Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: Nigeria has the second highest disease burden of HIV/AIDS in sub Saharan Africa after South Africa with adult HIV prevalence of 4.1%, with an estimated 3,130 million people living with HIV (Male-1,320,000: Female-1,820,000-2010) (FMOH, 2010). The HIV epidemic in Cross River state is 7.1% in 2010; and ranks as the 9th highest in the country. General Hospital Ogoja is one of the secondary level hospitals in Cross River State of Nigeria that offers Comprehensive HIV/AIDS services. Although the prevalence of HIV is very high in Cross River state (7%) that of General Hospital is not readily known. The uptake of HIV Counseling and Testing (HCT) among health care workers is relatively low, despite the fact that the awareness of HIV and AIDS in Nigeria by adult population is said to be generally very high (93.8%).The use of condom in the last sex act was low (16%) despite the fact that sexual transmission is the predominant mode of HIV spread in Nigeria (NARHS 2007) To determine whether the knowledge health care workers in GH Ogoja have about HIV/AIDS affect their sexual behaviour; a quantitative approach of research design was used through a questionnaire A total of one hundred and thirty questionnaires were distributed and all were returned. There were few abstentions on some of the questions possibly due to its private nature but generally the overall responses were devoid of inconsistencies and the response rate was well over 98%. The findings from the study showed that greater that 90% of the respondents are quite knowledgeable with the cause of HIV, modes of transmission and prevention of HIV. While the respondents exhibit a high knowledge with respect to modes of transmission through sexual intercourse(96.8%); their knowledge with respect to safer sex practices with use of condom in penetrative sex calls for further review. It would be expected that 100% of all respondent will be fully abreast with information on the modes of transmission of HIV and its prevention. Condom use in stable relationship connotes different meanings to the respondents. While 109(85.2%) of the 128 respondents agreed to the use of condom among couples when the status of one of their partner is unknown. The response to the question on whether the use of condom affects sexual relationship portrays an interesting finding. 71(55.4%) of the total respondents disagreed with the fact that condom use affect sexual relationship while 42(32.8%) respondents agreed. It may not be out of place to assume that a lot of HCWs may not be condomizing effectively based on the impression that condom use during sex affect sexual relationship. Health care workers live and interact freely with other members of the society and are potential bridging group for disseminating HIV into the larger population. The finding from GH Ogoja portrays the fact that though the knowledge of HIV among them is very high their full application of the knowledge with respect to sexual behavioural change is still doubtful. A more qualitative study like focus group discussion will assist in unraveling this observation. / AFRIKAANSE OPSOMMING: Nigerië het die tweede grootste voorkoms van MIV in Afrika suid van die Sahara. ‘n Beraamde 3,130 miljoen mense leef na beraming met MIV en die voorkoms in die Cross River Staat van die land was 7.1% in 2010; die negende grootste voorkoms in die land. Die doel van die studie was die bepalin van die kennisvlakke van werkers in die Algemene Hospitaal van Ogoda en ‘n kwantitatiewe benadering en navorsingsontwerp is vir die studie gebruik. ‘n Totaal van 130 vraelyste is geadministreer en ongeveer 90% s terug ontvang. Bevindings van die studie het aangetoon dat meer as 90% van die respondente ‘n bevredigende kennis van MIV het en dat hulle ook goed ingelig is oor die wyses waarop die epidemie versprei word en die metodes waarvolgens verspreiding van die epidemie beperk kan word. Die data van die studie word verder ontleed en meer spesifiekebevindings word gerapporteer. Aabeveling vir die beter opleiding van werkers by die Ogoda Hospitaal word gemaak en voorstelle vir verdere studies word ook gemaak.

Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: Background: Globally the percentage of women living with HIV is high. They constitute 48% of people living with HIV. The purpose of the study was to investigate the influence of specific factors known to make women vulnerable to HIV/AIDS infection. Objective: The specific factors investigated were cultural beliefs, economic dependence and sexual abuse and their affect (if any) on women in Bela-Bela (Warmbaths) in the Limpopo province of South Africa. The population of 30 women who attend HIV/AIDS support groups in the area was targeted. Twenty respondents were asked to complete questionnaires. A convenience sampling method was used. Research Design: A descriptive research design was used, with data collected through questionnaires. The questionnaire was structured in English and for those who did not understand the language; the questions were explained in their own language. Data was collected on six occasions. The number of participants interviewed per session varied as it depended on the availability of participants on those days. Results: Though the sample used was small which makes it is difficult to draw definite conclusions, the results revealed that women in the area are vulnerable to HIV because of factors such as cultural beliefs (in particular the value of marriage and children), economic dependence and sexual abuse. Conclusion and Recommendation: Findings in this study indicate that unemployment may put women in unfavourable economic position and force them into vulnerable behaviour such as having unsafe sex and sex for money. Findings further revealed that the value of children is put in high regard by the respondents. Having children is seen as a way of proving to the community that they are fertile. This may put women at risk of HIV as they are engaging in unprotected sex. The results show that many women are still exposed to forced sex. There is a need for further research in this regard. / AFRIKAANSE OPSOMMING: Agtergrond: Die aantal vroue wat wêreldwyd MIV onderlede het, beloop’n geskatte 48% van alle mense wat met die siekte saamleef. Hierdie studie ondersoek spesifieke faktore wat bekend daarvoor is om vroue kwesbaar te maak vir die virus. Doelstelling: Die spesifieke faktore wat ondersoek word is kulturele oortuigings, ekonomiese afhanklikheid en seksuele misbruik en die invloed daarvan (indien enigsins) onder vroue van Bela Bela in die Limpopo Provinsie van Suid Afrika. ‘n Groep van 30 vroue wat MIV/Vigs onderlede het en aan ondersteuningsgroepe in die area behoort, is geteiken vir die studie. Twintig respondente het vraelyste ingevul. Navorsingsontwerp: ‘n Beskrywende navorsingontwerp is gebruik, met data wat versamel is deur middel van vraelyste. Die vraelyste was in Engels en vir diegene wat nie die taal verstaan het nie, is dit in hul eie taal verduidelik. Data is op ses geleenthede bymekaar gemaak. Die getal deelnemers wat deelgeneem het per sessie het afgehang van die beskikbaarheid van deelnemers op die verskillende dae. Uitslae: Alhoewel die steekproef klein was wat dit bemoeilik het om defnitiewe afleidings te maak, het die uitslae gewys dat vroue in die area kwesbaar is vir MIV as gevolg van die spesifieke faktore wat ondersoek is, veral kulturele oortuigings (spesifiek oor die huwelik en geboorte). Gevolgtrekkings en Aanbevelings: Resultate in die studie het gewys dat onstabiele ekonomiese omstandighede soos werkloosheid vroue in ‘n ongunstige posisie plaas en hulle moontlik dwing om onbeskermde seks of seks vir geld te hê. Die bevindinge het ook onthul dat om kinders te hê hooggeag word deur die deelnemers in die studie aangesien dit gesien word as ‘n simbool van vrugbaarheid. Dit beteken dus hulle het onbeskermde seks en moontlike blootstelling aan MIV. Die uitslae wys verder dat baie vroue nog blootgestel word aan seks wat op hul afgedwing word. Daar is ‘n behoefte vir verdere navorsing in hierdie verband.

Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: People diagnosed as being HIV positive or having AIDS develop depression as they attempt to cope with their daily lives. Some studies have indicated the prevalence of depression and anxiety in people living with HIV/AIDS is higher than in the general population. An evaluation of gender related factors that lead to depression after a diagnosis with HIV/AIDS will highlight the incidences and frequency of what individuals experience in their daily lives. The research is a descriptive study in which the factors that cause depression after HIV/AIDS diagnosis were identified and related to gender. Both quantitative and qualitative methods were used to analyse the responses elicited from the participants in the sample. Twenty five PLHAs who had been diagnosed with depression were selected from patients attending both Nthabiseng and Luthando Clinics at Chris Hani Baragwanath Hospital in Soweto, Johannesburg. A questionnaire was designed to gather demographic as well as information regarding family, social and economic history. A short interview was also conducted with selected patients to determine in their own words what causes their depression. The selected patient hospital charts were analysed to gain additional information to complete the equation. A semi structured interview was conducted with 13 selected health care professionals to gather information on how they see depression in the presence of HIV and whether they are adequately equipped to detect and manage this condition. The findings from this study supported the view depression is present or develops after a positive HIV diagnosis and a difference was detected in the causes of depression in women and that of men. Common causes of depression after HIV diagnosis were denial, fear of death and social insecurity. Women were more likely to attribute their depression to denial and worry about work and family responsibility. Men attributed their depression to failure to provide for their family and loss of social status. Recognising the causes of and gender differences in the causes of HIV-related depression may help in designing more effective counselling strategies and improve management and care of PLHAs. / AFRIKAANSE OPSOMMING: Daar is 'n aantal mense wat nie aan depressie ly voordat hulle met HIV gediagnoseer word nie. Meeste studies dui aan dat die voorkoms van depressie en angstigheid by mense wat lewe met MIV en VIGS heelwat hoër is as die algemene MIV populasie. Baie mense, insluitende gesondheidsorgwerkers, neem aan dat depressie 'n onontsnapbare newe-effek is van MIV/VIGS diagnose. Dus mag dit gebeur dat depressie ongesiens verby gaan, onbehandeld, met die gevolg van oneffektiewe behandeling, riskante optrede, swak bestuur van MIV/VIGS en 'n lae lewenskwaliteit vir hierdie pasiënte. Hierdie navorsingsartikel kyk na die geslags-verwante faktore wat lei tot depressie na die diagnosering van MIV/VIGS. Die navorsing is 'n beskrywende studie waarin faktore wat depressie in MIV/VIGS gediagnoseerde pasiënte veroorsaak identifiseer en gedifferensieer word afhangende van geslag. Kwantitatiewe asook kwalitatiewe metodes is gebruik. Dertig PLHAs wat met depressie gediagnoseer is, word behandel in Nthabiseng asook Luthando Kliniek by die Chris Hani Baragwanath Hospitaal in Soweto, Johannesburg. Nthabiseng is die MIV Kliniek en Luthando is die psigiatriese kliniek vir MIV/VIGS pasiënte. 'n Vraelys is saamgestel om demografiese asook familie, sosiologiese en ekonomiese inligting te verkry. 'n Kort onderhoud is ook met sommige pasiënte gehou om in hul eie woorde te hoor wat hul glo hul depressie veroorsaak. Die geselekteerde pasiënte se hospitaal kaarte is geanaliseer, met die doel om die dokter se insette of redes te kry oor die pasiënte se depressie. 'n Semi-gestruktureerde onderhoud was gedoen met gesondheidsorgwerkers in Luthando- en Nthabiseng klinieke om inligting te verkry oor hoe hierdie professionele gesondheidsorgwerkers depressie sien by MIV/VIGS pasiënte en of hul bevoegd is om dit te identifiseer en te behandel. Die studie het bevind dat daar 'n verskil is by oorsake van depressie by vroue en oorsake van depressie by mans. Mees algemene oorsake van depressie by MIV/VIGS pasiënte is ontkenning, vrees van dood en sosiale onstabiliteit. By die vroue het ontkenning en bekommernis oor werk- en familie verantwoordelikhede meestal bygedra tot hierdie depressie, en by die mans was dit meer asof daar 'n algemene terleurstelling geheers het in hul gemoed. 'n Terleurstelling deurdat hul nie vir hul families sal kan sorg nie asook die vernedering in die sosiale netwerk. Om die verskille in MIV-geassosieerde depressie gebasseer op geslag te kan herken mag bydra tot die ontwerp van meer effektiewe beradingstrategië.

Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: This research has sought to critically discuss and analyse how the introduction of a HIV and AIDS policy in the workplace reduces stigma and discrimination within the workplace, increases VCT and reduces the risk of infection. This research, sought to further discuss and analyse how the ideas, beliefs and values embedded within a HIV and AIDS policy can be further extended into the community. This research focused on the literature of key theorists such as Donnely, S. (2002). A New Form of Discrimination in the Workplace (www.iol.co.za April 29th 2002), Hereck, G.M. (1990). Illness Stigma and AIDS. Psychological Aspects of Serious Illness. Washington D.C.: American Psychological Association. Goffman, E. (1963). Stigma: Noted on the Management of Spoiled Identity. New Jersey: Prentice Hall as a means of validating the research. This research has further made use of both qualitative and quantitative methods through the use of biographical questionnaires and structured one-on-one interviews. In so doing the research has found that the implementation of a HIV and AIDS workplace policy would assist in eradicating stigma and discrimination in the workplace. / AFRIKAANSE OPSOMMING: Die doel van die studie was om te bepaal tot watter mate die implementering van 'n MIV/Vigsbeleid stigma en diskriminasie in die werksplek kan verminder, vrywillige toetsing kan aanmoedig en infeksie kan voorkom. Die navorsing poog verder om te bepaal op welke wyse die idees, waardes en gelowe, soos vervat in 'n MIV/Vigsbeleid, uitgebrei kan word na die wyer gemeenskap. Die navorsing focus op die teoretiese werk van Donnely, S. (2002), A New Form of Discrimination in the Workplace (www.iol.co.za April 29th 2002); Hereck, G.M. (1990). Illness Stigma and AIDS. Psychological Aspects of Serious Illness. Washington D.C.: American Psychological Association en Goffman, E. (1963). Stigma: Noted on the Management of Spoiled Identity. New Jersey: Prentice Hall ten einde die geldigheid van die navorsing te bepaal. 'n Gestruktureerde vraelys en onderhoude is vir dataversameling gebruik en die bevinding van die studie is dat 'n goed-geformuleerde MIV/Vigsbeleid wel stigma en die diskriminasie in die werksplek kan voorkom.

Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The study was carried out for the purpose of establishing how young working adults perceive the effect of billboards on HIV and AIDS awareness in Zimbabwe. The study sample was taken from the Directorate of Pharmacy Services, a department within the Ministry of Health and Child Welfare of Zimbabwe, located in the capital city of Harare. A representative number of women (40%) out of the 15 participants were interviewed as certain responses were required based on a participants gender. In-depth interviews were carried, the sections covered positioning and appearance of billboards, billboard content and general aspects. 47% of the participants regarded the billboards as well located, 40% felt that there are adequate numbers of billboards, 47% perceived them as attractive and not needing any improvements while 67% described them as well laid out. The language used on them was said to be fine by 73%, and gender-sensitive by only 33% (of which the majority were men). All the women felt that the billboard contents are sensitising the public to HIV and AIDS as well as most of the men (67% participants in total). However all the participants see billboards as not the best method to bring about HIV and AIDS awareness, but would want a multi-media approach so that they compliment other