Problem statement Due to HIV and AIDS impacting on communities, devastating consequences have been predicted. The number of orphans and vulnerable children (OVC) in need of care is escalating, causing social workers’ caseloads to become unmanageable. These OVC who lost their parents through death are suffering multiple losses due to being orphaned. The material, protection and affection needs have to be addressed in a holistic, eco-systematic, multidisciplinary team approach. In practice social workers tend to focus mainly on the material and protection needs of OVC due to high caseloads and staff turnover, neglecting their affection needs. Social workers need to work with foster parents and children in identifying potential risk factors that could lead to risk behaviour in foster children who have lost their parents through death. The researcher designed an assessment tool that could enable social workers in practice to do an effective risk assessment of OVC in foster care. Intervention could be planned accordingly by setting goals to address risk factors timeously in an attempt to prevent future problem behaviour in OVC placed in foster care. Aim To develop an assessment tool for social workers to identify risk behaviour in foster children who have experienced multiple losses such as the loss of one or both parents. Method A mixed methods design was used, specifically the sequential and explanatory design which involved collecting and analysing both qualitative and quantitative data. These obtained data were then connected and integrated. Results It was proved that a Risk assessment tool helped social workers to identify risk factors in a team effort between social workers, foster parents and children. Meeting the psychosocial needs of OVC placed in foster care more effectively is important in order to prevent the development of negative behaviour. / PhD (Social Work), North-West University, Potchefstroom Campus, 2015

Problem statement Due to HIV and AIDS impacting on communities, devastating consequences have been predicted. The number of orphans and vulnerable children (OVC) in need of care is escalating, causing social workers’ caseloads to become unmanageable. These OVC who lost their parents through death are suffering multiple losses due to being orphaned. The material, protection and affection needs have to be addressed in a holistic, eco-systematic, multidisciplinary team approach. In practice social workers tend to focus mainly on the material and protection needs of OVC due to high caseloads and staff turnover, neglecting their affection needs. Social workers need to work with foster parents and children in identifying potential risk factors that could lead to risk behaviour in foster children who have lost their parents through death. The researcher designed an assessment tool that could enable social workers in practice to do an effective risk assessment of OVC in foster care. Intervention could be planned accordingly by setting goals to address risk factors timeously in an attempt to prevent future problem behaviour in OVC placed in foster care. Aim To develop an assessment tool for social workers to identify risk behaviour in foster children who have experienced multiple losses such as the loss of one or both parents. Method A mixed methods design was used, specifically the sequential and explanatory design which involved collecting and analysing both qualitative and quantitative data. These obtained data were then connected and integrated. Results It was proved that a Risk assessment tool helped social workers to identify risk factors in a team effort between social workers, foster parents and children. Meeting the psychosocial needs of OVC placed in foster care more effectively is important in order to prevent the development of negative behaviour. / PhD (Social Work), North-West University, Potchefstroom Campus, 2015

This exploratory study investigated the psychosocial impact on rural grandmothers of Gutu, Zimbabwe, caring for their grandchildren orphaned by HIV/AIDS. The participants included 12 paternal and maternal grandmother-caregivers from four districts of Gutu, whose ages ranged from 56 to 76 years with orphans in their care ranging from infants to 18 years. The present study made use of Erikson's psychosocial theory of development on late adulthood. Data were gathered using semi-structured open-ended interviews in the participants' homes. Interpretive analysis was used to analyse the audio-taped data. Findings reveal that most grandmothers are experiencing a personal toll in dealing with the late adult crisis of integrity versus despair, including finding it difficult to resolve the grief of losing children while engaging in full time grandparenting in a stigmatising society. Participants reported a need for support and interventions tailored to their unique needs. Counselling, social support, financial assistance, and skills and knowledge about HIV/AIDS are therefore recommended. / Psychology / M.Sc. (Psychology)

The family as the basic unit of society plays an important role in the lives of individuals especially children. The HIV/AIDS epidemic has devastated the family structure which is already strained by other detrimental factors such as urbanisation and poverty. The increased death rate of young parents due to AIDS-related diseases has led to an escalating number of orphaned children growing in child headed households (CHH) without adult care. A qualitative study was undertaken to develop an understanding of the barriers that hinder the integration of orphaned children into extended family folds and to obtain suggestions on how to overcome these barriers. Semi-structured, face-to-face interviews were conducted in Bushbuckridge, Mpumalanga Province, with a sample of children heading CHH, relatives of these children and social workers who were rendering social work services to these client-systems. The study revealed that the level of suffering faced by CHH began with the illness of the parents. This was further exacerbated by the death of the parents as these children were not absorbed by their extended families. Barriers that hindered the integration of orphaned children into extended family folds go beyond the extended families’ economic capacity to absorb the children. There is an interplay of barriers that are poverty related, relational and family related, culturally related, circumstances that are related to the orphaned children as well as limitations in social work service delivery. The findings indicate that CHH is not a good option to care and protect orphaned children as it exposes them to pervasive adversities with little resources and support. The integration of orphaned children is embraced as a good option to care for the children because of its potential value, amongst others, of enabling the extended families to relieve the CHH from the burden of care. From the findings of this study, practice guidelines were developed to enhance the efficacy of integrating orphaned children into extended families to prevent the CHH phenomenon.

