Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Health information-seeking is a complex and dynamic construct. This study attempted to quantify and explain the use of interpersonal communication, media and related technologies as health information sources among first year university students on the campus of Stellenbosch University (SU), using a cross-sectional survey design. The questionnaire and web-based survey intended to measure and document important research constructs at a single point in time. Data from this survey provide exploratory information on patterns of health information-seeking practices and preferences encountered among the research target group. Measures of the reasons for health information-seeking on specific topics; health information sources/channels and frequency of source/channel use; information source credibility and quality as well as the outcomes of the health information-seeking process were used as secondary research aims in this study. Health communication and health management needs of the research population were also important research variables to establish. Results from this research indicate that the health status of the study cohort was good. The mean of the BMI kg/m² for the current study cohort lies at the higher end of the BMI kg/m² continuum for this age group, which indicates that the lifestyle of the study cohort is at risk. The use of health information sources among the research cohort was diverse. This research confirms that interpersonal communication is an important information medium through which young adults receive health information. The concept of an ecological context to health communication and its effects are therefore supported by these results. Use of media sources and related technology was common and diverse among the study cohort, mirroring patterns of media use for other young adult groups. Results further support the theory of effect-studies in communication (the media), where the provision of certain types of information through the media, indicate to have an impact on people’s thinking and behaviour. A behaviour change as result of the health information-seeking process was reported among the research cohort. Health communication literature refers to small numbers of studies conducted on health information-seeking among young adults (student populations). The current research has attempted to add to the body of knowledge on health information-seeking and its outcomes among a student population group in a South African university setting. / AFRIKAANSE OPSOMMING: Die soektog na gesondheidsinligting is 'n dinamiese en komplekse proses. Hierdie navorsing het gepoog om die gebruik van interpersoonlike kommunikasie, media en verwante tegnologieë as inligtingsbronne oor gesondheid onder eerstejaar-studente op die kampus van die Universiteit van Stellenbosch (US) te kwantifiseer en te verklaar. 'n Dwarsdeursnitopname is as studieontwerp gebruik. Die web-gebaseerde vraelys het gepoog om belangrike navorsingskonstrukte tydens 'n enkele tydgleuf te probeer meet. Data van hierdie opname verskaf verkennende inligting oor die patrone van die soeke na gesondheidsinligting en gesondheidsinligtingvoorkeure van studente. Redes vir die soek na gesondheidsinligting; mediums/metodes waardeur inligting verkry word; frekwensie van soektogte; geloofwaardigheid van mediums en die kwaliteit daarvan; onderwerpe waarna gesoek word en die uitkomste van hierdie gesondheidsinligtingsoektog, is as sekondêre navorsingsuitkomste van belang geag. Gesondheidskommunikasiebehoeftes onder die navorsingsteikengroep was belangrik om vas te stel. Resultate van die navorsing dui aan dat die gesondheidstatus van die navorsingsgroep goed was. Die gemiddelde BMI kg/m² vir die groep was egter aan die bokant van die BMI kg/m² kontinuum vir die ouderdomsgroep en dui op moontlike leefstylrisiko’s vir die groep. Die gebruik van gesondheidsinligtingsbronne was baie divers. Hierdie navorsing ondersteun die feit dat interpersoonlike kommunikasie, as gesondheidsinligtingsbron, nog 'n belangrike rol speel onder jong volwassenes. Die konsep van 'n ekologiese konteks vir gesondheidskommunikasie en die uitwerking daarvan, word ondersteun deur die huidige navorsingsresultate. Die gebruik van media en verwante tegnologieë, as inligtingsbronne vir gesondheid, is as baie divers gerapporteer. Dit bevestig patrone van mediagebruik wat onder ander jong volwassenes gevind is. Resultate van hierdie navorsing ondersteun ook die teorie van effek-studies in kommunikasie (die media), waar die verskaffing van inligting deur die media 'n impak op mense se denke en gedrag aandui. 'n Gedragsverandering is wel deur die navorsingsgroep aangedui as resultaat van die soeke na gesondheidsinligting. Gesondheidskommunikasieliteratuur verwys na enkele studies wat oor gesondheidsinligtingsoektogte onder jong volwassenes (studente-populasies) gedoen is. Die huidige navorsing het gepoog om 'n bydrae te maak tot hierdie kennis en die uitkomste daarvan onder studente op 'n Suid-Afrikaanse universiteitskampus.

