In South Africa, which has the largest HIV infected population world-wide, more than 5 million individuals presently live with HIV and AIDS (Evian, 2002:20; LINAIDS, 2004:19). These HIV-infected patients in turn affect the family structure within which they find themselves in a specific community. According to Saleeby (1992:54) and Barnett and Blaikie (1992:34), several families in South Africa are affected by the challenges posed by AIDS. This research forms part of the group research project, Tswaragano, which deals with an investigation into the competencies, abilities and strengths of the family of the HIV-positive patient while supporting the patient at home (Wessels, 2003:54). Problems such as unemployment, poverty, crime and changed demands in the community where these families live and increased challenges place a tremendous amount of stress on the families (Saleeby, 1992:54; Barnett & Blaikie, 1992:34). A vicious circle of AIDS and poverty is clearly confirmed and it has been found that people who live with HIV and AIDS need more support than health care alone (Booysen et al,. 2004:817-826). It is evident from the literature that, although information regarding HIV and AIDS is conveyed during pre- and post-HIV and AIDS test counselling, the transmission of information is not necessarily successful (Parker et al., 1998:18). A question which hence arises is whether the HIV positive patient and his family who support him at home fully grasp the necessary information. Greeff and Du Plessis (2001:2) confirm that health workers in the North-West Province do not convey the information effectively. Several factors probably contribute to defective information transfer between the health worker and the patient. One factor is that if the environment within which information is conveyed is not comfortable and mutual respect and trust between the health worker and the HIV positive patient is limited, the interpretation of information on HIV and AIDS is impaired (Allender & Spratley, 2001:163). A further aspect that should be taken into consideration is that HIV and AIDS-related information can be understood and internalised by the HIV positive patient in different ways, since several interpretation possibilities exist for information that is conveyed (Parker et al., 1998:20). Health workers who convey the information to the patient does however not always determine whether the HIV positive patient understands and internalises the information correctly (Parker et al., 1998:21). The facts mentioned above not only limit the HIV positive patient's understanding but also eventually the understanding of the family who have to support the HIV positive patient at home, regarding HIV and AIDS. The family can be seen as a primary core support resource for the HIV positive patient (Uys, 1999:2), and limited understanding impairs support at home (Hartman, 1981:10). With this is meant that the family is the "social service agency in meeting the social, educational and health care needs" of its members. The aim of this research was to investigate and describe the understanding of the HIV positive patient and the family regarding HIV and AIDS-related information. Guidelines were formulated to promote the understanding of the family of the HIV positive patient regarding HIV and AIDS-related information with the view to empower the family of the HIV positive patient in order to be able to support the patient at home. The research design was quantitative and descriptive by nature. It entails a pilot study in the Kagiso district, Vryburg area (Bophirima) of the North-West Province. The actual research study was performed in the Primary Health Clinics in the Potchefstroom district of the southern area of the North-West Province. Purposive sampling was performed (Burns & Grove, 2001:376; Brink, 1996:141; Abramson & Abramson, 1999:70; Bainbridge, 1989:46). Selected health workers acted voluntarily as go-betweens to identify HIV positive patients and their families who are prepared to participate in the research and who answer to the criteria, and to assist in filling out the questionnaires. The questionnaires were analysed by means of the frequency method with the assistance of the Statistical Consultation Services of the North-West University, Potchefstroom Campus and reported on by means of tables and graphs (Brink, 1996:499; Burns & Grove, 1997:430). From the research it was found that, although information transfer regarding HIV and AIDS does take place, there still are many voids in respect of the understanding of this information and this pertains to HIV positive patient as well as the families. The researcher has come to the conclusion that the proposed guidelines in order to empower families of the HIV-positive patients to support these patients at home therefore is obvious and important. Furthermore, the researcher is of opinion that families midst the difficult circumstances will realise their own strengths if they could acquire the necessary knowledge and skills. Recommendations were made for nursing education, for the practice of the community nurse as well as for nursing research. Guidelines were formulated to empower the family of the HIV positive patient to be able to support the patient at home. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

