Thesis (MPhil)--Stellenbosch University, 2011. / This research document seeks to outline the future of older people in HIV/AIDS-prevalent South Africa. The research report examined literature which assisted the researcher in understanding how older people‘s lives and standard of living has evolved due to HIV/AIDS in South Africa. The research report was focused on providing answers to the following questions: i) What are the factors that need to be addressed now to ensure a favourable future for older people in HIV/Aids prevalent South Africa? ii) What are the institutions responsible for ensuring a favourable future for older people in HIV/AIDS prevalent South Africa? The questions will be focused on 2040, from 2010 to 2040. In order to address the abovementioned questions the researcher made use of scenario planning supported by the biomatrix theory approach and causal layered analysis. Firstly, through input from the literature review and scenario team interviews, analysis of drivers of change was conducted. This reviewed secondary literature that was sourced from reports, case studies, publications and others. The focus of this paper was based on older people, HIV/AIDS and the future. Factors including change in family structure, care and respect for older people, government social grant, participation in policy formulation, education levels, employment and poverty were identified as driving forces that have an impact on older people in HIV/AIDS prevalent South Africa. Secondly, Biomatrix theory was used to map the problems associated with the driving forces mentioned above. This mapping was also used to prioritise the level of impact on problems associated with the driving forces. Two driving forces with the highest impact and uncertainties were identified as care and respect for older people as well as participation in policy formulation. A scenario quadrant was also mapped. The latter lead to four scenarios: The silver queen bee, the red queen bee, the black queen bee, and lastly the golden queen bee. Possible ideals and strategies were discussed as findings with a focus on the two key drivers of change that lead to the four alternative futures. Lastly, summary and recommendations are discussed in the final chapter.

This phenomenological study discusses the problem of whether the agents or actors who design strategies take full account of the concepts that their plans are designed to change. Therefore, I critically assess DramAidE's methodology in order to show how efficient it is in the light of Freirean pedagogy. In that, the study investigates whether there is an analytically bulletproof communication form that necessarily achieves behaviour change, as has occasionally been attributed to Freire. The theoretical framework of this study includes development communication theories along with the Entertainment-Education approach (EE) used in health communication. More specifically, the study is informed by Freirean critical pedagogy and behaviour change theories. On the other hand, the Social Learning Theory (Bandura, 1977), the Fixation of Belief Model (Peirce, 1877) and the concepts of intimate and social realms (Arendt, 1958) are also used to explain the realities observed in DramAidE's programmes. The methodologies used, in addition to the literature review, consisted of semistructured in-depth interviews along with focus group discussions with DramAidE's staff, schoolchildren, teachers and caregivers. Among the results established by this study, it is worth mentioning the growing interest displayed by beneficiaries towards DramAidE's programmes. Life-skills claimed by learners included aspects such as self-confidence, assertiveness, decision making skills, informed sexuality, and improved communication. However, serious discrepancies were noticed between these life-skills, how well they were mastered and how effectively the learners put them into practice. Reasons for that proved to be rooted chiefly in peer pressures and cultural stumbling blocks, for example gender inequality and violence against females. This means that peer educators needed a more supportive environment to extend DramAidE's action. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2004.

A quantitative, explorative, descriptive research approach was used to investigate why HIV positive people have a problem with disclosing their status. The HIV infection spread is increasing globally, nationally and locally and disclosing would help reduce the spread of infection through preventive measures. Interviews were conducted with 106 respondents at Kagiso primary health care clinics in the West Rand Health Region. Reasons given by the respondents for non-disclosure of the HIV status were: discrimination, stigma to the HIV positive person and the family by the community, isolation and rejection by the family members, discrimination and possible dismissal at the workplace, fear of losing a partner. The findings illustrate that a large percentage of the population know about HIV and its spread and know that by disclosing, one can get support from health resources and family, but people will not make their status public unless stigmatisation is addressed / Health Studies / M.A. (Health Studies)

