Thesis (MA)-- Stellenbosch University, 2013. / ENGLISH ABSTRACT: In all communities parents want to pass on strategies that will promote the survival of their children and foster their cultural competence. The ‘component model of parenting’, formulated by Keller (2000; 2007), captures universal propensities of parenting as well as cultural differences. The model hypothesizes that parenting styles are composed of different parenting systems, namely primary care, body contact, body stimulation, object stimulation, face-to-face interaction, and vocal stimulation. The proximal parenting style emphasizes primary care, body contact, and body stimulation, while the distal style of parenting focuses on verbal exchanges, object stimulation, and face-to-face interaction within the context of exclusive attention. According to Keller (2007), the dominance of certain systems over others can vary across cultural communities. This study aims to examine the cross-cultural conceptions of different adaptive and non-adaptive attachment qualities in three month old infants and their caregivers. This study explores whether culture-specific norms affect the development of different attachment qualities. It focuses on describing indigenous conceptions about parenting practices, socialization strategies, and caregiver beliefs. The study was conducted in the Western Cape region of South Africa. Participants included 25 mothers living in the greater Stellenbosch area and 29 mothers living in Khayelitsha. The measures included a socio-demographic questionnaire, spot observation videos, a picture card interview, and a socialization goals questionnaire. Data were coded according to coding schemes developed by Otto (2008). Data were analysed using descriptive statistics, t-tests, Mann-Whitney tests, and ANOVAs. The results indicated the Khayelitsha sample favoured a multiple caregiving arrangement, the proximal parenting style, and emphasized the importance of relational socialization goals. The greater Stellenbosch sample favoured an exclusive caregiving arrangement and emphasized the importance of autonomous socialization goals. Contrary to our expectations the greater Stellenbosch sample also favoured the proximal parenting style. The data demonstrates that cultural differences influence parenting practices and strategies. The data reported in this study challenge attachment theory’s universalism and provide an exploratory analysis of the different cultural conceptions regarding adaptive and non-adaptive attachment qualities. Further research using the same methodology needs to be conducted in South Africa. / AFRIKAANSE OPSOMMING: In alle gemeenskappe wil ouers strategieë oordra wat die oorlewing van hulle kinders bevorder en hulle kulturele bevoegdheid koester. Die ‘component model of parenting’, wat universele neigings en kulturele verkille in ouerskap inkorporeer, is geformuleer deur Keller (2000; 2007). Die model se hipotese stel voor dat ouerskap style uit verskillende ouerskap sisteme bestaan, naamlik primêre sorg, liggaamlike kontak, liggaamlike stimulasie, voorwerp stimulasie, een-tot-een interaksie, asook verbale stimulasie. Die proksimale ouerskap styl benadruk primêre sorg, liggaamlike kontak, en liggaamlike stimulasie. Daarteenoor fokus die distale ouerskap styl op verbale interaksie, voorwerp stimulasie, en een-tot-een interaksie binne die perke van ekslusiewe aandag. Volgens Keller (2007), kan die dominansie van sekere style bo ander verskil regoor kulturele gemeenskappe. Die studie poog om die onderskye multikulterele beskouinge rondom verbondenheids aanpassings, of gebrek daaraan, by drie maande oue kinders en hul versorgers te ondersoek. Die studie ondersoek of kultuur-spesifieke norme die ontwikkeling van verskillende verbondenheids kwaliteite affekteer. Dit fokus op die bekrywing van inheemse beskouinge omtrent ouerskap, sosialiserings strategieë, en die versorger se oortuigings. Die steekproef ws gebaseer in die Wes-Kaap van Suid-Afrika. Die steekproef het bestaan uit 25 moeders wat in die groter Stellenbosch area woon en 29 moeders wat in Khayelitsha woon. Die maatstawwe het ‘n sosio-demografiese vraelys, 20 op die plek observasie videos, ‘n onderhoud met prentjie kaarte, en ‘n sosialiserings doel vraelys ingesluit. Die data was gekodeer volgense koderings skemas wat deur Otto (2008) ontwikkel was. Die data was toe geanaliseer met beskrywende statistiek, t-toetse, Mann-Whitney toetse, en ANOVAs. Die resultate toon dat die Khayelitsha steekproef ‘n verskeie versorging benadering en die proksimale ouerskap styl verkies het. Hulle het die belangrikheid van verwante sosialiserings doelwitte benadruk. Die groter Stellenbosch steekproef het ‘n eksklusiewe versorgings benadering verkies en het die belangrikheid van autonome sosialiserings doelwitte benadruk. Teen verwagtinge het hulle ook die proksimale ouerskap styl verkies. Die data dui aan dat kulturele verskille beïnvloed ouerskap praktyke en strategieë. Die data wat in hierdie studie gerapporteer is, bevraagteken gehegtheidsteorie se universalisme en verskaf ‘n verkennende analise van die verskillende kulturele opvattings oor aanpasbare en nie-aanpasbare gehegtheids eienskappe. Verdere navorsing volgens dieselfde metodes moet nog in Suid Afrika gedoen word.

