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1
Fineide, Line Viktoria. "Global agenda-setting in multilateral AIDS governance : testing the Vanwesenbeeck model." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86472.
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Thesis (MA)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Globally as well as nationally, AIDS is politically contested. Since AIDS was first identified in 1981 there have been several responses to the pandemic, reflecting AIDS’ biomedical, political and social nature and implications. Although there are many ways to frame and approach AIDS, no single approach appears to be universally superior to any other, especially as these various approaches are essential for a comprehensive global response to the pandemic. However, these several responses can also represent contested constructs of how AIDS is inter-subjectively problematised based on different ontological understandings and epistemological preferences. The existence of such contested constructs suggests that multilateral AIDS governance is shaped by binaries and zero-sum games where the overall approach ought to be holistic. As such, some scholars claim that HIV is increasingly treated as something medical, and outside the context of overall development issues, sexual and reproductive health, human rights and structural violence. Recently, Vanwesenbeeck (2011) offered a simplified model of ‘high-road’ and ‘low-road’ solutions to the pandemic, problematising specifically the global policy/political response. Vanwesenbeeck’s model suggests that biomedical, vertically distributed and asexual high-road approaches are prioritised at the expense of the more community oriented, sexual and rights-based low-road approaches. This, Vanwesenbeeck argues, is because current ideas and norms of the market, moralism and medicalisation are more aligned with the de-contextual, de-sexual and quantifiable characteristics of high-road approaches. This study tests the analytical utility of Vanwesenbeeck’s model with a case study of the policy and political narratives emerging from the International AIDS Society’s nine International AIDS Conferences from 1996 until 2012. The research question this study investigates is thus: Can Vanwesenbeeck’s (2011) model of high-road and low-road solutions be identified in and illuminate the policy ideas, problem definitions and political binaries that play out in the discourse surrounding the biennial International AIDS Conferences between 1996 and 2012? This main research question is complemented by three sub-questions concerning 1) the strengths and limitations of Vanwesenbeeck’s model, 2) the general trends and developments in global AIDS policy/political responses during, before and after the biennial International AIDS Conferences and 3) the impact of the Global Financial Crisis on the global AIDS response. Applying a qualitative methodology, the study finds that Vanwesenbeeck’s model can both be identified in and elucidate the political discourses, policy implementations and binaries surrounding the International AIDS Conferences between 1996 and 2012, albeit not all. The analytical utility of Vanwesenbeeck’s model is limited by oversimplification of the highroad/ low-road binary and the exclusion of alternative ideas for high-road prioritisation, such as humanitarianism, securitisation/sensationalism and the neoliberal ideological link between medicalisation and the market, as well as negligence of the impact of the Global Financial Crisis.
AFRIKAANSE OPSOMMING: Vigs is internasionaal sowel as nasionaal polities omstrede. Sedert Vigs die eerste keer in 1981 geïdentifiseer is, was daar al verskeie reaksies op die pandemie wat die biomediese, politieke en maatskaplike aard en implikasies van die siekte weerspieël. Hoewel daar verskillende maniere is om Vigs te beskou en te benader, blyk geen enkele benadering universeel superieur te wees nie, veral aangesien al hierdie verskillende benaderinge noodsaaklik is vir ’n omvattende globale reaksie op die pandemie. Tog kan hierdie verskillende reaksies ook as betwiste konstrukte beskou word van hoe Vigs intersubjektief op grond van verskillende ontologiese begrippe en epistemologiese voorkeure geproblematiseer word. Die bestaan van sulke betwiste konstrukte gee te kenne dat multilaterale Vigsbestuur deur binêre en nulsombenaderinge gekenmerk word, terwyl die algehele benadering veronderstel is om holisties te wees. Sommige vakkundiges beweer dan ook dat MIV al hoe meer as ’n mediese probleem hanteer word, buite die konteks van oorkoepelende ontwikkelingskwessies, seksuele en voortplantingsgesondheid, menseregte en strukturele geweld. Vanwesenbeeck (2011) het onlangs ’n vereenvoudigde model van sogenaamde ‘grootpad-’ en ‘smalpadoplossings’ vir die pandemie aan die hand gedoen wat spesifiek die algehele beleids-/politieke reaksie problematiseer. Vanwesenbeeck se model voer aan dat biomediese, vertikaal verspreide en aseksuele grootpadbenaderinge dikwels ten koste van die meer gemeenskapsgerigte, seksuele en regtegebaseerde smalpadbenaderinge gekies word. Dít, reken Vanwesenbeeck, is omdat huidige denke en norme met betrekking tot die mark, moraliteit en medikalisasie eerder met die kontekslose, geslaglose en kwantifiseerbare kenmerke van grootpadbenaderinge strook. Hierdie studie het die analitiese nut van Vanwesenbeeck se model getoets met behulp van ’n gevallestudie van die beleids- en politieke narratiewe uit die Internasionale Vigsvereniging se nege internasionale vigskonferensies vanaf 1996 tot 2012. Die navorsingsvraag van hierdie studie was dus: Kan Vanwesenbeeck (2011) se model van grootpaden smalpadoplossings geïdentifiseer word in, en lig werp op, die beleidsidees, probleemomskrywings en politieke teenpole wat uit die diskoers by die tweejaarlikse internasionale vigskonferensies vanaf 1996 tot 2012 gespruit het? Hierdie hoofnavorsingsvraag is aangevul deur drie verdere vrae oor (i) die sterkpunte en beperkinge van Vanwesenbeeck se model, (ii) die algemene tendense en ontwikkelings in wêreldwye beleids-/politieke reaksies op Vigs gedurende, voor en na die tweejaarlikse internasionale Vigskonferensies, en (iii) die impak van die wêreldwye finansiële krisis op die wêreldwye Vigsreaksie. Met behulp van ’n kwalitatiewe metodologie het hierdie studie bevind dat Vanwesenbeeck se model wél geïdentifiseer kan word in, en lig werp op, sommige van die politieke diskoerse, beleidsinwerkingstelling en teenpole waartoe die internasionale vigskonferensies tussen 1996 en 2012 gelei het. Die analitiese nut van Vanwesenbeeck se model word egter beperk deur die oorvereenvoudiging van die grootpad-/smalpad-teenpole en die uitsluiting van alternatiewe idees oor die prioritisering van grootpadoplossings, soos filantropie, sekuritasie/sensasionalisme en die neoliberale ideologiese verband tussen medikalisasie en die mark, sowel as die verontagsaming van die impak van die wêreldwye finansiële krisis.
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Malan, Martha S. "The scientific politics of HIV/AIDS : a media perspective." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53684.
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Thesis (MPhil)--Stellenbosch University, 2003.ENGLISH ABSTRACT: When South Africa's President, Thabo Mbeki, began doubting that HfV was the cause of AIDS in the late nineties, the debate he introduced in his country was not new; it had raged in the United States as far back as a decade ago. But, even prior to that, there had been numerous controversies pertaining to the discovery of the Ill-virus. This thesis argues that those contentions created such a heated atmosphere that the causal debates that were to follow, however incredible they were, were largely unavoidable. In its coverage of the epidemic, the media were immersed in its own politics. During the early eighties, the gay newspapers in the US felt a personal responsibility to find the cause of a disease that was rapidly killing many of its readers. But, in the process, the often promoted unscientific and dangerous approaches. By the time the AIDS dissident debate had unraveled in the US, the gay media was so suspicious of the anti-gay Reagan government that they frequently advanced dissident arguments. The mainstream and scientific media, on the other hand, were perceived as rigidly supporting government institutions, excluding critical voices. When the dissident debate reached South Africa ten years later, the South African media was completely unprepared. Most journalists had never heard of AIDS dissidents; some had not even heard of HfV or the anti-AIDS drug AZT, that the President had labeled toxic. Begin a new democracy, with a history of white oppression, the black and white media differed immensely on how to cover 'the President's debate'. Criticism of the newly elected ANC government's arguments were often branded racist and unpatriotic, with journalists suffering regular intimidation at the hands of state officials and governmentaligned editors. This thesis examines the development of the politics surrounding the science of AIDS, from the discovery of'HfV up until Thabo Mbeki's controversial contentions. To an equal extent, it looks at the news media's coverage of the process, focusing on the approaches to the debate of various media outlets and individual journalists. It also raises ethical issues, particularly in South Africa, that emerged during one of the most widely reported debates in the country's history. It in no way attempts to provide a quantitative analysis of media coverage and, in the case of the US media, draws heavily on analytical studies conducted at the time. NOTE: In the analysis of the South African media's coverage of the AIDS dissident debate in Part Three: B, issues pertaining to the country's public broadcaster, the South African Broadcasting Corporation (SABC), were not discussed The reason was that the author was the Corporation's Health Correspondent at the time, and therefore too closely involved in the institution in order to provide an objective perspective.
AFRIKAANSE OPSOMMING: Toe Suid-Afrika se president, Thabo Mbeki, in die laat jare negentig begin het om die oorsaak van VIGS in twyfel te trek, was die debat wat hy in sy land ingelei het, nie nuut nie; dit reeds 'n dekade tevore in die VSA gewoed. Maar, selfs voor daardie debat, was daar 'n hewige omstredenheid wat met die ontdekking van die MI-virus verband gehou het. Hierdie tesis argumenteer dat daardie omstredenheid so 'n driftige atmosfeer geskep het, dat die debat oor die oorsaak van VIGS wat sou volg, hoe ongeloofwaardig ook al, grootliks onvermydelik was. Met die dekking van die epidemie was die media in hul eie politiek gedompel. Tydens die vroeë jare tagtig het gay-koerante in die VSA 'n persoonlike verantwoordelikheid gevoel om die oorsaak te vind van 'n siekte wat baie van hulle lesers vinnig laat sterfhet. Maar, in die proses het hulle dikwels onwetenskaplike en gevaarlike benaderings bevorder. Teen die tyd dat die 'oorsaak-debat' in die VSA begin posvat het, was gay-koerante so agterdogtig oor die anti-gay Reagan-regering dat hulle dikwels 'afvallige' argumente aangemoedig het. Die hoofstroommedia en wetenskaplike joernale is aan die ander kant weer gesien as rigiede ondersteuners van regeringsorganisasies, wat kritiese stemme wou stilmaak. Toe die 'oorsaak-debat' Suid-Afrika tien jaar later bereik het, het dit die plaaslike media geheel en alonkant betrap. Die meeste joernaliste het toe nog nooit van 'VIGS-afvalliges' gehoor nie; party nie eens van MIV of die teenvigsmiddel AZT, wat die president as giftig geëtiketteer het nie. Daarby was die land 'n jong demokrasie met 'n geskiedenis van wit onderdrukking, wat meegebring het dat wit en swart media-instansies grotendeels verskil het oor hoe die 'president se debat' gedek moes word. Kritiek teen die nuut verkose ANC-regering se argumente is dikwels as rassisties of onpatrioties afgemaak, en regeringsamptenare of regeringsgesinde redakteurs het gereeld probeer om joernaliste te intimideer. Hierdie proefskrif ondersoek die ontwikkeling van die politiek rondom die wetenskap van VIGS, van die ontdekking van MIV tot en met Thabo Mbeki se omstrede argumente. Dit kyk ook na die nuusdekking van die proses, deur op die benaderings van verskeie media-instansies asook individuele joernalistse te fokus. Dit bespreek ook etiese kwessies wat tydens nuusdekking na vore gekom het, veral in Suid-Afrika, waar hierdie debat van die wydste nuusdekking óóit in die geskiedenis van die land geniet het. Dit poog geensins om 'n kwantitatiewe analise van mediadekking te verskaf nie, en waar die Amerikaanse media beskou word, word daar sterk gesteun op analitiese studies wat tydens die duur van die debat uitgevoer is. NOTA: In die analise van die Suid-Afrikaanse media se dekking van die 'oorsaak-debat' in Deel 3:B word kwessies wat met die nuusdekking van die land se openbare uitsaaier, die Suid-Afrikaanse Uitsaaikorporasie (SA UK), verband hou, nie bespreek nie. Die rede is dat die outeur die korporasie se gesondheidskorrespondent was, en was daarom te nou verbind aan die korporasie om 'n objektiewe perspektiefte verseker.