La persistance des bidonvilles en milieu urbain est un phénomène présent à l’échelle du globe et particulièrement dans les pays émergents. Elle s’affirme comme un enjeu majeur illustrant aussi bien les inégalités sociales, politiques et environnementale qu’une certaine non maîtrise de l’urbain par les autorités publiques. Au Brésil, le phénomène prend le nom de favelisation. Synonymes de pauvreté, de plaie urbaine et de violence, les favelas constituent un pan entier de la production urbaine que les politiques publiques et les acteurs privés ne parviennent pas à endiguer ou absorber. Depuis quelques années, les métropoles émergentes tentent de se distinguer par des événements à portée internationale. C’est le cas de Rio de Janeiro et de Curitiba au Brésil. La première s’inscrit dans l’agenda des méga-événements internationaux (Coupe du Monde de Football 2014, Jeux Olympiques 2016). La deuxième, intégrée dans le projet Coupe du Monde 2014, s’était déjà démarquée en devenant un modèle de développement urbain à l’échelle mondiale. La bonne réception des grands événements sportifs implique dès lors d’importantes transformations des territoires hôtes : constructions de stades, amélioration des infrastructures de transport. À Rio de Janeiro et Curitiba, où respectivement 22% et 9% de la population habite dans des favelas, la confrontation spatiale entre les deux phénomènes est inévitable. À travers cinq favelas (Vila Autodromo, Vidigal, Morro da Providência, Vila Torres, Vila Parolin) de deux métropoles différentes (Rio de Janeiro et Curitiba), la thèse montre que les interactions entre les favelas et les méga-événements sont protéiformes et dépendent fortement des contextes locaux. L’approche spatiale, articulée à la sociologie urbaine, offre une nouvelle grille de lecture à la confrontation entre méga-événements et favelas et qualifie les transformations : la favela évincée, la favela mondialisée, la favela trophée, la favela intégrée et la favela ordinaire. Au centre de cette confrontation, trois logiques apparaissent. L’invisibilisation des favelas, visuellement frappante, vise à faire disparaitre leur caractère embarrassant ; la logique de transfert évoque des déplacements de population et de modes de vie ; enfin la logique culturelle, spécificité brésilienne, renverse la dichotomie en s’appuyant sur la culture favelada pour promouvoir une certaine image du Brésil. La recherche combine de nombreuses observations et analyses spatiales in situ, une revue de presse (locale et internationale) et des entretiens semi-directifs. Les résultats montrent que la nature des confrontations dépend de la manière dont les méga-événements sont intégrés au développement urbain des métropoles-hôtes. Plus le méga-événement s’adapte au territoire dans une vision à long terme, plus la confrontation avec les favelas mène à leur intégration dans le maillage urbain. À l’inverse, lorsque c’est la ville qui s’adapte au méga-événement et coordonne ses transformations urbaines au calendrier événementiel, la nature des confrontations est plusbrutale. Les favelas sont dans ce cadre un perturbateur, mais aussi une opportunité de se distinguer positivement pour les métropoles qui parviennent à en pallier les carences. Elles interrogent profondément les ambitions et les modalités de production de la ville, tant en raison de leur persistance que par leur capacité à se transformer. / The persistence of shanty towns in urban areas is a worldwide phenomenon and more particularly in developing countries. It appears as a major issue, which illustrates both social, political and environmental inequalities and some difficulties of public authorities in mastering the development of urban background. In Brazil, the phenomenon is called « favelisation ». Synonymous with destitution, urban plague and violence, favelas constitute a whole part of urban production that city policies and economic agents fail to contain or absorb. For a few years, emerging metropolises have attempted to single out through events with a worldwide impact. This is the case of Rio de Janeiro and Curitiba in Brazil. The former is part of the agenda of global mega-events (2014 Soccer World Cup, 2016 Olympic Games). The latter, integrated in the 2014 World Cup, had already stood out by becoming a model for urban development on a worldwide scale. The good reception of major sporting events entails then significant transformations for host territories: building stadiums, improvement of transport facilities. In these metropolises, although they have different proportions of inhabitants to slum (22% in Rio de Janeiro and 9,3% in Curitiba), it's impossible to avoid spatial confrontation. Through five favelas (Vila Autodromo, Vidigal, Morro da Providência, Vila Torres, Vila Parolin) in two different conurbations (Rio de Janeiro and Curitiba ), the thesis shows that the interactions between the favelas and major woldwide events are shape-shifting and depend hugely on local backgrounds. The space approach, joined with urban sociology, provides a new reading of the confrontation between mega-events and favelas and brands the transformations: the excluded favela, the globalised favela, the trophy favela, the