methods. Billboard usage for HIV and AIDS awareness is making a significant impact but there is room for improvement, and many recommendations were derived from this study. / AFRIKAANSE OPSOMMING: Die studie is onderneem met die doel om te bepaal hoe jong werkende volwassenes die effek van advertensieborde rakende MIV en VIGS-bewustheid in Zimbabwe ondervind. Die studie is onderneem in die Direktoraat vir Apterkersdienste, 'n afdeling binne die Ministerie van Gesondheid en Kinderwelsyn van Zimbabwe, wat in die hoofstad, Harare, geleë is. Daar is onderhoude gevoer met ‘n verteenwoordigende aantal vroue (40%) vanuit die 15 deelnemers, aangesien sekere response benodig was op grond van geslag. In-diepte onderhoude is gevoer en die afdelings het die volgende gedek: posisionering en die voorkoms van advertensieborde, inhoud van advertensieborde sowel as algemene aspekte daar rondom. 47% van die deelnemers het gevoel dat die advertensieborde goed geleë is, 40% het gevoel dat daar voldoende getalle advertensieborde is, 47% het gevoel dat die borde aantreklik is en nie verbeteringe benodig nie, terwyl 67% voel dat hul goed uitgelê is. 73% van die deelnemers het gevoel dat die taal wat op die borde gebruik word goed is. Slegs 33% het gevoel dat die borde geslagsensitief is (waarvan die meerderheid mans was). Al die vroue het gevoel dat die inhoud van die reklameborde die publiek sensitiseer tot MIV en VIGS, so ook meeste van die mans (67%). Al die deelnemers voel dat advertensieborde nie die beste metode is om MIV en VIGS-bewustheid te bring nie, maar stel ‘n multi-media benadering voor om ander metodes te komplimenteer. Die gebruik van advertensieborde het ‘n beduidende impak op MIV en VIGS-bewustheid, maar daar is ruimte vir verbetering en baie aanbevelings is afgelei uit hierdie studie.

Thesis (MPhil (Industrial Psychology))--University of Stellenbosch, 2006. / This research was conducted with a group of 24 Health Care workers/trainers working for an NGO, teaching Life Skills and HIV/AIDS in 24 different township schools. These trainers have been trained in an Aligned programme including SAQA Unit Standards on facilitating learning, Life Skills issues as well as HIV/AIDS. The training was based on the fact that they facilitate learning during the Life Orientation lessons, hence the integration of Life Skills and HIV/AIDS into the Life Orientation Curriculum. This programme is not a loose standing programme, but forms part of the LO Curriculum. Not only were they trained, but the result of the training was a formulated product which led to the producing of lesson plans, learning activities and worksheets for Grade R to Grade 10 in their teaching. Through this there is now a training manual for each trainer, consisting of 320 different lessons. This will form the basis of their involvement and training in each respective school, but will also create consistency and uniformity in the actual presentation of the lessons. The learners will have specific work sheets for each lesson. Any time a new trainer has to start with a different group of learners, he/she can refer to the training manual and in doing so, not lose momentum in the process of actualisation of the learning. In training the NGO Health workers, the aim is to develop their teaching strategies, adding confidence to their lesson planning and presentation. With the formalisation of this programme the Life Orientation educator is aided in his/her assessment of the learners in his/her class. This training process and self-development of the trainers aims to become a model to other NGO’s involved in similar endeavours.

