Dissertations / Theses: 'Caregivers – Social aspects'

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Fiello, Cynthia Ann. "An examination of pet ownership among elderly caregivers and how it contributes to their well-being." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2063.

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As the older population increases, there is a need for increased support for caregivers most of them older themselves. Owning a pet may providesome of this support. This study looked at caregivers age 55 and older of brain-impaired adults and examined whether or not the social support provided by pets during the caregiving time contributes to their well-being.

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Hodgdon, Barbara T. "Work and Family Spillover on Aspects of Well-being in Sandwiched and Filial Caregivers." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1523916385728928.

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Giraldo, Clara. "The Social Construction of Huntington's Disease Caregivers in Colombia, South America." Thesis, University of North Texas, 2005. https://digital.library.unt.edu/ark:/67531/metadc4966/.

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This study is a multi-method, two-city, intensive, in-depth qualitative study of Huntington's disease (HD) caregivers (HDCs) in Colombia. I explored the Colombia HDCs' experience through the Hispanic culture of caring. I develop the theory of the subrogate agency based on 5 functional stages of HD from Shoulson and Fanh (1979). This study was conducted in two different regions of Colombia, Medellin and Juan de Acosta, in which high rates of HD cases have been identified. The data were collected through three methods: (a) 56 interviews with HDCs and 8 with physicians; (b) 28 participant observations of Huntington's disease sufferers (HDSs); (c) 4 interviews and 8 focus groups of 6 members each with HDCs of late HDSs. Human agency is the ability to monitor one's own action. This study showed that the gradual and serious loss of all capabilities in HDSs has a social effect on the HDSs' agency. HDSs' survival depends on the subrogation that the HDC offers to the HDS. The HDS retains self-hood, i.e. agency, through the HDC's action. This subrogation causes a paradoxical consequence, resulting in both negative and positive effects on the caregiver. The theory of surrogate agency is supported by the data. Through the progressive phases, the capacity of the sufferer for expressing suffering, and social embarrassment, as well as the capacity to fight against the illness and provide reciprocity to their caregivers, deceases. The reason is that physical and cognitive impairments, as well as depression and anger, continue to increase. The study also documented important socio-cultural differences among the study regions. For instance, HDC's solidarity was based on blood and friendship; in larger cities, HD fragmented families. The study also found that HD is taking an immense toll on caregivers, sufferers and families because they are excluded from the Colombia's Basic Health Plan.

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Fraser, Kathryn. "The role of professional caregivers : supporting children in local authority care." Thesis, University of Warwick, 2010. http://wrap.warwick.ac.uk/36733/.

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Children looked after by local authorities are considered to be some of the most vulnerable in society, often having experienced histories of abuse, neglect, conflict within their family of origin or other traumas. As a consequence, substitute care e.g. foster care or residential care is often used as a therapeutic intervention. The focus of this thesis is the role that professional caregivers play in supporting children in local authority care. Chapter I provides a critique of the research exploring the efficacy of therapeutic interventions designed to facilitate the attachment relationship between looked after children and their professional caregiver. Due to controversy surrounding the therapeutic application of attachment theory and a number of methodological limitations, a limited evidence-base was found. The clinical implications and directions for future research are discussed. Chapter II investigates Residential Children’s Workers experience of caring for looked after children, from a psychological perspective. Results revealed that their role and relationship with the children in their care, is affected by their emotional and psychological ability to cope with push and pull factors within a complex system. The clinical implications are discussed, and recommendations for future research made. Chapter III explores a reflective account of the author’s experience of both working clinically and carrying out research in this field. As many of the ideas were generated whilst conducting the doctoral research, the author applies the proposed model from the empirical paper to the reflections. Chapter III is written in a first person account.

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Oliveira, Amanda Marques de 1982. "A invenção do cuidado : entre o dom e a profissão." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/281151.

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Orientador: Guita Grin Debert
Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciências Humanas
Made available in DSpace on 2018-08-27T09:15:19Z (GMT). No. of bitstreams: 1 Oliveira_AmandaMarquesde_D.pdf: 1894413 bytes, checksum: a268c1fd2eeb576e35abaf0d99adc6fe (MD5) Previous issue date: 2015
Resumo: Vemos a dependência surgir como uma preocupação e o cuidado como um trabalho e uma nova profissão. Através da análise de conteúdo realizada em publicações oficiais e de etnografia entre entre militantes, especialistas, e em cursos de formação de cuidadores de idosos, este trabalho analisa as arenas de conflitos em torno da construção do cuidador de idosos como trabalho e profissão em contexto brasileiro
Abstract: Dependence has arisen as a concern and care has become a work and a new profession. Therefore, through etnography in oficial publications, among activists and experts, as well as in training courses and among caregivers of elders, this work shows the arena of conflict around the construction of elderly care as a profession in the Brazilian context
Doutorado
Ciencias Sociais
Doutora em Ciências Sociais

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Lomax, Claire Louise. "Clinical, psychological and social aspects of degenerative neurological diseases : a multi-dimensional study of patients and their caregivers." Thesis, King's College London (University of London), 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.406116.

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Stead, Jennifer. "Emergent literacy and agency among disadvantaged parents and caregivers." Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2659.

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Thesis (MEd)--Cape Peninsula University of Technology, 2017.
A qualitative investigation into the emergence of literacy among five adult socio-economically disadvantaged subjects in a semi-rural setting complements concerns that a lack of specific forms of cognitive input during pre-school years has a negative impact on later progress in formal schooling. The subjects achieved levels of literacy that enabled them to play leadership roles in their communities although they had experienced limited or no formal education during their formative years. Using a GTM process the researcher identifies seven common themes that emerge from analysis of data from interviews and focus groups that explore the subjects’ perceptions of conditions that had promoted their literacy. These themes suggest that the subjects’ competence in literacy was facilitated by non-cognitive conditions including personal aspirations; resilience; disciplinary regimes in the home; voice; a nurturing mentor; community resources and ability to exercise agency. The researcher concludes that these themes could be important in contributing towards an understanding that developing children’s agency during early childhood may be more significant to achieving effective levels of literacy than the current focus on attaining academic skills at standards that disadvantaged children have difficulty in achieving.

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Dimaggio, Eveleen Irene, and Nicole Renee Hughes. "The effects of pet ownership and attachment on caregivers' mental health." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2846.

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The purpose of this project was to examine whether or not caregivers who own pets experience less loneliness, depression, anxiety and stress as compared to caregivers who do not own pets. Quantitative data was obtained through a sample survey of 150 random caregivers served by Inland Caregiver Resource Center (ICRC). Qualitative data was obtained through five open-ended questions included in the survey. The study found a significant increase in loneliness among caregivers who own pets.

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Sitney, Miranda. "The Role of Caregiver Disruption in the Development of Juvenile Sexual Offenders." PDXScholar, 2018. https://pdxscholar.library.pdx.edu/open_access_etds/4474.

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In the last decade, it has been recognized that juveniles commit as much as 20% of all sexual offenses in the United States (DOJ, 2004). Research that attempts to understand why young people commit sex crimes points to an array of family factors that may uniquely contribute to the development of sexual offending over and above general juvenile delinquency. This study specifically examines disrupted caregiving, or receiving insufficient or substitute care, as a potential moderator in the relationship between offense status and caregiver-child relationship quality. Four distinct moderators were tested: gender of caregiver, biological relationship between caregiver and child, number of times the youth has changed caregivers, and child maltreatment history. Results indicate that juvenile sexual offenders have particularly poor relationships with their primary caregivers, and that caregiver gender, biological relationship between caregiver and child, and child maltreatment history act as moderators. Thus, while juvenile sexual offenders in general have poor relationships with their caregivers, those with male caregivers and those who have experienced physical abuse, sexual abuse, and neglect, have relationships that are even worse. In contrast, sexual offenders raised by non-biological caregivers showed better relationship quality than did youth raised by their biological parents. These findings suggest opportunities for early intervention, before caregiving is disrupted. Furthermore, additional supports may be offered to youth whose family structures suggest that they may be at increased risk.

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Joseph, Vanessa Belinda. "Care, caring and coping: attitudes of children orphaned by HIV/AIDS and their caregivers towards schooling in a South African Township." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2383_1256282262.

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In many countries, the scale of poverty, and the alarming number of children now being orphaned by HIV and AIDS, has increased the roles and responsibilities of grandparents as caregivers in their grandchildren's lives. Not only do grandparents have to care for their grandchildren on a daily basis but they also carry the burden of seeing them through school, possibly with the fear that they might not be able to see them achieve all their dreams. This study examined the complex issues surrounding school attendance for orphaned children in Mbekweni, a township in the Western Province, in South Africa. The study explored the relationship between the attitudes of orphaned learners and their caregivers towards education and schooling itself, uncovering the struggles and the strengths of caregivers and orphaned children that directly relate to success or faiolure in school.

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Tang, Yong, and 唐咏. "Obligation of filial piety, adult child caregiver burden, received social support, and psychological wellbeing of adult child caregiversfor frail elderly people in Guangzhou, China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B37227385.

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Lilley, Myron Damon. "An investigation of the importance of spirituality and afrocentricity among African American caregivers: Implications for the mentally ill." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1613.

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Scannell, Alice Updike. "The Longterm Psychosocial Impacts of Caregiving on the Caregivers of Persons with Stroke." PDXScholar, 1989. https://pdxscholar.library.pdx.edu/open_access_etds/1312.