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Fletcher, Haley Kim. "Conflict, contradiction and crisis: an analysis of the politics of AIDS policy in post-Apartheid South Africa." Thesis, Rhodes University, 2009. http://hdl.handle.net/10962/d1002985.
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Despite the profound impacts of HIV and AIDS on all sectors of South African society, governmental responses to the AIDS epidemic have been inundated with contradiction, conflict and contestation. Though governmental leaders have justified not funding HIV treatment programs because they believe that poverty needs to be dealt with first, social spending has been slashed as part of an adherence to a neo-liberal economic model. Though it would seem that the government would seem to have everything to gain by establishing a cooperative relationship with non-governmental actors regarding the epidemic, the relationship between the government and non-governmental actors has instead been described as nothing short of hostile. Though the government enthusiastically backed Virodene, a supposed treatment for AIDS that turned out to be no more than an industrial solvent, other ‘scientifically backed’ AIDS treatments have been treated with caution and skepticism – to the point where the government even refused to provide funding for programs to prevent mother to child transmission of the virus. And perhaps the most perplexing is that although widely respected for his intellect and cool demeanor, former President Mbeki chose to risk his political career on the AIDS issue by shunning away from the mainstream consensus on the biomedical causes of the epidemic and instead surrounded himself and sought advice from AIDS ‘dissidents’ This thesis will seek explanations for these apparent contradictions. Using Bourdieu’s (1986) typology of capitals, it will build on an argument put forward by Helen Schneider (2002): from the South African government’s perspective, the contestation regarding HIV and AIDS policy and implementation is over symbolic capital, or the right to legitimately hold and exercise political power regarding the epidemic. Though this argument helps explain the conflictual relationship between the government and non-governmental actors regarding the AIDS crisis, in order to understand the perplexing contradictions within the governmental policy response, the political context of policy formation must first be taken into consideration.
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Mngomezulu, Skhumbuzo Julius. "The role of governments in the fight against HIV/AIDS in Southern Africa: a case study of South Africa." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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HIV/AIDS is a deadly disease that needs to be addressed with immediate effect before serious damage can occur. Because the government has a responsibility over the health of its citizens, everybody expects the government to take a lead in the fight against this epidemic and from the look of things the government's strategies are not making the desired impact on the epidemic. The author attempted to highlight that the South African government has not played a satisfactory role in the fight against this pandemic, which threatens to alter history to a degree not seen in the world.
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Tsampiras, Carla Zelda. "Politics, polemics and practice: a history of narratives about, and responses to, AIDS in South Africa, 1980-1995." Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1001653.
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The ongoing urgency of addressing AIDS in South Africa has kept academics and activists focussed primarily on the immediate crises of AIDS ‘in the present’. This thesis, covering the period 1980 – 1995, examines narratives about, and responses to, AIDS ‘in the past’ and explores the interplay between these narratives and elites in medical and political communities trying to address AIDS during a period of political transition. The thesis begins by examining the hegemonic medico-scientific narratives about AIDS that featured in the South African Medical Journal, an important site of enquiry as AIDS was primarily conceived of as a ‘medical issue’. The SAMJ narratives, which often relied on constructed ‘AIDS avatars’, framed understandings of the syndrome and influenced responses to it by medical and political communities. The first community that the thesis explores is the African National Congress (ANC) in exile, which had to address AIDS in exile communities and prepare health strategies for ‘the new South Africa’. Secondly, the thesis analyses government responses to AIDS and argues that four phases of response can be identified. These phases were characterised by minimum concerns about obtaining information and providing health advice; efforts to gather infection data while exploiting political and public fear; attempts to extend health education and (belatedly) encourage broader engagement; and finally, consultative, democratic ideals. The thesis then examines the National Medical and Dental Association (NAMDA) a progressive medical organisation that worked with the ANC on influential health (and AIDS) strategies. NAMDA members ‘crossed over’ between various medical and political communities and both reinforced and challenged hegemonic AIDS narratives. Finally, the thesis moves from the abstract, via the practical, to the personal and concludes with a detailed account of the experiences of two sexuality activists at the intersections of these communities and narratives. By focussing on these medical and political communities, and analysing the relationships between these communities, the existing AIDS narratives, and individuals, the thesis also reveals the constructions of morality, ‘race’, gender, and sexuality that infused them. In doing this it shows how polemic and politics combined to influence practical responses to, and personal experiences of, AIDS.
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Yang, Victor. "Unleashing power : pathways to inclusion and representation in U.S. AIDS activist organisations : a comparative case study of political representation in the AIDS Coalition to Unleash Power (ACT UP)." Thesis, University of Oxford, 2015. https://ora.ox.ac.uk/objects/uuid:5b51086e-cd00-4d92-b39a-2865219ea5a1.
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The thesis proposes a theory for the development of substantive representation among social movement organisations (SMOs). Substantive representation (SR) is the extent to which political institutions advance the policy interests of their constituents, in particular the most disenfranchised. Despite their noble proclamations, institutions of representative democracy often fail to advance the interests of groups who have been ignored and absent at the proverbial table. The thesis establishes a causal process to explain the divergence in SR outcomes among informal SMOs, or all-volunteer groups that disavow formal hierarchy in favour of egalitarian modes of decision-making. It utilises a case study of the AIDS Coalition to Unleash Power (ACT UP), an umbrella organisation dedicated to ending the HIV/AIDS crisis in the United States and worldwide. It explains an anomalous story of SR attainment through the ACT UP Philadelphia chapter, compared to sister groups in New York City and Boston. The analysis draws from 92 semi-structured interviews, 13 months of participant observation, periodical review, and archival databases. ACT UP Philadelphia translated common SMO intentions of inclusivity into the uncommon rituals of practice. It forged a deliberate pipeline to invest not only in the presence but also the power of disenfranchised people with HIV, people too dark and poor to interest counterpart groups in other cities. Through an analytic retelling of ACT UP's history, the thesis argues that the fulfilment of SR depends on the ability of SMOs to appeal to member self-interest. Critically, SMOs can offer material incentives and nurture feelings of debt and obligation: causal steps to recruitment and sustainability of a heterogeneous membership. In building a crucial if contentious core of dissimilar people and partnerships, SMOs can unleash an oft-unrealised power for collective action and SR, by and for disenfranchised peoples who had thought change to be impossible.
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Van, Riet Gideon. "HIV/AIDS and climate in food security crises : a study of Southern Africa, 2001-2005 /." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1328.
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Mulonya, Rodrick K. A. R. "The political economy of development aid: an investigation of three donor-funded HIV/AIDS programmes broadcast by Malawi television from 2004 to 2007." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002926.
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Development aid in most of the developing countries can sometimes compromise the principles of public service broadcasting (PSB). This may be true when reflected against the tension between donor financed programmes in Malawi and the mandate of Television Malawi (TVM). Although the donor intentions are noble, the strings attached to the funding are sometimes retrogressive to the role of PSBs. A case in point is how donors dictate terms on the HIV/Aids communication strategies at TVM. Producers receive money from donors with strings attached on how the money should be used and accounted for. If producers deviate they are sanctioned through withholding funding, shifting schedules and reducing the funding frequency. The donors also dictate who to interview on what subject, how to conduct capacity building. Some scholars have researched much on the impact of commercialisation of the media. This study is a departure from these traditional interferences; it interrogates the interest of philanthropy tendencies by international donors in the three chosen HIV/Aids programmes broadcast by TVM. The study investigates the extent of pressure exerted by donors on the producers of HIV/Aids programmes in Malawi. Thus, the study seeks to illicit specifics in the power relationship between the donor and the producer hence the study employs the political economy of development aid as applied to the public service broadcasting and communication for development. The study employed qualitative research methods and techniques (in-depth interviews, case study and document analysis). The study reveals how donor ideologies dominate the Aids messages-content output of the texts constructed. The study argues that cultural alienation of the Malawian audiences retards efforts of donors in combating HIV infection rate.
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Linderts, Gavin Sebastian. "Estimating the HIV prevalence among permanent employees of Old Mutual (SA) : a case study." Thesis, Stellenbosch : University of Stellenbosch, 2008. http://hdl.handle.net/10019.1/885.