Thesis (MPhil (Industrial Psychology. HIV/AIDS Management))--University of Stellenbosch, 2009. / The Uganda government through the ministry of health, collaborating with several NGOs and donors has done a commendable job in arresting the medical effects of HIV/AIDS. This has been done through provision of ARVs and treatment of opportunistic infections. As a result, Uganda has enjoyed a lot of international praise for its response to the medical effects of HIV/AIDS. However, inadequate attention has been paid to the epidemics social economic effects. It is known that HIV mostly affects young people in their years of economic productivity. These people spend eight or more hours of every day in their work place but despite this; work places especially private institutions have not taken steps to respond to the scourge of HIV/AIDS. HIV/AIDS work place policies have not been formulated, and in some cases, they are on paper but no implementation is being done. Consequently, HIV/AIDS still affects the carriers, income and occupational activities of infected workers. This study reveals that the working population is generally ignorant about workplace HIV/AIDS policies, and their relevance to workers living with HIV/AIDS. A significant proportion of the respondents have lost jobs because of their HIV status, while majority affirm that living with HIV/AIDS has affected their occupations, carriers and income

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Chronic drug therapy has been fraught with many issues such as adherence, drug intolerance, long-term toxicity and resistance. In HIV/AIDS care, adherence is a major problem due to the fact that for success of the therapy, adherence must be in the region of ninety five percent. If this is not maintained the virus begins to mutate and resistant moieties appear, and this in turn leads to failure of the therapy. This high level of adherence is very difficult to maintain especially in patients who begin antiretroviral therapy (ART) for various reasons such as persuasion by health workers and family, and not due to their own conviction. They usually tend not to adhere to the therapy when symptoms resolve and they start feeling better. There are a number of factors that promote adherence and these are incorporated into HIV care for the programme to succeed. The research was intended to explore and describe factors causing patients to default ART on the Copper belt in Ndola at Ndola Central Hospital and to ultimately propose appropriate interventions to ensure improved return rates of patients on ART. Qualitative tools i.e. interviews and focus group discussions respectively were used, taking into account ethical considerations and data collected was then analyzed. Factors causing patients to default on ART were found to be poor social economic background, inadequate finance, unavailability of food, poor or little understanding of instructions, poor quality of counseling or low literacy levels, high pill burden, unpalatability of drugs and patient readiness to life time commitment to taking ARVS. / AFRIKAANSE OPSOMMING: Chroniese medisyneterapie is gepaard gaande met vele kwessies soos trou bly, weerstandsgebrek aan medisyne, langtermyn toksisiteit en weerstand. In MIV/Vigs sorg, is trou bly 'n groot probleem weens die feit dat vir sukses in terapie moet dit oor vyf-en-negentig persent wees. As dit nie gehandhaaf word nie sal die virus begin verander en weerstand weestandbiedende gedeeltes sal verskyn, en dit op sy beurt lei tot die mislukking van die terapie. Hierdie hoë vlak van trou bly is baie moeilik om te handhaaf veral in pasiente wie antiretrovirale terapie (ART) vir verskeie redes begin het soos oorreeding deur gesondheids werkers en familie, en nie deur hul eie oortuiging nie. Hulle neig gewoonlik om die terapie te laat vaar wanneer simptome verminder en hulle begin beter voel. Daar is verskeie faktore wat trou bly bevorder en wat ingelyf word in MIV sorg om die program te laat slaag. Die doel van hierdie navorsing was om die faktore te beskryf wat veroorsaak dat pasiente op die Copperbelt in Ndola by Ndola Sentrale Hospitaal hul ART verpligtinge nie nakom nie en om uiteindelik geskikte intervensies voor te stel om verbeterde terugkeer koerse van pasiente op ART te verseker. Kwalitatiewe insrumente, dit is, onderhoude en fokusgroupe is gebruik, met in agneming etiese kwessies, en data is daarna geanaliseer.