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This study is a Time 4 (T4) follow-up interview of ninety-three caregivers of persons who experienced a first stroke between 2 to 4 years (mean = 36 months) prior to the T4 interview. The first wave of data collection occurred within two months after the stroke. The second and third waves occurred six and twelve months, respectively, after the first interview. The caregivers were identified by the person with stroke as being the person closest to him/her who would be responsible for care after the stroke. Data were gathered at all four interviews using reliable and valid measures for depressive symptomatology (CES-D; Radloff, 1977), psychological well-being (IPWB; Berkman, 1971), and caregiver burden (Zarit, 1980). The contribution of social support to caregiver well-being was also investigated. Additional areas of investigation at T4 included coping strategies (F-Copes; McCubbin, Larsen, and Olson, 1981), caregiver adjustment, and the respondents' perception of themselves as "caregivers". The mean scores of depressive symptomatology, perceived burden, negative well-being, and positive well-being did not change significantly over the four points in time. However, the percentage of the sample having CES-D levels of 16 and above (indicating potential diagnosis of clinical depression) decreased by ten percent between T1 and T4. About ten percent of the respondents who were at risk for clinical depression at T4 reported high levels of depressive symptoms at all four interviews. Respondents who specifically thought of themselves as "caregivers" (sixty-two percent) were significantly more likely to report high levels of depressive symptoms, to experience high levels of strain and caregiver burden, and to be caring for persons who were more severely impaired by the stroke than those who did not. Caregiver characteristics contributed more to the variance in depressive symptoms and psychological well-being than did characteristics of the stroke. However, depressive symptomatology and perceived burden were significantly associated with both the functional capacity of the person with stroke and with an index of stroke severity comprised of communication impairments and negative personality/behavior changes since the stroke. The findings from this study have implications for stroke management programs, caregiver intervention planning, and health care policy.

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Chan, Lung-fai, and 陳龍輝. "Mental health of Chinese spousal caregivers of frail elderly: the role of the traditional Chinese familyvalues." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B38482034.

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Bailey, Adriana Raquel. "Evaluation of an intervention program for assisting family caregivers with placement decisions." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2098.

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The emotional aspect of caregiving is extremely complex and caregivers face tremendous emotional challenges as they react to the reality of their loved one's increasing disability. When it comes to making the placement decision, caregivers have frequently reached a burnout point in making decisions.

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Fong, Kin-wah, and 方建華. "How parenting stress and social support affect the demand for respite care services for caregivers having children with mental handicaps inHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B29947868.

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Solomons, Daniel Peter. "Compassion fatigue : pastoral care to HIV and AIDS caregivers within the realm of the healing professions." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86275.

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Thesis (MTh)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: This dissertation aims to address the phenomenon of compassion fatigue within the scenario - of the HIV and AIDS pandemic in South Africa where an estimated 5-6 million people are living with HIV and AIDS. One in every three patients is hospitalised at some stage of their sickness and sufferers of the pandemic come into contact with someone that gives care to HIV and AIDS infected persons, whether in a hospital, a clinic, in counselling or a hospice. Professional stress and emotional fatigue is an inherent feature of the life of caregivers, and there is growing evidence is that it is on the increase. Caregivers are generally compassionate people and the compassion that they have and share with suffering people can be depleted . Caregivers become fatigued by the plight and the situation that never lets up hence the concept compassion fatigue. In this regard, the meaning of this concept as applied to HIV and AIDS caregivers in the healing and helping professions in hospital care (chaplaincy) and different clinical settings was the focus of the research. Compassion fatigue relates to professional stress and can impair professional competency and performance within pastoral caregiving. The phenomenon was studied to distinguish between compassion fatigue burnout/burn up and vicarious traumatisation. A more comprehensive understanding of these concepts will help to clarify current misconceptions. Aspects that necessitate a closer look are whether compassion fatigue is fundamentally stress related or a kind of depletion within the self of the pastoral helper. Could it be some kind of affective exhaustion, or is it related fundamentally to the overexposure to human suffering? Is compassion fatigue then suffering related? The study focuses on the challenges that confront caregivers in the HIV and AIDS field. How can these challenges pose an existential threat to their being-function and human identity? The study also explores how the theology of the cross (from a pastoral approach) can assist caregivers to deal with the question of meaning in the suffering that their patients (and they) may experience. Research questions included how the phenomenon of compassion fatigue should be understood as an inherent feature of the life of caregivers to HIV and AIDS sufferers, and what caregiving should imply to the caregivers (“wounded healers”). What is clear is that those caregivers very definitely also need care. A viable possibility to render meaningful help to depleted caregivers is to take them out of the working place and give them time, space and means to become whole again. A retreat environment is indicated as a form of recuperation for caregivers. At this stage the study amounts to only first steps in that direction and emphasises the need to investigate the subject further.
AFRIKAANSE OPSOMMING: Hierdie verhandeling beoog om die fenomeen van medelye-moegheid te verstaan vanuit die agtergrond van die HIV en VIGS pandemie in Suid-Afrika waar daar 'n beraamde 5-6 miljoen mense met HIV en VIGS lewe. Dit word geskat dat 1 uit elke 3 pasiënte in 'n stadium of stadia van die siekte gehospitaliseer word en derhalwe kom die meeste lyers in aanraking met iemand wat sorg verleen aan MIV/VIGS geïnfekteerde persone, hetsy in 'n hospitaal, 'n kliniek, in berading of 'n hospice. Professionele stres en emosionele moegheid is 'n inherente kenmerk van die lewe van versorgers en daar is toenemende bewys dat dit vanweë die erns van die situasie toeneem. Versorgers is oor die algemeen deernisvolle mense en die deernis wat hulle het en deel met mense wat ly, kan uitgeput raak. Te wyte aan ŉ situasie wat toenemend versleg en nie in die afsienbare toekoms sal weggaan nie ervaar versorgers dat die blootstelling aan menslike lyding en ellende hulle vermoë om lydendes pastoraal te troos en by te staan, drasties opgebruik vandaar die begrip medelye-uitputting. In hierdie verband fokus die navorsing op die betekenis van die konsep medelye-uitputting, soos toegepas op MIV- en VIGS- sorggewers binne die kader van die genesing- en hulpverleningprofessies in die hospitaal (kapelaansdienste) en kliniese instellings. Die verskynsel van medelye-uitputting met betrekking tot professionele stres raak die professionele bevoegdheid en prestasie van versorgers in pastorale hulpverlening. In hierdie verband is die doel om te onderskei tussen medelye-uitputting, uitbranding en plaasvervangende traumatisering. Dit is aanvaarbaar dat 'n meer omvattende begrip van hierdie konsepte huidige wanopvattings daaroor beter kan toelig. 'n Aspek wat 'n nader beskouing noodsaak, is of medelye-moegheid fundamenteel stresverwant is of 'n soort uitputting van die pastorale helper self, of 'n soort affektiewe uitputting, en of dit verband hou met te veel blootstelling binne die sfeer van menslike lyding. Die studie fokus op die uitdagings wat deur versorgers in die HIV en VIGSversorgingsveld die hoof gebied moet word, en hoe hierdie uitdaging ’n eksistensiële bedreiging vir hulle kan inhou wat hulle menswees en identiteit negatief kan beïnvloed. Die studie verken hoe daar vanuit die verstaan van die kruis-teologie pastorale ondersteuning gebied kan word met die hantering/verstaan van lyding en die doel en betekenis daarvan. Navorsingsvrae sluit o.a. in hoe ons die fenomeen van medelye-moegheid as ŉ ontwikkelende verskynsel in die lewe van versorgers wat met MIV- en VIGS-lyers werk, behoort te verstaan en wat pastorale sorg aan uitgeputte versorgers sou impliseer. Wat duidelik na vore gekom het, is dat die helpende hande baie beslis self ook helpende hande benodig. ŉ Haalbare moontlikheid om betekenisvolle hulp aan uitgeputte versorgers te verleen, is aan die hand gedoen, naamlik om hulle uit die werkomgewing weg te neem. By ŉ rusplek (“retreat”) kan aan hulle die kans gegun word om te herstel, self ook weer heel te word. Hierdie vorm van herstel vir uitgeputte versorgers is kortliks hanteer en word voorgestel, maar dit is maar die eerste treë in so ’n navorsingsrigting, wat die noodsaaklikheid van verdere navorsing beklemtoon.

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Chidubem, Michael Ebere. "Formats for storytelling by caregivers for sharing knowledge in home-based health care." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/1326.

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Thesis submitted in fulfilment of the requirements for the degree Master of Technology: Design in the Faculty of Informatics and Design at the Cape Peninsula University of Technology, 2012
Home-Based Health Care (HBHC) is the provision of health services and social assistance to individuals in their homes. It is an indispensable service to communities in need; presently in South Africa, these health care services are provided by local non-profit and non-governmental organizations. It is mainly targeted at poverty-stricken and under resourced communities and is an important aspect of healthcare in South Africa. A lot of communities in South Africa are still under-resourced and live in impoverished conditions. This is reflected in poor living standards characterized by unemployment, uneasy access to basic amenities, unequal distribution of wealth, poor medical facilities in rural communities, etc. The prevalence of the HIV/AIDS endemic has also worsened the situation. However, the South African government has constantly supported initiatives to enhance better healthcare in rural communities. This research presents a case study of caregivers working in Du Noon, an informal settlement in Western Cape, South Africa. Du Noon is overpopulated and home to lots of foreigners who have migrated in search of better living standards thus stretching an already over-burdened community. Naturally, this development supports poor health practices which encourage the spread of diseases within the community. Health facilities do not sufficiently cater for the ever-increasing healthcare demands and as such lots of people depend on NGOs such as SALT (Sharing Abundant Life Together) who through the help of caregivers and community workers have been providing for some of the healthcare needs of the Du Noon community since 2000. Findings reveal that although caregivers in this community have lots of stories to share about their work practices, they do not have a platform to share these stories. This research focuses on identifying processes involved in capturing these stories and moderating them into educative and entertaining visual contents for the purpose of sharing the stories within the community. Using qualitative research methods, empirical and field study provides the needed data as well as understanding of the multi-dynamism of this community. Data analysis is done through interpretive methods for the purpose of understanding the data collected and analysed during the research process. Finally, as a possible research contribution, the research concludes by examining how other technology can enhance the storytelling experience using interaction design methods that enables caregivers participate in the entire design process. Suggestions are also given as to direction for further research within the subject area.

