The study explored, described and explained the current models of voluntary counselling and testing services delivery and analysed the extent to which a given VCT model had influenced uptake of VCT services in the fishing communities along the shores of Lake Victoria, in Wakiso District, with an aim of designing optimal VCT service delivery strategies. The study was therefore exploratory, descriptive and explanatory, and collected both qualitative and quantitative data in a three-phased approach. Phase I involved the Kasenyi fishing community respondents, while phases II and III involved VCT managers and VCT counsellors at the Entebbe and Kisubi Hospitals. The findings indicated that VCT services are generally available onsite at health facilities, and in the field through mobile VCT outreach or home-based VCT services provided at clients’ homes. Both client-initiated and health provider-initiated VCT services are available and services are integrated with other health services. Despite the availability of VCT, only about half of the respondents in phase I had accessed VCT services although almost all indicated a willingness to undergo HIV testing in the near future. The main challenges to service delivery and utilisation included limited funding and staffing as well as limited awareness in target communities. The strategies drawn are based on the need to increase availability, accessibility, acceptability and utilisation of VCT services. / Health Studies / D. Litt. et Phil. (Health Studies)

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

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)

This study was done to assess the quality of life (QOL) of people living with HIV and AIDS (PLWHA) in Swaziland who are on antiretroviral therapy (ART). No study has been done on QOL of PLWHA in Swaziland who are on ART since it started to be administered in Swaziland in 2001. A qualitative, exploratory, descriptive, and contextual design was used to assess QOL of PLWHA in Swaziland who are on ART. Twenty-four PLWHA were purposely selected to participate in the study. Methods of data collection used were semi-structured individual in-depth interviews, focus group discussions, and observations. The data (tape-recorded interviews and discussions, and field notes) were transcribed verbatim for data analysis. Data analysed was done using Tesch’s framework of data analysis as described in Creswell (2002:256-283). The research findings are reflected, with the six domains of QOL identified through a literature review and validated by nurses’ expertise. These domains are the physiological, psychological, spiritual, socio-economic, cognitive, and environmental domains.The study revealed that PLWHA in Swaziland are faced with many challenges concerning ART, namely: inability to meet their nutrition needs, non-adherence to ART, experience of disfiguring side effects of ARVs, inconsistent condom use, experience of stigma and discrimination, depression, difficulty in accepting and coping with ARVs, lowered self-esteem, a negative influence of some religions on ART, a lack of financial support, poor support systems, poor understanding of ARVs, negative thoughts about HIV and AIDS and ART, an unsatisfactory health care delivery system, a negative influence of culture on ART, and violation of the rights of PLWHA. These challenges negatively influence the QOL of PLWHA and hence the study concluded that PLWHA in Swaziland who are on ART have a poor QOL. Conclusions drawn from the data analysis reveal that PLWHA in Swaziland are powerless to deal with the above challenges and improve their QOL. The researcher, therefore, developed guidelines to empower PLWHA to deal with these challenges and adhere to ART, thus improving their QOL. Recommendations were made with regard to nursing practice, nursing education, and further nursing research. / Health Studies / D. Litt. et Phil. (Health Studies)