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Thesis (MBA (Business Management))--University of Stellenbosch, 2008.AFRIKAANSE OPSOMMING: Menslike immuungebrekvirus (MIV) en Verworwe immuniteitsgebrek sindroom (VIGS) is een van die grootste uitdagings waarvoor werkgewers vandag te staan kom, en behoort die stukrag te wees vir ’n deeglike ondersoek om die voorkoms van hierdie toestand in die werkplek so akkuraat as moontlik te bepaal. So ’n ondersoek kan lig werp op toekomstige demografiese arbeidsmagtendense en verwante koste, byvoorbeeld verlies aan produktiwiteit en dienslewering weens afwesigheid, ’n toename in aftredes, en stygende sieke- en pensioenfondseise wat waarskynlik ingedien sal word. Daarbenewens kan so ’n ondersoek die werkgewer in staat stel om noukeuriger vir die toekoms te beplan, vanuit die oogpunt van finansies sowel as menslike hulpbronne. Daar is egter ’n neiging by werkgewers om MIV/VIGS steeds as ’n maatskaplike of samelewingsprobleem eerder as ’n besigheidspesifieke risiko te beskou. Onkunde is meestal die rede hiervoor. Werkgewers neig om weg te skram van direkte risikobestuur, dikwels met die argument dat dit die regering se plig is om MIV/VIGS-opleiding en gesondheidsorg te voorsien. Sodoende word die bestaande verhouding van ‘ekwilibriumkonvergensie’ tussen die staat, sakesektor en arbeid verydel. MIV/VIGS moet soos ander groot geïdentifiseerde sakerisiko’s beskou, gemeet en proaktief bestuur word, net soos met wisselkoers wisselvalligheid, politieke en infrastrukturele risiko’s, en persoonlike en batesekuriteit. Hoewel hierdie risikofaktore dwarsoor die wêreld bestaan, en sommiges in ander wêrelddele groter is, het hul gekombineerde uitwerking veral in Suider-Afrika ernstige implikasies vir investering en die koste om hier sake te doen. Soos alle ander sakerisiko’s moet die hantering daarvan multidimensioneel wees: • Identifiseer, meet en bestuur die risiko; plaas MIV/VIGS eerste op die direksie se agenda. • Stel senior beamptes aan om die risiko te bestuur. • Evalueer bestuurstrukture en intervensie stappe gereeld. • MIV/VIGS opleiding is die sleutel, vir bestuurslede sowel as werknemers. Risikobestuur moet holisties wees. So byvoorbeeld is dit nutteloos om gesondheidsorg sonder proaktiewe pasiëntebestuur te voorsien. En net soos wat behandelingsplanne sonder befondsing sinloos is, is dit futiel om goed befondsde voordeelplanne te skep as behandeling nie toeganklik is nie. Die doel van hierdie studie is om die proses wat Old Mutual (SA) gevolg het om die voorkoms van MIV onder sy 13 000 permanente werknemers landwyd te eksploreer. Die statistiese uitkoms sal dan gebruik word om te bepaal of Old Mutual (SA) wel sy doelwitte in terme van werknemersgelykheid sal bereik en behou, gegewe die MIV/VIGS pandemie. Vooruitskouings oor die implikasies van MIV/VIGS vir Old Mutual (SA) moet met die nodige omsigtigheid benader word, alhoewel hierdie studie aandui dat dit moontlik implikasies kan inhou vir werkverskaffing in die toekoms, gegewe die wetlike vereistes vir die verskeie aangewese groepe. MIV/VIGS lei nie net tot siekte, ongeskiktheid en dood onder Old Mutual (SA) se werknemers nie. Tesame met ernstige ekonomiese en emosionele ontwrigting vir hul gesinne, verhoog dit ook die koste om in Suid-Afrika sake te doen. Hierdie koste sluit die volgende in: • verhoogde gesondheidsorgkoste; • meer eise vir aftree-, pensioen- en doodsvoordele; • laer produktiwiteit namate afwesigheid van die werk styg weens siekte, hetsy eie of siek familielede na wie omgesien moet word; en • verhoogde koste vir personeelwerwing, arbeidsomset en opleiding weens die verlies van ervare personeel.
ENGLISH ABSTRACT: Human Immunodeficiency Virus infection and the Acquired Immune Deficiency Syndrome (HIV/AIDS) is one of the greatest challenges facing employers today, and should provide the impetus for a thorough investigation among employees in order to arrive at an estimate of HIV prevalence within the workplace. Such an investigation could shed light on future demographic workforce trends as well as related costs, e.g. loss in productivity and service delivery due to absenteeism, increased retirement and a rise in medical aid and pension fund claims that the employer is likely to encounter. Furthermore, this investigation could enable the employer to plan better for the future – both from a financial and human resources viewpoint. In the ‘real’ world though, employers still perceive HIV/AIDS as a social or community problem rather than a business specific risk. Employers, largely through ignorance, tend to shy away from direct risk management – often using the argument that it is the government’s responsibility to provide HIV/AIDS education and healthcare. In this way they nullify the existing ‘equilibrium convergence’ relationship between the state, business and labour. HIV/AIDS must be measured and proactively managed and should be regarded in the same light as other major identified business risks, e.g. personal and asset security, exchange rate volatility, and political and infrastructure risks. While it is true that all of these particular risk factors exist across the globe, and may be greater in other parts of the world, nowhere else do they seem to combine with such severe implications to deter investment and raise the cost of doing business than in Southern Africa. As for any other business risk, the response should be multi-dimensional: • Identify, measure and manage; place HIV/AIDS at the top of board agendas. • Appoint senior executives to manage the risk. • Regularly evaluate management structures and interventions. • HIV/AIDS education is key to both management and employees. Risk management should be holistic. For example, providing healthcare without proactive patient management is pointless. Similarly, treatment plans without funding are futile, and well-funded benefit plans without practical access to treatment are a waste of time. The aim of this study is to explore the process Old Mutual (SA) followed in estimating the HIV prevalence among its 13 000 permanent employees nationally. The resultant statistics would then be used to project whether or not Old Mutual (SA) will be able to achieve and sustain its employment equity targets, given the HIV/AIDS pandemic. Predictions on the implications of HIV/AIDS for Old Mutual (SA) should be approached with due caution, although this study suggests that it could probably seriously impact on shortages in the supply of labour in future, given the legislative requirements for the various designated groupings. HIV/AIDS not only causes illness, disability and death among Old Mutual (SA) employees, coupled with severe economic and emotional disruption for their families, it also increases the cost of doing business in South Africa. These costs include: • increased healthcare expenses; • increased retirement, pension and death benefit claims; • decreased productivity as worker absenteeism rises owing to personal illness, or absence from work to care for sick relatives; and • increased recruitment, labour turnover and training costs due to loss of experienced workers.
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Nel, Sumien. "The impact of South African social welfare policies on pensioners raising orphaned grandchildren." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/49214.
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Thesis (MPhil)--Stellenbosch University, 2004.ENGLISH ABSTRACT: Very little attention has been paid in South Africa to the situations where grandmothers have become surrogate parents to their grandchildren and other vulnerable children who have been left destitute due to the HIV/Aids epidemic. These women, who are in great need of support are not directly factored into Aids-related policy and care strategies, even though they play a vital role in assuming the roles of surrogate parents to their grandchildren. Clearly elderly women are valuable resources and are both crucial and valuable for the role they play in the care of both Aids sufferers and Aids orphans. Grandmothers who assume such care-giving roles are not receiving specific and targeted support from government structures. Instead they only benefit peripherally from the legislation within the jurisdiction of Department of Social Development and the programs that are established by them. This study determined where government social and welfare polices can improve the quality of life of black female pensioners who are taking care of their orphaned grandchildren and other vulnerable children. Policy makers need to recognise that grandmothers are increasingly obliged to assume care-giving responsibilities for dying adult children and later for orphans, when their own physical and cognitive abilities may be declining. Instead of using their state pensions to enjoy their old age and spend their money on looking after their health, proper housing etc., black female pensioners are forced to assume additional responsibilities in looking after orphaned grandchildren and other vulnerable children who require food, clothing, proper housing, education etc. Such expenses imply that their pensions are not put to their intended uses. Due to their advanced age they find it increasingly difficult to earn income to support young children. Until now the South African government has done little to support older women who find themselves in such precarious circumstances and to recognise their invaluable contributions. Various recommendations are made in the report to improve this situation.
AFRIKAANSE OPSOMMING: Baie min aandag is tot dusver nog in Suid-Afrika geskenk aan die omstandighede waar grootmoeders hulself bevind in die posisie van surrogaat ouer vir hul kleinkinders en ander kwesbare kinders wat haweloos gelaat is as gevolg van die HIVNigs epidemie. Hierdie vroue wat ondersteuning dringend nodig het, is nie regstreeks in berekening gebring by die verskeie Vigs beleide en ander versorginstrategiee en maatreels nie, al speel hulle 'n beslissende rol as surrogaat ouers vir hulle kleinkinders. Dit is duidelik dat bejaarde vroue 'n waardevolle hulpbron is en 'n onskatbare en onmisbare rol speel by die versorging van sowel Vigs Iyers as kinders wat weens Vigs ouerloos is. Grootmoeders wat hierdie versorgingsrolle aanvaar, ontvang geen spesifieke en doelgerigte ondersteuning van regeringstrukture nie. Instede daarvan trek hulle net voordeel uit wetgewing binne die jurisdiksie van Department van Openbare Welsyn en die programme wat daaruit mag voortvloei. Hierdie studie het vas gestel hoe die bestaande open bare en welsynsbeleide aangepas kan word om die lewenskwalitiet van swart vroulike pensioenarise wat vir hul ouerlose kleinkinders en ander kwesbare kinders sorg, te verbeter. Beleidmakers moet besef dat grootmoeders toenemend verplig word om om te sien na die versorging van hul eie sterwende volwasse kinders en mettertyd die versoging van dieselfde gestorwenes se kinders wat wees agtergelaat word. Hierdie toedrag van sake ontvou in 'n stadium wanneer hierdie vroue se eie fisiese krag en kognitiewe vaardighede waarskynlik reeds aan die afneem is. Instede daarvan dat hierdie vroue die staatspensioen gebruik om hul oudag te geniet en om te sien na hulle eie gesondheid, behoorlike behuising edm., is swart vroulike pensioenarisse verplig om hierdie beperkte fondse aan te wend vir die versorging, voeding, behuising en onderrig van hul ouerlose kleinkinders en ander kwesbare kinders. Sulke onkostes impliseer dat hul pensioen nie aangewend word vir die doel waarvoor dit ingestel is nie. Weens hul hoe ouderdom is dit vir hierdie vroue al hoe moeiliker om 'n inkomste te genereer om vir jong kinders te sorgo Tot nog toe het die Suid-Afrikaanse regering weinig gedoen om ouer vroue wat hulself in hierdie benarde omstandighede bevind, te ondersteun of om hul onskatbare bydrae te erken. Verskeie voorstelle word in hierdie verslag gemaak om die situasie te verbeter.
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Strader, Scott C. "A causal model examining AIDS prejudice : AIDS attitudes and homophobia as latent variables." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/917830.
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Prejudice and discrimination against people infected with Acquired Immune Deficiency Syndrome (AIDS) is widespread. A significant body of research has examined what personality and demographic characteristics appear to be related to discriminatory behavior, in an attempt to suggest who might be more likely to express prejudicial attitudes and discrimination against people with AIDS. This study tested two causal models which attempted to verify existing theories explaining the influences of demographic and attitudinal factors on the evaluation of a person with AIDS. Specifically, these models sought to answer questions related to what personality characteristics and demographic information are most important to AIDS educators and counselors when examining prejudice and discrimination towards persons with AIDS. Three hundred university undergraduates participated in the study. Structural equations modeling was used to analyze the extent to which the models fit the data. Results showed that both models adequately explained the data, with the model establishing a direct causal link between homophobic attitudes and AIDSbased prejudice as the preferred model. Alternative models were also considered in a post-hoc fashion. Implications of the results are discussed, with specific emphasis given to the potential ramifications to further research, counseling practice, and AIDS education.Department of Counseling Psychology and Guidance Services
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Demling, Jennifer. "Family caregiving for persons with AIDS." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/962800.
