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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
141

Rekonstrukce silnice II/605 Holoubkov – Rokycany (Borek) / Reconstruction of road II/605 Holoubkov - Rokycany (Borek)

Němcová, Klára January 2020 (has links)
The topic of the master’s thesis is reconstruction of the the road II/605 between municipality of Holoubkov and municipality of Rokycany (Borek) including local adjustments of the road in urban area of municipality of Svojkovice. The reasons for this reconstruction are insufficient parameters of current condition of the road. In Svojkovice are solved adjustments of crossroads, bus stops, parking bays, pavements and bicycle paths.
142

Onlinegestützte Bildungs- und Beratungsformate: neue Wege zur Entlastung pflegender Angehöriger von an Demenz erkrankten Personen im ländlichen Raum durch Schaffung neuer „Sozialräume“?

Heinrich-Zehm, Michael, Hähnlein, Vera, Görl-Rottstädt, Dörte, Förster, Stephan 17 December 2019 (has links)
Das Thema – Betreuung von an Demenz erkrankten Pflegebedürftigen in der Häuslichkeit – ist in den letzten Jahren in den Fokus der Gesellschaft gerückt. Sie haben zu verschiedenen Diskursen sowohl in der Politik als auch in Teilen der Allgemeinbevölkerung angeregt (vgl. Stoppe & Stiens, 2009, S. 7). Mit Blick auf die heutigen Betreuungs- und Versorgungsstrukturen ist „mit einer Überforderung aller Beteiligten zu rechnen” (Blinkert & Klie, 2004, S. 319). Dies betrifft sowohl die pflegenden Angehörigen, als auch die professionellen Dienstleister der ambulanten Pflege. Deshalb wird sich die gesamte Gesellschaft mit dem Thema Versorgung von pflegebedürftigen Personen auseinandersetzen müssen und im Speziellen mit der Frage: Wie und durch wen soll die Betreuung in den nächsten 30 Jahren erfolgen? Insbesondere die eingeschränkten Rahmenbedingungen im ländlichen Raum stellen ein Problem dar, da weniger Unterstützungsstrukturen (Selbsthilfegruppen, Dienstleister etc.) zur Verfügung stehen (vgl. Engels & Pfeuffer, 2008, S. 171–202). Die Bevölkerung wird in Zukunft nicht umhinkommen, vermehrt ehrenamtliche Tätigkeiten zur Betreuung und Versorgung von Pflegebedürftigen und im Besonderen von Demenzkranken zu übernehmen (vgl. Stoppe & Stiens, 2009, S. 7). Damit diese Aufgabe durch die Allgemeinheit gelöst werden kann, bedarf es spezifischer Bildungs- und Informationsveranstaltungen, um zielgruppengerecht die Bevölkerung auf die Bedarfe von Personen mit Demenz vorzubereiten. [.. aus der Einleitung]
143

