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1

Tshikongo, Aktofel Ndetshipanda. "To investigate factors preventing the care-givers from accessing the social grants and other benefits entitled to the orphans and vulnerable children (OVC) under their care." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79963.

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Thesis (MPhil)-- Stellenbosch University, 2013.
ENGLISH ABSTRACT: One of the consequences of HIV/AIDS is the large number of orphans and vulnerable children (OVC). Most OVC care givers in African communities are elders. The elders use their meagre pension hand out to support their OVC grandchildren. The Ministry of Gender Equality and Child Well Fare (MGECW) has responded to the financial burden of the OVC care-givers by issuing different social grants to the OVC. Due to preventing factors not all OVC are receiving these grants. The Namibian Government has formulated different policies protecting the rights of OVC. However, not all stakeholders are implementing these policies which lead to the OVC`s rights being compromised. This study was conducted in Omusati Region in Namibia to determine the factors that prevent some of the OVC care-givers from accessing the social grants and other benefits entitled to the OVC under their care. Data for this study have been obtained from four sources, using four different data collection methods. In depth interview have been used to collect data from twelve Community Childcare Workers (CCW) in the (MGECW) administering the OVC`s grants applications at twelve Constituencies. Some information was obtained using structured questionnaire from twenty four teachers dealing with OVC at twelve schools in twelve Constituencies. The officials from the Ministry of Home Affairs and Immigration (MHAI) have been engaged in focus group discussion to provide valuable information to this study. Literature has also been reviewed to shed more light on the subject under investigation. This study discovered that there are various impediments preventing the care-givers from obtain the OVC social grants. Lack of documents, transport costs and long distances coupled with cumbersome process of processing grants applications and issuing national documents are among the preventing factors. This project has been concluded with recommendations which if implemented will smoothen the process of grants accessibility.
AFRIKAANSE OPSOMMING: Een van die gevolge van MIV/Vigs is die groot aantal weeskinders en kwesbare kinders (OVC). OVC sorg gewers in Afrika-gemeenskappe is die ouderlinge. Die oudstes gebruik hul karige pensioen hand uit hul OVC kleinkinders te ondersteun. Die Ministerie van Geslagsgelykheid en Kinderwelsyn Wel Fare (MGECW) het gereageer op die finansiële las van die OVC versorgers deur die uitreiking van verskillende maatskaplike toelaes aan die OVC. As gevolg van die voorkoming van faktore nie alle OVC hierdie toekennings ontvang. Die Namibiese regering het verskillende beleide wat die beskerming van die regte van die OVC geformuleer. Egter nie alle belanghebbendes die implementering van hierdie beleid wat lei tot die OVC se regte word gekompromitteer. Hierdie studie is uitgevoer in die Omusati-streek in Namibië om die faktore wat verhoed dat sommige van die OVC versorgers van toegang tot die maatskaplike toelaes en ander voordele geregtig op die OVC onder hul sorg te bepaal. Data vir hierdie studie is verkry uit vier bronne, deur gebruik te maak van vier verskillende data-insamelingsmetodes. In diepte onderhoud is gebruik om data van twaalf Gemeenskap Kindersorg Werkers (CCW) te versamel in die (MGECW) die administrasie van die OVC se toelaes aansoeke op twaalf Kiesafdelings. Sommige inligting is verkry met behulp van gestruktureerde vraelys uit 24 onderwysers die hantering van OVC by twaalf skole in twaalf Kiesafdelings. Die amptenare van die Ministerie van Binnelandse Sake en Immigrasie (MHAI) is besig met die fokusgroepbespreking om waardevolle inligting te verskaf aan hierdie studie. Literatuur is ook hersien om meer lig te werp op die onderwerp wat ondersoek word. Hierdie studie het ontdek dat daar verskeie struikelblokke wat verhoed dat die versorgers van die OVC maatskaplike toelaes te verkry. Gebrek van dokumente, vervoerkoste en lang afstande, tesame met 'n omslagtige proses van die verwerking van toelaes aansoeke en die uitreiking van nasionale dokumente is onder die voorkoming van faktore. Hierdie projek is afgesluit met aanbevelings wat, indien dit geïmplementeer word, die toegang to toelaes sal verbeter.
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2

Nashandi, Johanna Christa Ndilimeke. "Experiences and coping strategies of women living with HIV/AIDS: case study of Khomas region, Namibia." Thesis, University of the Western Cape, 2002. http://etd.uwc.ac.za/index.php?module=etd&amp.