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This study examines the experience of individuals who participated or did not participate in the caregiving process for a family member who died within approximately the past three years of an AIDS-related illness. The focus of this study is on the adjustment of the caregivers and non-caregivers after the death of the PWA. It was hypothesized that due to their direct involvement in the caregiving process, caregivers would differ significantly from non-caregivers on a number of measures designed to evaluate adjustment. It was hypothesized that caregivers would report better overall adjustment than non-caregivers.Participants completed the Symptom Checklist 90 (SCL-90; Derogatis, Lipman, & Covi, 1973), as well as a semi-structured interview about their experiences. A two-tailed t-test revealed no significant differences between groups. However, effect sizes computed for these variables revealed moderate to large diff ererences between caregivers and non-caregivers on the somatization and interpersonal subscales of the SCL-90. Comparisons to a standardization sample showed that caregivers differed significantly on all subscales from that standardization sample: Non-caregivers differed only on the depression and interpersonal sensitivity subscales. Analysis of the interview data revealed a significant difference in reported stress, with caregivers reporting significantly more stress during the illness of the PWA than non-caregivers. Effect sizes were computed for nine other interview categories; these suggested that caregiversreported substantially less social withdrawal, fewer feelings of guilt, fewer problems resolving issues with the PWA, substantially more physical illness, and more life affirming statements than their non-caregiver counterparts. Several other noteworthy trends that emerged in the interview portion of the study are discussed.Small sample size and pre-existing characteristics of the participants are explored as possible factors affecting the outcome of the study. More controlled studies exploring the adjustment of caregivers and non-caregivers are needed in order to better understand the possible differences that may exist between caregivers and non-caregivers in terms of adjustment after the death of their loved one from an AIDS-related illness.Department of Psychological Science
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DUFFY, PAM REID. "SURVIVING SURVIVAL: A THEORY OF LIVING WITH THE THREAT OF AIDS (IMMUNE DEFICIENCY)." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184231.
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The purpose of this study was to generate a grounded theory explaining the social and psychological processes employed by gay men in living with the threat of Acquired Immunodeficiency Syndrome (AIDS). As members of the high risk group for AIDS, gay men are living with a prolonged threat of unprecedented complexity which has unknown demands on health. An exhaustive preliminary literature review revealed a dearth of theoretical or empirical data addressing this problem. Theory discovery was accomplished using the grounded theory methodology. Two major data collection procedures were utilized: The conduct of increasingly structured interviews of healthy gay men, and an ongoing, progressive literature and media search. Data were sampled theoretically, as guided by the emergent theory. The constant comparative method of analytic induction was used for the analysis of data, in order to identify the elements and structure of the theory. Multiple procedures were incorporated into the analysis to ensure its trackability and credibility. A basic social process, Surviving Survival, was identified as the core category of the theory. Surviving Survival is the continuous process used by gay men to ensure mortal survival as well as outlive the extremity of the AIDS threat. The process is comprised of three subcategories: Vigilance, Safeguarding, and Balancing. The subcategory of Vigilance explains the work of monitoring the threat of AIDS and has both personal and social components. Safeguarding explains the behavior of protecting self and others from the AIDS threat, including AIDS' eventuality. The subcategory of Safeguarding contains Safer Sex, Reassuring Others, and Forecasting. The subcategory of Balancing explains efforts to conserve energy required to sustain affirmation of life and living in spite of the AIDS threat. In continuous interaction, the subcategories of Surviving Survival are interwoven into multiple aspects of gay living. This theory explains the profound impact AIDS has on the mental health of gay men, who both survive and perceive the extremity of the AIDS threat on a daily basis. These findings provide a knowledge base for the nursing discipline in becoming an informed and informing resource for the men who are outliving the threat of AIDS.
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Johnson, Lauri Sue. "An examination of moral boundaries associated with legal and social changes in response to the AIDS epidemic." PDXScholar, 1992. https://pdxscholar.library.pdx.edu/open_access_etds/4320.
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This thesis explores the relationship between law and society and various forms of causality: (1) legal change leading to social change; (2) social change leading to legal change; and (3) the interdependent interaction between social change and legal change. It is proposed that a multi-directional approach would be the most useful in examining the moral boundaries exemplified in the law identified with legal and social changes that have resulted in response to the AIDS epidemic.
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Beetge, Lijahne. "Themes related to children living with HIV/AIDS." Thesis, Stellenbosch : Stellenbosch University, 2007. http://hdl.handle.net/10019.1/21549.
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Assignment (MA)--University of Stellenbosch, 2007.ENGLISH ABSTRACT: This review examines themes related to children, especially children under the age of fifteen, living with HIV/Aids. For review purposes themes include defining children living with HIV/Aids as a vulnerable population, the psychological impact of HIV/Aids on children, children’s coping with and perceptions of HIV/Aids. The global HIV/Aids pandemic has caused major worldwide social change. The impact, especially the psychological impact of HIV/Aids on children appears to be vast and at times disastrous in nature. HIV/Aids is estimated to affect the lives of several generations of children and the impact of the pandemic will therefore characterize their communities for decades to come as the numbers of affected and infected children are on the increase. It has been noted by research done that children living with HIV/Aids become impoverished, their insecurities worsen and their psychosocial and psychological problems increase. In addition their educational and work opportunities decline, their nurturing and support systems disintegrate, and child mortality rates rise. The necessity of psychological support for children affected and infected by HIV/Aids is directly linked to the rights of children listed in the United Nations Convention on the Rights of the Child and the South African Constitution. Research reviewed points out that a child’s physical and psychological health is intertwined and therefore a child cannot be physically healthy without also being psychologically secure. Research reviewed also points out that it is of the utmost importance that the voices of children who live with HIV/Aids are heard, their involvement in decision making and planning related to HIV/Aids is allowed and that their needs are met, especially their psychological needs in relation to the pandemic. Overall the literature reviewed in the past four years (2003-2006) highlights the significantly under-investigated, under-researched themes such as psychological aspects related to children living with HIV/Aids, both in South Africa and internationally. These aspects surrounding HIV/Aids, as previously mentioned, also seem to be the least tangible and the most difficult for adults to address or comprehend fully and yet they impinge on all aspects of developing children - hence the identified need in this area for adequate research and psychological support, such as program implementation.
AFRIKAANSE OPSOMMING: Hierdie literatuuroorsig bied ’n ondersoek na die wêreldwye sosiale verandering en uitwerking wat die globale HIV/vigs-pandemie tot gevolg het. Daar word veral gelet op temas wat verwantskap hou met kinders, veral kinders vyftien jaar oud en jonger wat leef met HIV/vigs. Temas sluit in die definiëring van kinders as weerloos, kinders se hantering van HIV/vigs, hulle persepsies van HIV/vigs en hulle sielkundige behoeftes en ander aspekte met betrekking tot HIV/vigs. Die trefkrag van HIV/vigs blyk omvattend en by tye rampspoedig te wees. Na beraming beïnvloed HIV/vigs verskeie geslagte van kinders en die uitwerking van die pandemie sal dus dekades lank nog deel vorm van hulle gemeenskappe soos die aantal kinders wat geïnfekteer en geaffekteer is, toeneem. Navorsing toon dat kinders wat met HIV/vigs leef, verarm. Verder vererger hulle onsekerhede en hulle psigososiale en sielkundige probleme neem toe. Ook neem die kinders se opvoedkundige en werkgeleenthede af, hulle versorgings- en ondersteuningsnetwerke disintegreer en sterftesyfers neem toe. Die noodsaaklikheid van sielkundige ondersteuning vir kinders wat deur HIV/vigs geïnfekteer en geaffekteer is, word direk in verband gebring met die regte van kinders soos gelys in die Verenigde Nasies se Konvensie oor die Regte van die Kind en die Suid-Afrikaanse Grondwet. Die literatuuroorsig toon dat ‘n kind se fisieke en sielkundige gesondheid ten nouste met mekaar verband hou en daarom kan ’n kind nie fisiek gesond wees sonder om ook sielkundig geborge te wees nie. Verder dui navorsing ook op die kardinale belang daarvan dat kinders wat leef met HIV/vigs se stemme gehoor word, hulle betrokkenheid by besluitneming en beplanning verseker word en al hulle behoeftes bevredig word, veral hulle sielkundige behoeftes wat met die pandemie verband hou. Oor die algemeen beklemtoon die literatuuroorsig wat oor die afgelope vier jaar strek (2003-2006) dat daar nie voldoende navorsing gedoen is met betrekking tot temas wat verwantskap hou met kinders en HIV/vigs nie, nie alleen in Suid-Afrika nie, maar ook internasionaal. Hierdie bevindings is kommerwekkend veral omdat Suid-Afrika ‘n land is met onrusbarende groot getalle kinders wat deur HIV/vigs geïnfekteer is. Dit wil ook voorkom of hierdie aspekte wat te make het met kinders en HIV/vigs nie baie duidelik is vir volwassenes nie en ook die moeilikste is om te hanteer of ten volle te verstaan, hoewel dit alle aspekte van die kind se ontwikkeling raak. Vandaar die behoefte op hierdie gebied aan voldoende navorsing en sielkundige ondersteuning, soos program implementering.
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Pessane, Nilza. "Analysis of the impact of HIV/AIDS on civil society and a growing economy in Mozambique "Assessing aspects of democratic consolidation" /." Pretoria : [S.n.], 2010. http://upetd.up.ac.za/thesis/available/etd-02232010-142353.
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Scheibe, Kim. "AIDS anxiety and sexual behavior: a comparative study." Thesis, Virginia Polytechnic Institute and State University, 1988. http://hdl.handle.net/10919/52073.
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Questionnaire responses of 214 college students at Virginia Polytechnic & State University regarding AIDS anxiety and how it affects sexual behavior were analyzed. Results indicated that women tend to have more AIDS anxiety than do men. Fifty-three percent of the male respondents reported their AIDS anxiety to be low/very low, and 15.7% reported high/very high, while 44.9% of the women responded low/very low, and 22.5% as being high/very high.
Both males and females reported an increase in the number of sexual encounters a month, however, the number of different partners has decreased when data from 1986 and 1988 were compared. In 1986, 36.9% of the males reported being sexually active 3+ times a month, while in 1988, 51.5% of the males were sexually active 3+ times a month. In 1986, 50.2% of the females reported being sexually active 3+ times a month, whi1e 56.6% of the females in 1988 indicated that frequency. In 1986, 36.2% of the males and 31.5% of the females responded that they had 3+ different partners while 22.9% of the males and 14.1% of the females responded this way in 1988.
Those who reported experiencing high anxiety concerning AIDS were less likely to use birth control than those who reported a low AIDS anxiety. Seventy-one percent of the respondents reported using some form of birth control, with 35.5% reporting the use of condoms.Master of Science
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Kaemingk, Kristine Lynn. "Human immunodeficiency virus and the autonomic nervous system: A study of cardiovascular reflexes." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/277035.
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Recent reports suggest that human immunodeficiency virus (HIV), the virus causing AIDS, may cause autonomic nervous system (ANS) dysfunction. ANS abnormalities on cardiovascular reflex tests have been demonstrated in HIV+ persons, persons infected with HIV, who have signs of illness or have used intravenous drugs. In this study the cardiovascular reflex function of 11 HIV+ homosexual or bisexual males meeting the Centers for Disease Control criteria for absence of illness was compared to that of 11 uninfected homosexual or bisexual males of similar ages. Somatic, depression and fatigue differences between groups were assessed using an ANS symptom checklist, the Beck Depression Inventory (BDI) and the Profile of Mood States (POMS). Six of the 11 HIV+ subjects were impaired on the cardiovascular reflex tests. Differences on the BDI and POMS were not attributable to a depressive mood or despair, but rather to presence of mild symptoms of HIV infection and fatigue.