integrated favela and the ordinary favela. At the core of this confrontation there are three logics. That of making the favelas invisible, visually striking, aims at making their embarassing aspect disappear; the transfering logic causes people's relocation and lifestyle change; eventually the cultural logic, which is a Brazilian specificity, knocks over dichotomy by relying on the favela culture to promote a certain image of Brazil. The research combines many observations and area analysis in situ, a press review (local and global) and semi-guided interviews. The results show that the nature of the confrontations depends on the way the mega-events are integrated to the urban development of the host conurbations. The more the mega-event adapts to the territory in a long run vision, the more the confrontation with favelas leads to their integration in the city networking. Conversely, when the city adapts itself to the mega-event and ajusts its tranformations to the event agenda, the nature of confrontations is more violent. In this case favelas are a disruptive element as well as an opportunity to stand out positively for the conurbations that manage to make up for the deficiencies. They question in depth the urban ambitions and production modes, owing both to their persistence and their ability to transform.

In South Africa, which has the largest HIV infected population world-wide, more than 5 million individuals presently live with HIV and AIDS (Evian, 2002:20; LINAIDS, 2004:19). These HIV-infected patients in turn affect the family structure within which they find themselves in a specific community. According to Saleeby (1992:54) and Barnett and Blaikie (1992:34), several families in South Africa are affected by the challenges posed by AIDS. This research forms part of the group research project, Tswaragano, which deals with an investigation into the competencies, abilities and strengths of the family of the HIV-positive patient while supporting the patient at home (Wessels, 2003:54). Problems such as unemployment, poverty, crime and changed demands in the community where these families live and increased challenges place a tremendous amount of stress on the families (Saleeby, 1992:54; Barnett & Blaikie, 1992:34). A vicious circle of AIDS and poverty is clearly confirmed and it has been found that people who live with HIV and AIDS need more support than health care alone (Booysen et al,. 2004:817-826). It is evident from the literature that, although information regarding HIV and AIDS is conveyed during pre- and post-HIV and AIDS test counselling, the transmission of information is not necessarily successful (Parker et al., 1998:18). A question which hence arises is whether the HIV positive patient and his family who support him at home fully grasp the necessary information. Greeff and Du Plessis (2001:2) confirm that health workers in the North-West Province do not convey the information effectively. Several factors probably contribute to defective information transfer between the health worker and the patient. One factor is that if the environment within which information is conveyed is not comfortable and mutual respect and trust between the health worker and the HIV positive patient is limited, the interpretation of information on HIV and AIDS is impaired (Allender & Spratley, 2001:163). A further aspect that should be taken into consideration is that HIV and AIDS-related information can be understood and internalised by the HIV positive patient in different ways, since several interpretation possibilities exist for information that is conveyed (Parker et al., 1998:20). Health workers who convey the information to the patient does however not always determine whether the HIV positive patient understands and internalises the information correctly (Parker et al., 1998:21). The facts mentioned above not only limit the HIV positive patient's understanding but also eventually the understanding of the family who have to support the HIV positive patient at home, regarding HIV and AIDS. The family can be seen as a primary core support resource for the HIV positive patient (Uys, 1999:2), and limited understanding impairs support at home (Hartman, 1981:10). With this is meant that the family is the "social service agency in meeting the social, educational and health care needs" of its members. The aim of this research was to investigate and describe the understanding of the HIV positive patient and the family regarding HIV and AIDS-related information. Guidelines were formulated to promote the understanding of the family of the HIV positive patient regarding HIV and AIDS-related information with the view to empower the family of the HIV positive patient in order to be able to support the patient at home. The research design was quantitative and descriptive by nature. It entails a pilot study in the Kagiso district, Vryburg area (Bophirima) of the North-West Province. The actual research study was performed in the Primary Health Clinics in the Potchefstroom district of the southern area of the North-West Province. Purposive sampling was performed (Burns & Grove, 2001:376; Brink, 1996:141; Abramson & Abramson, 1999:70; Bainbridge, 1989:46). Selected health workers acted voluntarily