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Patterns of disclosure : an investigation into the dynamics of disclosure among HIV-positive women in two PMTCT settings in an urban context, KwaZulu-Natal, South Africa.Crankshaw, Tarmaryn Lee. January 2011 (has links)
Introduction: Little guidance is given to health professionals over how to deal with HIV disclosure complexities in the biomedical setting. Given the paucity of related research in this context, there is also little consideration of the actual effect of HIV disclosure in a given context. Social constructionist theory is an important contribution to disclosure research because it shifts the focus from a biomedical perspective to one that incorporates an individual's experience with HIV infection in a specific context. The task of this study was to develop substantive theory, with the aim of providing a theoretical framework for public health and health care practitioners to better understand HIV disclosure dynamics in the PMTCT setting.
Methods: This was a qualitative study which explored the experience of disclosure amongst HIV positive pregnant women in the PMTCT context. Between 5 June – 31 November 2008, a total of 62 participants were recruited from two urban-based PMTCT programmes located within the eThekwini District, KwaZulu-Natal, South Africa.
Results: Participants disclosed to two main groups: sexual partners, and family/others. Structural and relationship network factors shaped transmission risk behaviour, subsequent disclosure behaviour and outcomes. The circumstances which placed participants at risk for HIV acquisition also affected the likelihood of disclosure and health behaviour change. HIV and pregnancy diagnoses often occurred concurrently which profoundly impacted on participant's social identities and disclosure behaviour. Current HIV testing protocols within PMTCT settings often recommend disclosure to sexual partners under the assumption that couples will engage in safer behaviours, yet findings from this study indicate that this assumption should be challenged.
Discussion: The study findings are synthesized in a conceptual model which offers substantive new theory over the concepts and interrelated factors that were identified to shape HIV disclosure and outcomes in the PMTCT context. The model identifies the following domains: 1) social networks and social support; 2) identity; 3) risk behaviour; 4) HIV and pregnancy diagnoses; and 5) HIV disclosure process to partners and others.
Recommendations: Assumed pathways to risk reduction and HIV prevention need to be relooked and reconsidered. The conceptual model provides a proposed framework for future research, intervention design and implementation planning in the PMTCT setting. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2011.
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An industrial chemocide : synoptic analysis of air pollution in the Durban South area.Naicker, Mogasundram Shunmugam. January 2003 (has links)
Air pollution, health and poverty convey overtones of moral dereliction of our
people by the confederacy of perpetrators. It is true that a cocktail of chemical
emissions pollute the Durban South area and the residents paying an enormous
price to survive.
With poverty abound, the people feel disenfranchised as their plea for a better
environment fails to improve their standing.
This short treatise looks at the role of people and the business as one part and the
inclusion of the government on the other part. A comparison of covert techniques
and manipulations used by business to circumvent the system.
Legislation although adequate but lacking enforcement together with legal remedies
as a way to stop this incursion to our Constitutional right.
A paradigm shift to sustainability in exploring the many facets of invaluable
'practical solutions' to save and sustain our existence and our intergenerational
society.
The government authorities saddled with internal strife and the under-funded NGOs
who are buoyed by media support still prove ineffective. The conglomerates with
all their abundant resources covertly or otherwise propagate their maliciousness
unchecked.
The enforcement authorities, the judicial officers, the NGOs and the people must
work harmously to stem this unacceptable moral degradation before it reaches
abysmal proportions. / Thesis (LL.M.)-University of Natal, Durban, 2003.
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A History of the Natal Provincial Division of the Supreme Court of South Africa during the Judge Presidency of Richard Feetham (1930-1939) : with particular reference to the bench and bar.De Beer, Marina. January 1988 (has links)
Richard Feetham was Judge President of the Natal Provincial Division from 1 May 1930 to 18 July 1939. He succeeded Dove Wilson who was an able but not a very learned or dynamic Judge President. Thus, at the time of his appointment the Natal Court and its judgments were treated with little respect by the other provincial divisions. Feetham JP, unlike his predecessor, was not only a scholar with a towering intellect but a man endowed with outstanding leadership qualities. He was thus ideally
suited to bring about a change for the better in the status of the Natal Court. He did this by taking a dynamic lead and presided over and delivered a high proportion of the courts' judgments. He also set his brethren an excellent example by the high standard he set for himself and his court and which they emulated. This thesis thus also covers the careers of these puisne and acting puisne judges and their contribution towards the better administration of justice in Natal. In 1930 there existed in Natal a disinct system of dual practice with a de facto Bar. This system had been a vexed question in the minds of Natal lawyers for two decades but when Feetham JP was confronted with it he immediately addressed the controversial issue and brought about the necessary reforms to divide the legal profession and bring Natal into line with the rest of South Africa. This reform raised the quality of pleading and manner in which the law was presented. It also provided the Natal Bench with able personnel for the future from within Natal. Accordingly this thesis also assesses the careers of the main legal practitioners of that period and their contribution towards the development of the administration of justice in Natal. In less than ten years Feetham JP thus transformed the Natal Provincial Division from being weak and ineffectual to a position where it became a division respected for its Bench, judgments and legal profession. During the course of time history has confirmed the overall significance of Richard Feetham's Judge Presidency. / Thesis (LL.M.)-University of Natal, Durban, 1988.