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Myrick, Darrell Royster. "The effect of the voting franchise on public policy decision making and provincial government spending for HIV/AIDS." Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-05272008-173701/.
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Lo, Yuk-ping, and 盧鈺苹. "The securitisation of HIV/AIDS: China and India." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B4832968X.
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Securitisation theory has made significant contributions to security studies. However, the theory is not without theoretical and empirical shortcomings. Notably, a lack of operationalisation and differentiation has led to a binary classification of results as either ‘securitised or not’. In addition, the presence of Euro-centric assumptions has weakened the theory’s applicability in non-Western contexts.
This thesis develops a new framework featuring a typology with eight branches of securitisation. The thesis then uses that framework to study HIV/AIDS securitisation in two Asian countries: China and India.
The process of HIV/AIDS securitisation in both countries is illustrated chronologically. Following the international HIV/AIDS securitisation obtained in 2000, the study shows that HIV/AIDS has been fully securitised by both national governments since 2004. However, the Chinese government addressed HIV/AIDS through a stand-alone programme, whereas India’s national HIV/AIDS programme was integrated into its primary health care system.
Six cities were included in the detailed empirical analysis: Beijing, Shanghai, and Kunming in China, and New Delhi, Mumbai, and Imphal in India. Semi-structured interviews were conducted amongst 62 individuals working in HIV/AIDS-related non-governmental organisations, and 10 officials working in government agencies. Chinese respondents were receptive to framing the threat and handling of HIV/AIDS, yet many grassroots organizations lacked opportunities to participate in the national HIV/AIDS programme. In contrast, such groups were strongly involved in national HIV/AIDS interventions; however, Indian government efforts in fully securitising HIV/AIDS were largely faded out.
The thesis therefore responds to the major theoretical and empirical shortcomings identified by security scholars. The thesis also advances the existing knowledge of security studies in general, and HIV/AIDS securitisation processes in the non-Western world in particular.published_or_final_version
Humanities and Social Sciences
Doctoral
Doctor of Philosophy
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Suwisith, Nongluck. "The lived experiences of people living with HIV infection." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/937.
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This phenomenological study was undertaken to describe the meaning of living with HIV infection. Descriptive phenomenology was utilised to investigate the lived experiences of persons who had human immunodeficiency virus infection (HIV/ AIDS), describe common elements, themes or patterns of lived experiences of persons with HIV / AIDS, and analyse the meaning of lived experiences of persons with HIV/ AIDS. Twelve Australians, experiencing HIV infection and participating in the community support groups in Perth, volunteered as participants. Two participated in the pilot study. The other ten participants were interviewed individually for the main study. Intensive open-end questions pertaining to the experiences of living with HIV infection were asked during interviews which were audiotaped, transcribed verbatim, and analysed using Colaizzi's (1978) method of analysis. Significant statements were gathered and clustered into themes. Validity and reliability was confirmed during data analysis. The phenomenon of living with HIV infection emerged as experiences of social discrimination, emotional disturbances, changes, losses, suicide attempts, and dealing with the difficulties. The experiences of living with HIV were influenced by chronic illness, terminal illness, and social stigmatisation towards people with HIV. Roy's (1984) Adaptation Model was utilised as a second level for analysis. The Model was able to be applied to explain the experiences of living with IDV to a certain degree. Human responses to a variety of situations showed similar patterns in people living with HIV infection.
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Ritter, Nicola. "Terminal sliding mode control for rigid robotic manipulators with uncertain dynamics." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/932.
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This thesis presents two new adaptive control laws that use the terminal sliding mode technique for the tracking problem of rigid robotic manipulators with non-linearities, dynamic couplings and uncertain parameters. The first law provides a robust scheme which uses several properties of rigid robotic mauipulators and adaptively adjusts seven uncertain parameter bounds. The law ensures finite time error convergence to the system origin and is simple to implement The second law treats the manipulator as a partially known system. The known dynamics are used to build a nominal control law and the effects of unknown system dynamics arc compensated for by use of a sliding mode compensator. The resulting control law is robust, asymptotically convergent, has finite time convergence to the sliding mode and allows for bounded external disturbances. It is easy to implement and requires no bounds on system parameters, adaptively adjusting only three bounds on system uncertainties. Both laws are extended to include a reduction of chattering by use of the boundary layer technique. They are tested via application to a two-link robot simulated using MatLab.
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Jaquess, David L. "Psychosocial variance in the outcomes of pediatric HIV." Diss., This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-06062008-172642/.
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Ahmed, Abdul Kayum. "Positive Muslims: a critical analysis of Muslim AIDS activism in relation to women living with HIV/AIDS in Cape Town." Thesis, University of the Western Cape, 2003. http://etd.uwc.ac.za/index.php?module=etd&.
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This research critically analysed Muslim approaches to five women with HIV/AIDS in Cape Town focussing particularly on the approach of 'Positive Muslims' - an awareness-raising and support group for Muslims living with HIV/AIDS. The central question of this thesis dealt with the impact of the norms, values and practices of Cape Muslims on the approach of Positive Muslims to women living with HIV/AIDS. It is suggested that while norms and values articulated in religious texts inform the ideological approach of the organisation's AIDS prevention model. This is due to the pragmatic approach adopted by Postive Muslims which recognises that the articulated norms and values do not always conform to the practices of Cape Muslims.
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Pillay, Miranda N. "Re-visioning stigma: a socio-rhetorical reading of Luke 10:25-37 in the context of HIV/AIDS in South Africa." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4669_1227789291.
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HIV and AIDS present challenges to the well-being of individuals and to public health proportions unpresedented in modern history, and stigma has been identified as the single most contributor to the spread of the HI-virus. While the challenges presented by the AIDS pandemic are scientific and medical, it also has a psychological, legal,
economic, social, ethical and religious impact on those infected and affected. The underlying question in this thesis is not whether the church should respond to this urgent societal challenge, but how it ought to respond. To explore this question, the thesis investigated how a New Testament text (as primary resource), particularly Luke's Gospel, could be a resource for shaping/sharpening the church's response to the pandemic.
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Bitangaro, Barbara Kagoro. "The role of gender relations in decision-making for access to antiretrovirals. A study of the AIDS Support Organisation (TASO) clients, Kampala district, Uganda." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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The way gender relations influence access to care and treatment particularly access to antiretroviral medicines is a challenge to HIV/AIDS programmes and to the individuals and families with HIV. Gender norms that push women and men to adhere to dominant ideals of femininity and masculinity may restrict women's access to economic resources, health care and fuel the spread of HIV. The aim of this study was to determine the role of gender relations in influencing decision-making for access to antiretroviral medicines between partners and in the family.
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Malatji, Modjadji Linda. "The experiences of women living with HIV and AIDS in Mankweng area, Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2007. http://hdl.handle.net/10386/696.
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Thesis (M.A. (Social work)) --University of Limpopo, 2007The impact of AIDS has an overwhelming effect on women as they are unable to fulfill their multiple roles. For many women, a diagnosis of HIV/AIDS carries a profound physical, psychological and social burden. Gender inequities, poverty and a growing prevalence of HIV in developing countries have increased the vulnerability of women to HIV infection. Women’s lack of social and economic independence and their low status in their marital households also increase their vulnerability to HIV. They are susceptible to stigma and discrimination when they are identified as being HIV-positive. Negative social responses in these situations may result in them being rejected by their families and denied access to resources. A qualitative exploratory-descriptive study was conducted with fifty six women living with HIV/AIDS (WLWHA) in the Mankweng area and surrounding villages. Six focus groups interviews were conducted to elicit information about their experiences and perceptions on the way families, communities, health and social service professions treat them. A quantitative approach was also used to indicate the number of participants who shared similar views on a particular issue. The striking feature about the participants’ explanation of HIV and AIDS is that, they associated HIV/AIDS with makgoma (contaminations). The participants also reported that dealing with the consequences of the disease is a huge challenge. They also face challenges in managing their illness. Their problems are compounded by accusations from their partners, family members and the community who blame them for the infection. This creates stress for them that may be detrimental to their physical and emotional health. The participants freely expressed views on HIV/AIDS, aspects that are positive and unsupportive of people living with HIV/AIDS. They shared their physical, social, psychological, cultural and economical challenges. The findings also revealed that an overwhelming number (89%) of WLWHA are struggling with negotiating for condom use. Some of their partners are reluctant to use condoms thus, risking re-infection that is detrimental to their health. The participants’ plea is for the health and social service professionals to become sensitive and compassionate towards them.
Human Sciences Research Council (HSRC)
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Fawcett, Debra L. "AIDS attitudinal comparison between urban and rural perioperative registered nurses." Virtual Press, 1991. http://liblink.bsu.edu/uhtbin/catkey/834609.
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Acquired Immunodeficiency Syndrome (AIDS) is primarily identified as a metropolitan disease. However, it has suggested that the Centers for Disease Control may underestimate the prevalence of AIDS in the population of higher socioeconomic status, overstate the relative prevalence of AIDS in the minorities, and understate the prevalence of the disease in the Midwest (Laumann, Gagnon, Michaels, Michael, & Coleman, 1989). The problem addressed in this study was to determine whether groups of urban and rural perioperative registered nurses differ in their attitudes of tolerance toward AIDS patients. The attitudes of rural and urban perioperative nurses were examined in a comparative descriptive design. It is important to identify nurses' attitudes toward AIDS patients because nurses must interact with AIDS patients on an increasing basis.Lazarus and Folkman's (1984) Theory of Cognitive Emotion was used for the framework. A convenience sample of 77 perioperative registered nurses was obtained for the study. Five midwestern hospitals were used to collect the data. Two urban hospitals and three rural hospitals were used as collection sites. The AIDS Attitudes Scale (AAS) was used as the tool to collect the data (Shrum, Turner, and Bruce, 1989). The AAS consists of a fifty-four item questionnaire designed to measure attitudinal tolerance towards the AIDS patient. Validity and reliability of the tool were established with a resulting reliability score of .94.Findings revealed significant differences among urban and rural perioperative registered nurses in attitudes toward AIDS patients (p=.0387), with urban perioperative nurses being more tolerant of AIDS patients. Item-by-item analysis indicated that although urban perioperative nurses were more tolerant, an urban perioperative nurse would be more uncomfortable around a patient with AIDS (p=.0082). However, more rural perioperative nurses indicated that they would move out if a roommate had AIDS (p=.0030). Rural perioperative nurses indicated more often that no one deserved to have a disease like AIDS (p=.0057). Demographic profiles of registered perioperative nurses demonstrated similar backgrounds in relation to age, educational level, and gender.Conclusions of this study indicated urban perioperative registered nurses hold more tolerant attitudes toward HIV/AIDS patients than do rural perioperative registered nurses.School of Nursing
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Abracen, Jeffrey. "Psychosocial risk factors for HIV infection." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=28976.