Handläggningstider för fastighetsbildning : Påverkan på landsbygdsutvecklingen

Hansson, Emelie, Svensson, Lena January 2021 (has links)
Under en längre tid har handläggningstider avseende fastighetsbildning varit en utmaning för lantmäterimyndigheterna. I Förvaltningslagen anges att ärenden skall hanteras så enkelt, snabbt och kostnadseffektivt som möjligt. Med den pågående urbaniseringen har detta dock varit svårt att upprätthålla. Lantmäteriet skall på uppdrag av regeringen prioritera samhällsviktiga ärenden vilket ofta innefattar nybyggnation av bostäder, infrastruktur och anläggningar. Jord- och skogsbruk tillhör ofta den kategori som får stå tillbaka i denna process och därmed ej prioriteras.Examensarbetets syfte är att undersöka hur det statliga och de kommunala lantmäterimyndigheternas ärendehantering påverkar landsbygdsutvecklingen. Studien utfördes med flera metoder för att erhålla information lämplig till att besvara studiens frågeställningar. Genom en litteraturöversikt har ett antal informationskällor behandlats, dessa uppmärksammar handläggningstider för fastighetsbildningsärenden samt landsbygdens roll och utmaningar i samhället. Inom studien genomfördes det två enkätstudier och två intervjustudier. Genom dessa metoder inhämtades uppgifter kring fastighetsägares personliga upplevelser kring hur långa handläggningstider påverkat dem. Även erhölls information och yrkesmässiga erfarenheter från en lantbruksmäklare, en skoglig affärsrådgivare samt flertalet förrättningslantmätare.Resultatet visar att en stor del av fastighetsägarna anser sig bli negativt påverkade. Även de yrkesverksamma stödjer att denna påverkan kan uppstå vid långa handläggningstider. Därmed visar studiens slutsats att det problem som främst kan uppstå för ägare sker genom försvårade fastighetsaffärer somdessutom kan vara en faktor som bidrar till påverkan på landsbygdsutvecklingen genom att den hämmas. / During a long time period, processing times considering property formation have been a challenge for the cadastral authorities. It is specified in the Administrative Procedure Act that an errand shall be handled as simply, quickly and cost-effectively as possible. Due to the ongoing urbanisation this has been difficult to maintain. The Swedish mapping, cadastral and land registration authority has an assignment from the government to prioritize errands that are important to the society which often includes newbuildt households, infrastructure and facilities. Agricultural and forestry property units belong to the category which often has to stand back in this process and therefore do not get prioritized. The aim of the thesis is to examine how the state cadastral authorities and the municipal cadastral authorities management of errands affects rural development. The thesis was performed through several methods to receive appropriate data information to answer the thesis research focuses. Through a literature review, public documents have been processed containing information about processing times for property formation errands and rural areas' role and challenges in society. The thesis also used two surveys and two interviews. These methods received data from property owners with their own experiences of processing times. Also information and work related experiences was received from a rural real estate agent, forestry businessman and from several cadastral surveyors.The result showed that a lot of property owners get negatively affected. Also the professionals agree that there is an effect due to long processing times. Therefore the thesis conclusion shows that the problems that can occur mainly indicates that property sales get more difficult which also can have a negative effect on rural development.
144

Analysis of 5G Mobile Broadband Solutions in Rural and Remote Areas : A Case Study of Banten, Indonesia

Sarah, Annisa January 2017 (has links)
