No description available.

<p>The aim of this study was to develop guidelines for an HIV/AIDS support programme for teachers. In order to achieve this goal, Intervention Research: Design and Development model by Rothman and Thomas (1994) was adopted to guide the research process. Intervention research is a form of applied qualitative research utilized by researchers to design and develop interventions to ameliorate social problems. Intervention research: design and development model has six phases and unique operational steps to follow in each phase. The researcher adopted the first three phases to facilitate the design of the guidelines to assist with development of a programme to support teachers. Problem analysis and project planning is the first phase. In this phase, the aim was to understand the experiences of HIV/AIDS among teachers and in schools. Information was gathered from HIV/AIDS co-ordinators, principals, teachers living with HIV.</p>

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: The advent of anti-retroviral therapy (ART) has bought hope and reprieve in a previously hopeless situation where there was no available drug to combat the virus with the result that AIDS deaths from chronic, untreated HIV infection became the major cause of morbidity and mortality especially in sub-Saharan Africa where the disease burden is highest. Since March 19, 1987, when the FDA approved Zidovudine for the treatment of AIDS, there has been great improvement in the prognosis and quality of life of HIV infected persons especially in sub- Saharan countries like Nigeria where the burden of HIV disease is high. Even though the treatment of HIV looked promising to all HIV sufferers, there were strict requirements for taking the ARVs, that meant patients had to be able to take the medication more than 95% of the prescribed time. The requirements also involved strict dietary restrictions that further made adherence to these medications very difficult indeed. In addition, the potential for side effects of the medications and its requirement for life-style modifications like abstinence from excess alcohol made sticking to the required regimen very cumbersome and rather patient unfriendly. Therefore, as the use of ARVs became more popular and effective, so did the problem of nonadherence continue to fester and deteriorate even further. Therefore, the problem of lack of optimum adherence to ARVs is one that potentially threatens all the gains of the discovery and use of potent, life-saving ARVs. Hence, there is now a need to look at how best to improve adherence to ARVs in the most innovative, cost-effective and patient-friendly manner. This study argues for the use of simple, locally-driven adherence strategies that overcome the low literacy and excessive alcoholism that are major factors preventing optimal adherence to ARVs amongst patients. / AFRIKAANSE OPSOMMING: Die intrede van anti-retrovirale behandeling het hoop en genade gebring aan ‘n voorheen hopelose situasie waar daar geen behandeling beskikbaar was om die virus te beveg nie, wat daartoe gelei het dat VIGS, as gevolg van MIV-infeksie wat nie behandel is nie, die grootste oorsaak van sterftes in veral Sub-Sahara Afrika is. Sedert 19 Maart 1987, wanneer Zidovudine goedgekeur is vir die behandeling van VIGS, is daar ‘n groot verbetering in die prognose en kwaliteit van lewe van MIV-geinfekteerde mense, veral in Sub-Sahara lande soos Nigerië waar die voorkoms van MIV hoog is. Hoewel de behandeling van MIV vir alle MIV-lyers belowend gelyk het, was daar streng vereistes vir die neem van anti-retrovirale behandeling. Daar was ook streng dieetkundige beperkinge wat die getrouheid tot die behandeling bemoeilik het. Die moontlike newe-effekte van die behandeling en nodige leefstyl veranderinge, soos byvoorbeeld weerhouding van oormatige alkohol gebruik, maak die behandeling redelik pasiënt onvriendelik. Soos die anti-retrovirale behandeling meer gewild en effektief geraak het, het die probleem van ongetrouheid ook toegeneem. Die probleem rondom ongetrouheid tot behandeling bedreig alles wat deur die behandeling gebied kan word. Daar is nou ‘n behoefte daaraan om getrouheid tot anti-retrovirale behandeling te bevorder in die mees innoverende, koste-effektiewe en pasiënt vriendelike manier. Die studie beveel eenvoudige, plaaslik gedrewe getrouheid-strategieë aan wat optimale getrouheid aan behandeling sal verseker.

