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Exploring the lived experiences of adolescents living with vertically acquired HIVJena, Pretty Patience 02 1900 (has links)
This qualitative study explored the lived experiences of adolescents living with vertically acquired HIV receiving treatment, care and support services at Dora Nginza Wellness clinic, in Port Elizabeth, South Africa.
Six adolescents living with vertically acquired HIV (four females and two males) between the ages of 16-17 years participated in in-depth semi-structured open-ended individual interviews. Tesch’s (1990) method of data analysis for qualitative research was used to analyse the interviews.
Adolescents that participated in the study spoke widely about the outlook on their illness and their lives both in the past and present. They depicted fear, anxiety, pain and sadness in their lived experiences. They were anxious about their own death and had experienced illness and death of parents, siblings and close relatives due to HIV and AIDS. They described painful and traumatic life events related to their illness which included knowing their own HIV status and severe health problems and hospitalisations. They all learnt about their HIV status in early adolescence and choose not to disclose their status to people outside the family due to fear of rejection, stigma and discrimination. Taking ARVs was challenging to the participants due to side effects and strict medication schedules. Their school attendance and performance was affected by their illness. Family was an important resource of support. The participants had good experiences of HIV treatment at the Wellness clinic.
The findings suggest that adolescents living with vertically acquired HIV faced a number of challenges in dealing with their disease and its treatment. They need intensive care and support services that enhance their positive self, facilitate self-disclosure and decrease and discourage stigma and discrimination at school and within their communities. / Health Studies / M.A. (Social Behavioural Studies in HIV/AIDS)
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The effects of epilepsy on families living in Mamelodi with special reference to the role of the social workerRamaboea, Paul Hlabana 11 1900 (has links)
A study of the relevant theoretical concepts and
empirical research was undertaken to explore the role
of the social worker pertaining to the problem of
epilepsy in the black community of Mamelodi.
The sample comprised 40 families in which there was a
person with epilepsy. Data were obtained through an
interview schedule administered by the researcher.
The literature study highlighted the phenomenon
epilepsy, causes of epilepsy/ psychosocial effects of
epilepsy on the epileptic and his family and the
treatment of the epileptic. However/ it became quite
clear that a multi-disciplinary team approach is
vital importance in the treatment of an epileptic
Furthermore/ significant others like traditional healers, faith healers, priests, relatives and friends were identified as some of the important informal support systems.
Although the findings of study cannot be generalised to the entire population they can be of great
significance for further research. / 'n Studie van die relevante konsepte asook empiriese
navorsing is gedoen om die rol van die maatskaplike
werker met betrekking tot die probleem van epilepsie in
die swart gemeenskap van Mamelodi te eksploreer.
Die steekproef is saamgestel uit 'n groep van 40
gesinne met 'n epileptikus in hul midde. Inlighting is verkry deur
groep van onderhoudskedule.
Die literatuurstudie beklemtoon die volgende: die
verskynsel van epilepsie, oorsake van epilepsie,
psigososiale gevolge van epilepsie op die per soon met
epilepsie en sy gesin en die behandeling van die
epileptikus. Dit het egter duidelik na vore gekom dat
'n multi-dissiplinere spanbenadering van die uiterste
belang is in die behandeling van die epilepsielyer.
Dit het ook duidelik geword dat betekenisvolle ander
persone soos tradisionele genesers, geloofsgenesers
priesters, familie en vriende van die mees belangrike
steunstelsels is.