Many poor households in South Africa rely on social grants for their survival, forcing the government to spend on the programme, to the detriment of other socioeconomic programmes necessary for poverty alleviation and economy growth. This study investigated the impact of the South African social assistance policies and programmes on the human capacity development of beneficiaries, especially households affected by HIV/AIDS, residing in informal settlements. Following a qualitative approach, exploratory and case study techniques were used to collect and analyse data. In-depth interviews and observations at research sites uncovered rich data elucidated by social capital theory and the capability approach. The thesis commenced with social assistance as implemented in OECD and BRICS countries, including South Africa. The notion of human capacity development, as linked to social assistance, poverty alleviation and economic growth, was presented. Conditional social programmes directed at human capacity development via educational assistance were contrasted with universal social assistance systems. Findings revealed that South Africa, despite its low level of economic growth, has a welldeveloped, selective social assistance system. Social grants assist beneficiaries to meet urgent needs, such as food and transport to hospital and for job seeking. It is insufficient to meet other basic needs, including capacity development. There is a shortage of educational facilities and training programmes in poor communities, which sometimes exclude adult men and youth without Grade 12. There is no guarantee of a job or business opportunities for graduates from skills development centres. Many who have completed their training are placed in entry-level jobs that earn salaries below the social grant exit requirements. Recommendations to increase the array of social grant instruments and to introduce conditional grants for vulnerable adults were made. In particular, the provision of scholarships to needy youths and adults was recommended, augmented by more educational facilities in poor communities, more training programmes, and the establishment of structures that will provide decent job placement and business opportunities for graduates. Urgent provision of decent housing for the poor and improvements in public health infrastructure, roads, water and electricity, in order to facilitate the human development of needy people is further needed. / Development Studies / Ph. D. (Development Studies)

Background: Despite advances in HIV medication, many people living with HIV (PLWH) do not link to care upon diagnosis, do not remain engaged if linked, and do not achieve viral suppression through consistent ART adherence. Not achieving viral suppression is associated with low CD4-cell counts, preventable hospitalizations, frequent emergency room usage, risk of developing a drug resistance, and excess morbidity and mortality. Despite extensive literature that explores barriers to care, these disparities remain, particularly among racial, ethnic and sexual minority groups. Mistrust of health care systems and/or providers is thought to provide a partial explanation for why racial and ethnic minority groups are less likely to access outpatient HIV care. One form of health-related mistrust, referred to as “conspiracy beliefs” in the literature and in popular culture, is particularly associated with racial and ethnic minority people. HIV-related “conspiracy beliefs” can include the ideas that the government created HIV to target specific minority groups, that antiretroviral medication is used to experiment on vulnerable groups, or that a cure is being withheld or delayed by pharmaceutical companies and/or the government. Although many studies have assessed the prevalence of such beliefs, little is known about the possible relationship between endorsing these ideas and engagement from HIV care/ART adherence among PLWH. Moreover, the extant literature has provided equivocal findings that point to the need for further research on the relationship between these beliefs and managing one’s HIV. Methods: Over the course of one year, 27 semi-structured, in-depth interviews were conducted with low income PLWH of color living in the NYC area that are currently, or were recently, disengaged from outpatient HIV medical care. Additionally, a brief questionnaire was administered to obtain demographic and engagement/medication adherence data to describe the sample of participants. Findings: This analysis revealed the variation, texture and diversity related to people’s beliefs about the origin and treatment of HIV. Beliefs about the pharmaceutical industry and the government highlighted both the racism and classism experienced by low income who belong to racial and ethnic minority groups. Notably, HIV care providers did not appear to be perceived as part of the government-pharmaceutical power complex. This suggests that while many people may endorse these types of ideas, endorsement does not necessarily directly impact engagement in care. However, endorsing positive beliefs about the efficacy of ART, and the belief that HIV can be a chronic disease if treated consistently, helped participants remain adherent or desire to re-commit to taking it consistently. Participants also appreciated, and desired, providers that engaged in patient-centered medicine. Recommendations: It may be that public health does not necessarily need to endeavor to dislodge origin or pharmaceutical/cure-related beliefs; rather, interventions can focus on building trust between health care providers and populations that have been experienced both historically and ongoing marginalization. Participants’ emphasis on wanting to manage their ART-related challenges with their providers suggests that HIV providers have an instrumental role in not only lowering viral loads and achieving viral suppression, but also helping their patients feel agentic and able to manage their HIV. Implementing patient-centered medicine will also engender trust, thereby helping patients internalize the belief that consistent engagement and ART adherence makes HIV a chronic, manageable illness.