This quantitative study was aimed at determining the value of the psychosocial services rendered by the staff members of the Godisanang OVC programme to OVC in Rustenburg in order to make recommendations on how these services could be improved. Fifteen caregivers, who were employed by the Godisanang OVC programme, were interviewed in October 2013. Data was presented in the form of statistics, tables and numbers. This study revealed that the psychosocial services that are rendered by the Godisanang OVC programme to OVC are of value. Therefore, it is recommended that the psychosocial services be extended to other regions of Rustenburg. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)

The aim of this qualitative study was to understand how older women experience their roles as care-givers to HIV/AIDS affected households in the Atteridgeville community and to identify specific problems they encounter. Twelve older women attending three elderly day care centres in Atteridgeville participated in the study. Purposive sampling was done and data was collected through two focus group interviews. Colaizzi‟s seven-step method of data analysis yielded the following four main themes: Caring for adult children with HIV/AIDS, Caring for HIV affected and infected grandchildren, Multiple role players involved in caring for HIV/AIDS persons, The impact on the lives of care-givers. Factors with a positive and negative impact on caring for HIV/AIDS households were identified. The study raises awareness for the need for social workers in Atteridgeville to intervene in assisting older women in their challenging role of caring for HIV/AIDS households / Health Studies / M.A. (Public Health)

Text in English / Background: Children living in child-headed households have health needs that require treatment and care. Matsanjeni is one of the poorest socio-economic areas of Swaziland with the high number of children orphaned by HIV and AIDS who are often living without adequate family and social supports. These conditions are known for increasing people vulnerability to diseases and hindering access and utilization of health services. However, children living in child-headed households in Matsajeni community do attend the primary health care (PHC) services on regular basis. What influence the utilization of the above services by children living in child-headed households in the Matsanjeni community is not clear and well documented. Aim of the study: To explore and describe the views of children living in child-headed households in a rural community of Swaziland regarding factors influencing their utilization of PHC services. Design: A qualitative descriptive design was used to guide the study. Purposive sampling was used to select the most senior child from child-headed households in a rural community. Semi-structured individual face-to-face interviews were used to generate data. Data saturation was reached after twenty interviews. Thematic content analysis was used to analyse data. The researcher used Andersen behavioural model was to identify and organised the emerged themes. Ethical clearance was obtained from the Ethics Committees of the University of South Africa and the Ministry of Health of Swaziland. Results: Fear to develop a deadly disease, perceived seriousness of the condition, desire for compliance to medical treatment, and community support emerged as enablers of primary health care services utilisation among children living in child-headed households. While lack of money, ignorance, shortage of healthcare personnel, negative behaviour and attitude of health professionals, long waiting hours, unreliable transportation system, and long distance emerged as inhibitors of primary health care services utilisation among children living in child-headed households. Conclusion and recommendation: The results of this study add to our understanding factors that positively and negatively influence the utilisation of primary health care services among children living in child-headed households in rural communities. The findings suggest that the utilisation of primary health care services among children living in child-headed households is influenced by need for care-enabling resources-experience of care triad. Behavioural and social welfare interventions are needed to enhance the utilisation of primary health care services among this vulnerable section of the community in Swaziland. Recommendation for further research is also articulated. / Health Studies / M.A. (Public Health)

This quantitative study was aimed at determining the value of the psychosocial services rendered by the staff members of the Godisanang OVC programme to OVC in Rustenburg in order to make recommendations on how these services could be improved. Fifteen caregivers, who were employed by the Godisanang OVC programme, were interviewed in October 2013. Data was presented in the form of statistics, tables and numbers. This study revealed that the psychosocial services that are rendered by the Godisanang OVC programme to OVC are of value. Therefore, it is recommended that the psychosocial services be extended to other regions of Rustenburg. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)

Made available in DSpace on 2016-04-27T19:31:35Z (GMT). No. of bitstreams: 1 Claudia Graziolli Somma Jacinto.pdf: 431159 bytes, checksum: 401c1cd84d45ad6997c30b7858ba892a (MD5) Previous issue date: 2007-08-22 / The coffee s culture brought to the Province of São Paulo a significant growth in the fields economic, social, and politician. In a context of fast transformation and transistion of enslaved man power for wage-earner, the slave who soon would receive its freedom and that he knew its place in this social context, it starts to occupy bordering places taxes for the elite s coffee in growth. The end of century XIX (1871 at 1890) corresponds to the period studied in this work and argues practical legal the relative ones to the emancipation of the slaves before the Golden Law, the procedures segregacionistas that if reveal in the actions of entities, of the orphans judges, in the mind of ethnic cleanness, the scientific said practical conceptions / O cultivo do café trouxe à Província de São Paulo um crescimento significativo nos campos econômico, político e social. Num contexto de rápida transformação e transição de mão-de-obra escrava para assalariada, o escravo que em breve receberia a sua liberdade e que conhecia seu lugar neste contexto social, passa a ocupar lugares limítrofes impostos pela elite cafeeira em crescimento. O período estudado neste trabalho corresponde ao final do século XIX (1871 a 1890) e discute as práticas legais relativas à emancipação dos escravos antes da Lei Áurea, os procedimentos segregacionistas que se manifestam nas ações de entidades, dos juizes de órfãos, no ideário de limpeza étnica, nas concepções e práticas ditas científicas

The aim of this qualitative study was to understand how older women experience their roles as care-givers to HIV/AIDS affected households in the Atteridgeville community and to identify specific problems they encounter. Twelve older women attending three elderly day care centres in Atteridgeville participated in the study. Purposive sampling was done and data was collected through two focus group interviews. Colaizzi‟s seven-step method of data analysis yielded the following four main themes: Caring for adult children with HIV/AIDS, Caring for HIV affected and infected grandchildren, Multiple role players involved in caring for HIV/AIDS persons, The impact on the lives of care-givers. Factors with a positive and negative impact on caring for HIV/AIDS households were identified. The study raises awareness for the need for social workers in Atteridgeville to intervene in assisting older women in their challenging role of caring for HIV/AIDS households / Health Studies / M. A. (Public Health)