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH SUMMARY: The study sought to investigate adherence for people living with HIV who are on ART. Since high levels of adherence of more than 95% are required to achieve the durable suppression of the viral load, the researcher finds it very important to find out whether the people are doing what is expected of them. While the rollout of antiretroviral (ARV) therapy has brought much excitement and hope to both patients and practitioners in South Africa, it has also brought many new questions and challenges, including adherence. Adherence is therefore very crucial to the success of ART. The research sought to investigate adherence in resource-poor settings. The research was conducted on patients attending Ithembalabantu clinic in Umlazi, Durban, Kwazulu Natal, South Africa. Respondents were recruited as they come to the clinic to collect their medication. Triangulation of qualitative and quantitative research was used to collect data in the study. The quantitative data involved 90 questionnaires. The qualitative data involved 15 semi structured interviews. The results indicated that adherence to ART is very high and satisfactory among the sample population with 79% who never skipped or missed their medication and 64% who indicated that they followed their specific schedule all the time; and 88% of the respondents were aware of the dangers of sleeping without a condom more especially while on ART. The results showed that there is a very high level of condom usage among the sample population. The respondents from the in-depth interviews indicated that participants are not affected by the factors that lead to poor adherence. The only problem that needs urgent attention is the importance of the knowledge of viral load and CD4 count. The participants seemed to be confused by the two and most of them did not know why they are measured. / AFRIKAANSE OPSOMMING: Hierdie studie het gepoog om vlakke van getrouheid aan volgehoue deelneming te ondersoek onder MIV positiewe persone wie antiretrovirale terapie (ART) ontvang. Omdat hoë vlakke van getrouheid van meer as 95% nodig is om duursame suppressie van die virale lading to bereik, voel die navorser dat dit baie belangrek is om uit te vind of persone doen wat van hulle verwag word. Terwyl die uitrol van ART opgewondenheid en hoop vir beide pasiënte en praktisyne in Suid-Afrika gebring het, het dit ook baie nuwe vrae en uitdagings gebring, getrouheid ingesluit. Getrouheid is dus beslissend vir die sukses van ART. Die navorsing het gepoog om getrouheid in hulpbron-swak areas te ondersoek. Die navorsing is uitgevoer op pasiënte wat die Ithembalabantu kliniek in Umlazi, Durban, Kwazulu Natal, Suid-Afrika bywoon. Respondente is gewerf soos hulle na die kliniek toe gekom het om hul medikasie te kry. Triangulasie van kwalitatiewe en kwantitatiewe navorsing is gebruik om data in te samel. Die kwantitatiewe data is deur vraelyste ingesamel en die kwalitatiewe data is deur 15 semigestruktureerde onderhoude ingesamel. Die resultate het gewys dat getrouheid aan ART hoog en voldoende onder die steekproek populasie is met 79% wie nooit hul medikasie gemis het, 64% wie aangedui het dat hulle hul spesifieke skedule heeltyd volg, en 88% van die respondente is bewus van die gevaar van seks sonder 'n kondoom, veral vir persone op ART. Die uitslae wys dat daar 'n hoë valk van kondoom gebruik onder die steekproef populasie is. Die respondente in die onderhoud groep is nie deur die faktore wat tot swak getrouheid lei geaffekteer nie. Die enigste probleem wat dringende aandag benodig is die belangrikheid van kennis van virale vrag en CD4 telling. Dit het voorgekom asof die deelnemers deur die twee verwar word en meeste van hulle het nie geweet waarom hulle gemeet word nie.

Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: The AIDS epidemic presently engulfing South Africa is mostly based on heterosexual transmission. This paper discusses the male role in African culture in the HIV and AIDS context. Issues facing African women, domestic violence in particular, remain a pervasive problem. Women have not yet reached a level of equality and are still being dominated by their male partners. Women’s subordination can be directly linked to the increasing number of women becoming infected with HIV/AIDS, especially within the African cultural context. Culture plays a vital role in determining the level of health of the individual, the family and the community. This is particularly relevant in the context of Africa, where the values of extended family and community significantly influence the behaviour of the individual. The