Alhoewel bevindinge van die studie nie veralgemeen kan
word en van toepassing gemaak kan word op die bevolking
as geheel nie, kan dit egter van groot belang vir
verdere navorsing wees. / Social Work / M.A. (Social Science)
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Vigs-voorkoming as 'n funksie van primêre gesondheidsorgKellerman, Anso 06 1900 (has links)
Text in Afrikaans / Summaries in Afrikaans and English / VIGS is 'n gesondheidsprobleem wat 'n impak uitoefen op alle gebiede in die samelewing. Voorkoming is die enigste vorm van bekamping. As gevolg hiervan, word VIGS-voorkoming binne die funksies van primere gesondheidsorg geplaas. Die persoon wat die funksies van primere gesondheidsorg uitoefen, is die gemeenskapsgesondheidswerker. Binne hierdie raamwerk is die terme primere gesondheidsorg, gemeenskapsgesondheidswerker en VIGS bespreek en die onderlinge interaksie is aangetoon. Die opleiding wat die gemeenskapsgesondheidswerker op VIGS-gebied ondergaan, is meegemaak. Die prioriteite wat op
nasionale, provinsiale en plaaslike vlak bestaan is deur middel van onderhoude nagevors. Die effektiwiteit van die VIGS-voorkomingsboodskap soos oorgedra deur die gemeenskapsgesondheidswerker is tydens 'n inligtingsessie van hoerskoolleerlinge bepaal. Gevolgtrekkings en aanbevelings is in elk van bogenoemde gevalle gemaak. VIGS-voorkomingsinisiatiewe is nog in die kinderskoene in Suid-Afrika, maar het 'n belangrike rol te speel. / AIDS is a health problem that impacts on all societal spheres. Prevention is the only form of combat. Therefore, AIDS prevention falls within the functions of primary health care. The person performing these functions is the community health worker. Within this framework the terms primary health care, community health worker and AIDS were discussed and their interrelatedness illustrated. A session during which community health workers
received training in aspects of AIDS was attended. Priorities existing at national, provincial and local levels were researched through interviews. The effectiveness of the community health worker in spreading the AIDS prevention message was determined during an information session for secondary school pupils. Conclusions and recommendations were made in each of these cases. AIDS prevention initiatives are still in its infancy in South Africa, but has an important role to play. / Health Studies / M.A. (Ontwikkelingsadministrasie)
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An investigation into the role and challenges faced by AIDS Councils in addressing HIV and AIDS in their communities: the case of the Ehlanzeni AIDS CouncilZitha, Sipho Siphiwosethu 11 1900 (has links)
Text in English / The purpose of this study was to investigate the role and challenges of AIDS Councils
in addressing HIV and AIDS in their communities with regard to community
mobilization and advocacy within the broader advocacy function of the South African
National AIDS Council (SANAC) and within the framework of the HIV & AIDS and STI
Strategic plan for South Africa 2007-2011(NSP). A qualitative research design was
applied. Individual face to face interviews were conducted with the respondents who
were purposively sampled across the five local municipalities comprising Ehlanzeni
District Municipality.
Similar studies conducted previously suggest that many AIDS Councils stakeholders
and members had a limited understanding of their role, and encountered more
challenges in addressing HIV and AIDS in their communities. This study revealed that
stakeholders and members seem to have steadily progressed in understanding their
role as well as in weathering the various challenges they are confronted with within
the AIDS councils. Be that as it may, there still exists some gaps between what is
envisaged in both the NSPs (NSP 2000-2005 and NSP 2006-2011) and the current
situation in many LACs. Many questions still need to be answered if South Africans
are prepared to triumph over the AIDS pandemic. / Sociology / M.A. (Sociology (Social Behaviour Studies in HIV and AIDS))
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The utilisation of the continuum of care for treatment of persons with a substance use disorder : service providers’ and service users’ experiences and perceptionsMoyana, Watson 01 1900 (has links)
In South Africa, substance use, abuse and dependency is twice the world norm. To address this trend, the continuum of care guides legislative prescriptions for the treatment of a substance use disorder. This study aimed to address the lack of a description of the utilisation thereof in literature and recent research findings. A qualitative approach was followed and purposive sampling was employed to collect data from both service providers and users of services. Tesch’s framework for qualitative data analysis (Creswell, 2014:218) was used to identify themes, sub-themes and categories, while the data was compared with existing literature on the identified themes. The trustworthiness of the findings was enhanced by the verification of the data through aspects of credibility/authenticity, transformability, dependability and conformability (Schurink, Fouché and de Vos, 2011:397). Informed consent, confidentiality , non-compensation, debriefing of participants, and the management of information were considered to ensure ethical practice. / Social Work / M.A.(S.S.)
