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Knowledge,attitudes and practices on HIV/AIDS among peer educators in Limpopo Department of AgricultureShipalana, Pearl Nkhensani 12 1900 (has links)
Thesis (MPhil (Industrial Psychology. African Centre for HIV/AIDS Management))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: HIV/AIDS is a world wide pandemic and has caused threat in many organizations. Organizations
are trying to put in place programmes to fight the spread of HIV/AIDS as it affects the
productivity and profits due to increased absenteeism and turnover. The Joint United Nations
programme on HIV/AIDS [UNAIDS] estimated that there are 40 million people living with
HIV/AIDS world wide, 25 million has died and 15 millions are orphans due to HIV/AIDS.
The Department of Agriculture [Limpopo] has recruited Peer Educators to assist in providing
education, awareness and prevention programmes on HIV/AIDS to employees and stakeholders.
However, it is essential to assess the knowledge, attitudes and perception of this Peer Educators
in order to develop intervention measures to improve the effectiveness of the programme.
The Department of Public Service Administration guideline on managing HIV/AIDS in the
workplace (2002) requires departments to conduct KAP (knowledge, attitudes and perception) in
order to have baseline data for responsive, relevant intervention strategies in the workplace.
“HIV/AIDS workplace programmes can only be successful if the employees needs regarding
knowledge, attitudes and practices have been thoroughly researched” (Family Health
International, 2000).
The aim of the study was to identify the knowledge, attitudes and practices of Peer Educators in
the Limpopo Department of Agriculture. This will also assist to measure the impact of training
provided to them. All Peer Educators were be given an opportunity to participate in the study.
Self-administered questionnaire was be used to collect data and confidentiality was emphasized.
Data was analysed using the SSP programme and Microsoft excel.
The findings revealed an average knowledge of Peer Educators on HIV/AIDS, positive attitudes
and safe sexual practice by using condoms. There is need for in service training for Peer
Educators. The results also indicated the strong need of support from supervisors and
management in the implementation of Peer Educators programme. The findings of the study will
also assist the Limpopo Department of Agriculture to redesign the Peer Education Programme in
order to minimize the risks and reduce the infection rate on HIV. Peer Educators are considered
as key informants, it is significant to understand their level of knowledge, and what is their
perception of risk to HIV/AIDS. / ARFIKAANSE OPSOMMING: Die doel van die studie was die bepaling van die kennisvlakke, houdings en persepsies van
eweknie-opleiers in die Limpopo provinsie.
Die resultate van die studie dui op sterk behoeftes aan verdere opleidng aan veral toesighouers en
bestuurders van die Departement van Landbou van Limpopo provinsie.
Voorstelle word aan die hand gedoen oor die wyse waarop hierdie opleidingsprogramme
saamgestel behoort te word en riglyne word gegee vir die implementering daarvan.
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The impact of stigma and discrimination against people living with HIV and AIDS: An investigation into why family members attrbute death to other diseasesMathavha, Thomas 12 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: This research paper is based on the perception of people over the death by HIV and Aids. It looks at the impact of culture and beliefs on the management of HIV and Aids in the community and also in the country as whole.
This research aims to establish the root course of covering death of by HIV and Aids, often due to fear of discrimination and isolation. Communities need to be educated on discrimination and stigma that comes about with people living with HIV and Aids.
This study was conducted at Mvelaphanda Primary School children, in Tembisa, Ekurhuleni Metropolitan Municipality in Gauteng, South Africa. The main focus was on the death of parents of the learners at the school and ultimately learners themselves, who some of them where born with HIV epidemic. Some of the children became orphans of the disease.
The collection of data was in three fold: questionnaire, interview and observation and discussions. The information gathered was manipulated to bring about the expected results.
Analysis of the data indicated that where there is no behavioral and attitude change, there would be more death by the pandemic than ever before. It is the responsibility of everyone, be it heads of families, religious leaders, politicians, business people and teachers to fight against the spread of HIV and Aids pandemic.