behaviour of the individual in relation to family and community is one major cultural factor that has implications for sexual behaviour and HIV/AIDS prevention and control efforts. As the impact of HIV/AIDS in South Africa remains unabated, a culture-centred approach to prevention, care and support is increasingly desirable as a critical strategy. The focus of prevention of the heterosexual AIDS epidemic has been on women. The role of men in sexual decision-making has not been emphasized enough in AIDS prevention approaches. As a result, the heterosexual epidemic for women continues unabated because of the lack of attention to the behaviour of male sex partners. Discussion focuses on the cultural and contemporary sexual culture as shaping factors in the enactment of high-risk sexual behaviour. There are numerous social, political, cultural and economic factors affecting the HIV pandemic in the SA region. The main ones are: low status of women and male dominance in sexual and economic relations; sexual abuse (of particularly young girls); historic and current separation of families resulting from the migrant labour system which resulted in multiple sexual partners; high use of sex workers due to single-sex quarters at the workplace; cultural resistance to the use of condoms; high rates of other STD’s; and high levels of poverty and other inequalities such as health access and education. Stigma about HIV is also a barrier to reaching the most vulnerable, including those already infected. The paper draws the conclusion that discrimination against women, coupled with male dominance in all aspects of social structures; polygamous marriages were prescribed and supervised by maledominated social structures has increased the prevalence rate of HIV/AIDS in the African cultural context. / AFRIKAANSE OPSOMMING: Die HIV/Vigs pandemie wat tans Suid Afrika oorweldig is meestal die gevolg van heteroseksuele oordrag. Hierdie verhandeling bespreek die manlike rol in die Afrika kultuur in die konteks van MIV en Vigs. Aspekte wat die Afrika vroue in die gesig staar in terme van gesinsgeweld bly `n aanhoudende probleem. Vroue word steeds deur hul manlike maats gedomineer word en dus steeds nie `n vlak van gelykheid bereik het nie. Die onderdrukking van vroue kan direk gekoppel word aan die toenemende aantal vroue wat met MIV/Vigs geïnfekteer word – veral in die Afrika konteks. Kultuur speel ʼn kritieke rol in die bepaling van die gesondheidsvlak van die individu, gesin en gemeenskap. Dit is besonder relevant in die Afrika konteks, waar die waardes van `n uitgebreide gesin en gemeenskap ʼn enorme invloed het op die optrede van `n individu. Hierdie optrede in verhouding tot die gesin en gemeenskap is `n geweldige factor wat implikasies het op seksuele gedrag en op pogings tot voorkoming en beheer van MIV/Vigs. Terwyl die impak van MIV/Vigs in Suid Afrika ongesteurd voortstu, word `n kultuur gesentreerde benadering tot voorkoming, versorging en ondersteuning toenemend nodig as `n kritieke strategie. Die fokus op die voorkoming van die heteroseksuele Vigs pandemie was tot nou toe op vroue. Die rol van mans in seksuele besluitneming was tot dusvêr nie voldoende beklemtoon in Vigs voorkomende benaderings nie. Die gevolg is dat die heteroseksuele Vigs pandemie vir vroue ongesteurd voortduur weens die gebrek aan aandag op die gedrag van manlike seksmaats. Bespreking fokus op die kulturele en kontemporêre seksuele kultuur as vormende faktore in die uitvoer van hoë risiko seksuele gedrag. Daar is verskeie sosiale, politieke, kulturele en ekonomiese faktore wat die MIV/Vigs pandemie in die streek beïnvloed. Die belangrikstes is: lae status van vroue; manlike dominasie in seksuele en ekonomiese verhoudings; seksuele mishandeling – veral van jong meisies; historiese en huidige skeiding van gesinne voortspruitend uit die stelsel van trekarbeid – wat aanleiding gegee het tot `n verskeidenheid van seksuele maats; die hoë voorkoms van sekswerkers agv enkelgeslag woonkwartiere by die werksplek; kulturele weerstand teen die gebruik van kondome; hoë voorkoms van seksueel oordraagbare siektes; hoë vlakke van armoede en ander ongelykhede soos toegang tot gesondheidsdienste en onderwys. Die stigma van MIV/Vigs is ook `n hindernis in die bereiking van die mees kwesbare, insluitend die wat geïnfekteer is. Hierdie verhandeling maak die gevolgtrekking dat diskriminasie teen vroue, gekoppel met manlike dominasie in alle aspekte van sosiale strukture; poligamiese huwelike wat voorgeskryf word en onder toesig is van manlik gedomineerde sosiale strukture, die voorkoms van MIV/Vigs in die Afrika kulturele konteks verhoog het.