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An investigation into the role and challenges faced by AIDS Councils in addressing HIV and AIDS in their communities: the case of the Ehlanzeni AIDS CouncilZitha, Sipho Siphiwosethu 11 1900 (has links)
Text in English / The purpose of this study was to investigate the role and challenges of AIDS Councils
in addressing HIV and AIDS in their communities with regard to community
mobilization and advocacy within the broader advocacy function of the South African
National AIDS Council (SANAC) and within the framework of the HIV & AIDS and STI
Strategic plan for South Africa 2007-2011(NSP). A qualitative research design was
applied. Individual face to face interviews were conducted with the respondents who
were purposively sampled across the five local municipalities comprising Ehlanzeni
District Municipality.
Similar studies conducted previously suggest that many AIDS Councils stakeholders
and members had a limited understanding of their role, and encountered more
challenges in addressing HIV and AIDS in their communities. This study revealed that
stakeholders and members seem to have steadily progressed in understanding their
role as well as in weathering the various challenges they are confronted with within
the AIDS councils. Be that as it may, there still exists some gaps between what is
envisaged in both the NSPs (NSP 2000-2005 and NSP 2006-2011) and the current
situation in many LACs. Many questions still need to be answered if South Africans
are prepared to triumph over the AIDS pandemic. / Sociology / M. A. (Sociology (Social Behaviour Studies in HIV and AIDS))
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Exploring the lived experiences of adolescents living with vertically acquired HIVJena, Pretty Patience 02 1900 (has links)
This qualitative study explored the lived experiences of adolescents living with vertically acquired HIV receiving treatment, care and support services at Dora Nginza Wellness clinic, in Port Elizabeth, South Africa.
Six adolescents living with vertically acquired HIV (four females and two males) between the ages of 16-17 years participated in in-depth semi-structured open-ended individual interviews. Tesch’s (1990) method of data analysis for qualitative research was used to analyse the interviews.
Adolescents that participated in the study spoke widely about the outlook on their illness and their lives both in the past and present. They depicted fear, anxiety, pain and sadness in their lived experiences. They were anxious about their own death and had experienced illness and death of parents, siblings and close relatives due to HIV and AIDS. They described painful and traumatic life events related to their illness which included knowing their own HIV status and severe health problems and hospitalisations. They all learnt about their HIV status in early adolescence and choose not to disclose their status to people outside the family due to fear of rejection, stigma and discrimination. Taking ARVs was challenging to the participants due to side effects and strict medication schedules. Their school attendance and performance was affected by their illness. Family was an important resource of support. The participants had good experiences of HIV treatment at the Wellness clinic.
The findings suggest that adolescents living with vertically acquired HIV faced a number of challenges in dealing with their disease and its treatment. They need intensive care and support services that enhance their positive self, facilitate self-disclosure and decrease and discourage stigma and discrimination at school and within their communities. / Health Studies / M.A. (Social Behavioural Studies in HIV/AIDS)
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Home-based HIV counselling and testing : perceptions and acceptance in a rural farming community of South AfricaKasselman, Olivia 11 1900 (has links)
Summaries in English, Afrikaans and Zulu / South Africa is facing an ongoing public health crisis with increasing and alarming
human immunodeficiency virus (HIV) statistics. Farmworkers in South Africa are highly
vulnerable and susceptible to HIV. This study involved the farmworker community on a
farm in the North West province of South Africa. The purpose of this study was to
explore the perceptions and acceptance of home-based HIV counselling and testing
(HBHCT) in a rural farming community, using an interactive World Café method to
stimulate creative discussions around questions that matter. Thirty-one farmworkers
participated in the World Café. This study had an explorative approach and qualitative
design.
The study did not investigate the number of HIV infections or sexual practices on the
farm, and did not offer an HIV test or any other medical treatment to any participant.
