This research is aimed at the needs of counsellors working with children infected and affected by HIV/AIDS. A lack of sufficient guidelines for this field has been identified in the relevant literature. This shortage has been confirmed by experienced counsellors working with children. To reach the required goal a number of objectives were set. This included setting up a theoretical framework by way of a literature study as well as consultation with experts in the field; studying the developmental needs of children in the mid childhood phase and how these needs are influenced by HIV/AIDS; the need for guidance of children affected by AIDS as well as the role that counsellors can play in this regard. An empirical study was undertaken during which focus group interviews were held with a group of lay counsellors as well as a group of trained counsellors. Ten participants took part in the focus groups. Applied research was undertaken as the researcher aimed at establishing the true needs of counsellors working in the field. The empirical data showed the following: Ø Counsellors feel that they have a specific role to play during the therapy with AIDS-affected children. Ø Counsellors have definite views on the needs of children affected by AIDS. Ø Counsellors have listed specific skills and training needed by therapists working with these children. Ø Counsellors have listed definite shortcomings and needs that they experience in their work with AIDS-affected children. The basic need for the establishing of a protocol to be used in guidance of children infected and affected by AIDS was one of the key findings of the study. / Dissertation (MSD (Play Therapy))--University of Pretoria, 2005. / Social Work and Criminology / Unrestricted

Liberal democracy, a political system marked not only by free and fair elections, but also by the rule of law, a separation of powers and the protection of basic liberties of speech, religion, assembly, and property (Zakaria 1997: 22), has for a long time formed part of theoretical debates in political science, and recently it has been hailed as the preferred political system. According to Mattes (2003) it is the only system in the world designed to maximize human dignity, freedom as well as distribute sovereignty amongst its people. However, there has been wide acknowledgement of a possible new threat to liberal democracy and democratic consolidation: HIV/AIDS. Indeed, the HIV/AIDS pandemic is being depicted as one of the biggest threats to the democratic system in Africa today. Mozambique is not immune to the above crisis. The first case of HIV/AIDS was diagnosed in 1986. This was followed by a steady increase in the prevalence rate to an estimated 16.2% among the population aged 15 to 49 years in 2004. In July 2004, the government declared HIV/AIDS a national emergency (UNICEF 2005). This study assesses the possible impacts that the pandemic might have in Mozambique and on efforts of consolidating democracy by looking at two indicators of democratic consolidation, namely, civil society and economic growth. The study concludes that notwithstanding efforts at halting and minimising the spread of HIV/AIDS by government, civil society and international organizations prevalence rates in Mozambique continue to rise. Prevalence rates rose from a low average of 11 percent in 2000 to 12.7 percent in 2001, 13.6 percent in 2002, and 16.2 percent in 2004 and 2006 (allAfrica.com 2007). The study concludes that the rise in prevalence rates affects Mozambique‘s civil society and the economy, mainly the agricultural sector and household economy. The impact that the pandemic has on these sectors of society may in turn have an impact on the quality of democracy and the prospects for democratic consolidation in Mozambique. Copyright / Dissertation (MA)--University of Pretoria, 2010. / Political Sciences / unrestricted