as go-betweens to identify HIV positive patients and their families who are prepared to participate in the research and who answer to the criteria, and to assist in filling out the questionnaires. The questionnaires were analysed by means of the frequency method with the assistance of the Statistical Consultation Services of the North-West University, Potchefstroom Campus and reported on by means of tables and graphs (Brink, 1996:499; Burns & Grove, 1997:430). From the research it was found that, although information transfer regarding HIV and AIDS does take place, there still are many voids in respect of the understanding of this information and this pertains to HIV positive patient as well as the families. The researcher has come to the conclusion that the proposed guidelines in order to empower families of the HIV-positive patients to support these patients at home therefore is obvious and important. Furthermore, the researcher is of opinion that families midst the difficult circumstances will realise their own strengths if they could acquire the necessary knowledge and skills. Recommendations were made for nursing education, for the practice of the community nurse as well as for nursing research. Guidelines were formulated to empower the family of the HIV positive patient to be able to support the patient at home. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

A presente tese teve como objetivo discutir e analisar a dinâmica da Cooperação Sul-Sul, bem como na atuação do Fundo Ibas como um mecanismo alternativo e complementar às iniciativas no âmbito Norte-Sul. Com este fim, é abordado o estudo do Fundo Ibas, onde focalmente se analisou, por meio do estudo, se tal atuação de cooperação técnica internacional do Fundo Ibas, promoveu ações durante o período em que Guiné Bissau reformulava a política nacional de mitigação da fome e da pobreza. A partir de um estudo de caráter qualitativo-descritivo o estudo verificou se houve um alinhamento destes projetos no processo de formulação da política de Estado deste referido país africano. Entende-se que os projetos executados pelo Fundo Ibas em Guiné Bissau têm maior sucesso se forem acolhidos e amparados por uma política nacional que vá convergir com os seus objetivos institucionais voltados para a transferência de conhecimento e de boas práticas. Desse modo, para responder à questão-problema desta tese, desenvolveu-se uma pesquisa bibliográfica e documental, foram desenvolvidas entrevistas com três atores-chave para se analisar acerca das ações promovidas pelos programas desenvolvidos na solução de problemas a partir do empoderamento do potencial do agente local (Guiné Bissau) no período de 2005 a 2015. Mesmo que a pesquisa constatou contribuições voltadas ao desenvolvimento local das comunidades guieneenses sendo beneficiadas com os projetos, dos resultados encontrados permite concluir que houve um alinhamento quanto aos princípios centrais do Fundo Ibas com as iniciativas do governo local para o enfrentamento da fome e da pobreza, não sob uma perspectiva de doação internacional, mas por meio de transferência de conhecimento. Não pode se dizer que houve impacto direto da iniciativa do Fundo Ibas na reformulação de política nacional de combate da fome e da pobreza, particularmente porque não constam formalmente e não são citados nas estruturas do Denarp I e II. / The aim of this thesis was to discuss and analyze the dynamics of South-South Cooperation, as well as the Ibas Fund as an alternative mechanism and complement the initiatives to the North-South axis. To this end, the Ibas Fund study is approached, where it was analyzed, through the study, whether such an international technical cooperation action of the Ibas Fund, which promoted actions during the period in which Guinea Bissau reformulated the national mitigation policy Hunger and poverty. From a qualitative-descriptive study, the study verified if there was an alignment of these projects in the process of formulating the state policy of this African country.It is understood that the projects executed by the Ibas Fund in Guinea Bissau have greater success if they are welcomed and supported by a national policy that converges with their institutional goals for knowledge transfer and good practice. Thus, in order to answer the problem question of this thesis, a bibliographical and documentary research was developed, interviews were developed with three key actors to analyze about the promoted actions about the programs developed in the solution of problems from the empowerment of the potential Of the local agent (Guinea Bissau) from 2005 to 2015. Even though the research found contributions to the local development of the Guinean communities benefiting from the projects, the results show that there was an alignment with the core principles of the this Fund and with the local government initiatives to address hunger and poverty, not from an international donor perspective, but through knowledge transfer. It can not be said that there was a direct impact of the Ibas Fund's initiative in the reformulation of the national policy to mitigation of hunger and poverty, particularly since they are not formally included and are not mentioned in the structures of the Denarp I and II.