This study investigated the impact of HIV/AIDS on education management and the self-actualization of teachers and learners in the context of HIV/AIDS and the role of the principal in dealing with this. The impact of HIV/AIDS on various key management structures including curriculum coverage, academic outcomes and control of stock and attendance registers, and importantly also the role principals should play, is probed. South Africa has the largest number of HIV infected people in the world, and also the largest number of AIDS orphans. In 2004 more than 4000 teachers died of HIV/AIDS complications and 12.5% of the teacher workforce is reported to be HIV-positive. A quarter of these are between 30 and 40 years of age, pointing to future teacher shortages. Learner absenteeism impact negatively on school management, as learners who are affected by HIV/AIDS are not able to attend school regularly. Many drop out of school due to the impact of AIDS, unplanned pregnancies and drug abuse. Absenteeism of learners and teachers, impact negatively on management structures in the school. The role of principals to provide quality education in worst affected schools is becoming increasingly complex. Sexual and substance abuse is a huge problem in many South African schools, and an aggravating factor in the spread of HIV/AIDS. In a third of sexual abuse cases teachers are implicated. Moreover, the large numbers of increasing orphans in the school system threatens to become a serious disciplinary problem. Many of these learners become disruptive and often turn to substance abuse to relieve their distress. The managerial costs of HIV/AIDS in education include costs due to absenteeism, lost productivity, hospitalization, and replacing administrative workers and teachers. These factors impact negatively on school management, academic performance and self-actualization. The most profound affects of HIV/AIDS are concentrated in education where the presentation of quality education is threatened. Principals in South Africa face the daunting task of providing quality education with an increasingly ill, absent and demoralised teacher corps, to increasingly ill, absent and disrupted learners of whom many are AIDS orphans. / Educational Studies / D.Ed.

The study explored the factors influencing the use of voluntary counselling and testing by university students. This was done by undertaking an exploratory and descriptive qualitative study. Focus group discussions and field notes were used to collect data from the participants. Outcomes from the study revealed various factors to the uptake of Voluntary Counselling and Testing (VCT) services by university students namely: the desire to know one‟s HIV status, illness, pregnancy, blood donation, to get a reward, the influence of significant others, the influence of media, awareness campaigns, compulsion, to get a job, curiosity, to be a positive role model and the positive attitude and professional conduct of the health care provider. The study also revealed various challenges to the uptake of VCT services by university students namely: the fear of being diagnosed HIV positive, HIV/AIDS-related stigma and discrimination, the low perception of risk to HIV infection, the lack of student friendly VCT services, the shortage of human and infrastructural resources, the inaccessibility of VCT services, the long waiting period for test results, negative perceptions about VCT, the problems with pre-test counselling and ignorance. Going by the participants‟ suggestions VCT services uptake by university students could be improved by increased resource allocation (incentives, human and infrastructural resources), increased awareness campaigns, and improved counselling and making VCT services more accessible / Information Science / MA (Public Health)

Text in English / The purpose this study was to explore food habits and nutritional behaviours of adolescents in a school in Lenasia South, in Gauteng Province. Qualitative, explorative research was conducted in order to recommend effective prevention strategies of non-communicable diseases. Adolescents from the selected secondary school formed the sample of the study. Data collection was done using focus groups’ discussions. Three focus group discussions were conducted in the study. The first group comprised of thirteen male adolescents, followed by ten female adolescents and the final group was a combination of both female and male learners to produce a homogenous group. Specific common eating habits and nutritional behaviours emerged from the focus group discussions which included skipping meals, high consumption of high energy dense foods and sweetened beverages. Consequently, when developing intervention programs and policies to improve health of adolescents, environmental influences that undermine efforts to improve adolescent’s dietary behaviours must be addressed. / Health Studies / M.P.H.

