HIV and AIDS are now being considered as a chronic disease. As people live longer the possibility of physical disability increases. This study aimed to investigate the nature of physical disability among HIV/AIDS adults cared for by the Makeni home-based carers in Lusaka, Zambia. Disability was measured based on the World Health Organisation International Classification of Functioning, Disability and Health. This study demonstrated that mostly mild impairments and mild to moderate activity limitations and participation restrictions exists among patients in the Makeni home-based care programme. This study concluded that physiotherapists and other health professionals will have to be more involved in the community home-based programs that are suited for people living with HIV/AIDS so that they are also provided with clinical assessments and rehabilitation services.

Poverty and the environment are closely linked, as people use environmental resources to support livelihoods. Illegal stone quarrying evident in Lusaka, Zambia is symbolic of the use of environmental resources by the poor. Stone crushing provides income yet it is characterized by land degradation, large-scale excavation and dumping of waste materials. This study provides an analytical account of stone crushing as a livelihood in Lusaka and makes recommendations for improving the livelihoods of stone crushers to become sustainable. Using a livelihoods approach, a qualitative study collected data from various role players in Lusaka. Assets (physical, natural, human, social and political capital) for stone crushers were assessed, revealing that stone crushers lack livelihood assets, key options and are exposed to various shocks due to seasonal shifts. Increasing access to key livelihood assets, reducing vulnerability, improving infrastructure, access to justice and tackling social exclusion and gender inequality will enhance their livelihoods. / Development Studies / M.A. (Development Studies)

Poverty and the environment are closely linked, as people use environmental resources to support livelihoods. Illegal stone quarrying evident in Lusaka, Zambia is symbolic of the use of environmental resources by the poor. Stone crushing provides income yet it is characterized by land degradation, large-scale excavation and dumping of waste materials. This study provides an analytical account of stone crushing as a livelihood in Lusaka and makes recommendations for improving the livelihoods of stone crushers to become sustainable. Using a livelihoods approach, a qualitative study collected data from various role players in Lusaka. Assets (physical, natural, human, social and political capital) for stone crushers were assessed, revealing that stone crushers lack livelihood assets, key options and are exposed to various shocks due to seasonal shifts. Increasing access to key livelihood assets, reducing vulnerability, improving infrastructure, access to justice and tackling social exclusion and gender inequality will enhance their livelihoods. / Development Studies / M.A. (Development Studies)

Human migration in the world is an old and on-going phenomenon. Humans move from place to place across local and international boundaries for various reasons. International migration requires documentation such as visas, passports, resident and work permits that are required for one to legally migrate to, and settle in an area. However, there are people who enter countries without documentation, and such people are referred to as undocumented migrants. This research investigates undocumented immigration in Zambia, with reference to Lusaka City. The theoretical framework that underpinned the research comprised four theories of international migration. These were the neoclassical economics theory of migration, new economics of labour migration theory, dual labour market theory of migration, and Kunz’s refugee migration theory. This researcher adopted the intensive research design and used the case study method, where Lusaka City (Zambia) constituted the case study area. The researcher gathered primary data from the Lusaka City Council, the Zambian immigration department headquarters, and from the informal settlements of Chibolya, Mandevu and Matero. Questionnaires were administered to the sampled immigration officers and Lusaka City Council officers, and interviews were conducted with Zambians and undocumented immigrants in the informal settlements. The research findings showed that undocumented immigrant interviewees came from the Common Market for Eastern and Southern Africa (COMESA) region. The undocumented immigrant interviewees entered Zambia due to the peace and economic opportunities found in the country, as well as joining their relatives, spouses and friends who were already in Zambia. Once in Zambia, the undocumented immigrant interviewees migrated to Lusaka City mainly for economic reasons. The major economic activity that undocumented immigrant interviewees were engaged in, was trade. Others were employed in the informal sector. Cooperation and complaints (challenges) characterised the co-existence between the interviewed Zambians and undocumented immigrants. Furthermore, undocumented immigrants in the case study areas brought about socio-economic and cultural benefits to the Zambians. Undocumented immigrants also contributed to socio-economic and environmental challenges in the case study areas. The Zambian government worked towards addressing the challenges of undocumented immigration in Lusaka City and above all, reducing the phenomenon. Much literature and research on undocumented immigration focussed on the phenomenon at the national level, and not the local urban spatial scales. The research therefore aimed at investigating undocumented immigration in Zambia with specific reference to the urban locality of Lusaka City / Geography / M. Sc. (Geography)

