Thesis (Ph.D. (Psychology)) -- University of Limpopo, 2015 / The study aims at assessing the stress and dysfunction among families affected by the sudden reality of experiencing physically deteriorating family members due to HIV/AIDS progression, and to identify resilience factors that moderate the impact. Three-hundred and sixteen families were conveniently selected to participate in this study. The experimental group of the HIV/AIDS affected families (n=122), with two control groups of families caring for family members ailing because of a non- HIV/AIDS physical ailment (n=132) and the families not involved in the caring of any family member (n=62). Family resilience and stress questionnaires were used to collect the data. Family resilience questionnaires included Family Hardiness Index (FHI), Social Support Index (SSI), Relative and Friend Support (RFS), F-COPES, Family Time and Routine Index (FTRI), Family Problem Solving Communication (FPSC) Family Attachment and Changeability Index 8 (FACI 8). The family caregiver stress was measured by the Relative Stress Scale. Univariate and multivariate regression analysis were used to determine the moderating effect of the family qualities on the stress levels, and specific qualities unique in the families that bounce back. Stress was found to be high in the HIV/AIDS affected families when compared with the control families. Furthermore, the demographic information indicated that more stress was experienced in the HIV/AIDS affected families with a younger sick member and in poor economic conditions as well as when the sick person was a breadwinner. This indicated that stress elevation in the HIV/AIDS affected families was a function of economic conditions in the families and that caregivers may have experienced stress due to lack of proper resources and the stress of having sympathy for a young sick person who was expected to have a long life ahead of him or her. Social support (SSI), relative and friend support (RFS), and spending time together and engaging in similar routine collectively (FTRI) were found to moderate stress in HIV/AIDS affected families. Further research is needed to highlight the dynamics and the relationship with stress elevation around the new trend of HIV/AIDS infection of the younger age group as well as the economic burden or the impact of lack of resources in caring for the infected. More in-depth research must also be done with an emphasis on the dynamics between stigmatisation, stress moderation and resilience of families using more diverse families engaging in various caregiving situations of sick family members within various ecological and socio economic conditions.

Thesis (MCur.) -- University of Limpopo, 2015 / The purpose of this study was to determine the experiences of students in disclosing their HIV-positive status at the University of Limpopo, Turfloop Campus. A qualitative, descriptive, phenomenological design was used to explore, describe, and understand the experiences of the students with regard to the disclosure of their HIV-positive status. A group of 20 students who belonged to the support group were purposively sampled. Semi-structured interviews were conducted for data collection until saturation was reached. Data analysis was conducted according to Techs open-coding method. The study highlights the potential factors that might hinder access to HIV prevention, management, care, and support programmes. The findings reveal that there is a marked societal shift in the perception and understanding of HIV, resulting in disclosure being a less difficult responsibility. However, rejection by sexual partners has also been revealed. This rejection is one of the negative consequences that might hamper future disclosure. It is recommended that counsellors should be highly skilled in counselling HIV-positive people, especially about issues of disclosure. An HIV disclosure model will greatly support the work of these counsellors.

Thesis (M.A.)--Humboldt State University, 2009. / Includes bibliographical references (leaves 51-56). Also available via Humboldt Digital Scholar.

Thesis (Ph. D.)--School of Public Policy, Georgia Institute of Technology, 2004. Directed by Paul G. Farnham. / Includes bibliographical references (leaf 127).

Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009. / Full text also available online. Scroll down for electronic link.

Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (leaves 210-226).

South Africa has an estimated population of approximately 47. 9 million of which almost (51%) are female; according to the 2007 mid-year report of Statistics South Africa (Stats-SA, 2007). The availability of Antiretroviral (ARVs) that delay HIV progression and improve quality of life of HIV infected individuals and the roll-out of prevention of mother to child transmission (PMTCT) have brought renewed hope among many couples and individuals in South Africa. The four pillars of the Prevention of Mother to Child Transmission (PMTCT) programme include prevention of HIV infection among young women, prevention of un-intended pregnancies among HIV infected women, prevention of HIV infection to the child and provision of care and support services. HIV-positive young women live by socially and medically constructed values that expect them to avoid becoming pregnant, but at the same time they are expected to marry and bear children. A more in-depth understanding of the reproductive decision making experiences of women below the age of 35 is needed because they are at reproductive age and most at risk of HIV infection in South Africa. The impact of a positive HIV diagnosis may be best understood when viewed within a social constructivist framework. A few studies in South Africa (Cooper et al, 2005; Harries et al, 2007; Myer, Morroni, and Rebe, 2007; Orner et al, 2007; Stevens, 2008) have been conducted on fertility desires of HIV positive individuals and couples although not specifically exploring young women who are mostly vulnerable to HIV infection. Recognizing the gap in the desired public health care objectives, such as preventing mother to child transmission of HIV and the lived experiences of young women living with HIV, this qualitative exploratory research was conducted in two South African Townships. The purpose was to explore the reproductive aspirations and intentions of the women below the age of 35, in the light of the higher HIV prevalence in this population, compared to other groups. The research explored two theories of human behaviour; the theory of planned behaviour and Erick Erikson’s human developmental theory. Eleven semi-structured in-depth interviews and two focus group discussions were conducted through support groups at clinics in Soweto and Attridgeville. Ethical approval was obtained from the University of KwaZulu-Natal and all participants signed consent to participate in the research. Findings showed that women younger than 30 who did not have a child, desired and intended to have biological children. Health concerns such as CD4 count, concerns about HIV progression, early death and orphan-hood, previous loss of a child due to HIV and financial concerns were often cited. Tied to this were health workers’ attitudes towards pregnancy among women who knew their HIV status. Women said that a child brought joy, strength and courage to the mother and was seen as an image, when the mother dies, due to HIV. Almost all the women were in support groups that openly discouraged pregnancy among HIV positive women, especially those who already have a child or children. This research indicates that in practice, counselling and information around reproductive health and choices, is often offered in a quest to dissuade HIV-infected women from considering pregnancy. Health services, families and partners, as well as past experiences of motherhood, all play a role in decision making (Cooper et al, 2005). Sometimes policy guidelines alone are not enough to ensure that reproductive rights of women living with HIV are respected at the different levels. This research points out the population of women who have specific needs and who should not be treated as a homogenous group with all women. This recognition should go beyond policy recommendations into implementation and monitoring. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