The study seeks to explore the experiences of care workers participating in laughter therapy. Community care workers play a vital role in the support of the HIV/AIDS infected and affected members of the community. However, the nature of this type of work contributes to high levels of emotional distress such as depression, anxiety and stress. The purpose of the study is 1) to explore the effects of working with orphans and vulnerable children (OVC) on the care workers and their experiences of participating in laughter therapy; and 2) the effects of laughter therapy on care workers’ levels of depression and stress. Given that laughter has been found to have several positive effects, many variations of this intervention have been developed. For the purpose of this study, a specific type of laughter therapy was used, namely that of Aerobic Laughter Therapy (ALT). The study was part of a project run by InHappiness Institution and was conducted at Nanga Vhutshilo in Soweto. The care workers at the centre provide care services for orphans and vulnerable children (OVC) affected by the HIV/AIDS epidemic. Purposive sampling was utilised to recruit seven care workers from the centre who participated in a laughter intervention. The study was phenomenological in nature and utilized both qualitative and quantitative methodology. Quantitative data was collected through two questionnaires administered before and after the laughter therapy intervention: The Hospital Anxiety and Depression Scale (HADS) and the Perceived Stress Scale (PSS). The Wilcoxon Signed-Rank Test was used to compare pre- and post- results of the scale scores for each participant. Results showed a significant difference between the pre- and post-intervention assessment scores for both Anxiety and Depression (-2.226 (p<0.05) and -1.876 (p<0.05) respectively). In addition, the Wilcoxon signed rank test showed that the post-intervention total scores for PSS were significantly lower than the pre-intervention assessment total scores (-1.863). The significantly lower post-intervention assessment scores show that the laughter therapy intervention produced a positive change with regards to anxiety, depression and stress in the participants. Qualitative data was collected through pre and post –intervention face- to- face semi-structured interviews and were analysed using Interpretative Phenomenological Analysis (IPA). The three themes that emerged from data analysis of the pre-intervention interviews were: motivation to become a care worker, work stresses and coping mechanisms. The five themes that emerged from the post-intervention interviews were: Initial reactions and expectations, effects on interpersonal relationships, improved effective coping ability, collective participation and laughter as a change agent. The study revealed that care workers experience high levels of stress, and anxiety. These emotions manifested in emotional distress in the form of frustrations, exhaustion and feelings of being overwhelmed. Emotional distress was found to be related to care workers’ personal involvement with their clients and high levels of emotional investment in them. Furthermore the study revealed the cyclic link that identification not only contributed to employment in such contexts, but it served to increase levels of personal involvement. Such personal involvement subsequently caused care workers to experience high levels of emotional distress when unable to meet the needs of the community in this respect. Findings from this study support laughter, with specific reference to Aerobic Laughter Therapy (ALT), as a positive therapeutic intervention that can possibly improve behaviour with regards to coping with difficult situations and providing a buffer against the negative effects of stress. However, the sample used in this study was not sufficient to conclusively make a generalised finding. / Dissertation (MA)--University of Pretoria, 2013. / Psychology / unrestricted

For those living in resource rich countries such as Canada a positive HIV diagnosis no longer means an imminent death. In response to this change, numerous treatment and therapeutic institutions have arisen to assist individuals with managing their illness. Illness narratives then, the stories people tell and retell about their illness experience, are constructed by and within this multiplicity of medical frameworks that can interact in ways that are both complimentary and contradictory. Drawing on ethnographic data obtained through two months of participant observation and seven in-depth interviews at an HIV/AIDS treatment facility in Vancouver, British Columbia I discuss how illness narratives reveal the presence of and an orientation towards the powerful discourses of medicine. Some of the frameworks evident in the narratives I examine include biomedical understandings of health and disease, support group dialogues on self-empowerment, tenets of complementary and alternative medicines, clinical models of low-threshold access to health care, notions of health services as a human right, and addiction treatment concepts. In order to afford a place for the institutional discourses of medicine in my analysis, the subjective experience of illness is contextualized with reference to it’s situatedness amongst the myriad of other voices that both construct and constrain narrative production. Ultimately, I seek to demonstrate how the incorporation of disparate institutional voices into a subjective story of illness reflects the development of a unique orientation to the institutions of medicine an understanding that I conceptualize as medical consciousness. / Arts, Faculty of / Anthropology, Department of / Graduate

Background: In Canada, Aboriginal women are disproportionately impacted by HIV and are tested later in disease progression, resulting in poorer health outcomes and increasing the risk of onward transmission. Methods: Using purposive sampling, 13 self-identified Aboriginal women participated in in-depth, qualitative interviews exploring women’s experiences with HIV testing and their ideas for improving the process. Thematic analysis was conducted in conjunction with constant comparison to identify emergent themes and to direct future interviews and analyses. Results: Women identified several barriers to HIV testing converging on the subjects of insufficient knowledge of HIV and HIV transmission, lack of perceived relevance of HIV testing, unwillingness or inability to confront the need for testing, and judgment from self and others regarding engagement in HIV-related risk-behaviours. The women also described their acceptable and unacceptable testing experiences, presented recommendations for increasing HIV testing uptake, and suggested ways to create the ideal testing experience. The findings demonstrate a clear need for stronger engagement of Aboriginal women surrounding their HIV-related testing needs and increased access to educational opportunities, culturally appropriate care, and initiatives aimed at reducing societal stigma around HIV.

