluding statements were deduced from the analysed data. These were further deducted into: HIV and AIDS care, research, HIV and AIDS stigma, staff outcomes and policy. These core concepts were used to develop a model for HIV and AIDS care, research and policy interface. Recommendations Recommendations for practice, research, education and policy included stakeholder inclusion in HIV and AIDS policy, increasing the research component of clinical nurses and rolling out the use of HIV and AIDS care, research and policy interface model. / PhD (Nursing), North-West University, Potchefstroom Campus, 2015

Study background Nursing plays a pivotal role in the care of people living with HIV and AIDS and makes an obvious contribution in influencing HIV and AIDS policy. Studies suggest that despite their knowledge and experience nurses do not systematically inform policy. Against the background of the research problem above, the following research question was posed: How can a model for HIV and AIDS care, research and policy interface be developed? Purpose of the study and objectives The purpose of this study was to develop and describe a model for HIV and AIDS care, research and policy interface. The study objectives were developed in two phases relevant to the methodology of developing a model. Phase One objectives Phase 1 objectives – The identification and classification of concepts in relation to HIV and AIDS care, research and policy interface.  To examine how HIV and AIDS stigma influences nurses‟ provision of prevention, care and treatment to patients and families.  To explore and describe how HIV and AIDS affects the workforce.  To examine the HIV and AIDS policies and interventions Phase 2 objectives Phase 2 objectives – Concept definition, description and model development  To describe a conceptual framework  To construct the relational statements amongst the identified concepts Methods Three different instruments were used in both qualitative and quantitative collection of data. These were the Human Resource Management (HRM) Rapid Assessment Tool, the Clinical Survey and the Interview Guide. Content and construct validity were used to determine rigour of the quantitative instruments; trustworthiness of the qualitative data was established according to Lincoln and Guba (1985) and Krefting‟s (1991) considerations of trustworthiness Results Concluding statements were deduced from the analysed data. These were further deducted into: HIV and AIDS care, research, HIV and AIDS stigma, staff outcomes and policy. These core concepts were used to develop a model for HIV and AIDS care, research and policy interface. Recommendations Recommendations for practice, research, education and policy included stakeholder inclusion in HIV and AIDS policy, increasing the research component of clinical nurses and rolling out the use of HIV and AIDS care, research and policy interface model. / PhD (Nursing), North-West University, Potchefstroom Campus, 2015

No description available.

In the absence of support programmes for HIV and Aids orphans in the Fezile Dabi Region this research set out to design guidelines towards an ecosystemic support programme to support HIV and Aids orphans in the Fezile Dabi Region. The literature review revealed that HIV and Aids orphans experience a wide range of support needs. Their psychosocial needs impair normal development due to unhappiness, stress, stigma, discrimination and a lack of care, love and support. In addition to this, emotional needs, which emanate from a lack of security and safety manifest in sadness, disruptive behaviour, poor relationships, poor self-image and isolation. Socio-economic needs expose them to poverty and being vulnerable to child labour with little reward, and deprive them of opportunities to obtain a proper education. All the above-mentioned problems lead to educational needs that manifest in poor school attendance, poor concentration, learning breakdown and dropping out of school. In addition to this, physical needs that stem from malnutrition caused by poverty and a low standard of living have an impact on the physical growth and health of the HIV and Aids orphans. In order to find out whether the abovementioned discussion holds true for HIV and Aids orphans in the Fezile Dabi Region, qualitative, phenomenological research by means of structured individual interviews was conducted with a convenient and purposive sample of 43 Black HIV and Aids orphans in the Fezile Dabi Region. The focus of the interviews was to gain a better understanding of the support needs that these learners experience due to HIV and Aids, and to explore how they are supported in dealing with these needs. The empirical research revealed that the HIV and Aids orphans in the Fezile Dabi Region who took part in my study experience psychosocial, emotional, socio-economic, educational and physical needs. Many of the needs, in the absence of strong community-based support in the region, are not supported adequately. Despite the identified needs, the data revealed strong tenets of resilience among the participants who took part in the study. In contrast to the literature, the findings of my study revealed that a number of the HIV and Aids orphans in the Fezile Dabi Region apparently manage to establish good social relationships that help them cope with their problems. Furthermore, they aspire to obtain a good quality education and have ambitions and goals in terms of their future careers that they would like to achieve. Based on the literature review and the interview data, guidelines towards an ecosystemic support programme for the HIV and Aids orphaned learners in the Fezile Dabi Region were designed. / PhD, Learner support, North-West University, Vaal Triangle Campus, 2012