Providing a broadband access anytime and anywhere is one of the visions of the future 5G network. However, deploying a reliable network connection in remote/rural areas has been a challenging task because of its wide area that needed to be covered and a low density of user compared to urban area. Different geography and traffic condition may need different system solution. In this thesis, we analyze several solutions to providing a broadband access network in practical remote and rural area in Banten, Indonesia: Leuwidamar (remote) and Panimbang (rural). Two approaches are discussed, first one is fulfilling futuristic traffic demand by having LTE System, and the second one is by having 5G System. We included three key technology components in a 5G network: occupying wide bandwidth in high frequency, applying UE-Specific Beamforming, and implementing Carrier Aggregation (CA) scheme. We also account a rain attenuation when deploying a network in high operating frequency, since Indonesia has a high rain rate thus it is important to be considered. We compared five cases of solution: Case 1 is Single Carrier (SC) LTE 1.8 GHz system; Case 2 is Carrier Aggregation (CA) LTE 1.8 GHz + 2.6 GHz; Case 3 is SC 5G 15GHz; Case 4 is SC 5G 28 GHz; Case 5 is CA LTE 1.8 GHz + 5G 15 GHz. Basedon the evaluation, in Leuwidamar scenario, Case 5 gives us the least number of BS needed in order to meet the futuristic requirement with only 1.6 x densification from the current network. In Panimbang, the least number of BS neededis offered by two cases, Case 3 and Case 5 without any additional BS needed(1x densification). However, the solution with the lowest energy consumption for both area is Case 3. This is due to the fact that the carrier aggregation scenario needs additional power to generate the second system. Furthermore, if we introduce cell DTX ability in the 5G network, the Case 3 can give us impressive amount of energy saving, with 97% saving for Leuwidamar and 94% saving for Panimbang, compared to Case 1 solution without any DTX Capability. / Att tillhandahålla bredbandsanslutning när som helst och var som helst är en av visionerna för det framtida 5G-nätverket. Att använda en tillförlitlig nätverksanslutning i avlägsna- eller landsbygdsområden har dock varit en utmanande uppgift på grund av det breda området som måste täckas och den låga täthetenav användare jämfört med stadsområden. Olika geografiska förhållanden och trafikförhållanden kan behöva olika systemlösningar. I denna avhandling analyserarvi flera lösningar för att tillhandahåller ett bredbandsnätverk i verkligt avlägset eller landsbygdsområde i Banten, Indonesien: Leuwidamar (avlägset) och Panimbang (landsbygd). Två strategier diskuteras, den första uppfyller framtida trafikbehov genom att ha LTE-system och den andra är genom att ha5G System. Vi inkluderade tre viktiga teknikkomponenter i 5G-nätverk: bredbandbredd och hög frekvens, tillämpar UE-specifik strålformning och implementeringav carrier aggregation (CA). Vi redovisar också en dämpning av regn när nätverket används i hög bärvågsfrekvens, eftersom Indonesien har en hög regnhastighet och det är viktigt att överväga. Vi jämförde fem fall av lösning:Fall 1 är Single Carrier (SC) eller Enkelbärare LTE 1.8 GHz system; Fall 2 är bärareaggregation (CA) LTE 1,8 GHz + 2.6 GHz; Fall 3 är SC 5G 15 GHz;Fall 4 är SC 5G 28 GHz; Fall 5 är CA LTE 1.8 GHz + 5G 15 GHz. Baserat på utvärderingen, i Leuwidamar-scenariot,ger Fall 5 oss det minsta antalet BSsom behövs för att möta det futuristiska kravet med endast 1.6 gångers förtätning från nuvarande nätverk. I Panimbang erbjuds det minsta antalet BS somkrävs i två fall, fall 3 och fall 5 utan ytterligare BS behövs (1 gångers förtätning). Lösningen med den lägsta energiförbrukningen för båda områdena är fall 3. Detta beror på att bäraraggregations scenariot behöver ytterligare effekt för att generera det andra systemet. Om vi introducerar cell DTX-funktionen i 5G-nätverket kan Fall 3 ge oss en imponerande energibesparing, med 97% minskning för Leuwidamar och 94% för Panimbang jämfört med Fall 1-lösning utan DTX-funktion.
145