A presente tese teve como objetivo discutir e analisar a dinâmica da Cooperação Sul-Sul, bem como na atuação do Fundo Ibas como um mecanismo alternativo e complementar às iniciativas no âmbito Norte-Sul. Com este fim, é abordado o estudo do Fundo Ibas, onde focalmente se analisou, por meio do estudo, se tal atuação de cooperação técnica internacional do Fundo Ibas, promoveu ações durante o período em que Guiné Bissau reformulava a política nacional de mitigação da fome e da pobreza. A partir de um estudo de caráter qualitativo-descritivo o estudo verificou se houve um alinhamento destes projetos no processo de formulação da política de Estado deste referido país africano. Entende-se que os projetos executados pelo Fundo Ibas em Guiné Bissau têm maior sucesso se forem acolhidos e amparados por uma política nacional que vá convergir com os seus objetivos institucionais voltados para a transferência de conhecimento e de boas práticas. Desse modo, para responder à questão-problema desta tese, desenvolveu-se uma pesquisa bibliográfica e documental, foram desenvolvidas entrevistas com três atores-chave para se analisar acerca das ações promovidas pelos programas desenvolvidos na solução de problemas a partir do empoderamento do potencial do agente local (Guiné Bissau) no período de 2005 a 2015. Mesmo que a pesquisa constatou contribuições voltadas ao desenvolvimento local das comunidades guieneenses sendo beneficiadas com os projetos, dos resultados encontrados permite concluir que houve um alinhamento quanto aos princípios centrais do Fundo Ibas com as iniciativas do governo local para o enfrentamento da fome e da pobreza, não sob uma perspectiva de doação internacional, mas por meio de transferência de conhecimento. Não pode se dizer que houve impacto direto da iniciativa do Fundo Ibas na reformulação de política nacional de combate da fome e da pobreza, particularmente porque não constam formalmente e não são citados nas estruturas do Denarp I e II. / The aim of this thesis was to discuss and analyze the dynamics of South-South Cooperation, as well as the Ibas Fund as an alternative mechanism and complement the initiatives to the North-South axis. To this end, the Ibas Fund study is approached, where it was analyzed, through the study, whether such an international technical cooperation action of the Ibas Fund, which promoted actions during the period in which Guinea Bissau reformulated the national mitigation policy Hunger and poverty. From a qualitative-descriptive study, the study verified if there was an alignment of these projects in the process of formulating the state policy of this African country.It is understood that the projects executed by the Ibas Fund in Guinea Bissau have greater success if they are welcomed and supported by a national policy that converges with their institutional goals for knowledge transfer and good practice. Thus, in order to answer the problem question of this thesis, a bibliographical and documentary research was developed, interviews were developed with three key actors to analyze about the promoted actions about the programs developed in the solution of problems from the empowerment of the potential Of the local agent (Guinea Bissau) from 2005 to 2015. Even though the research found contributions to the local development of the Guinean communities benefiting from the projects, the results show that there was an alignment with the core principles of the this Fund and with the local government initiatives to address hunger and poverty, not from an international donor perspective, but through knowledge transfer. It can not be said that there was a direct impact of the Ibas Fund's initiative in the reformulation of the national policy to mitigation of hunger and poverty, particularly since they are not formally included and are not mentioned in the structures of the Denarp I and II.