The inclusion of faith-based organisations in development continues to generate debates regarding the competency of such organisations to deliver social service programs. These debates are further fuelled by the view that faith-based groups provide more effective social services than secular agencies because of their faith character. More and more, government and the development agencies are utilising these arguments to increase their funding to faith-based organisations. The consequent effect of this is the proliferation of faith-based organisations, with the scenario in Nigeria being no different. Most beneficiaries of faith-based programmes consider them an integral part of the development process. However, there is yet another dimension of this anecdote between faith groups and development-; the debates centred on the effects of faith on development outcomes, with faith groups attributing their success to the use of `faith' (the ‘faith’ hypothesis) and critics stating otherwise. Nevertheless, is there evidence that better development outcomes can be achieved through faith driven development?Utilising data from a combination of qualitative methods-interviews (key informants and others), focus group discussions and archival research and quantitative methods- a survey of selected beneficiaries of programs delivered by both secular and faith-based NGOs, this study test the 'faith' hypothesis in development outcomes and compares the organisational characteristics of faith-based and secular organisation that provide services to people living with HIV/AIDS in southern part of Nigeria. I conclude from the findings that ultimately whilst faith did contribute positively within the program and shaped development, it also served as a hindrance, excluding potential beneficiaries from participating in the programs. In addition, because of the focus of the development community on outputs rather than outcomes, these contributions of faith-based organisations were lost.

The purpose of this exploratory descriptive study was to explore those factors that contribute to African-American Ministers' attitudes when providing counseling services to HIV/AIDS clients. However, in order for the researcher to have accurately measured and assessed the ministers' attitudes, a 50 item questionnaire was administered which addressed the following areas: 1) Prevention of l IV; 2) General Knowledge about HIV/AIDS; 3) Misperceptions about HIV transmission; and 4) Perceptions of HIV/AIDS clients. The questionnaire was given to 50 students who attend the Interdenominational Theological Center, (ITC), which is located on Beckwith Street in Atlanta, Georgia. The study was an attempt to provide the Social Work Profession with literature concerning African-American Ministers' attitudes toward this vulnerable population, and to see if services that are provided need to be improved and/or strengthened.

Background Depression has been found in the literature to be a major problem in people living with HIV/AIDS. Not only does this impact on their daily functioning but has been shown to have negative HIV related outcomes, and result in poorer adherence to antiretroviral medication. The population under study was pregnant at the time of diagnosis. It would seem likely that their risk for depression would be greater than even a general HIV infected population, because of the pregnancy and the fact that they might have concerns around the health and future of the unborn infant. There are a limited number of studies looking at levels of depression over time and possible determinants of this depression even in a general HIV infected population. It was thus felt necessary to establish levels of depression and to establish if there were any factors associated with changes over time in this pregnant population. Method Two hundred and ninety three women were recruited at antenatal clinics in Tshwane from June 2003 and December 2004. They were interviewed at approximately 28 weeks gestational age and were followed for 18 months after the birth. Data included socio demographic variables, a “self efficacy score”, past history of violence, disclosure, CD4 count and knowledge score. Psychological variables included measures of stigma, social support, self esteem and coping. Depression was measured using a modified CES-D (Center for Epidemiological Studies Depression Score) Repeated measures mixed linear analysis was used to assess if there were changes in depression scores over time and if there were factors associated with these changes. Results Two hundred and twenty four women were included in the mixed linear analysis. The mean age of the women was 26.5 years (standard deviation -5.1). Seventy six percent (152) were single with a partner. Seventy six percent (171) had some form of secondary education and 14% (32) had some form of tertiary education. Sixty percent (135) lived in a brick house and 35% (79) had running water in the house. Twenty nine percent (64) had a per capita income below the poverty line. The prevalence of borderline depression (CES-D scores above 12) for this group of women at baseline was 45%. There were significant changes in depression scores over time. This was not a linear relationship (significant quadratic time to interview term p=0.008). This was evidenced by the fall off in scores at 3-9 months followed by a subsequent rise. The factors associated with higher depression scores overall were lower active coping (p=0.004), higher avoidant coping (p=0.003), higher internalised stigma (p=0.001), higher housing scores (0.026), lower self–esteem (0.002), a history of violence (p<0.0001) and having no partner (p=0.005). No factors were associated with changes over time. Conclusion There are significant changes in depression scores over time in this cohort of women Depression scores while falling after the birth of the child as in other cohorts, start to rise again. Although there are no specific factors associated with these changes, overall women who have a history of violence, who have no partner, who live in better housing circumstances, who have poor self esteem, who have high levels of internalized stigma and make use of negative coping strategies are more likely to be depressed. Women who make use of active coping strategies are less likely to be depressed. There are a large number of women at baseline who have scores considered to be diagnostic of borderline depression and because of the potential negative consequences to the woman and child, an intervention aimed at addressing the above issues should be devised. This should start in the antenatal period and carry on beyond this time. Copyright / Dissertation (MSc)--University of Pretoria, 2010. / Clinical Epidemiology / unrestricted