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Foytik, Elaine Margaret. "Investigating adaptive coping mechanisms in elderly spousal cargivers." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1870.

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This research investigated the coping strategies that elderly caregivers use when caring for a spouse with brain impairment, categorizing their strategies into an external or internal locus of control.

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Bambani, Nomfezeko. "The utility of Weingarten's witness positions in the understanding of compassion fatigue in people who care for their own family members with AIDS." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1004465.

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This paper explores the utility of Weingarten's (2003) witness positions in the understanding of compassion fatigue in people who care for their own family members with AIDS. The research is embedded in Weingarten's theory of witnessing and narrative theory and practice. The literature review explores the shift from hospital-based care to community/home-based care which has led to family members assuming the role of caring for their family members with AIDS, an overview of the effects of caring for AIDS patients on caregivers and an overview of Weingarten's (2003) theory of witnessing with special emphasis on the witnessing positions and their consequences. Interviews, based on narrative theory and practice in which Weingarten's theory is rooted, gave access to the participants' experiences, which were then analysed and interpreted through a framework developed from the witnessing theory. This article demonstrates the utility of Weingarten's (2003) theory of witnessing to people who are caregivers to their own family members with AIDS. I argue that witness positions occupied by caregivers during witnessing determine whether the caregivers will experience compassion fatigue. The negative consequences related to compassion fatigue that will be reviewed could probably be prevented through active, intentional, compassionate witnessing.

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Oliveira, Glacielli Thaiz Souza de. "Do lar doméstico ao lar institucional: a percepção sobre o trabalho na ótica das cuidadoras sociais de casa lares de Curitiba e região metropolitana." Universidade Tecnológica Federal do Paraná, 2017. http://repositorio.utfpr.edu.br/jspui/handle/1/2580.

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Esta pesquisa tem como tema central a questão de gênero e trabalho feminino. Traçando como objetivo geral analisar as percepções do trabalho na ótica das cuidadoras sociais de casas lares em Curitiba e Região Metropolitana. Delimitamos como objetivos específicos: identificar o papel das cuidadoras sociais da casa lar, a partir dos significados por elas atribuídos; identificar as fragilidades e gratificações na relação de trabalho das cuidadoras sociais no contexto da perspectiva de gênero; analisar as relações de trabalho as quais são submetidas às cuidadoras sociais, bem como a legislação profissional. Realizamos uma pesquisa com referencial metodológico qualitativo. Como técnica para a coleta de dados, utilizamos a entrevista semiestruturada com 15 cuidadoras sociais das instituições selecionadas. Foi utilizada a técnica de análise de conteúdo. Em relação às análises e interpretações dos dados coletados se verificou que a maioria das entrevistadas se considera de alguma forma mãe das crianças e adolescentes institucionalizados, o que indica, a princípio, que não compreendem a profissão de cuidadoras sociais como um trabalho. Percebe-se ainda, que este fato dificulta a percepção acerca da desvalorização social e financeira da profissão. A pesquisa apontou a importância de se constituir nos espaços das casas lares a implementação de formações continuadas, já que na maioria das entrevistas se identificou que no processo do trabalho as cuidadoras sociais se identificam como mães das crianças e adolescentes acolhidos e não se reconhecem como profissionais do cuidado. Dessa forma, uma das percepções observadas na pesquisa foi a necessidade que haja, por parte dos setores públicos, a responsabilidade de averiguar como as instituições contratantes dessas profissionais estão capacitando essas mulheres, como uma maneira de provocar nesses espaços a materialização de ações que minimizem a desvalorização desta profissão.
This research has as central theme the issue of gender and women's work. The objective of this study is to analyze the perceptions of work from the point of view of the social caregivers of homes of children in disadvantaged or at risks in Curitiba and Metropolitan Region. We define as specific objectives: to identify the role of the social caregivers of the home, based on the meanings assigned by them; Identify the weaknesses and gratifications in the work relationship of social caregivers in the context of the gender perspective; Analyze the labor relations that are submitted the social caregivers, as well as professional legislation. We conducted a qualitative methodological research. As a technique for data collection, we used the semistructured interview with 15 social caregivers of the selected institutions. The technique of content analysis was used. Regarding the analyzes and interpretations of the collected data, it was verified that the majority of the interviewees consider themselves to be somehow the mother of the institutionalized children and adolescents, which indicates, in principle, that they do not understand the profession of social caregivers as a job. It is also perceived that this fact makes it difficult to perceive the social and financial devaluation of the profession. The research pointed out the importance of the establishment of continuous training in the homes of children in disadvantaged or at risks, since in most of the interviews it was identified that in the work process, the social caregivers identify themselves as mothers of the children and adolescents who are accepted and do not recognize themselves as professionals Of care. Thus, one of the perceptions observed in the research was the need for the public sectors to determine how the contracting institutions of these professionals are empowering these women, as a way to provoke in these spaces the materialization of actions that minimize the devaluation of this profession.

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Mankazana, Thozama Betty. "A case study analysing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/3382.

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Thesis (MPhil (Industrial Psychology. Africa Centre for HIV/AIDS Management))--University of Stellenbosch, 2009.
The study was about assessing the dropout rate of children who are heads of households at Mandela Village in Tshwane Municipality, Gauteng Province. Given the number of orphans who are escalating in each year as a result of HIV/AIDS pandemic especially in the Sub Saharan region, the author’s intention was to analyse what are the causes for these children to drop out from school, and what can be done to minimize the dropout rate of these children. All the participants were the children who are heads of households and residents of Mandela Village, East of Mamelodi Township, and Pretoria. Data was collected through in-depth interviews with thirty-one children who are heads of households, as well as with two educators in schools where these children are attending school or were attending school. This was followed by two focus groups with the same children. The intention of using the focus group was to investigate the issues raised during the interviews and to establish an understanding of how the children who are heads of households want to improve their own circumstances. The study findings observed that there were no strong linkages in assisting children who are heads of households between the Department of Social Development and Department of Education in the North Rand Region, Gauteng. Other findings were that the schools have no support programmes or teachers assigned to assist these children to cope with schoolwork. Due to multiplicity of responsibilities they are faced with, they are not copying with their studies.

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Roque, Charles José [UNESP]. "Cuida e ser cuidado: compreendendo as significações desse processo para famíliares cuidadores e idosos dependentes usuários de um Centro Dia." Universidade Estadual Paulista (UNESP), 2014. http://hdl.handle.net/11449/123901.

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O Brasil possui mais de 20 milhões de idosos e grande parte colabora com suas famílias, trabalha e/ou participa ativamente na sociedade. Estima-se que o número de pessoas com 60 anos e mais deve passar de 13,8%, em2020, para 33,7%, em 2060. O envelhecimento é um processo complexo e multideterminado envolvendo aspectos biológicos, psicológicos, sociais e culturais. Embora se almeje que todos vivenciem um envelhecimento com saúde, autonomia e independência,uma parcela da população vive em condição fragilizada com limitações físicas e/ou cognitivas. Esse é o principal público alvo do Centro de Convivência para Idosos (CCI) em Botucatu, interior do Estado de São Paulo, onde esta pesquisa foi desenvolvida. O CCI conta com profissionais que oferecem atividades de estimulação física, cognitiva e social para os idosos e grupos de apoio e orientações aos familiares/cuidadores. O objetivo deste estudo foi investigar o processo de cuidado àspessoas idosas com dependência, usuárias de um Centro Dia, buscando compreender as significações desse processo para idosos e familiares cuidadores. Na primeira etapa foi realizada a caracterização dos 75 usuários, utilizando-se de prontuários do CCI. Os resultados apontaram que 79% são mulheres; 75% têm entre 70 e 89 anos; 40% possuem baixa escolaridade; 67% são viúvos; 80% brancos. Os idosos desse Centro tornaram-se dependentes como consequência,principalmente,da Doença de Alzheimer (DA) 35% e de Acidente Vascular Encefálico (AVE) 25%. Quanto às comorbidades, 63% têm de uma a duas e 38% de três ou mais; 65% possuem incapacidade em três ou mais atividades básicas e 100% possuem incapacidade em três ou mais nas atividades instrumentais da vida diária; 100% fazem uso de polifarmácia; 61% é cuidado apenas pela família sem ajuda externa. Na segunda etapa foram realizadas entrevistas semiestruturadas com quatro idosos e quatro familiares cuidadores. A análise ocorreu via ...
Brazil has more than 20 million elderly and most of them help their families,working and/or actively participatingin the society. It is estimated that the number of people aged 60 and over,must pass from 13.8% in 2020 to 33.7% in 2060.Aging is complexanda multi-determined process involving biological, psychological, social and cultural aspects. However it is pursuedallof themto experience aging with health, autonomy and independence, a portion of thispopulation lives inafragilecondition with physical and/or cognitive limitations. This is the main target audience of the Centro de Convivência para Idosos(CCI)2 in Botucatu, São Paulo, where this research was conducted. The CCIhas professionals who provide physical, cognitive stimulation and social activities for seniors and supportinggroups andguidance to carer family.The aim of this study was to investigate the process of caring dependent older people, attending theCentro Dia, trying to understand the meanings of this process fortheseniors and for carer family. In the first stage it was performed the characterization of 75 users using the medical records of the CCI. The results showed that 79% are women; 75% are between 70 and 89 years old; 40% havelow education; 67% are widowed and80%arewhite. Seniors from this Center became dependent as a result, mainlyof Alzheimer's disease (AD) and 35% of cerebrovascular accident (CVA) 25%. Regarding comorbidities, 63% have one ortwo of them, and 38%,three or more; 65% have threeor more disability in basic activities and 100% have three or more disability in instrumental activities of daily living; 100% use of polypharmacy; 61% is caredonly by theirfamily without outsidehelp. In the second stage,semi-structured interviews were conducted with four seniors and four carer families. The analysis occurred via meaning core, based mainly in workcategories and awareness of socio-historical psychology. It was found that the process of caring is largely ...

