Text in English / Even though the prevalence of HIV has declined, South Africa continues to have a large number of people who are infected with HIV. Most communities still have to deal with the effects of HIV and AIDS on orphans and vulnerable children. One way of mitigating the effects of HIV and AIDS is strengthening families and communities to provide stable care to orphans. However, most families do not have the capacity to provide sufficient care to orphans hence the need for external support from the community and civil society organisations, in this instance provided through the loveLife goGogetter programme. The findings proved that the goGogetters relied on the support they received through the relationships and networks established in the community to enable them to provide effective service to orphans. The study demonstrated the importance of community networks in providing for the basic needs of orphans. / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)

D.Ed. (Psychology of Education) / Although the human immuno-deficiency virus (HIV) and acquired immuno-deficiency syndrome (AIDS) is still very much a silent issue in South Africa, the AIDS pandemic has become a public problem which is threatening to a significant proportion of the population of South Africa (Heartbeat 2002:1; Kaseke and Gumbo 2001:53). HIV infections are on the rise and people are dying every day of AIDS related diseases (Msomi, 2000:8). Thus, the overall aim of this research was to determine how the HIV/AIDS orphans’/vulnerable children’ psychosocial status is affected by the HIV/AIDS disease. The study was conducted in the Bojanala Region of the North West Province. A purposeful sampling was used because four (4) schools were suggested by the Department of Social Services in the Rustenburg Area due to their high populace with HIV/AIDS orphans. The other four (4) schools were suggested by the Auxiliary Services Division in the Bojanala Region of Education. The literature revealed that failure on part of the parent, guardian and/or teachers to meet the psychological needs of the child at a certain stage in his/her development may result in personality disorders, which can become a potential danger and a source of unhappiness to the individual him/herself (cf. 2.5). Furthermore, it was evident from the literature that chronic parental illness may have a traumatic effect on young children because both parents may neglect a child (cf. 4.2). The literature also revealed that children should not be viewed as passive recipients of assistance, but as active participants who play a key role in the development of responses to the HIV/AIDS pandemic. Receiving quality services is a right and a need not only of AIDS orphans, but also of all children (cf. 4.6). From the quantitative data analysis, the following findings emerged, that HIV/AIDS orphans/vulnerable children are optimistic about their future. Children do not blame themselves for their parents’ death. Arising from this research certain conclusions were drawn, recommendations were made and areas for possible future research were suggested. / Teacher Education

This study investigated social contextual factors influencing poor uptake of HIV counselling and testing (HCT) services by middle-aged black men in Ratanda, Heidelberg. A qualitative research approach was used in which ten men and two key informants were interviewed. Themes explored were the participants’ biographical characteristics; knowledge of HIV and AIDS; health-seeking behaviours; understanding of multiple sexual partnerships and male circumcision and challenges in utilising HCT services. Various social behaviour change theories formed the theoretical framework guiding this study. It was found that fear, stigma and cultural factors largely contributed to poor HCT uptake. Moreover despite the men’s high HIV risk perceptions, behaviour change lags behind. Greater efforts to establish a men’s forum to discuss sexual health matters in Ratanda is recommended. / Health Studies / M. A. (Social Behaviour Studies in HIV/AIDS)

With an estimated 500 infections everyday, the country is beset with a galloping HIV and AIDS epidemic. With these accelerating numbers, it is no longer possible to ignore people living with HIV and AIDS, as they will inevitably form a more and more significant volume of the workforce. A key aspect of this phenomenon, that needs dedicated attention, is the issue of their stigmatisation in the workplace. The intent is to present the voice of the stigmatised. The dissertation attempts to understand how a stigmatised identity affects a productive member of society. It tries to capture the perspective of sero-positive persons as productive members of society and not as `victims' or `threats'. The ultimate objective is to influence policy in the workplace in order to provide a nurturing and productive work environment. The key thought emerging from the research is: driven by the inescapable structural stigma of the workplace, the virus fundamentally influences the self-definition of the sero-positive person. / Sociology / M.A.

This single case study was undertaken to determine how the Gestalt approach can be used to guide the child to adjust in a children's home. The study dealt with two models of children's homes, namely the traditional setting and the family centered home setting, as well as adjustment and attachment of a single child's experience in the middle school years, in the family centered home setting. In addition, the trauma, loss and culture shock are highlighted to demonstrate the difficulty children experience in adjusting to a new environment such as a children's home. Data were captured around the participant's experience and process, entering the children's home and the facilitating through intervention. Through the intervention the participant's process was identified, helping him to cope with his new situation. Through Gestalt play therapy the participant's active involvement in his adjustment process was clear and his adjustment was increased. / Social work / MDIAC (PLAY THERAPY)

In the light of the child's self-esteem that is affected by traumatic events, the goal of the research was to explore and describe the self-esteem of children orphaned by HIV/AIDS. The researcher made use of a quantitative research method. 30 (N=30) respondents, both male (n=16) and female (n=14), between the ages of 11 to 15, were randomly sampled for inclusion in the study. Each participant completed a self-report measure of self-esteem, The Culture-free Self-esteem Inventory for Children, which yielded a score of Global Self-esteem, as well as in four sub-domains including: General, Social, Academic and Parent-related Self-esteem. The results of this study demonstrated that the participants experienced a lowered self-esteem. These findings were explored in light of a literature review, after which conclusions and recommendations were provided. / Social Work / M. Diac. (Play Therapy)