Thesis (MBA)--Stellenbosch University, 2003. / Some digitised pages may appear illegible due to the condition of the original hard copy / ENGLISH ABSTRACT: After sexual transmission of HIV, mother-to-child (MTCT) transmission is the most common cause of HIV infection in South Africa. The Western Cape government, through the Premier, has committed itself to providing access for all HIV positive women in the province attending antenatal clinics to MTCT prevention programmes by the end of 2003. The MTCT prevention programme is aimed at intervening transmission during pregnancy, during the birth of the baby and post delivery during breast-feeding of the newborn baby. The HIV virus attacks and destroys the cells of the immune system by being incorporated into the reproductive cycle of the cell. Antiretroviral drugs in the fight against HIV target two aspects of this replication cycle of the virus and as such do not halt the infection but slow it down by preventing the replication of the virus. MTCT internationally has been reduced dramatically by the use of antiretroviral drugs (AZT) antenatally, during birth and post-natally for mother and baby. However this regimen was found to be not suitable for resource-poor countries due to the complexity in administration, compliance and costs. Poor countries have developed alternative MTCT prevention programmes based on shorter course regimens and on alternative antiretroviral drugs. MTCT prevention In South Africa initially did not have the support of the national government. However, the -Western Cape Administration had developed a regional programme phasing in MTCT prevention at all state clinics within the province. The cost drivers associated with the MTCT prevention programme include costs associated with the HIV tests, costs for pre- and post-test counselling, costs for the antiretroviral drugs and costs for substitute feeding to replace breast-feeding to prevent viral transmission during breast-feeding. Depending on the option exercised, costs can be calculated per HIV positive baby averted. As regards substitute feeding, which is a substantial cost driver and a major disadvantage to the newborn baby as regards protection from common childhood diseases such as diarrhea, research from Tanzania showed that ARV therapy during childbirth could suppress HIV transmission through breast-feeding during the first few weeks after childbirth, thus enabling an optimal combination of breast-feeding in the first few crucial weeks of the newborn's life for the protective benefits of breast-milk and formula feeding thereafter to ensure protection for the infant from HIV transmission through breastfeeding. The data were subjected to a sensitivity or a "what-if' analysis usmg an Excel spreadsheet. Costs per HIV averted were calculated for each assumed parameter in the model that was developed. As regards prevalence, the MTCT prevention programme is most cost effective at the lower levels of the seroprevalence of HIV in the population served. If the seroprevalence is above the "cross-over" or "optimal" point for the regimen an alternative regimen should be assessed. As regards levels of identification and number accepting intervention the principle of an economy of scale applies and therefore, a level of 100 percent in both cases should be targeted. This will be dependent on wide scale advertisements and support for the programme with active efforts to destigmatise the infection. Innovative programmes such as the mothers-to-mothers-to-be (M2M2B) programme must be encouraged. / AFRIKAANSE OPSOMMING: Na seksuele oordraging van HIV is moeder tot kind (MTK) oordraging die algemeenste rede van HIV infeksie in Suid Afrika. Die Wes-Kaapse regering, deur die Premier, het hulself verbind om toegang vir alle HIV positiewe vroue in die provinsie, wat voorgeboorte klinieke bywoon, tot MTK voorkomingsprogramme voor die einde van 2003 moontlik te maak. Die MTK voorkomingsprogram is gerig op die tussenkoms van transmissie gedurende swangerskap, gedurende die geboorte en die nasorg tydens die borsvoeding periode van die pasgebore baba. Die HIV virus val die selle van die immuun sisteem aan en' vernietig dit. Die virus word geïnkorporeer tot die reproduksie siklus van die sel. Antiretrovirale wat teen die virus gerig is, is gerig teen twee aspekte van die replikasie siklus van die virus en sodoende sal die medikasie die infeksie nie staak nie, maar eerder vertraag as gevolg van die voorkoming van die replikasie. Moeder-tot-kind infeksie is internasionaal drasties verminder deur die gebruik van antiretrovirale (AZT) gedurende die tydperk voor geboorte, gedurende die geboorte en gedurende nasorg van die moeder en baba. Hierdie regimen is egter nie altyd moontlik in arm lande nie vanweë die kompleksiteit van die administratiewe toepassing en kostes. Arm lande het alternatiewe MTK voorkomingsprogramme ontwikkel, gebaseer op korter kursusse en alternatiewe antiretrovirale. Die voorkoming van MTK infeksie in Suid-Afrika het eers nie die ondersteuning van die nasionale regering geniet nie. Die Wes-Kaapse Adminstrasie het onafhanklik van die nasionale regering, streeksprogramme ontwikkel vir die infasering van MTK voorkoming in alle klinieke in die Provinsie. Die kostedrywers wat met MTK voorkomingsprogramme geassosieer word, sluit in die koste van HIV toetse, koste van voor-en-na toets berading, koste van die antiretrovirale en alternatiewe voeding om virale transmissie te voorkom gedurende die tydperk van borsvoeding. Afhangende van die opsies wat gebruik is, kan die koste van elke baba wat nie HIV opdoen nie, bereken word. Sover dit alternatiewe voeding aangaan, wat 'n belangrike kostedrywer is en 'n nadeel vir elke baba is sover dit teen beskerming van algemene kindersiekte soos diarrhea gaan het navorsing in Tanzanië bewys dat ARV terapie gedurende geboorte ook HIV transmissie deur borsvoeding gedurende die eerste paar weke na geboorte onderdruk wat 'n optimale kombinasie van borsvoeding in die eerste paar kritiese weke van die nuutgebore baba se lewe vir die beskermende voordele van moedersmelk en formulêre voeding daarna te versterk met beskerming van die baba teen HIV transmissie deur borsvoeding. Deur die gebruik van 'n Excel werkblad en 'n "wat as" metode van analiese koste van HIV opdoen in bereken word vir elke aanvaarding. Sover dit voorkoms betref is die MTK voorkomingsprogramme die mees effektief hoe laer die "seroprevalence" van HIV in die populasie gedien word. As die "seroprevalence" hoër as die optimale punt is, moet 'n ander metode bereken word. Sover dit die mate van identifisering en hoeveelheid die tussenkoms aanvaar in 'n mate van 100 persent moet in beide gevalle die mikpunt wees. Dit sal afhang van grootskaalse advertensies en ondersteuning van die programme met bedrywige pogings om die' infeksie te destigmatiseer. Nuwe programme soos die moeder tot nuwe moeder (M2M2B) program moet aangemoedig word.