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This study focuses on the impact of HIV/AIDS on women in Namibia. Namibia, with a population of only 1.7 million people, is ranked as the seventh highest country in the world in terms of HIV/AIDS infections. The percentage of women living with HIV/AIDS in Namibia accounts for 54% of the total of 68 196 people in the country living with the virus. Women are also diagnosed with the disease at a younger age (30) in comparison to their male counterparts (35 years). Desoite their needs, women living with HIV/AIDS bear a triple burden of caring for those living with HIV/AIDS, caring for themselves and coping with the responses to their infection. There are few focused intervention strategies to support and care for women living with HIV/AIDS in Namibia.
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Pendukeni, Monika. "The impact of HIV/AIDS on health care provision: Perceptions on nurses currently working in one regional hospital in Namibia." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Studies on the impact of HIV/AIDS on health workers conducted in the health sector in different countries in Southern Africa have shown that health workers are affected and infected by HIV/AIDS. This has affected the provision of care rendered by nurses negatively. The high workload emanating from increased numbers of patients contributed to the situation. As a result, a number of nurses suffer from stress related illnesses caused by many factors such as fear of contracting the HIV virus. Low staff morale has also been observed among nurses. The aim of this study was to study nurses perceptions, views and suggestions on the impacts of HIV/AIDS on the provision of health care in terms of increased workload, stress, low morale and fear of contracting HIV/AIDS in two medical wards and a TB ward in one regional hospital in Namibia.
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4

Taruvinga, Kudakwashe. "Establishing a new home based care programme for the community of Swakopmund." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/8539.

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Thesis (MBA)--University of Stellenbosch, 2010.
Since the first case was discovered in Africa in the late 80s, the HIV/AIDS epidemic has gradually increased at alarming proportions worldwide especially in sub-Saharan Africa which prompted the United Nations' World Health Organisation to declare it a global pandemic. This research undertakes to highlight the current composition of care given for HIV and Aids, and the strengths and weaknesses of such programmes. The aim of this is to establish a better home based care programme in Swakopmund, Namibia, for improving the quality of care as well as living conditions for the infected and affected. For this initiative to be of the highest quality there is need to pay special attention to various regional and national HIV/AIDS programmes and policies. As the HIV/AIDS epidemic continues to spread, organisations and communities are now considering engaging more programmatic approaches as sub-Saharan countries are looking for scaled-up responses and national strategies for home based care. Policy-makers and senior administrators must be involved in developing and monitoring home based care programmes, and the people who manage and run the programmes must share information and feedback with senior administrators. In this sense, policy and action are interrelated as each partner learns from and guides the other. The researcher saw the need to involve community members and home based care-givers in a participatory process to research this topic and engage them in a process on how to improve the programmes that already exist. 52 Pages.
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5

Maqoko, Zamani. "HIV/AIDS orphans as heads of households : a challenge to pastoral care." Diss., University of Pretoria, 2006. http://hdl.handle.net/2263/23570.