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24

Roque, Charles José. "Cuida e ser cuidado : compreendendo as significações desse processo para famíliares cuidadores e idosos dependentes usuários de um Centro Dia /." Botucatu, 2014. http://hdl.handle.net/11449/123901.

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Orientador: Sueli Teresinha Ferreiro Martin
Coorientador: Ana Teresa de Abreu Ramos Cerqueira
Banca: Karina Pavão Patrício
Banca: Denise Stefanoni Combinato
Resumo: O Brasil possui mais de 20 milhões de idosos e grande parte colabora com suas famílias, trabalha e/ou participa ativamente na sociedade. Estima-se que o número de pessoas com 60 anos e mais deve passar de 13,8%, em2020, para 33,7%, em 2060. O envelhecimento é um processo complexo e multideterminado envolvendo aspectos biológicos, psicológicos, sociais e culturais. Embora se almeje que todos vivenciem um envelhecimento com saúde, autonomia e independência,uma parcela da população vive em condição fragilizada com limitações físicas e/ou cognitivas. Esse é o principal público alvo do Centro de Convivência para Idosos (CCI) em Botucatu, interior do Estado de São Paulo, onde esta pesquisa foi desenvolvida. O CCI conta com profissionais que oferecem atividades de estimulação física, cognitiva e social para os idosos e grupos de apoio e orientações aos familiares/cuidadores. O objetivo deste estudo foi investigar o processo de cuidado àspessoas idosas com dependência, usuárias de um Centro Dia, buscando compreender as significações desse processo para idosos e familiares cuidadores. Na primeira etapa foi realizada a caracterização dos 75 usuários, utilizando-se de prontuários do CCI. Os resultados apontaram que 79% são mulheres; 75% têm entre 70 e 89 anos; 40% possuem baixa escolaridade; 67% são viúvos; 80% brancos. Os idosos desse Centro tornaram-se dependentes como consequência,principalmente,da Doença de Alzheimer (DA) 35% e de Acidente Vascular Encefálico (AVE) 25%. Quanto às comorbidades, 63% têm de uma a duas e 38% de três ou mais; 65% possuem incapacidade em três ou mais atividades básicas e 100% possuem incapacidade em três ou mais nas atividades instrumentais da vida diária; 100% fazem uso de polifarmácia; 61% é cuidado apenas pela família sem ajuda externa. Na segunda etapa foram realizadas entrevistas semiestruturadas com quatro idosos e quatro familiares cuidadores. A análise ocorreu via ...
Abstract: Brazil has more than 20 million elderly and most of them help their families,working and/or actively participatingin the society. It is estimated that the number of people aged 60 and over,must pass from 13.8% in 2020 to 33.7% in 2060.Aging is complexanda multi-determined process involving biological, psychological, social and cultural aspects. However it is pursuedallof themto experience aging with health, autonomy and independence, a portion of thispopulation lives inafragilecondition with physical and/or cognitive limitations. This is the main target audience of the Centro de Convivência para Idosos(CCI)2 in Botucatu, São Paulo, where this research was conducted. The CCIhas professionals who provide physical, cognitive stimulation and social activities for seniors and supportinggroups andguidance to carer family.The aim of this study was to investigate the process of caring dependent older people, attending theCentro Dia, trying to understand the meanings of this process fortheseniors and for carer family. In the first stage it was performed the characterization of 75 users using the medical records of the CCI. The results showed that 79% are women; 75% are between 70 and 89 years old; 40% havelow education; 67% are widowed and80%arewhite. Seniors from this Center became dependent as a result, mainlyof Alzheimer's disease (AD) and 35% of cerebrovascular accident (CVA) 25%. Regarding comorbidities, 63% have one ortwo of them, and 38%,three or more; 65% have threeor more disability in basic activities and 100% have three or more disability in instrumental activities of daily living; 100% use of polypharmacy; 61% is caredonly by theirfamily without outsidehelp. In the second stage,semi-structured interviews were conducted with four seniors and four carer families. The analysis occurred via "meaning core", based mainly in workcategories and awareness of socio-historical psychology. It was found that the process of caring is largely ...
Mestre

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Carvalho, Maria Cristina Guapindaia. "A experiência do cuidar: o (des) amparo do cuidador familiar." Pontifícia Universidade Católica de São Paulo, 2010. https://tede2.pucsp.br/handle/handle/12601.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This study aims to characterize the family caregivers of dependent elder people, and to identify the presence of stress, strain and / or minor psychiatric symptoms in these individuals. Additionally, the study examines the relationship between stress and mental distress with social-demographic factors related to the caring activity. This is a cross-sectional and prospective study conducted from July to December 2009, which evaluated 69 caregivers of dependent elder people treated at the Clinic of Geriatrics, Hospital do Servidor Publico Municipal (Municipal Hospital of Civil Servants). By means of structured interview, we applied a questionnaire to characterize the caregivers and the patients, the Zarit stress scale, the SRQ-20 mental distress scale and the Hamilton-21 Depression Scale. The results showed that the investigated caregivers, during the research, were in average 58.72 years old, with 89.86% of them being women, 52.17% being daughters and 36.23% being wives. They were taking care of the patient for 4 years and six months, in average. It was found that 85% of them haven t any social support and 75.36% of them did not receive any help whatsoever from other family members. Regarding to the level of stress, 44.93% of the caregivers presented a moderated level and 34.78% presented levels varying from moderate to severe. Regarding the presence of minor psychiatric symptoms, 68.12% presented mental disorders and all of them were classified as bearers of mild depression, in the Hamilton-21 scale. Regarding to the use of drugs, 34.78% reported the use of antidepressants and 7.25% reported the use of anxiolytics. Regarding to the variables associated to stress, it was found that the dependence of the patient, his/her persistent behavior and the use of antidepressants by the caregiver increased the estimation of stress. It also was found that when the prior relationship between caregiver and the dependent elder person was considered as good, the stress levels were lower, and if the previous relationship was considered poor, the stress increased. With respect to mental suffering, when the dependency factor was perceived as a major disturbance, the chances of presentation of minor psychiatric symptoms by the caregiver were nine times higher. The data show the great demand in the caring activities, the overhead inherent to this task and the stress that it can cause, with consequences for the mental health of the caregiver and the quality of care provided
Este estudo tem como objetivo caracterizar os cuidadores familiares de idosos com dependência, bem como identificar a presença de estresse, sobrecarga e/ou sintomas psiquiátricos menores nesses indivíduos. Além disso, analisa-se a relação do estresse e do sofrimento mental com variáveis sociodemográficas e fatores relacionados à tarefa de cuidar. Trata-se de um estudo transversal e prospectivo, realizado no período de julho a dezembro de 2009, sendo avaliados 69 cuidadores de idosos dependentes atendidos na Clínica de Geriatria do Hospital do Servidor Público Municipal. Por meio de uma entrevista estruturada, aplicou-se um questionário de caracterização do cuidador e do paciente, a escala de estresse de Zarit, a escala SRQ-20 de sofrimento mental e a escala de depressão Hamilton-21. Os resultados evidenciaram que os cuidadores investigados, quando da realização da pesquisa, tinham em média 58,72 anos de idade, sendo 89,86% mulheres, 52,17% filhas e 36,23% esposas. Cuidavam do familiar em média há 4 anos e seis meses. Verificou-se que 85% não contavam com nenhum suporte social e 75,36% não recebiam nenhuma ajuda dos outros familiares. Em relação ao nível de estresse, 44,93% dos cuidadores apresentaram níveis moderados e 34,78%, níveis de moderado a severo. No que diz respeito à presença de sintomas psiquiátricos menores, 68,12% apresentaram sofrimento mental e todos pontuaram como depressão leve na escala Hamilton-21. Sobre a utilização de medicamentos, 34,78% relataram usar antidepressivos e 7,25%, ansiolíticos. Quanto às variáveis associadas ao estresse, constatou-se que a dependência do paciente, seu comportamento perseverativo e o uso de antidepressivos pelo cuidador aumentavam a estimativa de estresse. Também se verificou que, quando a relação prévia entre cuidador e idoso dependente era considerada boa, o nível de estresse se mostrava menor, e, se a relação prévia era considerada ruim, o estresse aumentava. Com relação ao sofrimento mental, quando o fator dependência era entendido como incômodo maior, a chance de o cuidador apresentar sintomas psiquiátricos menores era nove vezes maior. Os dados mostram a grande demanda na atividade de cuidar, a sobrecarga inerente a essa tarefa e o estresse que acarreta, com consequências para a saúde mental do cuidador e a qualidade do cuidado prestado

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Lagarde-Piron, Laurence. "La première rencontre du corps malade en contexte de soins infirmiers : la relation de soin : une expérience ultime, du sensible au social." Thesis, Dijon, 2016. http://www.theses.fr/2016DIJOL024/document.