Thesis (M. Ed. Educational management) -- Central University of technology, Free State, 2012 / The purpose of the study was to investigate Life Skills as an intervention strategy in the fight against HIV/AIDS among the teenagers at Senakangwedi Senior Secondary School in Botshabelo, Free State. Life Skills as an intervention strategy were implemented in one secondary school in Free State Province in Motheo District. A cohort of 30 learners and 10 educators from secondary schools in Botshabelo, Free State Province participated in the study. The respondents comprised of 10 learners from Grade 10, 10 from grade 11 and 10 learners from Grade 12 as well as ten educators. Learners were between the ages of 15 and 20 years. Between these ages their cognitive development allows them to be more aware of Life Skills as an intervention strategy to combat HIV/AIDS at school. Thus, it was easy for them to verbalise Life Skills as an intervention strategy to fight HIV/AIDS. Due to their ages, their operational thinking allowed them to develop hypotheses about the possible outcomes of problems and to evaluate these outcomes comparatively. Educators were controlled by the level of their education, being respondents with a diploma or university degree. Comparatively learners who are 18 years of age were themselves concerned as they were heads of households. To arrive at the reported findings the study used the qualitative research approach methodology. This qualitative approach enabled the researcher to access information relating to the learners’ and educators' perceptions about HIV/AIDS. A life history approach was adopted in conducting the interviews to obtain a holistic understanding of participants’ life events in relation to their home environment. The interview guide covered such dimensions as family background and schooling. In the interviewing process, the researcher used the techniques of crystallisation and confrontation to enhance the clarity and trustworthiness of the narratives. In cases of ambiguity, the researcher asked the respondents for detailed and concrete examples and, in case of inconsistence, for further clarification and re-interpretation. The interview data were later transcribed for data analysis. The grounded theory approach was adopted to analyse the interview data, through which the categories of learner’s perceived motivations emerged naturally from their narratives. The evolving process comprised the following steps: (1) careful and repeated reading of transcriptions; (2) open content coding to signify any units of meaningful narratives in the passages. Ethical approval to conduct the study was sought and obtained from participating respondents and institutions. The results showed that most learners in the sample are orphans as result of AIDS and that many households are now headed by teenagers who have had to take on parental responsibilities. The results showed that Life Skills reduce teenage pregnancy and absenteeism at school. According to the results, life skills changed the behaviour of the learners and their attitude towards HIV/AIDS and therefore, learners should be educated about HIV/AIDS, teenage pregnancy and its prevention, as a strategy to reduce HIV/AIDS in schools. Life Skills is fundamental in empowering learners to live meaningful lives in a society that demands rapid transformation that enhances the community. The pandemic undermines the efforts of poverty reduction, part of the manifesto of the African National Congress (ANC) led Government; which aims at improving economic growth. In addition, the study revealed that learners feel free to talk to one another and that coaching by a Life Skills educator, assists in ensuring that HIV/AIDS-related topics are discussed with ease. The results showed that most learners agree that Life skills empower them with a sound and helpful background to prevent HIV/AIDS. Furthermore, learners admitted that the Life Skills programme effectively empowered them with the necessary knowledge to make informed decisions regarding sexuality. From the study a few valuable lessons were learned by the learners’ as an awareness of the pandemic and its consequences for their lives.

Quantitative, descriptive research, using self-completion questionnaires, was conducted to determine the level of HIV/AIDS knowledge of the learners in Sefhare. The sample, comprising 92 learners, was selected from forms 1-3. Of the learners, 53.4% knew what HIV/AIDS stand for, but only 13.6% said AIDS is caused by HIV and only 4.5% said AIDS is an incurable disease. The ABC of protecting oneself against HIV (abstain from sex, be faithful to one sex partner, use condoms) was mentioned by merely 57.6% of the learners. The learners’ lack of knowledge should be addressed by school HIV/AIDS programmes offered at schools in Botswana. As 81.5% of the learners were willing to be tested for HIV, this service should be made available with simultaneous confidential personal HIV/AIDS education, irrespective of the HIV test results. Teachers’ and parents’ HIV/AIDS knowledge should also be updated regularly. / Health Studies / M.A. (Public Health)