Thesis (M.A. (Health Social Science))--Mahidol University, 2007. / LICL has E-Thesis 0024 ; please contact computer services.

Thesis (M.A. (African Language Studies)) - Rhodes University, 2009.

Women living with HIV have a variety of reproductive health and psychosocial needs. The purpose of this critical ethnographic study was to examine how HIV, empowerment and reproduction are experienced by a volunteer sample of HIVpositive women attending public health care facilities in Gauteng. Feminist and critical approaches were used to guide the methodology of the research and the interpretation of the findings. Data were collected through in-depth interviews and observation. An overview of literature pertaining to the social construction of HIV-AIDS, women’s empowerment and reproductive decision-making is presented. A discourse of “healthy lifestyle” as technologies of the self is considered. Women’s empowerment as an ideal is described and structural barriers to its achievement are discussed. Stigma and discrimination as products of hegemony are discussed as important issues in the disempowerment of women living with HIV. HIV-AIDS as illness experience is reviewed with reference to the social context and to the individual context. Reproductive decision-making models and theories are critically analysed for their applicability to women living with HIV. The need for a conceptual shift in the notion of empowerment in order to understand constrained decision-making for women living with HIV is propagated. The stories of women living with HIV and dependent on public health care services are presented. Through the principles of a critical ethnography the lived experiences of these women are described by means of emerging themes. A historiography of family planning and HIV-AIDS services throws the narrations of the research participants into broader historic relief. Findings revealed that biomedical hegemonic power contoured and marked the lived experiences of women following an HIV-positive diagnosis. Taken-for-granted views of passivity and of own responsibilities regarding reproductive health are challenged. The women in the study were dependent upon public health care personnel for treatment, testing, dietary advice/supplementation and recommendations for a social xii disability grant. ARV-treatment was regarded as a low point in the illness career. All of the participants reported that the overriding problems in their lives were having too few material resources and not having the means to change this. This made them vulnerable to compounded health problems and decreased their ability to voice their own opinions about treatment. They did not regard themselves as having been at risk for contracting HIV and some harboured resentment towards men who were seen as being absolved from testing and responsibilities towards female partners, born and unborn children. Women who were not tested as part of antenatal sentinel groups tended to suffer symptoms of ill health for some time prior to being tested for HIV. Social support systems were either absent or consisted of trusted family members and friends. In many cases, women became the silent care-givers for those affected and infected by HIV. Anticipated stigma permeated the participants’ narrations of living with HIV and disclosure of their statuses was difficult. The use of male condoms, stressed during counselling sessions, was narrated as a difficult burden for women to bear. Although the research participants expressed low fertility preferences, HIV-AIDS was seen as disrupting the link between heterosexual conjugal relations and the taken-for-grantedness of procreation. HIV-AIDS also disrupted norms in infant feeding practices and bottle-feeding was regarded as a sign of possible HIV-infection and hidden. The research participants were not empowered with knowledge about how to deal with side-effects, condom failures and the reluctance of male partners to be tested for HIV. They enacted, resisted and lived with HIV in different ways, incorporating some of the biomedically prescribed posturing as women living positively and blending it with stigma-negating performances and gender-prescribed ways of dressing, walking and acting. Participation in a support group validated their experiences and promoted positive self-perception. The formation of a collective voice in the support group was hampered by irregular attendance, the interference of community leaders and horizontal violence. Power relations, yielded by biomedical hegemony, androcentric sociocultural practices, material deprivation, fear, discrimination and stigma potentially undermined the women’s abilities to become empowered. Expansion of choices in various spheres or fields and collective action xiii are proposed as dimensions to be added to an empowerment-of-women approach to the problems of reproductive health in the age of HIV-AIDS. The contribution of the study as an emancipatory project is evaluated and implications for policy and practice are suggested. On a methodological level, this study is a demonstration of the contribution to be made by a micro-level, critical analysis to the body of knowledge about female reproductive health in the era of HIV-AIDS in South Africa. On a theoretical level, this study contributes to a wider conceptualisation of women’s empowerment by recognising the interplay between micro-level elements of situated experience, knowledge and preferences and the macro-level elements of sociocultural, biomedical and material influences on health and reproductive behavior.