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Notre étude porte sur les soins infirmiers avec une entrée par le corps et les émotions dans le contexte de formation et dans l’espace sensible de l’hôpital. L’étudiant est placé au centre de notre recherche, il vit à travers son corps une expérience sensorielle et relationnelle inédite et singulière dans un cadre social chargé de symboles. Il perçoit le monde des soins à travers ses sens qui l’informent, l’orientent et le déstabilisent. L’inscription de notre recherche en SIC se fait par la problématisation sensible, sensorielle et symbolique ; par la conceptualisation à travers plusieurs disciplines et différentes approches théoriques, l’interactionnisme symbolique et la phénoménologie. L’enquête a permis de recueillir un corpus de données qui, croisées avec nos archives personnelles, ont permis d’explorer l’expérience de l’étudiant dans ses dimensions perceptive et émotionnelle, cognitive et imaginaire, sans la désincarner. Dans une démarche compréhensive, nous cherchons à saisir les processus à l’œuvre dans l’émergence de l’émotion, ses manifestations et sa gestion lorsque l’étudiant se donne pour la première fois en représentation en réalisant ses premiers soins au corps. Les soins d’hygiène se déroulent dans une mise en scène où chacun, soignant et soigné, protège son image et son espace. Ils se prêtent à des mises en scène très variées et des jeux de rôle d’une grande richesse, se révélant sans nul doute comme les plus riches en significations. Ils mobilisent tous les sens et entraînent de nombreuses sensations intimes et secrètes faisant émerger de multiples ressentis qui s'exposent, se partagent et se montrent ou bien s'imposent et indisposent. Ils font résonner l’histoire des soins, les codes et les normes sociales, l’identité du rôle propre de l’infirmière
Our study focuses on nursing care with a first approach based on human body and emotions through the teaching context in the sensitive hospital environment. The nursing student is a central point of our research as he lives a unique sensitive and interpersonal experience within his own body in a social setting imbued with symbolism. He perceives health care community through his five senses which inform and direct him, but also may destabilize him. We decided to base our study on the information and communication sciences thanks to a sensitive, sensorial and symbolic problematisation and through a multidisciplinary conceptualization based on different theoretical approaches, symbolic interactionism and phenomenology. The survey enabled us to collect a data set which was crossed with the researcher’s personal archives. This has enabled us to explore the student’s experience in its perceptual and emotional as well cognitive and imaginary dimensions, without disembodying it. Within a comprehensive approach, we tried to understand the process involved in the emergence of emotions, its expressions and management when the student performs and handles for the first time body cares. Personal hygiene tasks unfold in a staging where each of the characters, caregiver and care-receiver, protect both his own image and living space. They show various performances and a high degree of role playing which are doubtlessly the most meaningful. Every sense is mustered, drawing numerous intimate and secretive feelings which lead to the emergence of many perceptions. These perceptions are exhibited and shared, or are imposed on and therefore indispose. They are a true part of nurse care History, social codes and standards, and the identity of the nurse’s role

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Williams, Joanne Tracey. "A yoga intervention program for HIV/AIDS caregivers." Thesis, 2005. http://hdl.handle.net/10530/1022.

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A dissertation submitted in partial fulfillment of the requirements for the degree of Master of Arts (Clinical Psychology) in the Department of Psychology University of Zululand, South Africa, 2005.
HIV/AIDS has reached alarming proportions in South Africa, with many people's lives being affected. This research project looked more closely at caregivers involved in HIV/AIDS work, examining their stress levels and their psychological well-being. A yoga intervention program was implemented with a sample of caregivers at the Holy Cross Hospice, Emoyeni, in Zululand. The effectiveness of the program was evaluated using both qualitative and quantitative measures. Overall, this yoga intervention program was effective with many of the caregivers reporting noted improvements in their stress levels and psychological well-being.

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YU, Mei-Hui, and 游美惠. "From Disposition of Custody to Social Integration of the People with Mental Disorders : Aspects of Family Caregivers." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/tz3uf6.

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碩士
朝陽科技大學
社會工作系
104
Abstract The intention of this essay is to survey the course from disposition of custody to social reintegration of the people with mental disorders through the aspects of family caregivers. The method used in this paper is known as in-depth interview with semi-structured outline which could be classified as qualitative research. The sampling method has been described followed purposive sampling. 6 different caregivers from 50 to 72 years old individually accepted the interviews. The relationship between the patients and family caregivers are parenthood 2 people, brotherhood 3 people and spouse 1 person. The results of the interview indicated that the conditions of social reintegration for patients with mental disorders under protective custody are listed below: 一、 Persistently Medical Treatment: compulsory cure, home care, psychiatric day care center and out patient clinic. 二、 Conversion of Personal Behavior: the establishment of insight and the compliance of taking medicine. 三、 Family Supports: family acceptance, safe habitation and life adaptation. 四、 Social Supports: participation of vocational skills training, career opportunities, the enjoyment of social resources social benefits and recreation activities.

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Mujuru, Natsayi Geraldine. "The psychosocial impact of care-giving on the family caregivers of chronically ill AIDS/HIV patients in home based care." Thesis, 2010. http://hdl.handle.net/10539/8756.

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MMed (Family Medicine), Faculty of Health Sciences, University of the Witwatersrand
The family care-giver has a pivotal role to play in the management of the chronically ill HIV/AIDS patient. The well being of the care giver is therefore crucial since impairment of their physical or mental health could impact negatively on the management of the HIV patients. Aim The purpose of this qualitative study was to find out the psychosocial impact of care-giving on the family care-giver of the chronically ill HIV/AIDS patient in home based care. Methodology In-depth, tape recorded, unstructured interviews were conducted on eleven care-givers recruited at an adult HIV clinic at United Bulawayo Hospitals, Bulawayo, Zimbabwe. Relevant demographic data was collected from each participant. The interviews were then transcribed before analysis of the data was done. Results The care-givers biggest challenge was meeting care costs such as food, transport and medical expenses. Certain conditions relating to the care-recipients‟ health and family issues such as abandonment of the ill patient and orphans added to the burden of care. Carers also had health and physical factors that impacted on their psychosocial well being. All these issues resulted in a spectrum of emotions such as helplessness, sadness, anxiety and anger but despite this the carers still reported on positive aspects of their care-giving role. Conclusion Care-giving impacted negatively on the care-givers‟ psychosocial well being but there were also positive aspects to the role.

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Mtalane, Lissah Joyce Themba. "The experiences of death and dying of Zulu patients, their families and caregivers." Thesis, 1989. http://hdl.handle.net/10413/7097.

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This thesis studies the impact of the terminal illness and awareness of undergoing the dying process and inevitable death, at the KwaZulu Government hospital Ngwelezana, at Empangeni in the Lower Umfolozi District. A case study, drawing both upon nursing and social anthropology, was conducted to establish the experiences of death and dying of Zulu patients, their families and caregivers. The basic trend reflected in the findings is the need to discuss dying with patients, the lack of skills and knowledge on the part of caregivers, lack of recognition of patients' cultural beliefs. The study does not claim to deal with a complete spectrum of the experiences of death and dying of all Zulus but is a meaningful and significant innovation into an unresearched area of patient care.
Thesis (Ph.D.)-University of Natal, Durban, 1989.

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Mudavanhu, Doreen. "The psychosocial impact on rural grandmothers caring for their grandchildren orphaned by HIV/AIDS." Diss., 2008. http://hdl.handle.net/10500/705.

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This exploratory study investigated the psychosocial impact on rural grandmothers of Gutu, Zimbabwe, caring for their grandchildren orphaned by HIV/AIDS. The participants included 12 paternal and maternal grandmother-caregivers from four districts of Gutu, whose ages ranged from 56 to 76 years with orphans in their care ranging from infants to 18 years. The present study made use of Erikson's psychosocial theory of development on late adulthood. Data were gathered using semi-structured open-ended interviews in the participants' homes. Interpretive analysis was used to analyse the audio-taped data. Findings reveal that most grandmothers are experiencing a personal toll in dealing with the late adult crisis of integrity versus despair, including finding it difficult to resolve the grief of losing children while engaging in full time grandparenting in a stigmatising society. Participants reported a need for support and interventions tailored to their unique needs. Counselling, social support, financial assistance, and skills and knowledge about HIV/AIDS are therefore recommended.
Psychology
M.Sc. (Psychology)

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Mbatha, Thokozani. "Factors affecting caregivers' perceptions of the mode of transport for school going children in rural areas : a case study of Emmaus area." Thesis, 2005. http://hdl.handle.net/10413/1901.

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The role transport plays in enabling people access to services is very important. However, transport for school going children in rural areas has not been given much attention. Transport programmes aimed at improving access to schools by rural children cannot be successful in their formation and implementation without the full participation of parents. Therefore, the objectives of the study were to learn about the factors influencing caregivers' choices of the modes of transport for their school going children and to establish how caregivers view the importance of transport for their school going children, particularly in rural areas. One hundred and twenty six respondents were interviewed in this study. Two focus group interviews were conducted with teachers from eZinyonyana Primary and Mthende High Schools. It transpired that the majority of children walk to school. Most parents are aware of the problems associated with walking. However, the majority of them did not believe that walking could impact on their children's performance at school. This belief, though, differed with parents who perceive themselves too distant from school, hence believing that walking can affect their children's performance at school. Also, the majority of caregivers from communities furthest from schools believed that the availability of transport could improve their children's performance at school. They expected the government to provide transport for learners as most of them felt that even if transport can be made available, they could not still afford it since they are not employed. Although aware of the dangers associated with walking, some parents did not feel they could accompany their children school. This task was entirely left with the older children who are supposed to look after the younger ones on their way to and from school.
Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.