This study has also discovered that medical report on the cause of death is concealed in order for policies to payout. This distortion of information does not help in the fight against the spread of HIV and Aids
All stakeholders should work together in the support of those will disclose their status without fear of rejection, isolation and discriminated against. Schools, churches and community gatherings should be better used as a plat-form for that. If such conditions are created the spread of the HIV will be reduced and the prevention strategy will succeed. / AFRIKAANSE OPSOMMING: Die navorsing handel oor die persepsie van mense teenoor dood as gevolg van MIV/Vigs. Dit ondersoek die impak van kultuur en geloof op die bestuur van MIV/Vigs binne 'n gemeenskap in die besonder en binne die land in die algemeen.
Die doel van die navorsing was om die grondoorsaak waarom daar dikwels gediskrimeer word teenoor persone wat sterf weens MIV te identifiseer en om te bepaal waarom mense wat met MIV leef dikwels “uitgewerp” word uit die gemeenskap.
Die studie is gedoen by die Mvelaphanda Primêre Skool in Tembisa, in die Ekuhuleni Metropool van die Gauteng provinsie van Suid-Afrika. Die primêre fokus van die studie was op die invloed wat die dood as gevolg van Vigs op die kinders in die skool gehad het.
Data is ingesamel deur middel van vraelyste en onderhoude asook deur waarneming en besprekings.
Ontleding van die data het aangetoon dat indien daar nie positiewe gedragverandering plaasvind nie, daar meer sterftes as gevolg van Vigs verwag kan word.
Daar word aanbevelings gemaak oor hoe belangroepe kan meehelp om stigma en diskriminasie te verminder en sodoende kan meehelp om die verdere verspreiding van die pandemie te beperk.
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The relationship between knowledge of HIV/AIDS and sexual behaviour among care workers (HCWs) in General Hospital OgojaOnyedinachi, Okezie Enyinnaya 12 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: Nigeria has the second highest disease burden of HIV/AIDS in sub Saharan Africa after South Africa with adult HIV prevalence of 4.1%, with an estimated 3,130 million people living with HIV (Male-1,320,000: Female-1,820,000-2010) (FMOH, 2010). The HIV epidemic in Cross River state is 7.1% in 2010; and ranks as the 9th highest in the country. General Hospital Ogoja is one of the secondary level hospitals in Cross River State of Nigeria that offers Comprehensive HIV/AIDS services. Although the prevalence of HIV is very high in Cross River state (7%) that of General Hospital is not readily known. The uptake of HIV Counseling and Testing (HCT) among health care workers is relatively low, despite the fact that the awareness of HIV and AIDS in Nigeria by adult population is said to be generally very high (93.8%).The use of condom in the last sex act was low (16%) despite the fact that sexual transmission is the predominant mode of HIV spread in Nigeria (NARHS 2007)
To determine whether the knowledge health care workers in GH Ogoja have about HIV/AIDS affect their sexual behaviour; a quantitative approach of research design was used through a questionnaire
A total of one hundred and thirty questionnaires were distributed and all were returned. There were few abstentions on some of the questions possibly due to its private nature but generally the overall responses were devoid of inconsistencies and the response rate was well over 98%.
The findings from the study showed that greater that 90% of the respondents are quite knowledgeable with the cause of HIV, modes of transmission and prevention of HIV. While the respondents exhibit a high knowledge with respect to modes of transmission through sexual intercourse(96.8%); their knowledge with respect to safer sex practices with use of condom in penetrative sex calls for further review. It would be expected that 100% of all respondent will be fully abreast with information on the modes of transmission of HIV and its prevention.
Condom use in stable relationship connotes different meanings to the respondents. While 109(85.2%) of the 128 respondents agreed to the use of condom among couples when the status of one of their partner is unknown. The response to the question on whether the use of condom affects sexual relationship portrays an interesting finding. 71(55.4%) of the total respondents disagreed with the fact that condom use affect sexual relationship while 42(32.8%) respondents agreed. It may not be out of place to assume that a lot of HCWs may not be condomizing effectively based on the impression that condom use during sex affect sexual relationship.