iPad 2 Applications and Emergent Literacy: Do They Have an Impact on the Acquisition of Early Literacy Skills?

Cubelic, Cathleen J. 04 June 2013 (has links)
No description available.
146

Stratégies et déterminants de la vaccination au Burkina Faso 1993-2003

Sia, Drissa 04 March 2010 (has links)
Introduction : La vaccination est l’une des interventions de santé publique les plus efficaces et les plus efficientes. Comme dans la plupart des pays de la région Ouest africaine, le programme national de vaccination a bénéficié du soutien de nombreuses initiatives internationales et nationales dans le but d’accroître la couverture vaccinale. La politique vaccinale du Burkina Faso s’est appuyée sur différentes stratégies à savoir: la vaccination-prospection, la «vaccination commando», le Programme élargi de vaccination (PEV) et les Journées nationales de vaccination. La couverture vaccinale complète des enfants de 12 à 23 mois a certes augmenté, mais elle est restée en deçà des attentes passant de 34,7% en 1993, à 29,3% en 1998 et 43,9% en 2003. Objectif : Le but de cette thèse est d’analyser à plusieurs périodes et à différents niveaux, les facteurs associés à la vaccination complète des enfants de 12 à 23 mois en milieu rural au Burkina Faso. Méthodes : Nous avons utilisé plusieurs stratégies de recherche et quatre sources de données : - les enquêtes démographiques et de santé (EDS) de 1998-1999 et de 2003 - les annuaires statistiques de 1997 et de 2002 - des entretiens individuels auprès de décideurs centraux, régionaux et d’acteurs de terrain, œuvrant pour le système de santé du Burkina Faso - des groupes de discussion et des entretiens individuels auprès de populations desservies par des centres de santé et de promotion sociale (niveau le plus périphérique du système de santé) et du personnel local de santé. Des approches quantitatives (multiniveau) et qualitatives ont permis de répondre à plusieurs questions, les principaux résultats sont présentés sous forme de trois articles. Résultats : Article 1: « Les facteurs individuels et du milieu de vie associés à la vaccination complète des enfants en milieu rural au Burkina Faso : une approche multiniveau ». En 1998, bien que la propension à la vaccination s’accroisse significativement avec le niveau de vie des ménages et l’utilisation des services de santé, ces 2 variables n’expliquent pas totalement les différences de vaccination observées entre les districts. Plus de 37 % de la variation de la vaccination complète est attribuable aux différences entre les districts sanitaires. A ce niveau, si les ressources du district semblent jouer un rôle mineur, un accroissement de 1 % de la proportion de femmes éduquées dans le district accroît de 1,14 fois les chances de vaccination complète des enfants. Article 2: « Rates of coverage and determinants of complete vaccination of children in rural areas of Burkina Faso (1998 - 2003) ». Entre 1998 et 2003, la couverture vaccinale complète a augmenté en milieu rural, passant de 25,90% à 41,20%. Alors que les ressources du district n’ont présenté aucun effet significatif et que celui de l’éducation s’est atténué avec le temps, le niveau de vie et l’expérience d’utilisation des services de santé par contre, restent les facteurs explicatifs les plus stables de la vaccination complète des enfants. Mais, ils n’expliquent pas totalement les différences de vaccination complète qui persistent entre les districts. Malgré une tendance à l’homogénéisation des districts, 7.4% de variation de la vaccination complète en 2003 est attribuable aux différences entre les districts sanitaires. Article 3: « Cultures locales de vaccination : le rôle central des agents de santé. Une étude qualitative en milieu rural du Burkina Faso ». L’exploration des cultures locales de vaccination montre que les maladies cibles du PEV sont bien connues de la population et sont classées parmi les maladies du «blanc», devant être traitées au centre de santé. Les populations recourent à la prévention traditionnelle, mais elles attribuent la régression de la fréquence et de la gravité des épidémies de rougeole, coqueluche et poliomyélite à la vaccination. La fièvre et la diarrhée post vaccinales peuvent être vues comme un succès ou une contre-indication de la vaccination selon les orientations de la culture locale de vaccination. Les deux centres de santé à l’étude appliquent les mêmes stratégies et font face aux mêmes barrières à l’accessibilité. Dans une des aires de santé, l’organisation de la vaccination est la meilleure, le comité de gestion y est impliqué et l’agent de santé est plus disponible, accueille mieux les mères et est soucieux de s’intégrer à la communauté. On y note une meilleure mobilisation sociale. Le comportement de l’agent de santé est un déterminant majeur de la culture locale de vaccination qui à son tour, influence la performance du programme de vaccination. Tant dans la sphère professionnelle que personnelle il doit créer un climat de confiance avec la population qui acceptera de faire vacciner ses enfants, pour autant que le service soit disponible. Résultats complémentaires : le PEV du Burkina est bien structuré et bien supporté tant par un engagement politique national que par la communauté internationale. En plus de la persistance des inégalités de couverture vaccinale, la pérennité du programme reste un souci de tous les acteurs. Conclusion : Au delà des conclusions propres à chaque article, ce travail a permis d’identifier plusieurs facteurs critiques qui permettraient d’améliorer le fonctionnement et la performance du PEV du Burkina Faso et également de pays comparables. Le PEV dispose de ressources adéquates, ses dimensions techniques et programmatiques sont bien maîtrisées et les différentes initiatives internationales soutenues par les bailleurs de fonds lui ont apporté un support effectif. Le facteur humain est crucial : lors du recrutement du personnel de santé, une attention particulière devrait être accordée à l’adoption d’attitudes d’ouverture et d’empathie vis-à-vis de la population. Ce personnel devrait être en nombre suffisant au niveau périphérique et surtout sa présence et sa disponibilité devraient être effectives. Les liens avec la population sont à renforcer par une plus grande implication du comité de gestion dans l’organisation de la vaccination et en définissant plus clairement le rôle des agents de santé villageois. Ces