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A group of 21 HIV-positive gay or bisexual men was compared with a matched group of 22 HIV-negative individuals. All subjects were sexually active gay or bisexual males matched for age, as well as age at first intercourse with males. Subjects completed a detailed sexual history questionnaire as well as a series of standardized measures of psychosocial functioning. Results indicated that subjects engaged in a wide range of unsafe sexual behaviours, and frequently combined drugs with sex. Scores on the Michigan Alcoholism Screening Test (MAST) were significantly correlated with lifetime condom use. Social support was also found to be significantly associated with the lifetime number of homosexual partners. Regression analysis revealed a significant negative association between MAST scores and social support and a positive relationship between social support and CD-4 cell count. The groups were found to be similar in terms of clinical levels of anxiety and depression, self-esteem in interpersonal situations, and risk-taking personality.
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Karsten, Anja. "Knowledge and attitudes of religious leaders towards HIV/AIDS." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50387.
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Thesis (MA)--Stellenbosch University, 2005.ENGLISH ABSTRACT: Religion plays a significant role in the structuring of people's identities and perceptions and also has the potential to playa fundamental role to determine how communities respond to HIV/AIDS. Faith-based organisations are respected in their communities and have existing resources, structures and systems in place. People who are diagnosed with HIV often turn to the church where they receive emotional and spiritual support. The primary objective of this study was to determine the knowledge of religious leaders about HIV/AIDS and their attitudes towards people living with it. A non-experimental quantitative research design was used in this study and the data was gathered through a structured questionnaire. The respondents were not exceptionally informed about the transmission of the HI-virus, but their knowledge around the risk of specific sexual behaviour was high and their attitudes towards PLHA generally positive.
AFRIKAANSE OPSOMMING: Geloof speel "n belangrike rol in die vorming van "n mens se identiteit en persepsies en het ook die potensiaal om gemeenskappe se reaksie rakende MIV/Vigs te bepaal. Geloofsorganisasies word in hul gemeenskappe gerespekteer en het bestaande hulpbronne en stelsels in plek. Mense wat MIV postitef gediagnoseer word, wend hul dikwels na hierdie organisasies waar hul emosionele en geestelike ondersteuning ontvang. Die doel van hierdie navorsing was om die kennis en houdings van geloofsleiers rondom MIV/Vigs en die mense wat daarmee leef te bepaal. "n Nie-eksperimenteel kwantitatiewe navorsingsontwerp is gebruik, en die data is deur middel van "n gestruktureerde vraelys ingesamel. Hoewel die respondente se kennis omtrent die oordrag van die MI-virus nie voldoende was nie, het hul die nodige kennis rondom die risiko van spesifieke seksuele gedrag gehad. Hul houdings rondom MIV/Vigs en mense wat daarmee leef was positief.
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Motene, Khantse. "The experiences of AIDS orphaned adolescents in Thaba-Bosiu, Maseru." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/1025.
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“We owe them fathers, and a family and loving homes they never knew because we know deep in our hearts that they are all our children too,” These are words from the musical Miss Saigon by Boubill and Schonberg as quoted by van Dyk (2005:278) which prompted the researcher’s interest in the study. According to a study by Kimane and Mturi (2000:8), a good number of AIDS orphaned adolescents have the responsibility of the care of siblings. Moreover, they are economically active, forced to earn income for their own survival or for their unemployed siblings or extended family household. They are the young people one sees in the streets of Lesotho’s principle cities, selling fruit or collecting fares in local taxis. For girls, the situation is particularly dire. While they too sell goods on the streets or some are employed as domestic workers, many find the lure of commercial sex work and the promise of cash irresistible (Kimane and Mturi, 2000:8). However, Fraser (2004:143) denotes that some children, when faced with stressful conditions, construct socially adverse situations as challenges and opportunities and access adequate amounts of available individual and environmental resources. This general frame of reference through which individuals appraise and react to events and situations in the environment is termed resiliency (Fraser, 2004:143). The aim of the study was to explore and describe the experiences of AIDS orphaned adolescents. A qualitative approach with an exploratory-descriptive research design was employed to meet the aims of the study. The research was conducted in Thaba-Bosiu, Maseru. Purposive sampling was used to access a research sample with the assistance of a service rendering organisation in Lesotho. Data was collected by means of semi-structured interviews with eight AIDS orphaned adolescents between the ages of 15 -18 years. Data was analysed according to the framework provided by Tesch (in Creswell, 1994:153) and Guba’s model (in Krefting, 1991:217) was employed for data verification. It was anticipated that the study would contribute to the recommendations towards the development of more effective programmes for the AIDS orphans in Lesotho. In addition, undertaking this research was viewed as critical as it would provide the much needed scientific basis on which the Social Work professional body would be able to reflect on its AIDS orphan support strategies.
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Petersen, Desiree C. "Genetic aspects of HIV-1 risk in an African setting." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019.1/1294.
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Yim, Chi-ho Howard, and 嚴志濠. "Cytokine dysregulation by human immunodeficiency virus-1 transactivating protein." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B36987700.
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Smallman-Raynor, Matthew R. "Geographical aspects of AIDS : pattern, process and spatial scale in HIV infection and disease." Thesis, University of Cambridge, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.239202.
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Sze, Mei-lun Angela. "Psychosocial correlates in adolescent AIDs prevention: the case of condom use." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B29689442.
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Steenveld, Clint Michael. "An interpretive use of drawings to explore the lived experiences of orphaned children living with HIV/AIDS in South Africa." Thesis, Rhodes University, 2004. http://hdl.handle.net/10962/d1004374.
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Against the backdrop of the growing problem of AIDS orphans in South Africa and greater sub-Saharan Africa, this qualitative enquiry examines the lives of three South African orphaned children living with HIV / AIDS in a children's home in Cape Town. It aims to generate rich, child-centred descriptions of some of the significant experiences of the children's lives. Drawings, dialogue and narrative were employed to generate the primary data. This was supplemented by collateral interviews and other relevant records, e.g. medical and biographical. Existential-phenomenological theory informed the approach to data collection and analysis. Each child produced a series often to twelve impromptu drawings over a period often weeks. These drawings and transcripts of the children's verbal descriptions of their drawings were extensively analysed. Significant themes for each participant as well as themes common to all three were identified. Some of the central themes emerging include loss, abandonment, death, disease awareness and coping. The children's ability to develop adaptive coping mechanisms and resilience in the face of traumatic loss and terminal illness was a particularly outstanding feature of the findings. Recommendations are made regarding future research to address the lack of qualitative, child-focused investigations as well as appropriate interventions for addressing the psychosocial needs of orphaned children living with HIV/AIDS.
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Makhubele, Jabulani Calvin. "The impact of culture on the prevention and treatment of HIV/AIDS amongst people in low-resourced areas :a social work perspective." Thesis, University of Limpopo, 2004. http://hdl.handle.net/10386/2027.
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Thesis (M. A. (Social Work)) -- University of Limpopo, 2004.The aim of this study was to explore the impact of culture on the prevention and reatment of HIV/AIDS amongst people in low-resourced areas like Malamulele. he study focused on the lifestyles, beliefs, attitudes and perceptions around ultural elements and practices, which might impact negatively on the prevention nd treatment of the HIV/AIDS epidemic. There were three groups of research espondents namely: learners from three high schools in Malamulele, some arents of the learners and the traditional/cultural leaders. The researcher ollected both qualitative and quantitative data. The data was gathered through he use of an interview schedule (questionnaire), focus group discussions and ound-table discussion sessions. The data was presented, analysed and nterpreted by means of tables and charts. t was found that people in low-resourced (rural) areas have little knowledge about HIV/AIDS, causes, symptoms and how the disease is transmitted. Despite the fact that awareness and educational campaigns and programmes are being rendered, people in low-resourced (rural) areas have little knowledge and needed skills about prevention and treatment of the pandemic. Polygamy and extra-marital relations by men is still highly valued and viewed at high esteem. Religious structures seem to be detached to the issue of HIV/AIDS as they mentioned that talking about HIV/AIDS is immoral and against their principles. The study also tried to explore the extent to which people in low-resourced areas view and use condoms as a protective means.
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Paraskevopoulos, Angelo. "Clients' perceptions of significant psychological issues across the HIVAIDS continuum." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23236.
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The objective of the proposed research study was to answer the following research questions: Do clients in their respectful stages of diagnosis place more emphasis on certain psychological issues than others? And if so, can we identify the specific psychological issues that were considered to be most significant and unique across the stages of the HIV/AIDS continuum? To test these research questions, 37 homosexual men falling in three specific stages of the infection were surveyed. These three stages included: (1) HIV+ asymptomatic, (2) HIV+ chronic symptomatic, and (3) AIDS diagnosis. The HIV/AIDS Client Concern (HACC) questionnaire was developed to assess the significance clients placed on certain psychological issues and, was administered to all the subjects. The statistical analyses revealed that clients' level of diagnosis influenced how much emphasis they placed on what they considered to be significant psychological issues. More specifically, clients in the asymptotic group reported a higher concern with issues surrounding confidentiality of their HIV/AIDS status than the AIDS diagnosis group. The chronic symptomatic group, on the other hand, was significantly more concerned with issues regarding feelings of guilt/shame, shock, depression, fear, loneliness, and anxiety of infecting other people through casual contact than the other groups. In addition, the AIDS diagnosis group was most concerned with issues surrounding the planning of their future care in comparison with the asymptomatic group. A more detailed analysis of each questions' content and its significance as well as the implications such results have for both researchers and practitioners alike will be discussed.
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Mallon, Patrick William Gerard School of Medicine UNSW. "Clinical and molecular aspects of HIV-associated lipodystrophy." Awarded by:University of New South Wales. School of Medicine, 2006. http://handle.unsw.edu.au/1959.4/33048.
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HIV-associated lipodystrophy (HIVLD) syndrome is a condition comprising abnormalities in distribution of body fat and metabolism of lipids and glucose that arises in HIV-infected patients on long-term antiretroviral therapy. This thesis describes clinical research into aspects of the natural history and treatment of HIVLD, as well as molecular research into its pathogenesis centred on subcutaneous adipose tissue. Results demonstrate HIVLD to be a treatment-induced syndrome characterised by initial gains in body fat followed by selective, progressive loss of limb fat. Exposure to thymidineanalogue nucleoside reverse transcriptase inhibitors (tNRTI) induces lipoatrophy through mitochondrial dysfunction of which inhibition of mitochondrial RNA expression, rather than mitochondrial DNA depletion, is an early feature. Mitochondrial dysfunction is associated with decreases in expression of peroxisome proliferatoractivated receptor gamma (PPAR??), an adipocyte transcription factor, which helps explain how tNRTI exposure leads to the loss of adipocyte function. Once established, lipoatrophy is characterised by mitochondrial DNA depletion, although this depletion occurs throughout the mitochondrial genome, suggesting an underlying cause other than inhibition of DNA polymerase gamma. HIVLD is a difficult syndrome to treat. Lipoatrophy is resistant to treatment with rosiglitazone, an agonist of PPAR??, which is ineffective in the setting of ongoing tNRTI therapy and mitochondrial dysfunction. Dyslipidaemia is also difficult to treat as use of pravastatin in the setting of ongoing exposure to protease inhibitors results in only modest declines in fasting cholesterol concentrations. Gains in central fat, such as that seen in patients with buffalo hump, are associated with insulin resistance and diabetes, but only occur in a relatively small percentage of treated patients, suggesting a role for genetic factors in its development. Use of strategies such as avoidance of tNRTI in firstline ART, genetic screening to identify those at risk of toxicities and targeted selection of interventions in subgroups of affected patients, may help prevent this syndrome occurring and better treat those patients in which it has already occurred.