Health care workers live and interact freely with other members of the society and are potential bridging group for disseminating HIV into the larger population. The finding from GH Ogoja portrays the fact that though the knowledge of HIV among them is very high their full application of the knowledge with respect to sexual behavioural change is still doubtful. A more qualitative study like focus group discussion will assist in unraveling this observation. / AFRIKAANSE OPSOMMING: Nigerië het die tweede grootste voorkoms van MIV in Afrika suid van die Sahara. ‘n Beraamde 3,130 miljoen mense leef na beraming met MIV en die voorkoms in die Cross River Staat van die land was 7.1% in 2010; die negende grootste voorkoms in die land.
Die doel van die studie was die bepalin van die kennisvlakke van werkers in die Algemene Hospitaal van Ogoda en ‘n kwantitatiewe benadering en navorsingsontwerp is vir die studie gebruik.
‘n Totaal van 130 vraelyste is geadministreer en ongeveer 90% s terug ontvang.
Bevindings van die studie het aangetoon dat meer as 90% van die respondente ‘n bevredigende kennis van MIV het en dat hulle ook goed ingelig is oor die wyses waarop die epidemie versprei word en die metodes waarvolgens verspreiding van die epidemie beperk kan word.
Die data van die studie word verder ontleed en meer spesifiekebevindings word gerapporteer.
Aabeveling vir die beter opleiding van werkers by die Ogoda Hospitaal word gemaak en voorstelle vir verdere studies word ook gemaak.
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Factors that make women vulnerable to HIV/AIDSMokwena, Malebo Sophie 12 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: Background: Globally the percentage of women living with HIV is high. They constitute 48% of people living with HIV. The purpose of the study was to investigate the influence of specific factors known to make women vulnerable to HIV/AIDS infection.
Objective: The specific factors investigated were cultural beliefs, economic dependence and sexual abuse and their affect (if any) on women in Bela-Bela (Warmbaths) in the Limpopo province of South Africa. The population of 30 women who attend HIV/AIDS support groups in the area was targeted. Twenty respondents were asked to complete questionnaires. A convenience sampling method was used.
Research Design: A descriptive research design was used, with data collected through questionnaires. The questionnaire was structured in English and for those who did not understand the language; the questions were explained in their own language. Data was collected on six occasions. The number of participants interviewed per session varied as it depended on the availability of participants on those days.
Results: Though the sample used was small which makes it is difficult to draw definite conclusions, the results revealed that women in the area are vulnerable to HIV because of factors such as cultural beliefs (in particular the value of marriage and children), economic dependence and sexual abuse.
Conclusion and Recommendation: Findings in this study indicate that unemployment may put women in unfavourable economic position and force them into vulnerable behaviour such as having unsafe sex and sex for money. Findings further revealed that the value of children is put in high regard by the respondents. Having children is seen as a way of proving to the community that they are fertile. This may put women at risk of HIV as they are engaging in unprotected sex. The results show that many women are still exposed to forced sex. There is a need for further research in this regard. / AFRIKAANSE OPSOMMING: Agtergrond: Die aantal vroue wat wêreldwyd MIV onderlede het, beloop’n geskatte 48% van alle mense wat met die siekte saamleef. Hierdie studie ondersoek spesifieke faktore wat bekend daarvoor is om vroue kwesbaar te maak vir die virus.
Doelstelling: Die spesifieke faktore wat ondersoek word is kulturele oortuigings, ekonomiese afhanklikheid en seksuele misbruik en die invloed daarvan (indien enigsins) onder vroue van Bela Bela in die Limpopo Provinsie van Suid Afrika. ‘n Groep van 30 vroue wat MIV/Vigs onderlede het en aan ondersteuningsgroepe in die area behoort, is geteiken vir die studie. Twintig respondente het vraelyste ingevul.