Philosophiae Doctor - PhD / The current study framed as Social Structuring of Language and the Mobility of Semiotic Resources across the Linguistic Landscapesof Zambia: A Multimodal Analysis, is situated in Lusaka and Livingstone and their selected surrounding peri-urban and rural spaces (of Kabanana, Bauleni and Chipata; Kafue, Chongwe, Chief Mukuni’s area and stretches between Livingstoneand Zimba and Livingstone and Kazungula). The study aims to explore the linguistic landscapes (LL) of these urban, peri-urban and rural spaces in order to gain insight into the social structuring of language and the mobility of semiotic resources across the LL. This entails an understanding of how languages are distributed and realized across the research sites. In particular, the study aims at understanding how the regionalization of languages is (re-)produced, contested and maintained in (and beyond) the territories for which they are promulgated for use. Thus, the study foregrounds the mobility of the semiotic resources across the LL. In essence, artefactual material, symbols including languages are, in a multimodal fashion, investigated to see their pliability and mobility from context to context. In the light of the mobility of the semiotic resources, the study privileges both translocal and transnational mobility as the force behind the movement and the dispersal of the semiotic material across ethnolinguistic, formal, informal, urban and rural boundaries. This meant understanding the kind of signs in both urban and rural areas and why they are emplaced in the broader context of sign/place-and meaning making. In order to achieve the aim and objectives, the study has been foregrounded in ethnographic research paradigm in which walk, gaze, talk (interview) and photography were of irreplaceable importance. The conflation of walk, gaze (observation), talk and photography in one investigation avails much. Firstly, the walk brought the researcher within the allowable observation range in order to gain an insider impression while, at the same time, maintaining the objectivity required for an unbiased analysis. Participant observation coupled with gaze offered the required positioning for carrying out a multimodal analysis especially in the rural areas which turned out to have the paucity of signage. Thus, by being a participant observer, I keenly observed how sign-and meaning making were accomplished in oral-dominant communities. This meant positioning oneself as a new comer needing direction. It was in such moments when practices of sign-and meaning making were observed and recorded. For example, I would ask: how do I get to the next village/school/headman? The reference to ecological features such as trees, hills and streams extended the taxonomy of signs available for use in rural areas. Interviews with business owners about the emplaced signs brought to the fore the hidden narratives often gushing out from individualized orientation and personal experiences, as well as the shared sociocultural knowledge and histories of both the producer and consumers of the multimodal LL. Photography yielded digital images forming not only the quantitative data but also the qualitative one upon which a multimodal analysis was done. The aim was to capture over 1500 of images which were to be processed by the Software Package of the Social Sciences (SPSS). Over 1500 images were collected but only 1157 were coded based on the languages present, materiality, inscription, and emplacement. The quantitative data arising from this exercise provided insight into the social structuring of language and mobility of the semiotic resources across the urban, peri-urban and rural spaces. These results were later compared with the national census reports. The analysis of images as qualitative data availed much about the multimodal nature of the signage in place. The analysis of the qualitative data was accomplished by multimodality in its evolve form. Kress and Van Leeuwen’s(2006) Grammar of Visual Design, Scollon and Sollon’s (2003) Geosemiotics, and theoretical concepts such as resemiotization, remediation, recontextualization, decontextualization, multivocality and metamorphosis provided a sound theoretical toolkit to analyse the multimodal/multisemiotic signage emplaced across the public spaces of the research sites. As a result of a robust methodology and theoretical base, the study was able to underpin the social structuring of language and the mobility of semiotic resources across the linguistic landscapes in a manner too apparent. First, apart from showing the linguistic heterogeneity of the research sites, the study shows that social structuring of languages being experienced is one that is predicated on predictability, flexibility, flux and indeterminacy. The results showing the social structuring of English, for example, demonstrate the uneven spread of English across the urban, peri-urban and rural spaces. In particular, the results go against the normative expectation that the urbanized centres of Lusaka and Livingstone would have more signs in English. Peri-urban (Kabanana) and rural (Chongwe/Kafue) spaces showed more signs in English. This suggests a disembodiment of language and locality as well as social actors. Moreover, the results showed the co-occupancy of English and local languages in one micro-space/time. This entails the blurring of boundaries between languages of different socio-political statuses. The bilingualsigns on which English and non-regional languages occur demonstrate the persistent percolation of minor languages onto the LL. The presence of regional languages, albeit differentially, in and beyond their regions for which they were promulgated reminds us that there is a counter hegemonic narrative going on in the LL of the research sites –in defiance of regionalization (zoning). Thus, the results show that languages in the research sites do not stay put where they are officially put by legislation. The conflation of multiple semiotic resources has further (re-)produced linguistic coinages resulting in what I refer to as a sociolinguistics of amalgamation predicated on hybridity, fusion and tr ans languaging. This evidence is framed within the trans local and transnational mobility where both the social actors and the semiotic resources are constantly in circulation. The study observes that mobility is not only restricted to local circulation of cultural materialities from urban to rural and rural to urban,but also a more transnational circulation of semiotic resources. For example, the ubiquitous spread of Chinese signage across the urban, peri-urban and rural LL accentuates the permeating effect of translocal and transnational mobility, leading to the de-territorialization of spaces. The study further shows the sociocultural narratives in place-and meaning making. Place and meaning making as an agentive act is premised on shared sociocultural knowledge and histories (Kress 2010), but is further exploited and extended by creatively drawing on individualized orientation, experiences and subjective sensibilities. In this regard, the study agrees with Hult (2009) that in order to glean the subjective narrations and re-imagining of space embedded in the emplaced signs, interviews with the owners of the emplaced signs is in dispensible. Thus, like Blommaert (2012) aptly suggests, spaces are semiotized as themed spaces. The study has shown how spaces are Christianized, moralized, gendered and anonymized, thus, gaining insight into the forces and meanings behind both the emplacement of and emplaced signs. Further, the reading of artefacts in Livingstone Museum shows how the juxtaposition of the material culture of multilingualism and multiculturalism is a semiotic strategy to double-articulate multiple localities simultaneously: local and global; familiar and unfamiliar; modern and tradition. The transaction of multi vocality in a single moment of emplacement and gaze transforms space dramatically and extends the meaning potential of the emplaced signage in micro-space/time. Further, the observable paucity of signs in rural areas forces us to defer to an ecological approach in which oral language mediation, recycling and repurposing of material affordances provide a comprehensive account of the signage and sign-making/consumption in place. form. Kress and Van Leeuwen’s(2006) Grammar of Visual Design, Scollon and Sollon’s (2003) Geosemiotics, and theoretical concepts such as resemiotization, remediation, recontextualization, decontextualization, multivocality and metamorphosis provided a sound theoretical toolkit to analyse the multimodal/multisemiotic signage emplaced across the public spaces of the research sites. As a result of a robust methodology and theoretical base, the study was able to underpin the social structuring of language and the mobility of semiotic resources across the linguistic landscapes in a manner too apparent. First, apart from showing the linguistic heterogeneity of the research sites, the study shows that social structuring of languages being experienced isone that is predicated on unpredictability, flexibility, flux and indeterminacy. The results showing the social structuring of English, for example, demonstrate the uneven spread of English across the urban, peri-urban and rural spaces. In particular, theresults go against the normative expectation that the urbanized centres of Lusaka and Livingstone would have more signs in English. Peri-urban (Kabanana) and rural (Chongwe/Kafue) spaces showed more signs in English. This suggests a disembodiment of language and locality as well as social actors. Moreover, the results showed the co-occupancy of English and local languages in one micro-space/time. This entails the blurring of boundaries between languages of different socio-political statuses. The bilingualsigns on which English and non-regional languages occur demonstrate the persistent percolation of minor languages onto the LL. The presence of regional languages, albeit differentially, in and beyond their regions for which they were promulgated reminds us that there is a counter hegemonic narrative going on in the LL of the research sites –in defiance of regionalization (zoning). Thus, the results show that languages in the research sites do not stay put where they are officially put by legislation. The conflation of multiple semiotic resources has further (re-)produced linguistic coinages resulting in what I refer to as a sociolinguistics of amalgamation predicated on hybridity, fusion and translanguaging. This evidence is framed within the translocal and transnational mobility where both the social actors and the semiotic resources are constantly in circulation. The study observes that mobility is not only restricted to local circulation of cultural materialities from urban to rural and rural to urban,but also a more transnational circulation of semiotic resources. For example, the ubiquitous spread of Chinese signage across the urban, peri-urban and rural LL accentuates the permeating effect of translocal and transnational mobility, leading to the de-territorialization of spaces. The study further shows the sociocultural narratives in place-and meaning making. Place and meaning making as an agentive act is premised on shared sociocultural knowledge and histories (Kress 2010), but is further exploited and extended by creatively drawing on individualized orientation, experiences and subjective sensibilities. In this regard, the study agrees with Hult (2009) that in order to glean the subjective narrations and re-imagining of space embedded in the emplaced signs, interviews with the owners of the emplaced signs is indispensible. Thus, like Blommaert (2012) aptly suggests, spaces are semiotized as themed spaces. The study has shown how spaces are Christianized, moralized, gendered and anonymized, thus, gaining insight into the forces and meanings behind both the emplacement of and emplaced signs. Further, the reading of artefacts in Livingstone Museum shows how the juxtaposition of the material culture of multilingualism and multiculturalism is a semiotic strategy to double-articulate multiple localities simultaneously: local and global; familiar and unfamiliar; modern and tradition. The transaction of multivocality in a single moment of emplacement and gaze transforms space dramatically and extends the meaning potential of the emplaced signage in micro-space/time. Further, the observable paucity of signs in rural areas forces us to defer to an ecological approach in which oral language mediation, recycling and repurposing of material affordances provide a comprehensive account of the signage and sign-making/consumption in place.