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Ramothibe, J. C. (Joseph Colin). "The demographic and socio-economic impact of HIV/Aids on the Khomas region and the implications for the Windhoek local authority." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/50131.
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Thesis (MBA)--Stellenbosch University, 2004.ENGLISH ABSTRACT: HIV/AIDS is one of the biggest challenges faced by many countries in this century. The rate of infection is rapidly increasing and more and more people are getting ill and dying from AIDS. Of all the people living with AIDS in the world, seven out of ten live in Sub-Saharan Africa. Namibia is one of the top five most HIV/AIDS affected countries in the world. There is therefore no question about the urgent need to accelerate actions to reduce prevalence, expand care and support and extend access to treatment. AIDS is eroding decades of progress made in extending life expectancy; thus hundreds of adults are dying young or in early middle age. The national strategic plan (2004) on HIV/AIDS indicated that the average life expectancy in Namibia is now 42 years, when it could have been 60 without AIDS. A 2003 study on the impact of HIV/AIDS on Windhoek indicated that the antenatal HIV/AIDS prevalence rate in Windhoek for 2002 was 27%, while the national prevalence rate was estimated at 22.3%. The prevalence rate for Windhoek is expected to reach its peak at 38% during 2005. Even though HIV/AIDS will have a diminishing effect on population growth, Windhoek's population is expected to continue growing, particular as a result of inward migration, but at a slower pace. Similarly, HIV/AIDS will have an abating effect on GDP growth as the virus will mainly affect the economic active and available labour force of the population and result in increased labour costs and skilled labour shortages. The impact on the informal sector is potentially more damaging than on the formal economic sector, as the majority of micro- enterprises and informal businesses are build around one individual. As the breadwinner dies, household income and expenditures levels deteriorate and increase poverty levels, because households within the city are very dependent on family structures to support their income levels. Informal settlements are also more volatile to HIV transmission and the majority of HIV infected individuals are likely to be found within these areas as the populations is poorer, crowded, has fewer social services facilities and is more likely migratory compared to those in affluent formal settlements. Considering that the incubation period of HIV/AIDS from infection to death takes about ten years, the real impact of current HIV infections in Windhoek will only be experienced during 2010. Health services will have to attend to a greater demand for curative services as well as to social care and support programs. Social welfare programmes will need to find ways of caring for a large population of HIV/AIDS orphans. Municipalities can playa critically important role in addressing HIV/AIDS at a local level as they are at the interface of community and government. They are ideally placed to playa coordinating and facilitating role that is needed to make sure that partnerships are built to bring prevention and care programmes to every community affected by AIDS. Therefore, in order to succeed in confronting HIV/AIDS, it is important to work closely with all levels of government as well as working with local partners in civil society that are fighting HIV/AIDS at the community level. By taking action against HIV/AIDS, municipalities are securing the future of their towns and communities.
AFRIKAANSE OPSOMMING: MIV/VIGS is een van die grootste uitdagings wat baie lande hierdie eeu in die gesig staar. Die koers van infeksie is vinnig aan die toeneem en al hoe meer mense word siek en sterf as gevolg van VIGS. Van al die mense wat met VIGS lewe in die wêreld, bly sewe uit tien in sub-Sahara Afrika. Namibië is een van die vyf mees MIV/VIGS geaffekteerde lande in die wêreld. Derhalwe is daar geen twyfel rakende die noodsaaklikheid om daadwerklike aksies te bewerkstellig om die voorkoms te verminder, sorg en ondersteuning te verhoog en toegang na behandeling uit te brei. VIGS vernietig dekades van groei behaal in die verlenging van lewensverwagting; dus sterf honderde volwassenes vroeg of gedurende hul middeljare. Die nasionale strategiese plan (2004) rakende MIV/VIGS toon dat die gemiddelde lewensverwagting in Namibië huidiglik 42 jaar is instede van 60 sonder VIGS. 'n Studie onderneem gedurende 2003, rakende die effek van MIV/VIGS in Windhoek, dui aan dat die voorgeboorte MIV/VIGS voorkoms koers 27% vir 2002 was, terwyl die nasionale voorkoms koers slegs 22.3% was. Daar word verwag dat die voorkoms koers vir Windhoek sy maksimum van 38% sal bereik gedurende 2005. Alhoewel MIV/VIGS 'n negatiewe effek op bevolkingsgroei groei gaan het, sal Windhoek se inwoners getalle steeds groei, alhoewel teen 'n stadiger koers, as gevolg van inwaartse migrasie. Terselfdertyd, gaan MIV/VIGS 'n verminderde effek het op die groei van die Bruto Binnelandse Produk (BBP), omdat die virus hoofsaaklik die ekonomiese aktiewe en beskikbare arbeidsmag van die bevolking affekteer wat as gevolg hiervan 'n verhoging in arbeidskoste en tekort aan geskoolde arbeid het. Die effek op die informele sektore is potensieel meer skadelik as op die formele ekonomiese faktore, aangesien die meeste klein en informele besighede rondom een persoon gebou is. lndien die broodwinner sterf, versleg die vlakke van huishoudelike inkomste en uitgawes wat lei tot verhoogde armoede, omdat huishoudings in die stad baie afhanklik is op familie strukture om hulle inkomste te ondersteun. Informele vestigings is meer kwesbaar in die oordrag van MIV en die meerderheid van die MIV geïnfekteerde individue word gewoonlik in hierdie areas aangetref omdat die bevolking armer is, meer persone huisves, minder welsyn dienste fasiliteite het en meer swerwend is in vergelyking met die meer welgestelde formele vestigings. As in ag geneem word dat die ontkiemings periode van MIV/VIGS vanaf infeksie tot en met sterfte omtrent tien jaar neem, sal die werklike effek van die huidige VIGS besmettings in Windhoek slegs ervaar word gedurende 2010. Gesondheidsdienste sal moet aandag skenk aan 'n groter aanvraag vir geneeslike dienste sowel as sosiale sorg en ondersteunings programme. Gemeenskaplike welsyn programme sal maniere moet vind om vir 'n groot populasie van MIV/VIGS weeskinders te sorg. Munisipaliteite kan 'n belangrike rol speel in die aanspreek van die MIV/VIGS epidemie op 'n plaaslike vlak omdat hulle die skakel is tussen die gemeenskap en die regering. Hulle is ideaal geplaas om 'n koordineerende en fasiliterende rol te speel wat nodig is om seker te maak dat vennootskappe gebou word om voorkomings en versorgings programme te lewer aan elke gemeenskap wat deur MIV/VIGS geraak word. Dus, om sukses te behaal in die bekamping van MIV/VIGS , is dit belangrik om nou saam te werk met alle vlakke van die regering sowel as met plaaslike vennote in die gemeenskap wat MIV/VIGS bekamp op gemeenskapsvlak. Deur aksie te neem teen MIV/VIGS , kan munisipaliteite die toekoms van hulle dorpe en gemeenskappe verseker.
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Malone, Marilyn Hinnenkamp. "Assessment of nutritional status in patients with acquired immunodeficiency syndrome (AIDS)." Thesis, Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/101449.
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A detailed nutritional assessment was carried out on thirteen patients with the Acquired Immunodeficiency Syndrome (AIDS). Estimates of body fat and skeletal muscle were measured using triceps-skinfold, mid-arm circumference, mid-arm muscle area, and creatinine height index. Body weight was compared to standards for height and sex. Serum albumin and transferrin levels were measured to estimate visceral protein stores. The average Kilocalorie and protein intake was assessed from four day records and compared to estimated Kilocalorie and protein needs.
The findings of this assessment showed decreased skeletal and visceral protein stores that can be characterized as a mixed type of malnutrition, or marasmic-kwashiokor. Protein intake was also shown to be inadequate when compared to estimated protein needs for stress and/or infection. This could contribute to diminished protein stores and muscle wasting.M.S.
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Mechar, Kyle William. "The cultural logic of dis-ease : difference andas displacement in popular discourses of the AIDS crisis." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23229.
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This thesis investigates the cultural and social production of AIDS in popular discourse, particularly film and mass media, and offers a critical consideration of the ways in which the proliferation and dispersion of these discourses function in our current episteme to rearticulate and reinscribe traditional value systems of sexuality, familialism, and nationalism. Taking the lead of the work of Michel Foucault on the body in various historical regimes, the author here will posit a theoretical analysis of the "discursive formation" of AIDS, how the body of AIDS is put into discourse, to provide a matrix for establishing the various disciplinary and regulatory apparatuses structuring the epidemic--that is, the affirmation of certain kinds of pleasures and bodies and the strategic circumvention of other pleasures and bodies. Under what the author refers to as the cultural logic of dis-ease, the investigations that follow will be animated by the central question: Whose pleasure and/or power is served by these representations and discourses of the body of AIDS in popular cultural practices?
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Gitonga, Priscilla Nyawira. "Music as social discourse : the contribution of popular music to the awareness and prevention of HIV/AIDS in Nairobi, Kenya." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/962.
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This dissertation is a critical, theoretical study focussing is on the contribution that popular music makes towards raising awareness and promoting the prevention of HIV/Aids in Nairobi, Kenya. Towards this end, an analysis of the lyrics and musical gestures of four Kenyan pop music songs is undertaken in order to highlight their communicative capabilities in this regard. These songs, namely, are Lulumbe by Wasike wa Musungu, Juala by Circute and Jo-el, Vuta Pumz by The Longombas, and Dunia Mbaya Chunguze by Princess Jully. The context in which these musical analyses occur is provided in: - An overview of the Kenya of today, in particular that of the diverse and hybrid ethnic, linguistic, musical and cultural practices of Nairobi, and of the various youth cultures in that city, as well as in an overview of the extent of the HIV/Aids pandemic in Kenya, especially amongst the youth of Nairobi, with some reflection on existing interventions. - An overview of current trends in popular music analysis and an explanation of the author’s own eclectic semiotic analytical methodology within this context. The study concludes that a repeating strategy may be discerned on the part of the composers and performers in question, namely, to first engage audiences through language and music with which they are familiar, and then to encourage audiences to confront the unknown and unfamiliar in music and language, but also ultimately in terms of their social practices. The known and the familiar is highlighted both in the lyrics and in the music itself. It includes use of commonlyspoken languages and dialects, popular musical styles typical of the particular sub-culture, and references to the day-to-day experiences of the ordinary person.