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Mkhize, Zethu Maud. "Social functioning of a child-headed household and the role of social work." Thesis, 2006. http://hdl.handle.net/10500/1898.

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A family is a basic unit of society. Among the many functions that are performed by a family, is the task of providing for its children's needs while simultaneously transmitting the society's way of life. The functioning of the family takes place through a parent-child relationship. It is therefore significant for the family to carry out parental tasks in order to give a sense of security, a sense of companion and belonging, a sense of responsibility, sense of purpose and direction to its members. Although there are many factors that pose a threat to family functioning, the scourge of the HIV/AIDS pandemic cannot be underestimated. As the disease has advanced over time, it has negatively impinged on the children's lives. Children are losing their parents to HIV/AIDS opportunistic illnesses and this has resulted in the burgeoning of child-headed households. The phenomenon of a child-headed household presents a shift from a structural family since a significant subsystem of a family (i.e the parental subsystem) is non-existent. The study presents an in-depth investigation into the social functioning of a child-headed household. The aim was to come to a better understanding about issues that surround households that are headed by children. The social institutions with whom the household co-exists have been scrutinised in order to determine the ways in which these institutions impact upon the social functioning of child-headed households. The study highlights that child-headed households are a deviation from the norm and they create a situation where needs of children are unmet and their rights are eroded. The role of social work in mobilising resources to meet the unmet needs and championing for the rights of the children has been investigated. Case studies of ten families were conducted in the three districts of KwaZulu-Natal an area in South Africa that has widely been reported as hardest hit by the pandemic. A research team was constituted which designed a protocol for conducting case studies and collected data. Social workers also participated in the study with an aim of exploring guidelines for social service delivery with regard to a child-headed household. The study found that children are increasingly exposed to aspects of multiple care-giving through lack of parental care and a changing family structure. It was also revealed that the HIV/AIDS pandemic is shattering children's lives and reversing many hard won children's rights. In spite of the transition in the family life cycle, the family remains the central institution in the children's lives. The scourge of HIV/AIDS poses a great challenge to society. Children are left on their own without visible means of support. The problems of children develop into great magnitude in spite of policies that are in place. The findings of the study point to implications for a practice model that is aimed at co-ordinating services for effective service delivery. The researcher has presented suggested guidelines based on the findings of the study. These guidelines include the role of social work in ensuring that the social functioning of the children in child-headed households is enhanced and that social justice for these children is promoted. A protocol for intervention in child-headed households is provided. This would ensure that interventions in bringing about desired change in the lives of the children, produce sustainable results on a significant scale.
Social work
D. Phil.(Social Work)

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Nala-Preusker, Happy-Princess Mantombi. "An investigation into older caregivers' lived experiences of adult AIDS-ill children in Umlazi Township, KwaZulu-Natal." Diss., 2014. http://hdl.handle.net/10500/18360.

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The purpose of this study was to explore the lived experiences of older caregivers of adult AIDS ill children in Umlazi Township in the province of Kwa- Zulu Natal. A qualitative research design which was exploratory was executed with a sample of purposively selected participants who are the members of the organization that provides support to the older caregivers. Data saturation occurred after focus group and in depth individual interview with ten participants. The findings revealed that older caregivers experience lot of challenges which ranges from emotional, physical, financial, psychological, social and time constraints when caring for their adult AIDS ill children .The study further revealed that older caregivers developed a wide range of coping strategies to face their challenging caregiving task and most of the older caregivers utilized positive coping strategies. Recommendations that are described focus on the inclusion and consultation of older caregivers in all decisions and programmes about them.
Appendix C (Interview guide) in English as well as in Zulu
Social Work
M.A. (Social Behaviour Studies in HIV/AIDS)

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Lekganyane, Maditobane Robert. "Experiencing and managing work-related challenges by home-based caregivers caring for people living with HIV and AIDS: guidelines for support from a social work perspective." Thesis, 2017. http://hdl.handle.net/10500/22588.

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Text in English
With the Acquired Immune Deficiency Syndrome (AIDS), first recognised in 1981 as a new disease that subsequently took on pandemic proportions, home-based caregivers became instrumental to ensure that, notwithstanding the encumbered health care systems, people living with HIV and AIDS (PLWHA) receive care, support and treatment within their households to live prolonged dignified lives. Despite their pivotal role in the field of HIV and AIDS care, there seems to be a dearth of literature, and research locally and internationally, from the ambit of Social Work on the topic of how HBCGs manage and cope with the work-related challenges they experience when caring for PLWHA and their need for Social Work support. Through this exploratory, descriptive, contextual and phenomenological qualitative study, I scrutinised the HBCGs’ experiences and associated challenges and the coping strategies they employ to address these challenges as well as their views on how social workers could support them in overcoming these challenges in the specific case on home-based care to PLWHA. Twenty-five HBCGs were identified and recruited through purposive and snowball sampling techniques from twelve home-based care organisations in South African provinces, namely, North West, Limpopo and Gauteng. Data was collected through individual face-to-face semi-structured interviews using an interview-guide. Data analysis was conducted through Tesch’s eight steps (in Creswell 2014:189) while Guba’s model (in Shenton, 2004) was adopted for data verification. Cast against Loretta Williams’ (2014) middle range theory of caregiving dynamics (Williams 2014), the coping theory of Lazarus and Folkman (1984) and the strength-based perspective (Saleebey, 2013) adopted as theoretical frameworks for this study, the following findings were revealed. The HBCGs were motivated by, among other factors, their mere desire to care for PLWHA; their personal experiences of caring for an ill relative; and future career aspirations to become involved in this care work. HBCGs were found to face various work-related challenges in connection with reactions from community members, the patients and their relatives; their unsafe working conditions; as well as from their colleagues, other role players and their own organisations. It was found that for most of the HBCGs their care work saddened, pained and discouraged them. In the midst of feeling sorry for their patients, they feared getting infected themselves, in addition to their work-related challenges that caused them to experience feelings of failure. The strategies adopted to cope with their work-related challenges included getting support from employers, receiving counselling and becoming involved in support groups. Finally, several suggestions were directed to the management structures of HBC organisations, the HBCGs themselves and social workers on how they could address the work-related challenges. Based on the research findings, some recommendations are forwarded concerning guidelines for Social Work support directed at work practice, policies and programmes; associated education and training endeavours; and continuous professional development initiatives, as well as avenues for further research.
Social Work
D. Phil. (Social Work)

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36

Dlamini, Baliwe Philile. "The experience of HIV status disclosure to adolescents in Hhohho region: Swaziland." Diss., 2017. http://hdl.handle.net/10500/23782.

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This study used a qualitative, explorative, and descriptive design to understand the experiences of adolescents after HIV status disclosure in Hhohho region Swaziland. The data were collected through in-depth individual semi structured face-to-face interviews from 10 adolescents living with HIV between the ages 15-19 years. To analyse interviews, Tesch’s qualitative data analysis approach was used. Findings from the study revealed that participants experienced sadness, despair and anger after disclosure and also had fear of death because some had lost one or both parents. The participants reported recurrent episodes of poor health, which resulted in failure at school. In addition, they stressed that they could not disclose their HIV status because they feared discrimination and stigma. Recommendations were made to improve coping strategies of adolescents and revising the nursing curriculum to equip nursing students with appropriate skills that would enable them to care for adolescents living with HIV (ALHIV).
Health Studies
MA (Health Studies)

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37

Sethuntsa, Molelekeng. "The development of a therapeutic approach for the treatment of individuals with Prader-Willi syndrome and their primary caregivers." Thesis, 2017. http://hdl.handle.net/10500/23826.

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

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38

Petty, Ann. "The Welbedacht East parents’/ primary caregivers’ perceptions and practices of ‘good enough’ parenting and the development of a locally specific parenting support intervention." Thesis, 2018. http://hdl.handle.net/10500/26466.

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Intensifying interventions to improve the quality of care that children receive from parents/ primary caregivers is mandated by several strategic objectives, such as the National Plan of Action for Children 2012-2017 (South Africa 2012), the White Paper on Families in South Africa (2013), and the Children’s Amendment Act 41 of 2007 (South Africa 2007). Parenting programmes remain popular parenting interventions (Daly, Bray, Bruckauf, Byrne, Margaria, Pecnik & Samms-Vaughan 2015:18; Richter & Naicker 2013:9) reporting outcomes of enhanced parent-child relationships, improved behaviour of children, and reduced parental stress. There is a concern that parenting programmes offered in South Africa lack evidence of their efficacy (Wessels 2012:9) and cultural and contextual relevance for the recipients (Begle, Lopez, Cappa, Dumas & de Arellano 2012:56; Richter & Naicker 2013:1). The study developed a locally specific parenting support intervention for parents/ primary caregivers living in the low-cost housing development of Welbedacht East using the Intervention Development Design model. Parents/ primary caregivers were involved throughout the study, contributing to the intervention’s applicability, as well as its contextual and cultural relevance. Bioecological and social inclusion theories framed the study. A qualitative research approach supported by an exploratory, descriptive and contextual design was used. Two purposive samples (parents/ primary caregivers and community champions) were recruited. Semi-structured interviews were conducted to collect the data. Thematic analysis (Braun & Clarke 2006) produced the findings that were presented at a consultation workshop attended by research participants and relevant stakeholders where the parameters of the intervention were determined. These were subsequently developed into the elements and intervention protocols by four indigenous community experts following the Delphi process. Lincoln and Guba’s (1985) approach to trustworthiness as presented by Porter (2007:85) and Thomas and Magilvy (2011:152) was used. Cultural competence was maintained throughout and ethical considerations were observed to circumvent harm to participants and uphold the integrity of the research process. The perceptions of the parents/ primary caregivers were consistent with scholarly indicators of ‘good enough’ parenting, but the contextual stressors they experienced challenges their ability to fulfil some of these indicators. An intervention was needed to increase parental capacity to improve parent-child relationships, cultivate life skills for improved psychological health, and advance the financial independence of parents. It was concluded that a parenting programme on its own would fail to address the most pressing needs of parents/ primary caregivers living in disadvantaged circumstances and custom-made parenting support interventions were needed to increase parental capacity to manage the structural challenges that compromised parenting, such as socioeconomic interventions of a social developmental nature.
Social Work
D. Phil. (Social Work)

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39

Tumwikirize, Simpson. "A model for revitalising caregiver social support competencies: the value of support group participation on behavioural outcomes of people living with HIV in Nigeria." Thesis, 2015. http://hdl.handle.net/10500/19893.