différents points devraient constituer des objectifs du PEV et à ce titre faire l’objet d’un suivi et d’une évaluation adéquats. Finalement, bien que la gratuité officielle de la vaccination ait réduit les barrières financières, certaines entraves demeurent et elles devraient être levées pour améliorer l’accès aux services de vaccination. / Introduction: Vaccination is one of the most effective and efficient public health interventions. As in most West African countries, Burkina Faso’s national program of vaccination has benefited from the support of numerous international and national initiatives aimed at increasing vaccination coverage. Burkina Faso’s immunization policy has relied on a variety of strategies, such as door-to-door canvassing for vaccination, the “Vaccination Commando” campaign, the Expanded Program of Immunization (EPI), and National Immunization Days. While vaccination coverage of children ages 12–23 months has increased, it has nevertheless remained well below expectations, going from 34.7% in 1993 to 29.3% in 1998 and subsequently rising to 43.9% in 2003. Objective: The purpose of this thesis is to analyze, at several points in time and on different levels, the factors associated with complete vaccination of children ages 12–23 months in rural areas of Burkina Faso. Methods: To conduct this research we employed several research approaches and four sources of data: - the Demographic and Health Surveys (DHS) of 1998–1999 and 2003; - the Statistical Yearbooks of 1997 and 2002; - individual interviews with decision-makers at the central and regional levels, as well as with field workers in Burkina’s healthcare system; - focus groups and individual discussions with people served by the health centres, or centres de santé et de promotion sociale (the most peripheral level of the health system) and with local health workers. Quantitative (multilevel) and qualitative approaches provided answers to several questions; our key results are presented in three articles. Results: Article 1: “Individual and living environment factors associated with complete vaccination of children in rural areas of Burkina Faso: a multilevel approach”. In 1998, although the tendency toward vaccination rose significantly with household standard of living and the use of health services, these two variables did not fully explain the differences in vaccination observed between districts. More than 37% of the variation in complete vaccination was attributable to differences between health districts. At this level, even though district resources appeared to play a minor role in vaccination, a 1% increase in the proportion of educated women in the health district increased children’s chances of being completely vaccinated by a factor of 1.14. Article 2: “Rates of coverage and determinants of complete vaccination of children in rural areas of Burkina Faso (1998–2003)”. Between 1998 and 2003, complete vaccination coverage in rural areas rose from 25.9% to 41.2%. While district resources showed no significant impact on complete vaccination, and that of education diminished over time, the standard of living and the experience of using health services, on the other hand, remained the most stable explanatory factors of complete vaccination of children. However, they did not fully explain the differences in complete vaccination that persisted among districts. Despite a trend toward homogenization of districts, 7.4% of the variation in complete vaccination in 2003 was still attributable to differences between health districts. Article 3: “Local vaccination cultures: the role of health workers. A qualitative study in rural areas of Burkina Faso”. Exploration of local vaccination cultures shows that the diseases targeted by the EPI are well known to the population and are classified among diseases of the “white people” that must be treated in the health centre. People use traditional preventive measures, but they attribute the decline in frequency and seriousness of measles, whooping cough and poliomyelitis epidemics to vaccination. Post-vaccination fever and diarrhoea may be perceived either as sign of success or as a contraindication for further vaccination, depending on the views of the local vaccination culture. The two health centres in the study applied the same strategies and faced the same barriers to accessibility. In one of the health zones, vaccination is the best organized, the management committee is committed, and the health worker is more available, interacts better with mothers and makes efforts to be part of the community; this zone exhibits stronger social involvement. The health worker’s behaviour is a major determinant of local vaccination culture, which in turn influences the performance of the vaccination program. Both professionally and personally, he needs to build a relationship of trust with people that promotes their acceptance of children’s vaccination, as long as the service is available. Supplementary results: Burkina Faso’s EPI is well structured and supported by both a national political commitment and the international community. In addition to persistent disparities in immunization coverage, the program’s sustainability remains a concern shared by all the actors. Conclusion: Beyond the conclusions specific to each article, this research has enabled us to identify several critical factors that would help to improve EPI performance in Burkina Faso, as well as in comparable countries. The EPI has adequate resources, its technical and programmatic resources are well controlled, and various international initiatives backed by funding agencies have provided effective support. The human factor is crucial: when recruiting health workers, particular attention should be given to having open and empathetic attitudes toward people. There should be enough personnel at the peripheral level, and they must have an effective presence and availability. Relationships with the community should be strengthened by having management committees be more involved in organizing vaccination and by defining more clearly the role of village health workers. These points should become EPI objectives and be subject to appropriate monitoring and evaluation. Lastly, even though making vaccinations free has reduced financial barriers, there are still certain constraints that should be removed to improve access to vaccination services.
147