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Frederick Robert Moor and native affairs in the colony of Natal, 1893 to 1903.Dhupelia, Uma. January 1980 (has links)
This dissertation is concerned with the public life of Frederick Robert Moor during the period 1893 to 1903. Moor served as Secretary for Native Affairs during the first ten years of responsible government in Natal in the ministries of Sir John Robinson (1893 - 1897), Harry Escombe (1897) and Alfred Hime (1899 - 1903). His policy towards the Africans and his handling of specific issues that faced the Native Affairs Department are examined. This study shows that the political nature of his office and his responsibility to the White electorate influenced his determination of policy and its implementation. Control was the key-note of Moor's policy and continuing in the tradition of the Native Affairs Department he believed that the tribal system and customary law were the best means of effecting this control. He therefore opposed anything that threatened this system such as the system of exemption from customary law which freed Africans from tribal control. This desire to protect the traditional system of government as well as his paternalism explains Moor's reluctance to allow Africans to appeal against the decisions of the lower courts to the higher courts or to permit the employment of lawyers by the Africans in the courts that administered customary law. Moor was opposed to granting the franchise to Africans even though he realised that he, as Secretary for Native Affairs, could not adequately represent their interests. He was also against alienating land in freehold to the Africans. Moor's policy made it impossible for him to find a place in his system for those Africans who wanted to shake off traditionalism and he found it difficult to handle the specific problems faced by them. Moor's location policy was motivated primarily by the desire to control the Africans and this was made more urgent with the spread of the Ethiopian movement. Yet he wished also to improve the Africans ability to support themselves and for this reason he initiated irrigation projects. Moor wanted to bring the mission reserves under the control of the government in the same way as the locations and in achieving this he caused tension between the government and the missionaries. No study of the relations between African and White in colonial Natal can exclude the labour issue. Moor had an individual approach to the labour question but was constantly torn between the demands of the colonists for cheap and abundant labour and his obligations to the Africans. He is revealed as being sympathetic to the position of the Africans. His unwillingness to prevent African labour in Natal from going to the Transvaal and his appOintment of J.S. Marwick to see to the interests of these Africans in the Transvaal were controversial. By 1903 Moor had acquired considerable experience as Secretary for Native Affairs and had formulated his policy. Despite his good intentions his policy succeeded in sowing the seeds of dissatisfaction amongst the Africans. The Africans appreciated his honesty but were critical of his failure to deal with specific issues such as the improvement of their educational facilities. Moor did not have to deal with an uprising in this period but three years after he left office the storm broke over Natal and Moor's responsibility for this is briefly discussed. Moor returned to the government in 1906 as Prime Minister and Minister for Native Affairs but this is outside the scope of this dissertation. / Thesis (M.A.)-University of Durban-Westville, 1980.
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The role of organised labour in dispute resolution in the eThekwini Municipality.Pakkiri, Vadival. January 2010 (has links)
This research expounds on the impact of Organised Labour in Dispute
Resolution at eThekwini Municipality. The research will identify the positive and
negative aspects of the stakeholders within the environment of labour relations.
The necessity of this research is that very little research has been conducted in
the dispute resolution environment at eThekwini Municipality. In any labour
contract, there will always be disputes between the stakeholders concerned. In
some instances, the conclusion of the dispute is a win-win situation or winner
takes all. In the open market, the engaging of the Commission for Conciliation
Mediation and Arbitration is the forum available to resolve disputes. In the local
government sector, however, organised labour caters for the needs of its
members by taking their grievances to the bargaining council under the auspices
of the South African Local Government Bargaining Council. Local government is
the sphere that is closest to the public at which delivery of services takes place.
The manner in which this is conducted depends largely on the Municipality's
institutional capacity. The institutional capacity also influences its regulatory role.
The co-operative governance approach encourages multiple stakeholder
arrangements to deal with labour relations issues. These arrangements will
provide an illustration of the role of various stakeholders in achieving peace and
harmony in the workplace. Organised Labour will always have a profound effect
on the economy, politics and social services. Its contribution and development to
society is highly influential and ensures its recognition. The challenge is to
develop systems and procedures that will serve the labour relations environment.
This research will set out to explore the dispute resolution mechanism that exists
currently, and the effect it has in the Municipality. In this way there will be a
definitive significance on the approach to formalise the roles employed by
management and organised labour. / Thesis (MPA)-University of KwaZulu-Natal, Westville, 2010.
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