Prader-Willi syndrome (PWS) is a genetic disorder resulting from a mutation of chromosome 15. It can manifest in physiological characteristics, cognitive impairment, behavioural problems, and sometimes also psychiatric disturbances. Taking care of an individual with PWS has a detrimental impact on the primary caregiver and also affects others around them. This considered, the current study aimed to learn more about the experiences and challenges of individuals diagnosed with PWS and their primary caregivers, in Gauteng and North-West Provinces, South Africa. Purposive sampling was used to select five families which then participated in the study. Qualitative research was used to conduct the study. As it was also crucial to generate a comprehensive understanding of participant experiences, collective instrumental case studies were used ̶ making use of participatory action research, ethnography and elements of auto-ethnography. Data were gathered by conducting semi-structured interviews, which were then analysed using thematic analysis. The data were organized around certain topics and common themes which emerged in each case study and the findings were then integrated with the literature which had been extensively reviewed. Based on these experiences and challenges, interventions were suggested that addressed the challenges and needs of the PWS individuals, their caregivers and families, and those around them (including school teachers). The main findings confirmed that not all individuals diagnosed with PWS manifest all the physiological characteristics, psychiatric disturbances and behavioural problems which have been documented in the literature. Furthermore, the symptoms vary in severity from one individual to the next. Cognitive impairment was, however, common to all individuals in the study. The findings also suggest that having a child diagnosed with PWS has a significantly negative impact on the primary caregiver, and taking care of PWS children is emotionally overwhelming and time-consuming. The use of a client-centred approach, implementing behaviour therapy techniques and doing psycho-education, all proved to be effective in managing some of these behaviours displayed by the individual patients and the challenges experienced by primary caregivers. / Psychology / Ph. D. (Psychology)

Many of the caring tasks previously done by health care professionals are these days handled by caregivers. Caregivers are selected, trained and to a certain extend supervised. Little attention is however given to the effects that care giving has on their physical and mental health and own needs for caring and support. This study is an exploratory, qualitative and quantitative investigation into the effects of care giving on the physical and mental health of caregivers in HIV and AIDS programmes to determine their needs for ongoing support. A literature study was supplemented by an empirical investigation. The literature study and empirical investigation proved that care giving has a tremendous impact on the lives of caregivers. Recommendations resulting from the study are the need for more education and skills for caregivers, support through counselling, debriefing and support groups, policies and guidelines that makes provision for caregivers to be registered and receive a fixed income. / Social Work / M. A. ((SS)(Mental Health)Social Work)

This study focuses on the psycho-social challenges faced by HIV/AIDS lay counsellors at a Voluntary Counselling and Testing (VCT) site in Tshwane, South Africa. A qualitative approach was employed by using semi-structured interviews with open-ended questions to obtain information from four lay counsellors, who provide pre- and post-test counselling at a VCT site. The results indicate that the management of clients’ emotions and needs pose enormous challenges to HIV/AIDS lay counsellors who do not receive any formal psycho-social support at VCT sites. The research participants in this study resort to their own coping mechanisms to deal with the challenges – with varying degrees of success. The recommendation is made that a formal support programme should be put in place at VCT sites, which will allow HIV/AIDS lay counsellors to respond to the many demands placed on them. Such a programme can help prevent burnout and a high turnover in lay counsellors. / Social Work / M. A. (Social Behaviour Studies in HIV/AIDS)

Risk taking behaviours such as drug use, sexual activities and tattooing are prevalent in the correctional institutions, including those in South Africa. Such behaviours pose a serious challenge as regards health care of inmates. In particular, these behaviours contribute to the transmission of HIV/AIDS which results in morbidity and mortality. Harm reduction components are employed as effective measure to curb the spread of the pandemic. These components are lauded owing to their considerable impact. They consist of needle exchange programmes, substitution therapy, condom provision and education. Various developing (Morocco, Brazil and Egypt) and developed (Scotland and Canada) countries make use of such components to address risk taking behaviours in correctional institutions. Although condom provision and education have been implemented by the South African Department of Correctional Services in state institutions, there is an urgent need to enhance the efforts. This study investigates the extent of risk taking behaviours amongst inmates at the Leeuwkop Correctional Centre. It also determines the level of knowledge of inmates and staff regarding HIV/AIDS. The researcher employed a qualitative form of methodology, collecting data by means of a structured questionnaire. The data was coded and analysed by means of the Statistical Package for the Social Sciences (SPSS) software. The findings reveal that the risk taking behaviours are prevalent at the Leeuwkop Correctional Centre. Furthermore, the analysis of the knowledge items regarding HIV/AIDS indicates that there are certain deficits that require attention. They are also notable differences in the primary sources of HIV information for inmates and staff. It was found that a dire need exists to enhance and expand current harm reduction initiatives in correctional institutions in order to offer health care services that are compliant with international conventions such as the Dublin Declaration on HIV/AIDS as well as the South African Constitution. Reluctance to do so is tantamount to housing inmates in „de facto‟ death chambers. Hence the augmentation of such initiatives is strongly recommended. / Penology / D. Litt. et Phil. (Penology)