This study’s purpose was to explore the knowledge, attitudes and perceptions regarding HIV/AIDS and condom use, and sexual behaviours among senior secondary school learners in Kumba, Cameroon using the Health Belief Model (HBM) as the theoretical framework. The ultimate goal was to determine how at risk learners were of contracting HIV/AIDS. A quantitative, non-experimental descriptive, explorative and correlational research design was adapted; using self-designed questionnaires for data collection. Respondents were sampled through proportionally stratified simple random sampling resulting in 480 (240 male and 240 female) grade 10 to grade 12 learners from two participating high schools. Descriptive and inferential statistics were calculated using the SPSS version 12 software program. Most learners were knowledgeable about HIV transmission; the prevention of HIV/AIDS; and sexual risk behaviours pertaining to HIV transmission. Learners also manifested positive attitudes towards PLWHA. Most learners did not perceive themselves to be at high risk of contracting HIV/AIDS. Up to 52,3% who were sexually active, only 30,0% used condoms consistently. The respondents knew about condoms, but had poor attitudes towards condom use. Most respondents received information on HIV/AIDS, condoms and sexuality from magazines/newspapers and teachers. The findings could assist policy makers, programme planners and educators in developing and implementing programmes to improve the health of adolescents. The perceived barriers to condom use and modifying factors should be addressed into consideration in designing any policy geared towards controlling risk exposure to HIV/AIDS among youths in Kumba, Cameroon.

Voluntary Counselling and Testing (VCT) is at the core of HIV and AIDS prevention, treatment and care programmes. Timely access to treatment and related services requires knowledge of one‟s HIV status. Adolescents are at the epicentre of the HIV and AIDS pandemic. This study investigated the factors that influence adolescents‟ decisions to actively seek VCT. Semi-structured, in-depth individual interviews were conducted with twelve adolescents aged 15 to 19 who were conveniently selected to participate in the study. The study found that adolescents have extensive knowledge regarding the benefits of VCT and acknowledge the need to test for HIV. However, fear of the consequences of testing positive for HIV such as stigmatisation by family and the community, inability to influence their partners to take an HIV test and the inability to make their own decisions and follow through on them still hinder their maximum uptake of VCT. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS

The purpose of this study was to explore the knowledge, attitudes and behaviours regarding HIV and AIDS of university in Zimbabwe using the Health Belief Model (HBM) as the theoretical framework. The ultimate aim was to find out how at risk university students were of contracting HIV and AIDS. A quantitative, non-experimental descriptive, explorative and correlational research design was used, using self-designed questionnaires for data collection. Respondents were sampled through systemic stratified random sampling resulting in 403 undergraduate university students. Descriptive and inferential statistics were calculated using SPSS version 21 software program. Most students were knowledgeable about HIV transmission; the prevention of HIV and AIDS and sexual risk behaviours pertaining to HIV transmission. Students also did show positive attitudes towards PLHIV. Most students did not perceive themselves to be at high of contracting HIV and AIDS. Up to 52% who were sexually active had more than one sexual partner. The respondents knew that HIV and AIDS were not treatable but continued to indulge in risky sexual behaviours. Most respondents received information about HIV and AIDS from the media and peers. The findings would assist policy makers, programme planners and educators in developing in developing and implementing programmes to improve the health of university students. / Health Studies / M.A. (Health Studies)

This study investigated the challenges faced by implementers of VCT campaigns for higher education distance learning students. Qualitative and explorative approaches, using a case study, were employed as the research methodology. It has been concluded that the administrative planning procedures of VCT campaigns were not properly followed, which resulted in the following difficulties: defining the roles and responsibilities of stakeholders, using limited resources, and the inability to reach all the students, in order to get them to actively participate in the campaigns. Lack of coordination of HIV and AIDS activities and the absence of monitoring and evaluation also impacted negatively on the success of VCT campaigns. This study recommends that VCT campaigns have a proper task team constituting of experts in VCT campaign operations, in order to strategically plan and coordinate all the campaigns' activities. The implementers should also monitor and evaluate these activities on a regular basis. / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)