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: The vulnerability of female adolescents to HIV/AIDS has been widely documented with little effort being made to investigate the obstacles that these female adolescents actually face in translating HIV knowledge and attitudes into HIV preventive behaviours. The researcher randomly selected 120 school going female adolescents aged between 14-19, from six secondary schools in the Gweru District in an effort to assess their levels of knowledge on HIV/AIDS and their attitudes towards HIV prevention. The study aimed to uncover the obstacles the female adolescents face in practicing HIV preventive sexual behaviours. Inferences drawn from the study point to the fact that although female adolescents may have high levels of knowledge on HIV/AIDS and positive attitudes towards HIV prevention, there are cultural and religious values that promote male dominance in patriarchal societies and female docility thereby leaving little or no room for females to negotiate HIV prevention in sexual relationships. Poverty- driven economic dependency on men, orphan hood, peer pressure, lack of support from parents and guardians on issues to do with their sex and sexuality, lack of skills to be assertive and negative attitudes of health service providers were some of the barriers the female adolescents face as they try to pave their way in to safe motherhood. / AFRIKAANSE OPSOMMING: Die kwesbaarheid van vroulike adolessente aan MIV/vigs is wyd gedokumenteer met min moeite wat gemaak word die struikelblokke te ondersoek dat hierdie vroulike adolessente werklik gesig in die vertaling van MIV kennis en gesindhede in MIV voorkomende gedrag. Die navorser lukraak gekies 120 skoolgaande vroulike adolessente tussen die ouderdomme van 14-19, van ses sekondêre skole in die Gweru-distrik in 'n poging om hulle vlakke van kennis oor MIV / vigs en hul houding teenoor MIV-voorkoming te evalueer. Die studie is daarop gerig om die struikelblokke ontbloot die vroulike adolessente gesig in die beoefening van MIV voorkomende seksuele gedrag. Gevolgtrekkings waartoe die studie verwys na die feit dat alhoewel vroulike adolessente kan 'n hoë vlakke van kennis oor MIV / vigs en 'n positiewe houding teenoor MIV-voorkoming, is daar kulturele en godsdienstige waardes wat die bevordering van manlike oorheersing in patriargale samelewings en vroulike handelbaarheid daardeur sodat daar min of geen ruimte vir vrouens MIV-voorkoming in seksuele verhoudings te onderhandel. Armoede-gedrewe ekonomiese afhanklikheid van mans, wees kap, groepsdruk, gebrek aan ondersteuning van ouers en voogde op die kwessies te doen het met hul seks en seksualiteit, gebrek aan vaardighede om selfgeldend en negatiewe houdings van gesondheid diensverskaffers is 'n paar van die hindernisse die vroulike adolessente gesig soos hulle probeer om hul weg te baan in 'n veilige moederskap.

The message that is being preached on the streets on a daily basis is that HIV/AIDS has no cure and that it is a fatal disease. The AIDS pandemic is a serious problem, everybody's concern and nobody's fault. If not attended to accordingly and not controlled properly, the epidemic poses a serious threat to the whole nation, therefore every individual is faced with an enormous challenge, especially young people, since today's youths are tomorrow's future. The HIV/AIDS pandemic is continuing to rob both parents and their children of an opportunity of reaching their last mile of development which is old age. HIV/AIDS is not regarded to be the same as any other disease. The situation is getting out of hand as the HIV/AIDS victims are facing a double jeopardy of fighting for their lives, while at the same time, suffering from negative societal attitudes. They are being discriminated against, rejected, ill-treated and not treated with love and respect Therefore every individual is faced with the huge task of fighting this monster and creating a caring society. A supportive and enabling environment needs to be created so that HIV/AIDS victims can be treated similarly to any other patients. The aim of the study was to explore learners' knowledge of HIV/AIDS and determine their attitudes regarding people living with HIV/AIDS. From the research findings, it was found that learners are knowledgeable about the general facts on the HIV/AIDS pandemic, but that their knowledge concerning certain aspects is limited to some extent, therefore it is deemed necessary to equip and empower them with more and relevant information. With regard to learners' attitudes, it was found that learners have fair and positive attitudes towards people living with AIDS. It is recommended that these positive attitudes and fair knowledge of learners must be sustained. The most effective way to attain this is though education, and schools are the appropriate places to teach young people about HIV prevention. Here they can receive information and skills. It is further recommended that more HIV/AIDS programmes be developed to increase awareness and knowledge with the intention of educating people to recognize and avoid high-risk behaviour. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2005.

The aim of the research was to investigate the needs of adolescents and to determine their attitude, knowledge and skills regarding HIV/AIDS and life skills. The next step was to develop an empowering program to teach them life skills and to educate them with regard to the HIV/AIDS epidemic. To meet this aim, the following objectives were formulated: -To identify the needs of adolescents and extend their knowledge, skills and attitude regarding HIV/AIDS and life skills through empirical research and literature study. -To design a life skills program through a literature study and empirical research in order to improve the social functioning of the adolescents. The objectives were achieved by studying the relevant literature and through empirical research. The available literature on the subject was consulted to determine whether any research has been conducted in this field, and whether the subject could be researched. The empirical research was conducted to confirm the previous research findings. The literature study and empirical research were vital for formulating a social work empowering program. In this research, the survey method was used as a systematic fact-gathering procedure. Data was gathered through a structured questionnaire. The data was used to describe the study sample, since socio-economic status could possibly have an effect on the general health and development of children. The research data were collected from the adolescents and their families to estimate the prevalence of their living standards, habits and lifestyle, knowledge, attitude and behaviour regarding HIV/AIDS . The findings of this research reflected that adolescents had an urgent need for more knowledge and information concerning HIV/AIDS and life skills. In order to address this problem an empowering program was developed and will be presented. In this research the group work method will be used as an effective intervention strategy in empowering young people. Education is crucial; therefore it seems important to educate young people in certain life skills to empower them to cope with the challenges and demands of life. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2006.