Thesis (MPhil)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: There have been new infections of HIV despite campaigns aimed at arresting the further spread of the epidemic particularly the new infections. This study sought to investigate whether HIV positive individuals disclose their status to their sexual partners. The study looked at both longtime partners and casual partners. The overall aim was to find the factors that contribute to non-disclosure or to disclosure to sexual partners by HIV positive individuals. The specific objectives were to identify prevailing levels of HIV sero-status disclosure among people living with HIV who were attending the ARV clinic; to identify people living with HIV’s attitude towards HIV status disclosure; to establish factors contributing to disclosure or non-disclosure among people living with HIV; to establish if there is a difference between disclosure rates between ‘long time’ sex partners and casual/’once-off’ sex partners and to provide guidelines to counsellors on how to educate HIV positive people on disclosure. The objectives were achieved by using a quantitative research design through the use of questionnaires targeting 50 HIV positive individuals attending the ARV clinic at Katutura Hospital in Windhoek Namibia. The questionnaire was self-administered and consisted of close-ended questions and one open-ended question which helped collect the quantitative data. The quantitative data was then analyzed using statistical tools (graphs, tables and charts). Results showed that HIV positive individuals are aware of the importance of disclosure. The results showed that majority of the participants did not disclose for fear of abandonment. Some did not disclose because they thought that their partner was also already infected. As for casual sex partners, some did not disclose because they wanted ‘to infect someone since they were also infected by someone’. Some said that they were drunk and hence did not disclose. Participants disclosed because they wanted moral support, they did not want to infect their partners and that they wanted their partners to get tested as well. One of the recommendations was that there is a need to encourage couple counselling in cases of married couples or ‘live-in’ couples to reduce the need for disclosure. It was also recommended that HIV/AIDS health workers need special training to enhance their skills on how to educate HIV positive individuals about disclosure. The link between risky sexual behavior and alcohol abuse was highlighted and it was recommended that there is a need to educate people, particular teenagers, the link between the two. / AFRIKAANSE OPSOMMING: Die doel van hierdie studie was die bepaling van die mate waartoe persone wat MIV-positief is en klinieke bywoon hulle MIV-status bekendmaak. Die studie is by die Katutura hospitaal in Windhoek, Namibië gedoen en 50 MIV-positiewe pasiënte is as steekproef gebruik. ‘n Vraelys wat die pasiënte self ingevul het is in die studie gebruik en data is op ‘n beskrywende wyse ontleed. Resultate het aangetoon dat MIV-positiewe pasiënte wel bewus is van die belangrikheid om hulle MIV-status bekend te maak. Laasgenoemde pasiënte doen dit egter nie, hoofsaaklik uit vrees vir stigma, diskriminasie en verwerping. Sommige pasiënte maak ook nie hulle status bekend nie omdat hulle bloot aanvaar dat die persoon met wie hulle saambly ook MIV-positief is en die bekendmaking van status dus onbelangrik is. Een van die belangrikste aanbevelings wat in die studie gemaak word is dat getroude paartjies aangemoedig moet word om MIV-voorligting by te woon, hulle te laat toets en hulle status bekend te maak. Dit word ook verder aanbeveel dat MIV/Vigs-gesondheidswerkers spesiale opleiding moet kry in hoe om persone wat MIV-positief is te oorreed om hulle MIV-status bekend te maak. Die studie sluit af deur te wys op die belangrike verwantskap tussen seksuele risikogedrag en die misbruik van alkohol. Daar word sterk gepleit dat die gemeenskap, en veral tienderjariges, bewus gemaak moet word van hierdie gevaar.