Master of Public Health - MPH / BACKGROUND: The Zambian anti-retroviral therapy (ART) program has successfully enrolled over 770, 000 people living with HIV (PLWH), out of a population of 1.2 million PLWH. This tremendous success has overburdened the clinic system resulting in many challenges for both patients and healthcare staff. To promote ART initiation, adherence, and retention and at the same time relieve pressure on the health system, a home-based ART delivery model (HBM) was piloted in two urban communities of Lusaka. This study explored levels of acceptability of the model and factors influencing this among PLWH living in the two communities. Acceptability was defined as degree of fit between the patient’s expectations and circumstances and the home-based delivery model of ART, taking into consideration all the contextual elements surrounding the patient. METHODOLOGY: A qualitative study of HBM acceptability was nested within a clusterrandomized trial comparing outcomes in patients receiving HBM intervention compared to the standard of care in two communities in Lusaka, Zambia. Using an exploratory qualitative study design and a purposive sampling technique, qualitative data were collected using observations of HBM delivery (n=12), in-depth interviews with PLWH (n=15) and Focus Group Discussions with a cadre of community health workers called community HIV care providers (CHiPs) administering the HBM (n=2). Data were managed and coded using Atlas.ti 7 and analysed thematically. RESULTS: Overall, the HBM was found to be a good fit with the lives and expectations of PLWH and therefore highly acceptable to them. This acceptability was influenced by a combination of cross cutting clinic based, program design and socio-economic factors that have been categorized into push and pull factors. Push factors were those related to the challenges that PLWH faced when accessing ART from the clinic and included congestion, long waiting times, confidentiality breaches and stigma arising from attending a dedicated clinic. These factors resulted in considerable direct and indirect livelihood opportunity costs. The HBM as an alternative had a number of ‘pull factors’. PLHW described services offered through the model as convenient, confidential, trusted, personalized, less stigmatizing, comprehensive, client centred, responsive, and respectful. Disclosure of client’s HIV status to people they lived with was found to be critical for the acceptability of the model. CONCLUSIONS AND RECOMMENDATIONS: The HBM is highly acceptable and this acceptability is influenced by a combination of crosscutting push and pull factors. Key to the HBM’s acceptability was its delivery design that was responsive to individual patient needs and the steps CHiPs took to minimize the ever-present threat of disclosure and stigma. Future adoption and scaling up of HBM should recognize the importance of these design features.

