Thesis (MA)--University of Stellenbosch, 2002. / ENGLISH ABSTRACT: The human immune deficiency virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) have
already reached a magnitude in Southern Africa which can hardly be addressed by the existing structures.
HIV counselling is considered to be an important preventative and supportive strategy in the battle against
HIV. In recent years therefore, urgent attempts have been made to provide HIV/AIDS counselling
services throughout South Africa. The researcher had a firsthand experience of such an attempt as
manager of HIV counselling services for a NGO working in a peri-urban community. She realised that
although the ideal outcome and aims of HIV counselling have been widely documented, very little
research has been done on the implementation of these principles in health systems with limited
resources. It was thought that a meaningful contribution could be made to the development of HIV
counselling services in a specific South African community by critically exploring current HIV
counselling services in such a community. This exploration entailed the following:
• reviewing the literature on HIV counselling;
• clarifying the goal of HIV counselling;
• clarifying behaviour change as an outcome of HIV counselling;
• exploring the influence of the Stellenbosch context on the content and outcome of HIV counselling;
and;
• exploring to what extent the goals of HIV counselling (as prescribed by international and national
literature) are pursued in the Stellenbosch context.
The ecological model and an action research method were used to direct this study. The researcher used
her position and experience as manager of the HIV counselling services within a non-governmental
organisation to access sources of information. Direct and participatory observations were utilised to
gather information regarding the implementation of HIV counselling services in the community. The
model of Raeburn and Seymour (1979) and specifically the overview phase have been used as a
framework to organise the data and to describe the HIV counselling system in the specific community.
The researcher concluded that the theoretical principles that were identified as prerequisites for effective
HIV counselling services were often irreconcilable with the management skills, context, infrastructure
and aims of the primary health services within the district. It was highlighted that a systemic
understanding of the impact of the environment should be considered when future models and outcomes
are formulated and implemented. Finally, alternative suggestions for the management, the formulation of
outcomes and the utilisation of personnel in HIV counselling in this specific community were discussed. / AFRIKAANSE OPSOMMING: Die Menslike Immuniteitsgebreksvirus (MIV) en Verworwe Immuniteitsgebreksindroom (Vigs) in
Suider-Afrika het reeds 'n omvang bereik wat beswaarlik deur die bestaande strukture aangespreek kan
word. MIV-berading word beskou as 'n belangrike voorkomende en ondersteunende strategie in die stryd
teen MIV. In die laaste paar jaar is dringende pogings dus aangewend om MIV-beradingsdienste in die
hele Suid Afrika beskikbaar te stel. Die navorser het eerstehandse ervaring gehad van hierdie inisiatief as
bestuurder van MIV -beradingsdienste vir 'n nie-regeringsorganisasie wat werksaam is in 'n semilandelike
gemeenskap. Alhoewel die ideale uitkoms en doel van MIV -berading wyd gedokumenteer is,
het sy besef dat baie min navorsing gedoen is oor die implementering van hierdie beginsels in
gesondheidsisteme met beperkte bronne. Daar is geredeneer dat 'n betekenisvolle bydrae gemaak kan
word tot die ontwikkeling van MIV -beradingsdienste binne 'n spesifike Suid-Afrikaanse gemeenskap
deur die huidige MIV -beradingsdienste in so 'n gemeenskap krities te verken. Hierdie verkenning het die
volgende behels :
• literatuur oor MIV -berading te bestudeer;
• MIV-berading se doelwitte te verhelder;
• gedragsverandering as uitkoms van MIV -berading te verhelder;
• te eksploreer hoe die Stellenbosch konteks die inhoud en uitkoms van MIV -berading beïnvloed; en
• te eksploreer tot watter mate die doelwitte van MIV -berading ( soos voorgeskryf deur internasionale
en nasionale literatuur) in die Stellenbosch konteks nagestreefword.
Die ekologiese model en 'n aksienavorsingsmetode is gebruik om die ondersoek te rig. Die navorser het
haar posisie en ervaring as bestuurder van MIV -beradingsdienste binne 'n nie-regeringsorganisasie
gebruik om toegang te verkry tot inligting. Direkte en deelnemende waarneming is gebruik om inligting
in te samel rakende die implementering van MIV -beradingsdienste in die gemeenskap. Die model van
Raeburn en Seymour ( 1979) en spesifiek die oorsigfase is gebruik as 'n raamwerk om data te organiseer
en die MIV -beradingsisteem in die spesifieke gemeenskap te beskryf.
Die navorser het tot die gevolgtrekking gekom dat die teoretiese beginsels wat geïdentifiseer is as
essensiële voorvereistes vir effektiewe MIV -beradingsdienste in soveelopsigte onversoenbaar is met die
bestuursvaardighede, konteks, infrastruktuur en doelwitte wat binne die spesifieke primêre
gesondheidsdienste geld. Dit is beklemtoon dat In sistemiese verstaan van die invloed van die omgewing
en die inagneming van die sisteem belangrik is wanneer toekomstige doelwitte geformuleer en modelle
geïmplementeer word. Alternatiewe voorstelle vir die bestuur van beradingsdienste, die formulering van
uitkomsdoelwitte en die benutting van personeel in hierdie dienste is ten slotte bespreek.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/52938 |
| Date | 12 1900 |
| Creators | Du Toit, Monica |
| Contributors | Lesch, E., Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology . |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | af_ZA |
| Detected Language | Unknown |
| Type | Thesis |
| Format | 80 p. |
| Rights | Stellenbosch University |
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