Data were collaboratively analysed by the researchers and the participants. Content
analysis of data was conducted. The findings indicated that majority of the farmworkers
had a positive perception of HBHCT, and that there was a serious need for HIV
prevention and intervention in this community. Some concerns were raised among the
participants regarding the confidentiality of HBHCT, attention should therefore be paid
to these concerns.
More research is needed to establish linkage to care after HBHCT. It remains unclear
whether the migrant farmworker population would be effectively linked to HIV care and
treatment without legal identification documentation. The acceptance of HBHCT in the
farming community by farmers, should be explored. The study found that there would be a high level of acceptability if HBHCT were to be
offered to farmworkers in this region. This study created insight into the HIV care and
prevention needs of the local farmworker community, as well as highlighted the barriers
the farmworkers face in attending primary healthcare (PHCs) clinics for HIV testing. / Suid-Afrika staar ’n voortdurende openbare gesondheidskrisis in die gesig met
toenemende en onrusbarende menslike immuungebrekkige virus (MIV)-statistieke.
Plaaswerkers in Suid-Afrika is uiters kwesbaar en vatbaar vir MIV. Hierdie studie het die
plaaswerkergemeenskap van ’n plaas in die Noordwes-provinsie van Suid-Afrika
geteiken. Die doel van hierdie studie was om die sieninge en aanvaardingsvlakke van
tuis-gebaseerde MIV-berading en -toetsing (TSMBT) te ondersoek, deur gebruik te
maak van die “World Café”-metode om kreatiewe bespreking rondom belangrike vrae te
stimuleer. Een-en-dertig plaaswerkers het deelgeneem aan die “World Café”.
Hierdie studie het nie die aantal MIV-infeksies of seksuele praktyke op die plaas
ondersoek nie, en ook nie ’n MIV toets of enige ander mediese behandeling vir enige
deelnemer aangebied nie.
Die studie het gevind dat die meerderheid van die plaaswerkers ’n positiewe persepsie
van TSMBT gehad het, en dat daar ’n dringende behoefte aan MIV-voorkoming en -
ingryping in hierdie gemeenskap is. Bekommernis is uitgespreek deur die deelnemers
rakende die konfidensialiteit van TSMBT, dus moet aandag hieraan geskenk word.
Die studie het gevind dat daar ’n hoë vlak van aanvaarding van TSMBT sal wees as dit
aan die plaaswerkers in hierdie streek gebied word. Hierdie studie skep insig in die MIVsorg-
en -voorkomingsbehoeftes van die plaaslike plaaswerkergemeenskap, en
beklemtoon die hindernisse vir plaaswerkers om die primêre gesondheidsorgkliniek te
besoek vir MIV-toetsing. / INingizimu-Afrika ibhekene nokuqhubeka kokukhula kwenkinga yezempilo, kanye
nokudlondlobala okushaqisayo kwezibalo zegciwane lesandulela ngculazi (HIV).
Abasebenzi basemapulazini eNingizimu-Afrika ibona abasengozini enkulu
yokutheleleka ngegciwane lesandulela ngculazi. Lolucwaningo lwenziwe emphakathini
wabasebenzi basemapulazini esifundazweni sase-North West eNingizimu-Afrika.
Inhloso yalolucwaningo bekuwukubona imibono kanye nezinga lokwamukela
ukululekwa nokuhlolela igciwane lesandulela ngculazi emakhaya(i-HBHCT)
emphakathini wasemapulazini kusetshenziswa Isizinda sokucobelelana ngolwazi (i-
World Cafe) ukukhuthaza izingxoxo ezakhayo nokubuza imibuzo esemqoka. Bangama-
31 abasebenzi basepulazini ababambe iqhaza esizindeni sokucobelelana ulwazi (i-
World Cafe).
Lolucwaningo aluzange luphenye izibalo zabantu abatheleleke ngegciwane lesandulela
ngculazi kanye nezinga labo lokuzibandakanya ocansini, futhi aluzange lunike
abebebambe iqhaza ithuba lokuhlolela igciwane lesandulela ngculazi(HIV) kanye
nokulashwa kwanoma iluphi uhlobo.