Magister Public Health - MPH / Background: The Zambian anti-retroviral therapy (ART) program has successfully enrolled over 770, 000 people living with HIV (PLWH), out of a population of 1.2 million PLWH. This tremendous success has overburdened the clinic system resulting in many challenges for both patients and healthcare staff. To promote ART initiation, adherence, and retention and at the same time relieve pressure on the health system, a home-based ART delivery model (HBM) was piloted in two urban communities of Lusaka. This study explored levels of acceptability of the model and factors influencing this among PLWH living in the two communities. Acceptability was defined as degree of fit between the patient’s expectations and circumstances and the home-based delivery model of ART, taking into consideration all the contextual elements surrounding the patient. Methodology: A qualitative study of HBM acceptability was nested within a clusterrandomized trial comparing outcomes in patients receiving HBM intervention compared to the standard of care in two communities in Lusaka, Zambia. Using an exploratory qualitative study design and a purposive sampling technique, qualitative data were collected using observations of HBM delivery (n=12), in-depth interviews with PLWH (n=15) and Focus Group Discussions with a cadre of community health workers called community HIV care providers (CHiPs) administering the HBM (n=2). Data were managed and coded using Atlas.ti 7 and analysed thematically. Results: Overall, the HBM was found to be a good fit with the lives and expectations of PLWH and therefore highly acceptable to them. This acceptability was influenced by a combination of cross cutting clinic based, program design and socio-economic factors that have been categorized into push and pull factors. Push factors were those related to the challenges that PLWH faced when accessing ART from the clinic and included congestion, long waiting times, confidentiality breaches and stigma arising from attending a dedicated clinic. These factors resulted in considerable direct and indirect livelihood opportunity costs. The HBM as an alternative had a number of ‘pull factors’. PLHW described services offered through the model as convenient, confidential, trusted, personalized, less stigmatizing, comprehensive, client centred, responsive, and respectful. Disclosure of client’s HIV status to people they lived with was found to be critical for the acceptability of the model. Conclusions and recommendations: The HBM is highly acceptable and this acceptability is influenced by a combination of crosscutting push and pull factors. Key to the HBM’s acceptability was its delivery design that was responsive to individual patient needs and the steps CHiPs took to minimize the ever-present threat of disclosure and stigma. Future adoption and scaling up of HBM should recognize the importance of these design features.