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The discovery that anti-retroviral therapy (ART) is important for human immunodeficiency syndrome (HIV) prevention has increased interest in factors that influence adherence to HIV treatment. Studies have shown that non-adherence to ART results in drug resistance, morbidity and person-to-person HIV transmission. For persons defaulting on or living risky sexual lives, becoming adherent is a life-saving behavioural change, both for themselves and for their sexual partners. HIV/AIDS programmes are trying different innovations to enhance behavioural outcomes of people living with HIV (PLHIV). This study sought to determine the value of support group participation and based on the findings, to develop an evidence-based model for revitalising caregiver social support competencies. The study was conducted in two phases. In the first phase, a cross-sectional descriptive design was used to compare PLHIV who participate in support group activities with those who do not, in terms of their behavioural outcomes. Multistage probability sampling was used to select study respondents. Data was collected using a selfadministered questionnaire from 1,676 respondents between February and May 2014. Data was analysed using STATA. Data analysis shows that 47% of respondents had once (ever) participated in support group activities while 53% had never. PLHIV who participated in support group activities differed from those who did not in terms of HIV-related stigma (p=<0.001), positive HIV status disclosure (p=0.005), ART adherence (p=0.021), and sexual risk behaviours (p=0.045). PLHIV who participated in support group activities were more likely to have less internal HIV-related stigma, disclose their positive HIV status, adhere to ART and live less risky sexual lives. The two study groups were not different in terms of perceived social support (p=0.28) and external stigma (p=0.250). More PLHIV obtained social support from health workers (66%) and family members (36%) than from PLHIV support groups (16%). The researcher concludes that participating in support group activities positively impacts on behavioural outcomes of PLHIV, but PLHIV support groups are not the only sources of social support. In the second phase, a model for revitalising PLHIV caregiver social support competencies was developed as a recommendation for assuring PLHIV access to holistic care and support.
Health Studies
D. Litt. et Phil. (Health Studies)

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40

Belkin, Teri. "The psychosocial outcomes of adult siblings of adults with autism and Down syndrome." Thesis, 2014. http://hdl.handle.net/1805/4830.

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Indiana University-Purdue University Indianapolis (IUPUI)
Little is known regarding the psychosocial outcomes of adult siblings of adults with autism. Accordingly, the current study sought to: (1) illuminate factors that predict health-related quality of life, caregiver burden, and reported benefits in adult siblings of adults with autism, using a stress and coping framework and (2) compare outcomes of siblings of adults with autism (n = 31) to siblings of adults with Down syndrome (DS) (n = 54). For the within subject hypotheses, analyses were repeated within the DS group and an overall Disability group (n = 97). The Disability group consisted of participants in the Autism and Down syndrome groups plus twelve individuals in a mixed group of adult siblings of adults with DS who presented with co-morbid symptoms of autism. Variables were organized using The Adult Sibling Caregiver Conceptual Model (ASCCM) into three categories: antecedents (e.g., sibling relationship quality, problem behaviors of the disabled sibling), mediators (e.g., coping strategies, cognitive appraisal types), and psychosocial outcome variables (i.e., mental and physical health-related quality of life, caregiver burden, and reported benefits). For the within subject primary hypotheses, I posited a series of relationships between the antecedents and outcomes based on prior literature on demographic and individual difference predictors (e.g., siblings of adults with autism with fewer problem behaviors would have increased health-related quality of life [HRQOL], decreased caregiver burden, and increased reported benefits) and on stress and coping factors related to the burden of providing care for an individual with autism (e.g., greater use of avoidant coping strategies would be related to lower HRQOL, increased caregiver burden, and decreased reports of benefits). Exploratory hypotheses also were examined (e.g., being married would be associated with increased HRQOL, decreased burden, and increased reported benefits). The within-subject results indicated support for eight of the ten primary hypotheses and five of the six exploratory hypotheses when examined within at least one of the study groups: Autism, DS, or Disability. Overall, sibling caregivers, regardless of their sibling’s disability, reported more favorable psychosocial outcomes when demands were lower (e.g., less severe levels of problem behaviors, fewer autism symptoms exhibited by their disabled sibling, decreased additional pile-up stress), when resources were available to cope with stress (e.g., social support, respite care), and when healthy responses to stress were reported (e.g., use of emotion focused vs. avoidant coping strategies, use of challenge vs. threat appraisal types). Of note, reported benefits, which have rarely been examined in the autism literature, were strongly related to the quality of a sibling relationship across all study groups, and with the helpfulness of received services and perceived social support within the Autism group. The between subject hypotheses also were largely supported. As expected, compared to siblings of those with Down syndrome, siblings of those with autism demonstrated greater levels of caregiver burden and lower mental HRQOL. Moreover, there was a rank ordering in levels of caregiver burden across disability groups; siblings of adults with DS reported the lowest burden, siblings of adults with DS with symptoms of autism reported significantly higher levels of burden, and siblings of those with autism reported the most burden. The results imply that autism, either alone or co-morbid with another diagnosis, presents an increased risk of stress and caregiver burden, not only in parent caregivers, but also in sibling caregivers. Interestingly, there was also evidence for higher levels of stress related growth within the Autism group compared to the DS group. Future research will be needed to generalize the results of this study to broader samples of adult siblings while taking a life course perspective to assess changes in non-disabled siblings’ outcomes over time.

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41

Mabaso, Thulile Minah Abigail. "The experiences of learners who live in child-headed households of Osizweni township." Diss., 2017. http://hdl.handle.net/10500/26386.

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The study focuses on the experiences of learners who live in child-headed households at Osizweni Township. Through a qualitative inquiry I sampled five households purposively. Data was collected using interviews and questionnaires. These categories emerged after data analysis: needs of learners, psychological experiences, relationships with social support systems and the role change from childhood to adulthood. The findings revealed that children experienced extreme financial constraints after the death of parents resulting in inadequate basic and educational needs. These children were traumatized and left emotionally vulnerable, living in fear and isolation constantly. Relatives did not offer any support to these children but support from the school, community and siblings was evident. These children made huge adjustments assuming parental responsibilities and this affected their academic performance. It is recommended that more study is required on the development of a Community Support Centre to educate learners and parents on how to support these children.
Psychology of Education
M. Ed. (Psychology of Education)

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42

Mokoena, Tebogo. "Exploring the impact of teenage pregnancy on disadvantaged adolescents in Mpumalanga." Diss., 2018. http://hdl.handle.net/10500/26145.

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Teenage pregnancy remains a major social, economic and health challenge in South Africa. The consequences of unplanned teenage pregnancies are devastating. The current study explored the impact of teenage pregnancy on disadvantaged adolescents in Mpumalanga. Fourteen adolescent girls were selected, using the purposive sampling technique. The objectives were to explore the experiences of adolescence, as well as their knowledge of various methods of preventing teenage pregnancy, and how they cope with the pregnancy. The study further explored programmes that are available to assist with teenage pregnancies in the community. Data was collected using in-depth one on one interviews to allow the researcher a platform to ask open-response questions. The data was thematically analysed by carefully categorising and expanding significant themes that emerged from the participant’s responses. The study revealed that lack of knowledge about sex and contraceptives, unhealthy coping strategies, lack of support from parents and peer pressure are all effects of teenage pregnancy and the reasons for participating in unprotected sexual activities. Recommendations for overcoming these challenges were provided to the community, schools and government organisations as guidelines in the establishment of youth programmes.
Psychology
M.A. (Psychology)

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43

Mkhonta, Nkosazana Ruth. "Guidelines for support of orphaned and vulnerable children being cared for by their grandparents in the informal settlements of Mbabane, Swaziland." Thesis, 2008. http://hdl.handle.net/10500/2958.