Background: The Human immunodeficiency virus infection (HIV) and Acquired immunodeficiency syndrome (AIDS) epidemic peaked in 1999, which led to an increase in funding by donors and Global Health Initiatives (GHI) to combat the epidemic. This literature review examined how the substantial influx of funding for GHI’s and HIV and AIDS since early 2000 has impacted the health system in Zambia. Method: The method used for the study was a systematic literature review.  Results: There is conflicting views and mixed evidence about whether GHIs and HIV and AIDS initiatives have benefitted the general health system. It is clear that GHIs and HIV and AIDS initiatives have added substantially to the increase in funding for health in Zambia. Furthermore, it seems likely that the special attention put on HIV and AIDS created an exclusive and skewed environment with increased capacity to tackle HIV and AIDS, but with less capacity built for health services in general. In-coming support from Global Health Initiatives and funding for HIV and AIDS in Zambia has to some extent been controlled by and led by the contributing donor, giving the Zambian authorities limited oversight of the resources. Conclusions: The influx of funding for HIV and AIDS has led to increased support for a specific disease, but it has not generated support to the health sector in general. It has also led to a fragmented approach, where HIV and AIDS have fallen outside of the regular coordination of the health sector.   Keywords: Zambia, HIV and AIDS, Health systems, vertical initiatives, strengthening, impact. / Bakgrund: The Human Immunodeficiency Virus Infection (HIV) och Acquired Immunodeficiency Syndrome (AIDS) epidemin var på sin högsta nivå 1999, vilket ledde till en kraftig ökning av resurser från givare och globala hälsoinitiativ för att bekämpa epidemin. Denna genomgång av litteraturen undersökte hur denna tillväxt av resurser sedan början av 2000-talet påverkade hälsosystemet i Zambia. Metod: Den metod som användes för studien var en systematisk litteraturgenomgång. Det finns olika slutsatser och bevis för om insatser för HIV och AIDS och globala hälsoinsatser har gynnat hälsosystemet. Resultat: Det är klart att insatser för HIV och AIDS och globala hälsoinsatser har bidragit substantiellt till finansiering av hälsosektorn i Zambia. Studien visade att det är troligt att det särskilda fokus som HIV och AIDS fick skapade en exklusiv och snedvriden miljö, med ökad kapacitet för att hantera HIV och AIDS, men med mindre kapacitet för hälsosektorn generellt. Det stöd och resurser från globala hälsoinitiativ och för HIV och AIDS som Zambia fick del av, har till en del varit kontrollerat av och letts av bidragsgivaren, vilket ledde till att Zambiska myndigheter hade begränsad kontroll över dessa resurser. Slutsats: De ökade resurser som tillkom för att bekämpa HIV och AIDS innebar en ökad satsning på dessa sjukdomar men det har bevisats att detta inte genererade tillräckligt stöd till hälsosystemet. Detta ledde också till en fragmenterad satsning, där HIV och AIDS har hanterats utanför den vanliga samordningen av hälsosektorn.   Nyckelord: Zambia, HIV och AIDS, Hälsosystem, vertikala initiativ, stärkande, effekt.

Thesis (M. Med. Sc.)--University of Hong Kong, 2001. / Includes bibliographical references (leaves 82-86).

In the absence of support programmes for HIV and Aids orphans in the Fezile Dabi Region this research set out to design guidelines towards an ecosystemic support programme to support HIV and Aids orphans in the Fezile Dabi Region. The literature review revealed that HIV and Aids orphans experience a wide range of support needs. Their psychosocial needs impair normal development due to unhappiness, stress, stigma, discrimination and a lack of care, love and support. In addition to this, emotional needs, which emanate from a lack of security and safety manifest in sadness, disruptive behaviour, poor relationships, poor self-image and isolation. Socio-economic needs expose them to poverty and being vulnerable to child labour with little reward, and deprive them of opportunities to obtain a proper education. All the above-mentioned problems lead to educational needs that manifest in poor school attendance, poor concentration, learning breakdown and dropping out of school. In addition to this, physical needs that stem from malnutrition caused by poverty and a low standard of living have an impact on the physical growth and health of the HIV and Aids orphans. In order to find out whether the abovementioned discussion holds true for HIV and Aids orphans in the Fezile Dabi Region, qualitative, phenomenological research by means of structured individual interviews was conducted with a convenient and purposive sample of 43 Black HIV and Aids orphans in the Fezile Dabi Region. The focus of the interviews was to gain a better understanding of the support needs that these learners experience due to HIV and Aids, and to explore how they are supported in dealing with these needs. The empirical research revealed that the HIV and Aids orphans in the Fezile Dabi Region who took part in my study experience psychosocial, emotional, socio-economic, educational and physical needs. Many of the needs, in the absence of strong community-based support in the region, are not supported adequately. Despite the identified needs, the data revealed strong tenets of resilience among the participants who took part in the study. In contrast to the literature, the findings of my study revealed that a number of the HIV and Aids orphans in the Fezile Dabi Region apparently manage to establish good social relationships that help them cope with their problems. Furthermore, they aspire to obtain a good quality education and have ambitions and goals in terms of their future careers that they would like to achieve. Based on the literature review and the interview data, guidelines towards an ecosystemic support programme for the HIV and Aids orphaned learners in the Fezile Dabi Region were designed. / PhD, Learner support, North-West University, Vaal Triangle Campus, 2012