Magister Scientiae (Physiotherapy) - MSc(Physio) / With the increase in the number of persons suffering from HIV/AIDS, physiotherapists are often required to treat these patients who present with respiratory and neurological complications. Although physiotherapists are at a lower risk of HIV infection in the workplace than nurses and doctors, it is necessary to determine their knowledge and perceptions of the risks, fears of HIV transmission and their attitudes towards patients with the disease. The aim of the study was to determine the physiotherapists knowledge of, and their attitudes towards patients with HIV/AIDS. It also explored whether the physiotherapists knowledge influences attitudes towards HIV/AIDS patients in Lusaka, Zambia. / South Africa

Magister Public Health - MPH / The program that was studied is part of the Child Health Program devised and supported by CARE International and implemented in Kanyama, a high density and low cost community found on the outskirts of Lusaka, Zambia. Diarrhoea was identified as one of the three most common diseases affecting the children under the age of five years. Through community participation, the program was implemented by the Kanyama residents to reduce the cases of diarrhoea, malaria and pneumonia among children aged five years and under. The main aim of this study was to explore the perceptions of the impact of community participation by the community leaders and community members in the diarrhoea prevention program and to establish constraints affecting participation. / South Africa

The paper evaluates whether the Lusaka Stock Exchange (LuSE) is weak form efficient, and whether stock price movements conform to the random walk hypothesis of non-predictability in future price movements based on past price information. The methods employed are the parametric and non-parametric individual as well as multiple variance ratio tests. In addition, the study incorporates the Runs Test. The study further examines seasonality in Zambian stock returns of the day of the week effect as well as monthly related effects. The period of analysis is from 3rd January, 2006 to 17th February, 2014. The study incorporates daily data as well as monthly data of the LuSE All share Index in order to investigate the random walk hypothesis as well as seasonality effects of the Zambian market. The period of analysis is broken down into two sub periods after accounting for multiple structural breaks in the data. The results of the study are mixed, the results of the Runs test finds the Zambian stock market price series to be mutually independent and conform to a random sequence, and are as such unpredictable. While the variance ratio tests reject the random walk hypothesis for the Zambian market, and as such, support the view of the use of technical trading strategies in order to outperform buy-and-hold strategies. The study finds no evidence of any seasonality in the data, either for daily data as well as monthly data. As such there is evidence that investors may acquire returns greater than those of the market, however, transaction costs and commissions would have to be minimal in order to exploit any patterns in the stock price series of the Lusaka stock exchange.