Navorsingsontwerp: ‘n Beskrywende navorsingontwerp is gebruik, met data wat versamel is deur middel van vraelyste. Die vraelyste was in Engels en vir diegene wat nie die taal verstaan het nie, is dit in hul eie taal verduidelik. Data is op ses geleenthede bymekaar gemaak. Die getal deelnemers wat deelgeneem het per sessie het afgehang van die beskikbaarheid van deelnemers op die verskillende dae.
Uitslae: Alhoewel die steekproef klein was wat dit bemoeilik het om defnitiewe afleidings te maak, het die uitslae gewys dat vroue in die area kwesbaar is vir MIV as gevolg van die spesifieke faktore wat ondersoek is, veral kulturele oortuigings (spesifiek oor die huwelik en geboorte).
Gevolgtrekkings en Aanbevelings: Resultate in die studie het gewys dat onstabiele ekonomiese omstandighede soos werkloosheid vroue in ‘n ongunstige posisie plaas en hulle moontlik dwing om onbeskermde seks of seks vir geld te hê. Die bevindinge het ook onthul dat om kinders te hê hooggeag word deur die deelnemers in die studie aangesien dit gesien word as ‘n simbool van vrugbaarheid. Dit beteken dus hulle het onbeskermde seks en moontlike blootstelling aan MIV. Die uitslae wys verder dat baie vroue nog blootgestel word aan seks wat op hul afgedwing word. Daar is ‘n behoefte vir verdere navorsing in hierdie verband.
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Gender related factors that lead to depression after diagnosis with HIV/AIDSMufukari, Fungai 12 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: People diagnosed as being HIV positive or having AIDS develop depression as they attempt to cope with their daily lives. Some studies have indicated the prevalence of depression and anxiety in people living with HIV/AIDS is higher than in the general population. An evaluation of gender related factors that lead to depression after a diagnosis with HIV/AIDS will highlight the incidences and frequency of what individuals experience in their daily lives.
The research is a descriptive study in which the factors that cause depression after HIV/AIDS diagnosis were identified and related to gender. Both quantitative and qualitative methods were used to analyse the responses elicited from the participants in the sample. Twenty five PLHAs who had been diagnosed with depression were selected from patients attending both Nthabiseng and Luthando Clinics at Chris Hani Baragwanath Hospital in Soweto, Johannesburg. A questionnaire was designed to gather demographic as well as information regarding family, social and economic history. A short interview was also conducted with selected patients to determine in their own words what causes their depression. The selected patient hospital charts were analysed to gain additional information to complete the equation. A semi structured interview was conducted with 13 selected health care professionals to gather information on how they see depression in the presence of HIV and whether they are adequately equipped to detect and manage this condition.
The findings from this study supported the view depression is present or develops after a positive HIV diagnosis and a difference was detected in the causes of depression in women and that of men. Common causes of depression after HIV diagnosis were denial, fear of death and social insecurity. Women were more likely to attribute their depression to denial and worry about work and family responsibility. Men attributed their depression to failure to provide for their family and loss of social status. Recognising the causes of and gender differences in the causes of HIV-related depression may help in designing more effective counselling strategies and improve management and care of PLHAs. / AFRIKAANSE OPSOMMING: Daar is 'n aantal mense wat nie aan depressie ly voordat hulle met HIV gediagnoseer word nie. Meeste studies dui aan dat die voorkoms van depressie en angstigheid by mense wat lewe met MIV en VIGS heelwat hoër is as die algemene MIV populasie. Baie mense, insluitende gesondheidsorgwerkers, neem aan dat depressie 'n onontsnapbare newe-effek is van MIV/VIGS diagnose. Dus mag dit gebeur dat depressie ongesiens verby gaan, onbehandeld, met die gevolg van oneffektiewe behandeling, riskante optrede, swak bestuur van MIV/VIGS en 'n lae lewenskwaliteit vir hierdie pasiënte. Hierdie navorsingsartikel kyk na die geslags-verwante faktore wat lei tot depressie na die diagnosering van MIV/VIGS.
