Text in Afrikaans / Summaries in Afrikaans and English / Hierdie navorsing meen dat die kerk in die verlede te veel klem gele het op negatiewe seksuele praktyke, en verantwoordelike seks nie aan die qeloofsgemeenskap voorgehou is nie. Sodoende het 'n negatiewe mentaliteit in die geloofsgemeenskap ontstaan, wat verder aangewakker is deur verskeie sosio-politieke en ekonomiese faktore. Dit het tot 'n gebroke familielewe, huwelike, immoraliteit en 'n identiteitskrisis gelei, wat uiteindelik saamgewerk het tot die HIV-dilemma. Daar is nie werklik 'n begrip van die sin van bogenoemde elemente in die geloofsgemeenskap nie, en gevolglik konsentreer hierdie navorsing daarop om, met die evangelie as basis op 'n geinkultureerde wyse, bogenoemde kultuurbeskouinge in die Kgalagadi-gemeente te inkultureer. Hierin moet die plaaslike gemeente se koninklike, profetiese en priesterlike funksies gestalte kry in die daarstelling van sisteme, sodat doelgerig tot die bekamping van, pastorale hulp aan, en bystand aan HIV-slagoffers bygedra kan word. / The Church has focused too much on the negative aspects of sexuality and not enough on how to have sexual relations in a responsible manner. A negative mentality regarding sexuality, family life and morality had been created in the community, which contributed to the HIV-dilemma. There is no understanding of these aspects in the community. Inculturation of the relevant aspects into the Kgalagadi congregation should be done on the basis of the gospel. In this the local congregation should fulfill its kingly, prophetic and priestly functions by creating relevant systems to help prevent, support and counsel HIV-victims. / Christian Spirituality, Church History and Missiology / M.Th. (Missiology)

The purpose of this study was to determine factors affecting non-adherence to Anti-retroviral therapy among AIDS patients. A cross sectional quantitative survey, was used. Structured interviews were conducted with 300 ART patients. Data were analysed using SPSS version 13 and presented in charts, graphs and frequency tables. Motivators of good adherence were identified as disclosure of HIV positive status to more than one person, frequent adherence counselling, self-efficacy to adhere to ART, positive interactions between patients and healthcare providers; and using an adherence partner. Barriers to adherence were forgetfulness, transportation costs to and from the clinic, time away from work and side effects. There was a strong positive correlation between adherence, CD4 counts and viral load. Adherence was closely tied to immunologic and virologic improvements. Respondents with poor adherence were likely to have unsuppressed viral loads (OR 12.98, 95%, CI 4.9-34). / Health Studies / Masters of Public Health