There are growing calls for the involvement of multiple agencies to address health inequities. Many international non-governmental organizations (INGOs) working in health and development mention equity principles in their vision statements, missions, or strategic directions, and many authors view equity, including focusing on vulnerable populations, as an important role for these INGOs. However, there is a lack of in-depth empirical research on what influences INGOs’ implementation of equity principles in their work. The present study helps to fill this gap by using a case study to examine INGOs’ implementation of equity principles in their HIV/AIDS initiatives. In this case study, I focused on HIV/AIDS initiatives in Kenya to illustrate the nature of the implementation gap between the intent of INGOs to ensure equity in their work and actual practice, and to examine the various influences that affected the implementation of INGOs’ equity principles. I used HIV/AIDS as the exemplar because of the global epidemic of HIV/AIDS and the resulting large monetary investments made by donors to Southern countries and INGOs to address the disease. I conducted an in-depth case study of an INGO operating in Kenya. The research questions were: “What is the nature of the implementation gap between the intent of an INGO to ensure equity in its HIV/AIDS work and actual practice? What characterizes multi-level influences that affect an INGO’s implementation of equity principles in its HIV/AIDS work? How do multi-level influences affect an INGO’s implementation of equity principles in its HIV/AIDS work?” The case study design employed multiple methods including document reviews, interviews with staff of the INGO in Kenya, as well as its Northern INGO counterparts in Canada and the U.S., interviews with partners and clients of the INGO in Kenya, and participant observation with staff of the INGO in Kenya. I found that many players (e.g. Southern country government and the Northern donors) from different levels (e.g. in-country as well as Northern donor countries) shape INGOs’ implementation of equity principles in their HIV/AIDS work. Influences from donors include donor agendas and the focus of donor funding, as well as donor country policies. Influences from the Southern country government include government priorities and legislation. These influence INGOs’ implementation of equity principles in their HIV/AIDS work, and in some cases can outright contradict equity principles. However, since INGOs are often reliant on donor funding and need Southern governments’ permissions to work in-country, INGOs work within a system that is characterized by asymmetrical interdependence. They have to find a middle ground for implementing equity principles in their HIVAIDS work. Hence, these influences help give rise to an implementation gap between what INGOs intend to accomplish in implementing equity principles in HIV/AIDS work and actual practice. Implications for policy and practice include the need to: increase awareness of the roles various players have in implementing equity and the need for ongoing collaboration to achieve equity aims; continue work in capacity building on equity for INGO staff and its partners; and develop and refine tools for measuring and monitoring the implementation of equity. The present research clearly shows the significant role that INGOs play in equity, and the importance of understanding the multiple players and levels that influence INGOs’ implementation of equity principles in HIV/AIDS. The research can help INGOs, Southern country governments, and donors to better understand the system within which INGOs work in implementing equity principles, as multiple organizations continue to try to address health inequities around the globe.

No description available.

Few data are currently available regarding the extent to which older people (defined here as those aged >50 years): i) are sexually active; ii) engage in `risky' sexual behaviours; and iii) contract sexually transmitted diseases (STDs). It was the primary aim of research described in this thesis to address these specific knowledge deficits and to ascertain whether the exclusion of this age group as a research focus within this subject field can be reasonably justified. The dearth of previous research undertaken in this area necessitated that a secondary goal be addressed, namely the development of methodologies appropriate to the collection from older people of data concerning such issues. Using a combination of self-administered questionnaire studies and secondary data analyses, undertaken both in health care settings and within the community at large, the programme of research clearly indicates that: 1. Older people represent a consistent minority of patients attending specialised genitourinary (GUM) clinics. Members of this group are further regularly diagnosed with STDs. Moreover, older clinic attenders exhibit distinctive socio-demographic and clinical characteristics relative both to younger clinic attenders and to the general population of the same age group. 2. The majority of older GUM clinic attenders are first time attenders and have not been diagnosed with an STD before 3. In the community at large the majority of older adults are sexually active, of whom a small minority (approximately 7%) engage in behaviours that place them at risk of contracting STDs. 4. Most older people, recruited from both health care and non-health care settings, feel that they have received very little information about STDs and HIV, and many indicated that they would like to receive more information on these topics.

This study analyses the characteristics and life trajectories of highly educated18 to 35 year old Malawians, how they negotiate their identities in the face of HIV/AIDS, and their opinions regarding the effectiveness of current HIV/AIDS treatment and prevention efforts. These Malawians are among the privileged few who get an opportunity to complete their secondary education and potentially attend post-secondary classes. However, their livelihoods are inevitably tied to HIV/AIDS and public health employment opportunities and discourses due to the high HIV/AIDS prevalence in Malawi. These Malawians routinely presented their identities in the context of their understanding of HIV/AIDS. They also critically discussed the merits of current HIV/AIDS policies and potential alternative methods to decrease the spread of HIV in Malawi. By considering who highly educated Malawians are and why they discuss HIV/AIDS in such a manner, more culturally appropriate and innovative solutions in ridding Malawi of this epidemic may be understood.