Die navorsing is 'n beskrywende studie waarin faktore wat depressie in MIV/VIGS gediagnoseerde pasiënte veroorsaak identifiseer en gedifferensieer word afhangende van geslag. Kwantitatiewe asook kwalitatiewe metodes is gebruik. Dertig PLHAs wat met depressie gediagnoseer is, word behandel in Nthabiseng asook Luthando Kliniek by die Chris Hani Baragwanath Hospitaal in Soweto, Johannesburg. Nthabiseng is die MIV Kliniek en Luthando is die psigiatriese kliniek vir MIV/VIGS pasiënte. 'n Vraelys is saamgestel om demografiese asook familie, sosiologiese en ekonomiese inligting te verkry. 'n Kort onderhoud is ook met sommige pasiënte gehou om in hul eie woorde te hoor wat hul glo hul depressie veroorsaak. Die geselekteerde pasiënte se hospitaal kaarte is geanaliseer, met die doel om die dokter se insette of redes te kry oor die pasiënte se depressie. 'n Semi-gestruktureerde onderhoud was gedoen met gesondheidsorgwerkers in Luthando- en Nthabiseng klinieke om inligting te verkry oor hoe hierdie professionele gesondheidsorgwerkers depressie sien by MIV/VIGS pasiënte en of hul bevoegd is om dit te identifiseer en te behandel.
Die studie het bevind dat daar 'n verskil is by oorsake van depressie by vroue en oorsake van depressie by mans. Mees algemene oorsake van depressie by MIV/VIGS pasiënte is ontkenning, vrees van dood en sosiale onstabiliteit. By die vroue het ontkenning en bekommernis oor werk- en familie verantwoordelikhede meestal bygedra tot hierdie depressie, en by die mans was dit meer asof daar 'n algemene terleurstelling geheers het in hul gemoed. 'n Terleurstelling deurdat hul nie vir hul families sal kan sorg nie asook die vernedering in die sosiale netwerk. Om die verskille in MIV-geassosieerde depressie gebasseer op geslag te kan herken mag bydra tot die ontwerp van meer effektiewe beradingstrategië.
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HIV/AIDS and the impact of stigma and general discrimination within an organisationPadayachy, Felicia 12 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2011. / ENGLISH ABSTRACT: This research has sought to critically discuss and analyse how the introduction of a HIV and AIDS policy in the workplace reduces stigma and discrimination within the workplace, increases VCT and reduces the risk of infection. This research, sought to further discuss and analyse how the ideas, beliefs and values embedded within a HIV and AIDS policy can be further extended into the community. This research focused on the literature of key theorists such as Donnely, S. (2002). A New Form of Discrimination in the Workplace (www.iol.co.za April 29th 2002), Hereck, G.M. (1990). Illness Stigma and AIDS. Psychological Aspects of Serious Illness. Washington D.C.: American Psychological Association. Goffman, E. (1963). Stigma: Noted on the Management of Spoiled Identity. New Jersey: Prentice Hall as a means of validating the research. This research has further made use of both qualitative and quantitative methods through the use of biographical questionnaires and structured one-on-one interviews. In so doing the research has found that the implementation of a HIV and AIDS workplace policy would assist in eradicating stigma and discrimination in the workplace. / AFRIKAANSE OPSOMMING: Die doel van die studie was om te bepaal tot watter mate die implementering van 'n MIV/Vigsbeleid stigma en diskriminasie in die werksplek kan verminder, vrywillige toetsing kan aanmoedig en infeksie kan voorkom.
Die navorsing poog verder om te bepaal op welke wyse die idees, waardes en gelowe, soos vervat in 'n MIV/Vigsbeleid, uitgebrei kan word na die wyer gemeenskap.