Imiphumela iveze ukuthi iningi labasebenzi basemapulazini babe nemibono emihle
mayelana nosizo lokululekwa nokuhlolela igciwane lesandulela nngculazi (HIV)
emakhaya (HBHTC), futhi kunesidingo esikhulu sokuthi kungenelelwe kulomphakathi
ukuze kuvikelwe igciwane lesandulela ngculazi (HIV). Kube nokukhathazeka
kwababebambe iqhaza mayelana nezimfihlo zokulekelelwa ngokwelulekwa kanye
nokuhlolela igciwane lesandulela ngculazi emakhaya(HBHCT),ngalokhoke kufanele
kubhekelelwe lokho kukhathazeka.
Ucwaningo luveza ukuthi kuzokwamukelwa ukuqala usizo lokwalulekwa nokuhlolela
igciwane lesandulela ngculazi (HBHCT) kubasebenzi basemapulazini kulesisifundazwe.
Lolucwaningo luveze ngokujulile izidingo zokunakekela kanye nokuvikela igciwane
lesandulela ngculazi (HIV) emphakathini wabasebenzi basemapulazini kulendawo,
laphinde lwaveza nezithiyo (Barriers) abasebenzi basemapulazini abahlangana nazo
mabevakasha emitholampilo (PHCs) ukuyohlola igciwane lesandulela ngculazi. / Health Studies / M.P.H. (Public Health)
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Riglyne vir maatskaplike werkers om emosionele ondersteuning aan kinders in pleegsorg te biedSchreve, Ingeborg 30 November 2007 (has links)
In this study, guidelines were developed for used by social workers to provide emotional support to children in foster care. The child in foster care as well as the services rendered in respect of such a child have been discussed in a literature study. The principles of Gestalt therapy were also discussed as these were used as part of the empirical study and as basis for the guidelines for social workers.
A qualitative research design was used to complete the empirical study and case studies were used. Children between six and twelve years who have been in foster care for less than two years and who needed emotional support were selected for the study by means of a purposeful test sample.
The research results showed that children in foster care are in need of emotional support. To provide such emotional support to the child in foster care, guidelines have been developed for social workers which they can apply when providing services to the child. These guidelines also serve as the conclusions and recommendations of the study. / Social Work / (M. Diac. (Play Therapy))
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Poverty, health and disease in the era of high apartheid: South Africa, 1948-1976Phatlane, Stephens Ntsoakae 30 November 2006 (has links)
A higher infant mortality rate and shorter life expectancy, coupled with a high prevalence of a variety of diseases commonly associated with malnutrition, are usually a reflection of the social conditions of poverty in a society. By arguing that apartheid formed the basis of inequality and therefore the main underlying cause of an unacceptable burden of the diseases of poverty among black South Africans, this thesis, Poverty, Health and Disease in the Era of High Apartheid: South Africa, 1948-1976, locates these health problems within their social, economic and political context. It further argues that if health and disease are measures of the effectiveness with which human beings, using the available biological and cultural resources, adapt to their environment, then this relationship underpins the convergence of medical and cultural interests. Under the impact of modern technology and society's dependence upon it, profound cultural changes have taken place and issues of health and the etiology of disease are among the areas most affected by these changes. This thesis explains why, in a pluralistic medical setting, where only modern (scientific) medicine was recognised as legitimate medicine by the apartheid government, for the majority of black South Africans the advent of modern medicine was viewed not so much as displacing indigenous (African) medicine but as increasing the medical options available to them. It is therefore contended here that for most black South Africans, indigenous medicine has played a critical role; it has mitigated the impact of apartheid medicine. Since differences that people perceive in these two medical systems are crucial to the medical choices that they make at the onset of illness, this thesis argues that knowing and understanding the reasons for making such choices would not only have practical value for health authorities in their efforts to improve local, regional and national health service delivery, but would also contribute to a general understanding of human therapy-seeking behaviour in this age of the HIV/AIDS pandemic. / History / Thesis (D. Litt. et Phil. (History))
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