The intention of the study was to find the preferred medium of communication and the preferred language for the dissemination of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) information among the unskilled employees of Kumba Iron Ore mining company, with an assumption that disseminating of appropriate information can influence positive behaviour change with respect to the HIV/AIDS disease. In this study company and clinic workshops came up as the most preferred media for receiving HIV/AIDS information and English came up as the most preferred language for all the media types except radio where Tswana-Sotho came up as the most preferred language. It also came up clearly in the findings that most women do not like to discuss HIV/AIDS issues with friends or relatives / Dissertation (MIT)--University of Pretoria, 2012. / Information Science / Unrestricted

Theses (MPH.) -- University of Limpopo, 2017 / INTRODUCTION: Since the introduction of Anti-retroviral therapy, People Living With HIV/AIDS (PLWHA) now live longer and present with various opportunistic neuro-musculoskeletal and cardio-pulmonary conditions among other complications. This has led to a surge in the number of patients that visit the physiotherapy department presenting with many complications which include mobility problems, neurological deficits, muscle weakness and developmental delay in children among others as experienced by the researcher in the work place. AIM: To determine the knowledge of physiotherapists with regard to HIV/AIDS and their attitude towards HIV/AIDS patients in the Kingdom of Swaziland. METHOD: In this study a quantitative, descriptive cross-sectional survey was used to determine the knowledge and attitudes of Physiotherapists in the management of HIV/AIDS in the Kingdom of Swaziland. RESULTS: The results of the study revealed that physiotherapists in the Kingdom of Swaziland have a good knowledge and a positive attitude towards people living with HIV/AIDS. Amongst other attributes that were looked at in the study it was reported that 100% of the participants were knowledgeable on the complications associated with HIV/AIDS and 94% of the physiotherapists reported that they are familiar with complications that will benefit from physiotherapy. On the attributes related to attitude of physiotherapist towards HIV/AIDS patients the study found that 100% of the physiotherapists reported that they would take precautions and continue seeing the patients. There was no statistical significant relationship between years of experience and attitude (Pearson chi-square =0.25, p-value =0.61), familiarity with commonly used ARVS (Pearson chi square =1.13, p-value =0.76) and familiarity with Universal Precautions (Pearson chi-square =2.55, p-value =0.46).There was no statistically significant relationship between knowledge and attitude (Pearson chi square =1.000, p-value =0.61). CONCLUSION: The study revealed that the physiotherapists have good knowledge on HIV/AIDS and they also have positive attitude towards managing People Living with HIV/AIDS at their respective departments. There is need for the physiotherapy training schools to include HIV/AIDS in their curricula since some of the schools of physiotherapy where the participants trained did not include it during their time of training and the practising physiotherapists need continuing health education on HIV/AIDS. There is a need for the work setting libraries where physiotherapists work to have current books and journals for the physiotherapists to update themselves on issues pertaining to HIV/AIDS and internet access in the departments. The physiotherapists are also encouraged to take the initiative to utilise the libraries in their work settings and get information on HIV/AIDS. Keywords: Knowledge; attitudes; Physiotherapists; HIV/AIDS; Patients