Die navorsing focus op die teoretiese werk van Donnely, S. (2002), A New Form of Discrimination in the Workplace (www.iol.co.za April 29th 2002); Hereck, G.M. (1990). Illness Stigma and AIDS. Psychological Aspects of Serious Illness. Washington D.C.: American Psychological Association en Goffman, E. (1963). Stigma: Noted on the Management of Spoiled Identity. New Jersey: Prentice Hall ten einde die geldigheid van die navorsing te bepaal.
'n Gestruktureerde vraelys en onderhoude is vir dataversameling gebruik en die bevinding van die studie is dat 'n goed-geformuleerde MIV/Vigsbeleid wel stigma en die diskriminasie in die werksplek kan voorkom.
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The impact of billboards on HIV and AIDS awareness in ZimbabweChiwara, Tsungai Brenda 03 1900 (has links)
Thesis (MPhil)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: The study was carried out for the purpose of establishing how young working adults perceive the effect of billboards on HIV and AIDS awareness in Zimbabwe. The study sample was taken from the Directorate of Pharmacy Services, a department within the Ministry of Health and Child Welfare of Zimbabwe, located in the capital city of Harare. A representative number of women (40%) out of the 15 participants were interviewed as certain responses were required based on a participants gender. In-depth interviews were carried, the sections covered positioning and appearance of billboards, billboard content and general aspects. 47% of the participants regarded the billboards as well located, 40% felt that there are adequate numbers of billboards, 47% perceived them as attractive and not needing any improvements while 67% described them as well laid out. The language used on them was said to be fine by 73%, and gender-sensitive by only 33% (of which the majority were men). All the women felt that the billboard contents are sensitising the public to HIV and AIDS as well as most of the men (67% participants in total). However all the participants see billboards as not the best method to bring about HIV and AIDS awareness, but would want a multi-media approach so that they compliment other methods. Billboard usage for HIV and AIDS awareness is making a significant impact but there is room for improvement, and many recommendations were derived from this study. / AFRIKAANSE OPSOMMING: Die studie is onderneem met die doel om te bepaal hoe jong werkende volwassenes die effek van advertensieborde rakende MIV en VIGS-bewustheid in Zimbabwe ondervind. Die studie is onderneem in die Direktoraat vir Apterkersdienste, 'n afdeling binne die Ministerie van Gesondheid en Kinderwelsyn van Zimbabwe, wat in die hoofstad, Harare, geleë is. Daar is onderhoude gevoer met ‘n verteenwoordigende aantal vroue (40%) vanuit die 15 deelnemers, aangesien sekere response benodig was op grond van geslag. In-diepte onderhoude is gevoer en die afdelings het die volgende gedek: posisionering en die voorkoms van advertensieborde, inhoud van advertensieborde sowel as algemene aspekte daar rondom. 47% van die deelnemers het gevoel dat die advertensieborde goed geleë is, 40% het gevoel dat daar voldoende getalle advertensieborde is, 47% het gevoel dat die borde aantreklik is en nie verbeteringe benodig nie, terwyl 67% voel dat hul goed uitgelê is. 73% van die deelnemers het gevoel dat die taal wat op die borde gebruik word goed is. Slegs 33% het gevoel dat die borde geslagsensitief is (waarvan die meerderheid mans was). Al die vroue het gevoel dat die inhoud van die reklameborde die publiek sensitiseer tot MIV en VIGS, so ook meeste van die mans (67%). Al die deelnemers voel dat advertensieborde nie die beste metode is om MIV en VIGS-bewustheid te bring nie, maar stel ‘n multi-media benadering voor om ander metodes te komplimenteer. Die gebruik van advertensieborde het ‘n beduidende impak op MIV en VIGS-bewustheid, maar daar is ruimte vir verbetering en baie aanbevelings is afgelei uit hierdie studie.