No description available.

This study investigated the impact of HIV/AIDS on education management and the self-actualization of teachers and learners in the context of HIV/AIDS and the role of the principal in dealing with this. The impact of HIV/AIDS on various key management structures including curriculum coverage, academic outcomes and control of stock and attendance registers, and importantly also the role principals should play, is probed. South Africa has the largest number of HIV infected people in the world, and also the largest number of AIDS orphans. In 2004 more than 4000 teachers died of HIV/AIDS complications and 12.5% of the teacher workforce is reported to be HIV-positive. A quarter of these are between 30 and 40 years of age, pointing to future teacher shortages. Learner absenteeism impact negatively on school management, as learners who are affected by HIV/AIDS are not able to attend school regularly. Many drop out of school due to the impact of AIDS, unplanned pregnancies and drug abuse. Absenteeism of learners and teachers, impact negatively on management structures in the school. The role of principals to provide quality education in worst affected schools is becoming increasingly complex. Sexual and substance abuse is a huge problem in many South African schools, and an aggravating factor in the spread of HIV/AIDS. In a third of sexual abuse cases teachers are implicated. Moreover, the large numbers of increasing orphans in the school system threatens to become a serious disciplinary problem. Many of these learners become disruptive and often turn to substance abuse to relieve their distress. The managerial costs of HIV/AIDS in education include costs due to absenteeism, lost productivity, hospitalization, and replacing administrative workers and teachers. These factors impact negatively on school management, academic performance and self-actualization. The most profound affects of HIV/AIDS are concentrated in education where the presentation of quality education is threatened. Principals in South Africa face the daunting task of providing quality education with an increasingly ill, absent and demoralised teacher corps, to increasingly ill, absent and disrupted learners of whom many are AIDS orphans. / Educational Studies / D.Ed.

Disclosure of a Human Immunodeficiency Virus (HIV) positive status is vital for prevention and promotion of the couple‟s health. The study aimed to investigate the perceived barriers of pregnant women diagnosed as HIV positive towards disclosure of their HIV status to their partners in the Capricorn District, Limpopo Province. Recommendations were formulated to enhance the self-efficacy. A quantitative, explorative, descriptive cross-sectional design and the Health Belief Model theory was used. Non-probability, convenience sampling utilised and 170 respondents aged 18-40 years participated in the study. A questionnaire was used to collect data and the SSPS version 24.0 was utilised to analyse data. Overall, 87.64% respondents received disclosure education and 80% disclosed their status to their partners. Reasons for non-disclosure included fear of rejection, violent behaviour, blame and stigmatisation by partners. Health care workers should provide pregnant women with information on preventive strategies to enhance disclosure of HIV status. / Health Studies / M.A. (Nursing Science)

School principals have a key role to play in managing educators with HIV/AIDS because it poses a serious threat to the quality of education provision. The aim of this study was to identify needs and challenges facing school principals in managing educators with HIV/AIDS and to provide school principals with in-depth information on how to manage educators with HIV/AIDS. A literature study was conducted to determine the impact of HIV/AIDS on the education sector. In order to obtain a better understanding of the problem, a qualitative research strategy was used. Data collection was done through individual interviews with school principals and focus group interviews with educators. Data analysis was done using Colaizzi‟s phenomenological approach. The findings of the research confirmed that HIV/AIDS has a disruptive effect on education provision. Finally, recommendations were made to address the identified problems. / Further Teacher Education / M. Ed. (Education Management)