Thesis (M.A. (Clinical Psychology)) -- University of Limpopo, 2022 / Sexually transmitted infections (STIs) remain a serious global health challenge, which if left untreated, may threaten an individual’s health. The challenge regarding the prevention of STI transmission is the asymptomatic nature of STIs during their early stages. Hence, STI testing is vital in tackling the devastating impact of STIs. The Health Belief Model (HBM) provided a lens through which to understand the study as it provides a basis upon which to predict health behaviours. The study employed a qualitative research method. The study aimed to explore University of Limpopo students’ perceptions towards STI testing. The objectives of the study were (1) to establish the perceptions of second-year Psychology students at the University of Limpopo towards STI testing, and (2) to determine the importance of testing for STIs among second-year Psychology students at the University of Limpopo. The study purposively sampled 15 second-year Psychology students at the University of Limpopo. It was found that the participants were knowledgeable about STI testing. The study revealed psychological effects associated with STI testing ranging from anxiety-related attacks, stress, depression, and insomnia, among others. It further revealed important aspects learned about STI testing, i.e. that some STIs are curable, early detection facilitate early treatment, and STIs are not a myth. The importance of STI testing was also determined. It was also noted that it is important to know one’s health status to prevent mother-to-child transmission and health consequences. The study further established the experiences of STI testing, such as anxiety, stress, feeling embarrassed, ashamed, and overwhelmed. In addition, it was found that students are reluctant to test for STIs because of low-risk perception of contracting STIs, the fear of receiving positive test results, lack of knowledge, stigma, and the judgemental attitude of health professionals. The findings also revealed that students consider testing to be a good health behaviour, although the majority of them rarely consult for STI testing. Constructive counselling is highly recommended for those who consult for STI testing. It is further recommended that future research should be conducted in other universities with broader sample size.

Människors rörelsemönster har förändrats under de senaste decennierna till följd av den digitala utvecklingen och det har uppkommit en ökad benägenhet att sitta still, ofta framför skärmar, under både arbetstid och fritid. Detta riskerar ur ett folkhälsoperspektiv att få negativa konsekvenser för den fysiska och psykiska hälsan, där alla åldersgrupper i samhället drabbas.  Syftet med studien är att undersöka unga vuxnas förståelse om skärmtid och fysisk aktivitet i det dagliga livet. För att göra detta användes en kvalitativ metod med ett urval av unga vuxna. Ett bekvämlighetsurval tillämpades och data samlades in via semistrukturerade intervjuer. Datan analyserades sedan med en manifest kvalitativ innehållsanalys.  I resultatet framkom det en osäkerhet kring begreppet skärmtid och hur det kan tolkas. Informanterna associerade skärmtid som något negativt, med konsekvenser som inkluderade fysiska manifestationer i form av huvudvärk och trötthet, samt att dessa kan påverka motivationen att vara fysiskt aktiv. Det lyfts hur detta kan vara svårt att påverka och att externa faktorer spelar in i det. Det synliggörs emellertid positiva aspekter av begreppet, där vikten av att finna en balans mellan skärmtid och fysisk aktivitet betraktas som viktig. Det framkommer att skärmtid kan användas för att öka motivationen för fysisk aktivitet och att sociala medier kan vara ett verktyg i detta. Ytterligare en positiv aspekt av skärmtid är dess möjliggörande för det sociala livet. Utifrån detta kan en slutsats dras att skärmtid är ett mångfacetterat begrepp med en påverkan på fysisk aktivitet i dels en positiv riktning, dels en negativ.

The purpose of the study is to investigate and identify the factors that affect utilisation of prevention mother to child transmission of HIV services and propose measures to promote utilisation of services by HIV positive pregnant women in Onitsha, Anambra State, Nigeria. Mother-to-child transmission of HIV accounts for over 90% of infections in children under 15 years. Infected pregnant women can pass on the infection to their babies during pregnancy, delivery or through breastfeeding. There are effective interventions now reduce of the infection to the baby. However some infected women still do not avail themselves of these services due to several reasons. A quantitative descriptive study, using the Health Belief Model as the conceptual framework was used to conduct the research. A structured interview schedule was used to interview 102 pregnant women at two health facilities in Onitsha, Anambra state, Nigeria. The findings from the study reveal that majority of the respondents knew about HIV transmission but not about ways the infection can be transmitted from mother-to-child. The respondents recognise that HIV/AIDS is a very serious threat in Nigeria and the study site and were of the opinion that all pregnant women should know their HIV status. The attitude of health care workers and fears about disclosure of HIV status to others was a setback. Revealing their status to the spouse was feared.

Text in English / Cervical cancer accounts for 34.6% of all the female cancers in Zimbabwe. The purpose of this study was to explore the knowledge, attitudes and perceptions of female student nurses regarding cervical cancer in Zimbabwe using the Health Belief Model (HBM) as a theoretical framework. The ultimate aim was to analyse female student nurses’ risk perception of contracting cervical cancer. A quantitative, cross-sectional descriptive research design was used, using a structured questionnaire for data collection. One hundred and thirty-two (132) respondents were conveniently selected. Descriptive and inferential statistics were calculated using Statistical Package for Social Sciences (SPSS) version 21 software program. The study revealed that 57.9% of the respondents perceive that they are at risk of developing cervical cancer. They believe that screening for cervical cancer is not embarrassing. Knowledge improved with increase in the level of study, there was lack of knowledge of HPV and cervical cancer link. More emphasis on cervical cancer should be put on curricula taught in undergraduate education earlier on in the programme. / Health Studies / M.A. (Nursing Science)