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Workplace response to HIV/AIDS and the effect of HIV/AIDS on the carriers and occupations of the infected urban populationBateesa, Carole Sekimpi 03 1900 (has links)
Thesis (MPhil (Industrial Psychology. HIV/AIDS Management))--University of Stellenbosch, 2009. / The Uganda government through the ministry of health, collaborating with several NGOs and donors has done a commendable job in arresting the medical effects of HIV/AIDS. This has been done through provision of ARVs and treatment of opportunistic infections. As a result, Uganda has enjoyed a lot of international praise for its response to the medical effects of HIV/AIDS. However, inadequate attention has been paid to the epidemics social economic effects.
It is known that HIV mostly affects young people in their years of economic productivity. These people spend eight or more hours of every day in their work place but despite this; work places especially private institutions have not taken steps to respond to the scourge of HIV/AIDS. HIV/AIDS work place policies have not been formulated, and in some cases, they are on paper but no implementation is being done. Consequently, HIV/AIDS still affects the carriers, income and occupational activities of infected workers.
This study reveals that the working population is generally ignorant about workplace HIV/AIDS policies, and their relevance to workers living with HIV/AIDS. A significant proportion of the respondents have lost jobs because of their HIV status, while majority affirm that living with HIV/AIDS has affected their occupations, carriers and income
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Determinants of adherence in patients on ART on the Copper Belt Province in ZambiaChisa, Sume Percival 03 1900 (has links)
Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH ABSTRACT: Chronic drug therapy has been fraught with many issues such as adherence, drug intolerance,
long-term toxicity and resistance. In HIV/AIDS care, adherence is a major problem due to the
fact that for success of the therapy, adherence must be in the region of ninety five percent. If
this is not maintained the virus begins to mutate and resistant moieties appear, and this in turn
leads to failure of the therapy. This high level of adherence is very difficult to maintain
especially in patients who begin antiretroviral therapy (ART) for various reasons such as
persuasion by health workers and family, and not due to their own conviction. They usually
tend not to adhere to the therapy when symptoms resolve and they start feeling better. There
are a number of factors that promote adherence and these are incorporated into HIV care for
the programme to succeed.
The research was intended to explore and describe factors causing patients to default ART on
the Copper belt in Ndola at Ndola Central Hospital and to ultimately propose appropriate
interventions to ensure improved return rates of patients on ART.
Qualitative tools i.e. interviews and focus group discussions respectively were used, taking
into account ethical considerations and data collected was then analyzed.
Factors causing patients to default on ART were found to be poor social economic
background, inadequate finance, unavailability of food, poor or little understanding of
instructions, poor quality of counseling or low literacy levels, high pill burden, unpalatability
of drugs and patient readiness to life time commitment to taking ARVS. / AFRIKAANSE OPSOMMING: Chroniese medisyneterapie is gepaard gaande met vele kwessies soos trou bly,
weerstandsgebrek aan medisyne, langtermyn toksisiteit en weerstand. In MIV/Vigs sorg, is
trou bly 'n groot probleem weens die feit dat vir sukses in terapie moet dit oor vyf-en-negentig
persent wees. As dit nie gehandhaaf word nie sal die virus begin verander en weerstand
weestandbiedende gedeeltes sal verskyn, en dit op sy beurt lei tot die mislukking van die
terapie. Hierdie hoë vlak van trou bly is baie moeilik om te handhaaf veral in pasiente wie
antiretrovirale terapie (ART) vir verskeie redes begin het soos oorreeding deur gesondheids
werkers en familie, en nie deur hul eie oortuiging nie. Hulle neig gewoonlik om die terapie te
laat vaar wanneer simptome verminder en hulle begin beter voel. Daar is verskeie faktore wat
trou bly bevorder en wat ingelyf word in MIV sorg om die program te laat slaag.
Die doel van hierdie navorsing was om die faktore te beskryf wat veroorsaak dat pasiente op
die Copperbelt in Ndola by Ndola Sentrale Hospitaal hul ART verpligtinge nie nakom nie en
om uiteindelik geskikte intervensies voor te stel om verbeterde terugkeer koerse van pasiente
op ART te verseker.