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The AIDS pandemic has generated a large number of orphaned and vulnerable children (OVC) in Swaziland, as it affects the reproductive age group. Most of the OVC are being cared for by their grandparents who are old, poor and suffer from degenerating diseases of old age. The purpose of this study was to explore and describe the needs and support available for OVC under the care of grandparents in the informal settlements of Mbabane, Swaziland in order to develop guidelines for their care and support. A qualitative, exploratory, descriptive and contextual study was conducted to identify the needs of the OVC and type of support provided by organizations for these children. Data was collected using unstructured and semi-structured interviews. The study was conducted in three phases each addressing a research objective. In the first phase which was to identify the needs of OVC, twelve grandparents who cared for OVC in the informal settlements participated. For the second phase seven managers of organizations that provide support to OVC in the informal settlements participated. The third phase was the development of guidelines by the researcher and validated by participants and experts. The study highlighted the needs of OVC, the nature of the existing support structure and type of support provided by organizations for these children. The findings revealed that the OVC have developmental support, protection support, psychosocial support and support for survival needs. The themes identified from the analysis of the type of support provided by organizations were developmental, partnership, protection, psychosocial and support for survival needs. The organizations' support was inconsistent and inadequate to meet these needs due to the large number of OVC. Some of the weaknesses of organizations were indicated as donor dependency and lack of coordination and collaboration among organizations. The study highlighted partnership as fundamental to the successful implementation of the guidelines.
Health Studies
D. Litt. et Phil. (Health Studies)

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44

Nziyane, Luzile Florence. "Practice guidelines for the integration of child-headed households into extended families." Thesis, 2010. http://hdl.handle.net/10500/3985.

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The family as the basic unit of society plays an important role in the lives of individuals especially children. The HIV/AIDS epidemic has devastated the family structure which is already strained by other detrimental factors such as urbanisation and poverty. The increased death rate of young parents due to AIDS-related diseases has led to an escalating number of orphaned children growing in child headed households (CHH) without adult care. A qualitative study was undertaken to develop an understanding of the barriers that hinder the integration of orphaned children into extended family folds and to obtain suggestions on how to overcome these barriers. Semi-structured, face-to-face interviews were conducted in Bushbuckridge, Mpumalanga Province, with a sample of children heading CHH, relatives of these children and social workers who were rendering social work services to these client-systems. The study revealed that the level of suffering faced by CHH began with the illness of the parents. This was further exacerbated by the death of the parents as these children were not absorbed by their extended families. Barriers that hindered the integration of orphaned children into extended family folds go beyond the extended families’ economic capacity to absorb the children. There is an interplay of barriers that are poverty related, relational and family related, culturally related, circumstances that are related to the orphaned children as well as limitations in social work service delivery. The findings indicate that CHH is not a good option to care and protect orphaned children as it exposes them to pervasive adversities with little resources and support. The integration of orphaned children is embraced as a good option to care for the children because of its potential value, amongst others, of enabling the extended families to relieve the CHH from the burden of care. From the findings of this study, practice guidelines were developed to enhance the efficacy of integrating orphaned children into extended families to prevent the CHH phenomenon.

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45

Bande, Evidence. "An exploration of the psychosocial needs of orphans and vulnerable children affected by HIV and AIDS in Gokomere, Masvingo Province, Zimbabwe." Diss., 2014. http://hdl.handle.net/10500/18792.

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The study explored the psychosocial needs of Orphans and Vulnerable Children (OVCs) affected by HIV and AIDS in Gokomere, a rural area of Masvingo Province, Zimbabwe. The participants of the study included OVCs, caregivers and members of non-governmental organisations (NGOs) and faith-based organisations (FBOs). The data was gathered using semi-structured in-depth interviews and a focus group discussion. The audio-taped data was transcribed, coded and interpreted to generate themes, categories and sub-categories. The main psychosocial needs of OVCs affected by HIV and AIDS were found to be the need for relationships, succession planning, social protection and emotional and spiritual support. Kinship care emerged to be the most important form of care for OVCs while home-based care and child-headed households emerged as new forms of care for OVCs. This study recommends that coordinated efforts by the government, NGOs/FBOs/CBO and the community at large is needed to address the challenges facing OVCs affected by HIV and AIDS.
Health Studies
M.A. (Social Behaviour Studies in HIV/AIDS)

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46

Ndava, Netsai Rejoice. "Social work services for child-headed households in Virginia in the Free State Province." Diss., 2018. http://hdl.handle.net/10500/25103.

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Child-headed households are a reality in South Africa, and extensive research has advanced its causes and the children’s coping mechanisms. Social workers identify children in need, refer them to SASSA for social grants, facilitate foster care placements and offer psychosocial support services. This study sought to determine the nature of social work services rendered to children in such households in Virginia in the Free State. Qualitative exploratory, descriptive and contextual research was used to reach the goal of the study. Thirteen semi-structured interviews were conducted with thirteen participants who were selected through purposive sampling. The data collected was analysed using the eight steps of Tesch (in Creswell, 2009) and verified through Guba’s method of trustworthiness (Krefting, 1991). The services rendered to child-headed households (CHHs) through individual, group and community work were inadequate due to lack of resources including a shortage of social workers due to a general dissatisfaction with salaries. Participants suggested the need to build the capacity of the available staff through staff training and improved access to available resources in order to strengthen the nature of services rendered to CHHs.
Social Work
M.A. (Social Work)

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47

Kabamba, Tshibangu Taiddyslas. "The psycho-social challenges facing HIV/AIDS lay counsellors at a community-based voluntary counselling and testing site in Tshwane." Diss., 2009. http://hdl.handle.net/10500/3385.

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

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48

Phaka, Mpudi Elizabeth. "The experiences of elderly women (goGogetters) in assisting orphans and vulnerable children affected by HIV and AIDS at Musina in the Limpopo Province." Diss., 2015. http://hdl.handle.net/10500/20286.

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

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49

Mushayi, Josaya. "Addressing behavioural challenges of orphaned learners who head households : a psycho-educational programme to enhance learning." Thesis, 2013. http://hdl.handle.net/10500/13996.

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The changing structures of families and the increase in the number of child headed families are progressively becoming noticeable both nationally and internationally. Reviewed literature has confirmed that the increasing trend in orphan status among school going age over the period 2002-2009, is of major concern. A growing body of literature also indicates that child headed families and orphan hood are becoming common phenomena in many African countries in general and South Africa in particular. This scenario presents certain challenges especially on the orphaned children‘s learning and schooling experiences as well as their behavioural and social interaction patterns. The phenomenon calls for greater educational support for such learners at school and home. Increasingly, teachers and schools world over are expected to respond to the changing educational environment and contextual realities of schooling that include the orphaned learners who head households. The aim of this thesis was to address the behavioural challenges that orphaned learners who head household experience and to develop a psycho-educational programme to support their learning. A qualitative instrumental case study research design was used with a study sample of 30 orphaned learners living in child headed household aged 10 to 16 years, ten Life Orientation Teachers, four members of School Management Team, eight members of School Based Support Team (SBST) and four Social Workers who were purposively sampled to participate in the study. The study was conducted in 15 classes located at four schools (3 secondary, 1 primary) in Taledi Area, Mamusa Circuit located in Ipelegeng Township of Schweizer Reneke town under Dr R.S. Ruth Momphati District-North West Province, South Africa. In order to answer the research question, data was collected using a variety of data collection techniques. These were semi structured interviews, observations and documentary analysis. Data obtained was analysed using the interpretational analysis method to determine the common themes and sub themes describing the behavioural challenges that the orphaned learners experience during schooling in the playgrounds and in the classroom. Data analysed revealed that although orphaned learners are socially strong with regard to interaction with their peers, they experience learning difficulties in the classroom leading to underperformance and grade repeating. The study also noted that orphaned learners exhibit negative conduct behaviours and negative social interaction patterns with their LO teachers and members of the school management team. The study also revealed that emotional problems and lack of material support are common phenomena amongst these learners. The study arrived at the recommendation that a psycho-educational programme to address the behavioural challenges be developed to enhance the academic performance of the learners.
Psychology of Education
D. Ed. (Psychology of Education)

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50

Sibanda, Joyce. "Factors influencing primary health care services utilisation by children living in child-headed households in a rural community of Swaziland." Diss., 2015. http://hdl.handle.net/10500/19195.

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Text in English
Background: Children living in child-headed households have health needs that require treatment and care. Matsanjeni is one of the poorest socio-economic areas of Swaziland with the high number of children orphaned by HIV and AIDS who are often living without adequate family and social supports. These conditions are known for increasing people vulnerability to diseases and hindering access and utilization of health services. However, children living in child-headed households in Matsajeni community do attend the primary health care (PHC) services on regular basis. What influence the utilization of the above services by children living in child-headed households in the Matsanjeni community is not clear and well documented. Aim of the study: To explore and describe the views of children living in child-headed households in a rural community of Swaziland regarding factors influencing their utilization of PHC services. Design: A qualitative descriptive design was used to guide the study. Purposive sampling was used to select the most senior child from child-headed households in a rural community. Semi-structured individual face-to-face interviews were used to generate data. Data saturation was reached after twenty interviews. Thematic content analysis was used to analyse data. The researcher used Andersen behavioural model was to identify and organised the emerged themes. Ethical clearance was obtained from the Ethics Committees of the University of South Africa and the Ministry of Health of Swaziland. Results: Fear to develop a deadly disease, perceived seriousness of the condition, desire for compliance to medical treatment, and community support emerged as enablers of primary health care services utilisation among children living in child-headed households. While lack of money, ignorance, shortage of healthcare personnel, negative behaviour and attitude of health professionals, long waiting hours, unreliable transportation system, and long distance emerged as inhibitors of primary health care services utilisation among children living in child-headed households. Conclusion and recommendation: The results of this study add to our understanding factors that positively and negatively influence the utilisation of primary health care services among children living in child-headed households in rural communities. The findings suggest that the utilisation of primary health care services among children living in child-headed households is influenced by need for care-enabling resources-experience of care triad. Behavioural and social welfare interventions are needed to enhance the utilisation of primary health care services among this vulnerable section of the community in Swaziland. Recommendation for further research is also articulated.
Health Studies
M.A. (Public Health)

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Dissertations / Theses on the topic 'Caregivers – Social aspects'

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