The purpose of the study is to investigate and identify the factors that affect utilisation of prevention mother to child transmission of HIV services and propose measures to promote utilisation of services by HIV positive pregnant women in Onitsha, Anambra State, Nigeria. Mother-to-child transmission of HIV accounts for over 90% of infections in children under 15 years. Infected pregnant women can pass on the infection to their babies during pregnancy, delivery or through breastfeeding. There are effective interventions now reduce of the infection to the baby. However some infected women still do not avail themselves of these services due to several reasons. A quantitative descriptive study, using the Health Belief Model as the conceptual framework was used to conduct the research. A structured interview schedule was used to interview 102 pregnant women at two health facilities in Onitsha, Anambra state, Nigeria. The findings from the study reveal that majority of the respondents knew about HIV transmission but not about ways the infection can be transmitted from mother-to-child. The respondents recognise that HIV/AIDS is a very serious threat in Nigeria and the study site and were of the opinion that all pregnant women should know their HIV status. The attitude of health care workers and fears about disclosure of HIV status to others was a setback. Revealing their status to the spouse was feared.

Text in English / Cervical cancer accounts for 34.6% of all the female cancers in Zimbabwe. The purpose of this study was to explore the knowledge, attitudes and perceptions of female student nurses regarding cervical cancer in Zimbabwe using the Health Belief Model (HBM) as a theoretical framework. The ultimate aim was to analyse female student nurses’ risk perception of contracting cervical cancer. A quantitative, cross-sectional descriptive research design was used, using a structured questionnaire for data collection. One hundred and thirty-two (132) respondents were conveniently selected. Descriptive and inferential statistics were calculated using Statistical Package for Social Sciences (SPSS) version 21 software program. The study revealed that 57.9% of the respondents perceive that they are at risk of developing cervical cancer. They believe that screening for cervical cancer is not embarrassing. Knowledge improved with increase in the level of study, there was lack of knowledge of HPV and cervical cancer link. More emphasis on cervical cancer should be put on curricula taught in undergraduate education earlier on in the programme. / Health Studies / M.A. (Nursing Science)

Various studies on compliance with anti-hypertensive medications and appropriate lifestyle modifications have been conducted worldwide but studies specific to the Island of Praslin are lacking. The purpose of this quantitative, descriptive-correlational study was to describe factors that affected compliance with hypertension medications and lifestyle modification strategies in a sample of 102 hypertensive persons. The comprehensive version of the Health Belief Model served as the conceptual framework directing the study. The researcher investigated whether there were any significant relationships between compliance and the Health Belief Model variables. Data was collected by means of structured interviews and document analysis, involving an interview schedule and a checklist. All respondents were diagnosed hypertension patients registered at either of the two public health centres on the Island of Praslin. Individual perception of the benefits and risks of hypertension treatment as well as cues to action were found to be significant determinants of compliance behaviour. The study highlighted the need for improved health education and follow-up measures to strengthen patients’ perceptions about the benefits of treatment and compliance. / Public Health / M.A. (Public Health)

The overall aim of this study was to understand the determinants of VCT uptake in the general population of Nigeria’s federal capital territory of Abuja. Uptake of VCT still remains low despite increased availability of VCT information and services in Abuja, Nigeria. A quantitative cross-sectional study was undertaken with 180 respondents from Abuja, using an adaptation of the Health Belief Model as conceptual framework, to elucidate the social demographics of respondents, their HIV/VCT knowledge, their perceptions of VCT facility design, societal support for VCT, and how HIV stigma shapes the phenomenon of VCT uptake in Abuja, Nigeria. The key findings were that a better understanding of HIV prevention, a perception of support from community and religious leaders, and access to HIV test services in government facilities are positive predictors of higher VCT uptake. Poor personal risk assessment and the cost of HIV testing were identified as the key barriers to VCT access. / Health Studies / M.P.H.

This study explored preparatory students’ perceptions of the risk of contracting the Human Immuno-deficiency Virus (HIV) and sexually transmitted infections (STIs) in Ethopia. It utilised a non-experimental exploratory survey methodology. A range of findings was revealed. Most respondents (67.14%) were knowledgeable about HIV/AIDS and more than half of the respondents knew about STIs. A significant number of respondents (67.1%) were able to describe HIV transmission prevention methods. Twenty one percent of respondents were sexually active and 17.0% of these reported to have used condoms. Twenty nine percent and 4.25% of the respondents had selfperceived risk of contracting HIV infection and STIs respectively. In spite of increased awareness of HIV/AIDS, school youths still engage in high-risk sexual activities and believe that they are unlikely to contract the disease. The study findings have implications for practice, and recommendations are offered for further research / Health Studies / M.A. (Public Health)

The study aimed to assess factors affecting the uptake of community-based Tuberculosis care (CTBC) as experienced by patients in Lobatse in order to make recommendations to enhance the uptake of CBTC in this area. A cross-sectional study was conducted, using structured interviews amongst 101 TB patients in Lobatse who registered for directly observed treatment (DOT) for TB in the GOB’s health facilities from January 2011 to August 2013. The SPSS (version 21) was used to analyse the data. Univariate logistic regression models were used. Participation in CTBC was an outcome. The main predictors for participation in CBTC included, knowledge and attitudes towards CTBC (p=0.0003), perceived barriers and enablers towards this programme (p=0.0279), and patient satisfaction with this programme (p=0.0315). The research findings pertain to TB services in Lobatse, because the study was conducted in government health facilities implementing the Botswana National Tuberculosis Programme (BNTP) CTBC guidelines only in Lobatse / Health Studies / M.A. (Public Health)