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Kates, Jennifer. "An engaged aesthetic : Aids activism through cultural practice." 1991. https://scholarworks.umass.edu/theses/2456.
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Van, Biljon H. "Vigs in die werksomgewing : ekonomiese, politiese en etiese oorwegings in die Suid-Afrikaanse mynboubedryf." Thesis, 2014. http://hdl.handle.net/10210/10749.
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M.Com. (Business Management)HIV/AIDS infection is becoming one of the greatest threats the world has had to face the past century. opinions on the subject vary from doomsday scenarios to those that feel that it will just pass as another storm in a teacup, without having any real effect on society. since the indications are there that it is especially the economically active that are exposed to the infection, top management cannot take the chance of ignoring the issue. Unfortunately this seems to be the case in South Africa, with the awakening of the new South Africa, new economic and political opportunities are openlng up for the country. Business leaders cannot allow AIDS to jeopardise these opportunities. Because HIV/AIDS can take more than ten years before becoming visible, most societies, firms and even governments are still only paying lip service in dealing with the matter. AIDS has devastating economic consequences for affected individuals and their families. If the experience of other countries, and current trends in south Africa are any indication, there is likely to be increasing discrimination in the work place, resulting in large numbers of those who are HIV positive losing their jobs. The burden on families who have to care for, and bury people dying of Aids, and consequently those who lose breadwinners, will be enormous. This will be aggravated by unemployment, by inadequate social support services and transfer payments, by discrimination of access to insurance and housing, and by the predicted inability of the health services to offer adequate care to affected individuals, and support of their families. HIV/AIDS is a reality for any work environment. It is therefore of vital importance for management to take cognisance of the important aspects in dealing with the problem. A formal AIDS policy is the only effective solution to prevent discriminatory practices in the workplace. Finally, and most importantly, the AIDS epidemic in south Africa will be a terrible, and enormous human tragedy, through the potentially avoidable loss of hundreds of thousands, and ultimately, millions of lives. In this study, the major implications of AIDS to be considered in company policy, dealing with the AIDS problem in the workplace and in particular the mining industry, are dealt with.
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Goyer, K. C. "HIV/AIDS in prison : the public policy challenge for South Africa." Thesis, 2001. http://hdl.handle.net/10413/5313.
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In South Africa, both the number of people entering prison, and the number of
people infected with HIV, are steadily increasing. While reliable statistics are not
available on the number of HIV+ prisoners, the characteristics of the typical prisoner
are those of a demographic group at high risk for HIV infection. As a result, many
prisoners will already be HIV positive upon entering the prison. Additionally, the
prison environment creates many situations of high risk behaviour for HIV
transmission, which means there is also an as yet undetermined portion of inmates
who will contract HIV while incarcerated.
The current government policy is to provide HIV testing and condoms in
conjunction with counselling, although poor design and implementation of this policy
has limited its impact. In addition to issues of HIV infection and transmission, the
government must address the needs of prisoners who have developed full-blown
AlDS and will likely die as a result while imprisoned. AIDS is already the leading
cause of death for prisoners in many countries, as well as in South Africa Adequate
medical care, proper nutrition, and early release for those in the late stages of AIDS,
are the international standards for minimum humane treatment of these prisoners.
Today, crippling bureaucracy prevents the humanitarian release of dying· prisoners
from South African prisons.
Reliable data on the nature and extent of HIV/AIDS infection in South African
prisons has yet to be obtained, owing to the closed nature of the prison administration.
In order to design and implement effective policies, the secrecy surrounding the
prison system must be eliminated so that further research and study may take place.
Unlinked, anonymous HIV testing should be undertaken on a sample of the prison
population so that accurate information and projections about HIV/AIDS in prison
may become available. Until the government allows the issue to be quantified, the
design and implementation of better policies will not be possible.
The best HIV/AIDS policies are those which recognise the impact of
prisoners' health on public health in general. Because the prisoner population consists of a core transmitter group, the pnson provides a critical intervention
opponunity for the prevention of HIV infection in the greater community Further
research on this issue should therefore focus on the evaluation, design, and
implementation of intervention programs Intervention in the prison environment
should include targeted education and use of existing gang structures to engender
behavioural change
The issues of HIV/AIDS in prison are compounded by issues of prison reform
in general. The conditions in South Africa prisons are unconsitutional, and exacerbate
the problems presented by HIV/AlDS. The most pressing problem in South African
prisons is overcrowding; a problem which the Department of Correctional Services is
all but powerless to address. Just as HIV/AIDS in the general community requires a
multi-sectoral solution, so too does HIV/AIDS in the correctional setting. The
Department of Correctional Services must re-evaluate both its policies and its entire
policy making process in order to address HIV/AIDS in South African prisons.Thesis (M.A.)-University of Natal,Durban, 2001.
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Brown, Michael Peter. "Locating citizenship across the city politics of AIDS in Vancouver, Canada." Thesis, 1994. http://hdl.handle.net/2429/7141.
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Chantal Mouffe has proposed a theory of political engagement or
“citizenship” that rejects fixed, essential definitions to “the political”. With her
pluralistic, non-essentialized political subject, she hopes for a means by which different
political struggles can be linked together rather than ordered hierarchically or
exclusively. Here citizens are associated in distinct but related struggles, rather than
by legal status or community membership. A crucial point in her argument is that
political theorists must look for new “spaces” of politics. Since she never expands on
this call, we are left with little more than spatial metaphors that fix the locations where
citizenship might be found. Political theory typically plots three separate spheres to
describe people’s lives: the state, civil society, and the family. By spatializing these
metaphorical locations I have taken up her call and explored the emergence of
citizenship across these spatialized social relations through an ethnography on AIDS
politics in Vancouver, Canada.
For each allegedly discrete space in political theory, I note an ongoing
restructuring that affects and is affected by the articulation of citizenship with the
changes in social relations in place. These restructurings suggest that fixed,
essentialized characterizations of space must also be rejected. I sketch the considerable
overlap between social relations of state, family, and civil society in locations across
Vancouver’s AIDS politics. Radical civil disobedience failed because activists failed to
understand the overlap of state and civil society through AIDS service organizations.
Within those agencies, political engagement is caught between grassroots community
orientations (civil society) and the emergence of a large, rapidly bureaucratizing service
system attached to the state. Volunteers who provide all manner of support (from
social work to kinship) for people living with AIDS likewise complicate any clearcut
distinction between state and family. The overlap of the family with civil society is
illustrated by the Vancouver display of the AIDS Quilt. It was at once a fundraising
event held in civil society, yet it was also a familial space: allowing families and
friends to grieve and mourn their dead. Spatial overlaps enabled (and also constrained)
citizenship, as Mouffe defines it. These hybrid spaces articulate de-centered citizens
with the ongoing restructurings of state, civil society, and family that are concurrent to
the AIDS epidemic. Consequently, I conclude that future work on radical democratic
citizenship consider the contexts in which the citizen engages in political struggle.
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Firoz, Yvonne S. "Corporate policy on HIV/AIDS intervention : a policy analysis." Thesis, 2001. http://hdl.handle.net/10413/3091.
Full textAbstract:
This study is concerned with corporate policy on IllV/AIDS. This was investigated by speaking to key-informants from fifteen enterprises in KwaZulu Natal. They were asked about their policies and programmes and what they had put in place to combat this epidemic. The rational choice model was used as a framework for analysis ofthe policies. This model is discussed in the first part ofthe study and was chosen as it seems to reflect the dominant policy outlook in South Africa and may shape the way that organisations .respond. The second part of the project is the report and discussion of the findings. It is a presentation ofthe responses given by the key informants regarding their perceptions and understanding of the problem of IllV/AIDS as well as the policies .of their companies regarding the same. Mostofthe companies in the study did not have policies specific to. IDV/AIDS. Some had general guidelines and treated HIV/AIDS as any major illness. There seemed to be denial, especially among the management, of the seriousness of the disease despite evidence ofits significant impact within the various organisations. There were few to no resources set aside formv/AIDS programmes and interventions and this seems important in defining the IllV/AIDS problem as one of the future rather than the present In the third part of this project, the theoretical framework and the findings were linked. There was an attempt to answer the question ofhow rational the policy process is within the companies in the study and .whether the responses of these organisations can be understood in the context ofthe rational choice model. It seems that this model does aid in understanding of the policy process when there is a realisation· that it interacts with other human mctors to create what we observe.Thesis (M.A.)-University of Natal, Pietermaritzburg, 2001.
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Horne, Felicity June. "Discourse, disease and displacement : interrogating selected South African textual constructions of AIDS." Thesis, 2010. http://hdl.handle.net/10500/3898.
Full textAbstract:
This thesis explores the theme of displacement in AIDS (Acquired Immune Deficiency
Syndrome)-related discourse in post-apartheid South Africa in the period 1994−2010. It contends that the subject of AIDS and the AIDS-ill is seldom confronted directly in the discourse, but displaced in various ways. Using the theory of social constructionism and the
discourse theory of the French poststructuralists, particularly Michel Foucault, selected
texts, both literary and non-literary, are subjected to discourse analysis, in which the
interrelationships between linguistic and visual representations of AIDS, practice,
knowledge and power relations are examined. Recognising that all representations are to some extent displaced constructions, the
thesis investigates additional reasons for the particular kinds of displacement of AIDS seen
in AIDS discourse. These include stigma, fear, defensiveness and the enduring power of preexisting
discourses onto which AIDS is grafted. In narratives by and about the AIDS-ill, personal stories are displaced when mythical structures are used to give meaning to what could otherwise be viewed as futile, random suffering. As a result of the different displacement devices employed in AIDS discourse, new meanings of AIDS are constructed,
related to the social, political and cultural context out of which they have arisen. The thesis comprises five chapters, each of which explores a different form of displacement. In Chapter 1, 'Displacing AIDS through Language', the focus is on language as a form and means of displacement; Chapter 2 'Politicising AIDS' explores the way that AIDS discourse is projected onto the larger, well-established discourse of politics, and specifically on the discourse of 'the struggle' against apartheid; while Chapter 3, 'Satirising AIDS', considers the way that satirists displace AIDS through irony, exposing the contradictions and absurdities inherent in the discourse. Chapter 4, 'Gendering AIDS', shows the extent to which AIDS-relared discourse is articulated to gender-related issues such as unequal power relations between men and women and stereotypical views of women's identities and 'proper' roles. The final chapter, Chapter 5, 'Narrating AIDS', deals with the discourse of personal illness narratives, showing how individuals displace the experience of illness through narrative, often using the structures of myth to give meaning to their experience.English Studies
D. Litt. et Phil. (English Studies)
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McGlotten, Shaka Paul. "Queerspaces and sexpublics: desire, death, and transfiguration." Thesis, 2005. http://hdl.handle.net/2152/2057.
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