Generating Procedural Environments using Masks : Layered Image Document to Real-time environment

Eldstål, Emil January 2019 (has links)
This paper will explore the possibilities of using an automated self-made procedural tool to create real-time environments based on simple image masks. The purpose of this is to enable a concept artist or level designer to quickly get out results in a game engine and to be able to explore ideas. The goal of this thesis was to better understand how you can break down simple ideas and shapes into more complex details and assets. In the first part of this thesis, I go over the traditional workflow of creating a real-time environment. I then go on and break down my tool, what it does and how it works. I start off with a Photoshop file, make tools in Houdini and then utilize those in Unreal for the end result. I also argument about the time-saving possibilities with these tools. From the work, I draw the conclusion that these kinds of tools save a lot of time for repeating tasks and the creation of similar environments.
148

Young adult male ex-offenders’ experiences of the transition from incarceration to the estranged family in a rural community

Nchabeleng, Lontinah 09 1900 (has links)
Text in English / The issue of offenders’ re-integration has become an important topic to the Department of Correctional Services in South Africa due to high number of incarcerated individuals who need to return back into the society as law abiding citizens. Around the world, scholars have researched about offenders’re- integration. However, they tend to focus on adult ex-offenders, neglecting young adult male ex-offenders’ experiences of the family re-entry process. Scholars neglected that the consequences of being incarcerated at a young age (age 19-34) puts young people at overwhelming risks of future incarceration, unemployment, poor physical and mental health. Therefore, this study focused on seven young adult male ex-offenders in Sekhukhune district, aged between 24 and 34 years who returned to their families after incarceration. Participants were selected using purposive sampling and volunteer self-selection sampling, through the assistance of Tswelopele Ex-Offenders Forums in Sekhukhune area. This study explored, described and interpreted the meaning, benefits, challenges and coping strategies of the young adult males in regard to their family re-entry processes. This goal was achieved by adopting the interpretive phenomenological analysis (IPA) research design and conducting individual semi-structured interviews with the young adult ex-offenders. The IPA data analysis guidelines were followed to analyse data and the Person-environment (P-E) fit theory grounded this analysis as the emerging themes were further interpreted in light of the assumptions of this theory. The findings show that the process of family re-entry was an emotional rollercoaster for the young men concerning moving forward post their incarceration. They specifically experienced different moments of ambivalence, which was due to reuniting with family members on the one hand, but having to rely on family members for support, on the other hand. While being back in the family led to emotions of happiness and satisfaction, not being able to meet their family expectations and to perform the roles expected of people of their age led to various negative emotions, including sadness and anxiety. / Psychology / M.A. (Research Consultation (Psychology))
149

Peuplements et paysages aux confins occidentaux du territoire des Arvernes de la protohistoire au moyen âge / Settlements and landscapes on the western borders of the territory of the Arvernes from protohistory to the Middle Ages

Massounie, Guy 09 June 2015 (has links)
L’ouverture de la fenêtre des Combrailles apporte des enseignements nouveaux sur la puissance et la richesse de la cité des Arvernes.L’occupation du territoire est continue, de la Protohistoire au Moyen Âge, avec un très grand développement au moment de l’Empire romain.Le tracé des deux voies romaines majeures est établi : la densité de la population le long de leur passage prouve le rôle qu’elles ont joué.L’installation des habitats (avec la présence des élites) sur la totalité du territoire montre la complémentarité économique entre la capitale et la moyenne montagne.La densité des espaces miniers et l’exploitation de l’or à la période gauloise ont certainement contribué à la richesse des Arvernes. / The opening of the window of study of Combrailles provides new insights into the power and the wealth of the city of Arvernes.The occupacy of the territory is continuous from the Protohistory to the Middle Ages, with a great development at the time of the Roman Empire.The layout of two major ways is established : the density of population along their path proves the role they played.The settlement of the habitat (including those of the elites) on the whole territory shows the economic complementarity between rural areas and the cities.The density of mining spaces and the exploitation of gold during the Gallic period certainly contribute to the richness of Arvernes.
150

Determinants contributing to exclusive breastfeeding in HIV-infected mothers of infants aged 0-6 months who attend an NGO Health Centre in Elandsdoorn Village

Mohlajoa, Katlego Thabo 02 1900 (has links)
Text in English / Breastfeeding is particularly important in resource-poor regions of the world, where limited access to clean water increases the risk of diarrhoeal disease if replacement feeding is used. However, human immunodeficiency virus type 1 (HIV-1) is transmitted through human milk. Purpose of the study The purpose of this study was to describe the determinants contributing to exclusive breastfeeding in HIV-infected mothers of infants aged 0 to 6 months who attend an NGO Health Centre in Elandsdoorn Village. Methods A quantitative research approach using a non-experimental cross-sectional study was undertaken to conduct this study. A self-reported study questionnaire was used to collect data from study participants. Purposive sampling was used to sample 75 mothers from 18 to 45 years of age who were HIV-positive. SPSS version 23 was used to analyse the data. Results The study results indicated that there are determinants contributing to exclusive breastfeeding and a need to establish a more comprehensive approach to educating pregnant women on reproductive health issues, and exclusive breastfeeding in particular. Factors contributing to low levels of exclusive breastfeeding included breast problems, societal influence, maternal health concerns, insufficient support, fear of stigmatisation, and babies’ health concerns. This caused mothers to discontinue exclusive breastfeeding. Conclusions The intention of this study was to reveal the determinants of exclusive breastfeeding affecting mothers who are HIV-infected and breastfeeding their infants. / Health Studies / M.P.H.

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