Kwalitatiewe insrumente, dit is, onderhoude en fokusgroupe is gebruik, met in agneming
etiese kwessies, en data is daarna geanaliseer.
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Investigating adherence for people living with HIV and AIDS on ART in Durban, Kwazulu Natal, South AfricaDlomo, Nondumiso 03 1900 (has links)
Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2010. / ENGLISH SUMMARY: The study sought to investigate adherence for people living with HIV who are on ART. Since
high levels of adherence of more than 95% are required to achieve the durable suppression of the
viral load, the researcher finds it very important to find out whether the people are doing what is
expected of them. While the rollout of antiretroviral (ARV) therapy has brought much
excitement and hope to both patients and practitioners in South Africa, it has also brought many
new questions and challenges, including adherence. Adherence is therefore very crucial to the
success of ART. The research sought to investigate adherence in resource-poor settings.
The research was conducted on patients attending Ithembalabantu clinic in Umlazi, Durban,
Kwazulu Natal, South Africa. Respondents were recruited as they come to the clinic to collect
their medication.
Triangulation of qualitative and quantitative research was used to collect data in the study. The
quantitative data involved 90 questionnaires. The qualitative data involved 15 semi structured
interviews.
The results indicated that adherence to ART is very high and satisfactory among the sample
population with 79% who never skipped or missed their medication and 64% who indicated that
they followed their specific schedule all the time; and 88% of the respondents were aware of the
dangers of sleeping without a condom more especially while on ART. The results showed that
there is a very high level of condom usage among the sample population. The respondents from
the in-depth interviews indicated that participants are not affected by the factors that lead to poor
adherence.
The only problem that needs urgent attention is the importance of the knowledge of viral load
and CD4 count. The participants seemed to be confused by the two and most of them did not
know why they are measured. / AFRIKAANSE OPSOMMING: Hierdie studie het gepoog om vlakke van getrouheid aan volgehoue deelneming te ondersoek
onder MIV positiewe persone wie antiretrovirale terapie (ART) ontvang. Omdat hoë vlakke van
getrouheid van meer as 95% nodig is om duursame suppressie van die virale lading to bereik,
voel die navorser dat dit baie belangrek is om uit te vind of persone doen wat van hulle verwag
word. Terwyl die uitrol van ART opgewondenheid en hoop vir beide pasiënte en praktisyne in
Suid-Afrika gebring het, het dit ook baie nuwe vrae en uitdagings gebring, getrouheid ingesluit.
Getrouheid is dus beslissend vir die sukses van ART. Die navorsing het gepoog om getrouheid in
hulpbron-swak areas te ondersoek.
Die navorsing is uitgevoer op pasiënte wat die Ithembalabantu kliniek in Umlazi, Durban,
Kwazulu Natal, Suid-Afrika bywoon. Respondente is gewerf soos hulle na die kliniek toe
gekom het om hul medikasie te kry.
Triangulasie van kwalitatiewe en kwantitatiewe navorsing is gebruik om data in te samel. Die
kwantitatiewe data is deur vraelyste ingesamel en die kwalitatiewe data is deur 15 semigestruktureerde
onderhoude ingesamel.
Die resultate het gewys dat getrouheid aan ART hoog en voldoende onder die steekproek
populasie is met 79% wie nooit hul medikasie gemis het, 64% wie aangedui het dat hulle hul
spesifieke skedule heeltyd volg, en 88% van die respondente is bewus van die gevaar van seks
sonder 'n kondoom, veral vir persone op ART. Die uitslae wys dat daar 'n hoë valk van
kondoom gebruik onder die steekproef populasie is. Die respondente in die onderhoud groep is
nie deur die faktore wat tot swak getrouheid lei geaffekteer nie.
Die enigste probleem wat dringende aandag benodig is die belangrikheid van kennis van virale
vrag en CD4 telling. Dit het voorgekom asof die deelnemers deur die twee verwar word en
meeste van hulle het nie geweet waarom hulle gemeet word nie.
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