Syfte: Byggindustrin kommer framförallt att påverkas av hållbarhetsutvecklingens framfart. FN har satt hållbarhetsmål presenterade i Agenda 2030 och för att möta dessa mål måste hållbarhet stå i fokus för både yrkesverksamma och intressenter. Betong är ett material som består av ballast, vatten och cement som hårdnar över tiden och används världen över inom byggindustrin. År 2014 uppskattades betongproduktionen stå för hela fem procent av alla antropogena koldioxidutsläpp. Syftet med studien är att undersöka miljöpåverkan från olika betongkvaliteter mätt i koldioxidekvivalenter och använda resultatet för att påvisa om konstruktörer kan göra någon skillnad via sina kravspecifikationer på betong. Metod: En litteraturstudie genomfördes inledningsvis för att säkerställa studiens relevans samt skapa kunskap kring området. LCA och dokumentanalys av EPD möjliggjorde jämförelse av klimatpåverkan och data kunde sammanställas. Resultat: Sammanställd och jämförd data från LCA och dokumentanalys tyder på att konstruktörer kan minska klimatpåverkan genom att föreskriva högre vct och lägre exponeringsklass. Detta möjliggör att en större andel cement kan bytas ut mot tillsatsmaterial. Litteraturstudie tyder på att konstruktörens arbete för att minska klimatpåverkan från betong kan direkt kopplas till mål 13 i Agenda 2030. Mål 13 verkar bland annat för att Sverige inte skall ha några nettoutsläpp av växthusgaser 2045. Konsekvenser: Om konstruktörer i den mån det är möjligt föreskriver högre vct och lägre exponeringsklasser tyder studien på att de kan minska klimatpåverkan från betong. Att föreskriva högre vct och lägre exponeringsklasser är dock inte alltid möjligt med hänsyn till hållfasthet och omgivning. Studien bidrar till att skapa förståelse för hur stora skillnader gällande klimatpåverkan som kan uppstå beroende på betongkvalitet. Begränsningar: Betong erhåller många egenskaper och en uppsjö av parametrar som påverkar dessa egenskaper. Genom att avgränsa studien och bortse från en del parametrar finns risk för orättvisa resultat. Data som används är publicerad data samt data som betongleverantören vill tillge vilket ger ett bristande verklighetsperspektiv. Majoriteten av betongkvaliteterna som analyserades är av en klimatförbättrad betong och har därmed en lägre klimatpåverkan än vad som vanligen används på plats om inte krav finns. På grund av omgivning och andra förhållanden är det inte alltid möjligt för konstruktören att föreskriva högre vct och lägre exponeringsklass. Studiens fokus ligger på klimatpåverkan vilket begränsar möjligheten att koppla resultatet till flera miljömål. / Purpose: The construction industry will be fundamentally impacted by sustainable development progression. The United Nations have set goals outlined in the 2030 Agenda for sustainable development. To meet this desired progression, these goals must stand in focus for construction professionals and industry stakeholders. Concrete is a composite material made from aggregates, fluids and cement which hardens over time and is widely used in the construction industry. In 2014 it was estimated to account for more than five percent of all anthropogenic carbon dioxide emissions. The purpose of this study is to investigate the climate impact of various concrete mixtures measured as carbon dioxide equivalents and use this to inform whether construction designers can make a difference through the specifications of concrete mixtures. Method: A literature review was conducted to ensure relevance of the study and establish a knowledge base regarding the subject. LCA and a document analysis of EPDs made it possible to compare climate impacts and data could be compiled. Findings: Data from LCA and document analysis indicates that construction designers can reduce the climate impact through their specifications by subscribing higher w/c ratios and lower exposure classes. This enable a bigger amount of the cement to be traded by additives. A literature study indicates that reducing the climate impact of concrete can directly be related to goal 13 in Agenda 2030. In Sweden, goal 13 is to reach no net emissions of greenhouse gases by 2045. Implications: If construction designers specify higher w/c ratio and lower exposure classes, they can reduce the climate impact from concrete. To specify higher w/c ratio and lower exposure class is not always possible depending on the structural requirements. The study adds to an understanding of the climate impact depending on concrete mixtures. Limitations: Concrete obtains many characteristics which is affected by multiple parameters. Limiting the study data and ignoring some parameters increases the risk of deceptive results. Publicly available concrete certifications and data from concrete professionals is combined in this study. Most of the concrete mixtures selected for analysis are climate friendly types and therefore the results would differ if regular concrete was used. Because of structural requirements and other conditions, it is not always possible for the construction designer to specify higher w/c ratio and lower exposure class. This study focuses on climate impacts which limits the possibility to make connections to multiple sustainable development goals.

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)

This study was done to assess the quality of life (QOL) of people living with HIV and AIDS (PLWHA) in Swaziland who are on antiretroviral therapy (ART). No study has been done on QOL of PLWHA in Swaziland who are on ART since it started to be administered in Swaziland in 2001. A qualitative, exploratory, descriptive, and contextual design was used to assess QOL of PLWHA in Swaziland who are on ART. Twenty-four PLWHA were purposely selected to participate in the study. Methods of data collection used were semi-structured individual in-depth interviews, focus group discussions, and observations. The data (tape-recorded interviews and discussions, and field notes) were transcribed verbatim for data analysis. Data analysed was done using Tesch’s framework of data analysis as described in Creswell (2002:256-283). The research findings are reflected, with the six domains of QOL identified through a literature review and validated by nurses’ expertise. These domains are the physiological, psychological, spiritual, socio-economic, cognitive, and environmental domains.The study revealed that PLWHA in Swaziland are faced with many challenges concerning ART, namely: inability to meet their nutrition needs, non-adherence to ART, experience of disfiguring side effects of ARVs, inconsistent condom use, experience of stigma and discrimination, depression, difficulty in accepting and coping with ARVs, lowered self-esteem, a negative influence of some religions on ART, a lack of financial support, poor support systems, poor understanding of ARVs, negative thoughts about HIV and AIDS and ART, an unsatisfactory health care delivery system, a negative influence of culture on ART, and violation of the rights of PLWHA. These challenges negatively influence the QOL of PLWHA and hence the study concluded that PLWHA in Swaziland who are on ART have a poor QOL. Conclusions drawn from the data analysis reveal that PLWHA in Swaziland are powerless to deal with the above challenges and improve their QOL. The researcher, therefore, developed guidelines to empower PLWHA to deal with these challenges and adhere to ART, thus improving their QOL. Recommendations were made with regard to nursing practice, nursing education, and further nursing research. / Health Studies / D. Litt. et Phil. (Health Studies)

DCur / Departmet of Public Health / See the attached abstract below

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)

Farm workers in South Africa have limited access to health care and health-related information. In this qualitative study, the implementation of a workplace HIV/AIDS policy was evaluated using data gathered through interviews and observation. It was found that, although the farm workers were knowledgeable about HIV and AIDS, this knowledge was insufficient. It was found that the lives of farm workers are deeply affected by HIV and AIDS. It is also suggested that the agricultural sector is not yet able to deal effectively with HIV and AIDS and that, in this regard, urgent planning is needed in respect of HIV and AIDS policies and interventions / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)