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HIV/AIDS has done a great damage to families and their children. Due to HIV/AIDS, grandmothers find themselves caring for their sick children, grandchildren and orphaned grandchildren. Because of the large number of AIDS orphans, the existing pool of community-based support has become saturated. Therefore these children now have to fend for themselves. They are forced to become heads of the households and breadwinners. In this situation the older children have to assume the role of looking after their siblings. Death caused by HIV/AIDS leaves children vulnerable, in great distress and poverty. The stigma and discrimination related to the HIV/AIDS pandemic has resulted in the isolation of infected persons and their family members. Sometimes the isolation continues until and even after the children become orphans. It is a fact that HIV/AIDS orphans as heads of households are undergoing traumatic experiences. On the psychological level children are traumatized by the illness of their parent(s). Because of the high rate of unemployed and pervasive poverty in this country many families are reluctant to take in orphans. Other problems are: the cost of treating illnesses caused by HIV/AIDS places a huge economic burden on families. After death, funeral expenses contribute to the toll exacted by HIV/AIDS. It becomes increasingly impossible for families and communities to absorb the cost and support the large numbers of children alone. Some women hesitate to take in the orphaned children of their relatives because they fear that their husbands will abuse the children Investigation into the existing literature reveals that previous studies concentrated mostly on the educational, psychosocial and emotional needs of people with HIV/AIDS. Studies on child headed households’ deals primarily with children’s rights and the accessibility of social grants for children infected and affected by HIV/AIDS. Although not much was available statistically, for the purpose of this study I have identified several households headed by children, whether the cause of this was HIV/AIDS or misfortunes such as parental suicide or accidents. This study has focused on the experiences of HIV/AIDS orphans in child headed households. This study has also investigated whether HIV/AIDS orphans suffer more deeply psychologically and emotionally than children who have been orphaned by other circumstances other than AIDS. This study highlights the many difficulties and setbacks experienced by HIV/AIDS orphans who become heads of households after the death of their parents. An exploratory research design was utilised and qualitative approach was followed. Five households were chosen as samples that complied with requirements of this study. Participants in these households were between ages 13 and 18 years old. The information gathered by means of literature and empirical research reveals that the children affected by HIV/AIDS are not only physically impoverished, but also psychologically, socially and spiritually. They suffer from fear, depression, stress, anxiety, stigmatisation and discrimination, isolation, and are often scorned by peers. HIV/AIDS orphans experience psychological trauma on account of witnessing their parent’s illness and death (or departure), carrying the responsibility of caring for sick parents, and after their death, for siblings. The socio-economic circumstances of HIV/AIDS orphans in child headed household often force them to drop out of school, in order to find ways of providing for the family. The traumatic experience of HIV/AIDS orphans and children who have been orphaned to other circumstances, are similar. The following themes can be considered for future research:
  • Stress experienced by HIV/AIDS orphans in child headed households due to HIV/AIDS
  • .
  • The role of churches in identifying and supporting orphans in child headed households
  • .

Dissertation (MTheol(Practical Theology))--University of Pretoria, 2007.
Practical Theology
unrestricted
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6

Behardien, Nashreen. "Oral mucosal and facial manifestations of HIV/AIDS in children (Cape Peninsula, South Africa)." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Currently, HIV/AIDS is one of the greatest threats to child survival in South Africa. It is estimated that approximately 6000 newborn babies become infected with the HIV virus monthly i.e. approximately 200 babies per day. During a 24 month period (October 1999 &ndash
October 2001), a descriptive prevalence study of the oro-facial manifestations affecting HIV-positive children was conducted in the Cape Peninsula, South Africa. The study population consisted of 268 vertically infected HIV-positive children. The study was motivated by the lack of data regarding oral mucosal lesions in children with vertically acquired HIV-infection.

The study design was descriptive, and the population included consecutive, vertically infected HIV-positive patients sourced from out-patient clinics, hospital wards and special child-care facilities. The children were examined once consent was obtained from caregivers. The findings were documented using data capturing sheets. The data was captured on the Microsoft Excel program and analysed using the Epi 2000 program. The results indicated that a large proportion of HIV-infected children presented with orofacial manifestations at some stage during the course of HIV-infection. Oro-facial manifestations were observed in 70.1% of the study population. The prevalence of the most commonly observed manifestations were: oral candidiasis, 38.8%
parotid gland enlargement, 10.8%
oral ulceration, 5.6%
molluscum contagiosum, 7.8%
periodontal conditions, 3.4%
and herpes simplex infection, 0.7%.It can be concluded that in this sample of HIV-infected children, the prevalence of orofacial manifestations is higher than, and comparable with the findings of similar studies conducted in other regions of the world.
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Frood, Sharron Louise. "Strategies to provide holistic care and support to children who are AIDS orphans living in township communities." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1020655.

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The human immunodeficiency virus/acquired immune-deficiency syndrome pandemic (HIV/AIDS) continues to increase in prevalence worldwide, particularly in South Africa. “AIDS, (Acquired Immune Deficiency Syndrome), has devastated the social and economic fabric of African societies, made orphans of a whole generation of children and become the epicentre of the HIV/AIDS pandemic” (Fassin, 2007: 76). Like the virus itself, the AIDS crisis mutates rapidly. Children who are AIDS orphans living in South Africa, as in other African countries, suffer from recurrent psychological trauma. It starts with the illness and death of their parents and is followed by cycles of poverty, malnutrition, stigma, exploitation, sickness and often sexual abuse. The figures concerning those affected, which are staggering, offer various predictions regarding the number of orphans left in the wake of the pandemic. Between 1990 and 2003, the number of orphaned children rose from fewer than 1 million to more than 12 million in sub-Saharan Africa (UNICEF, 2005: 68). South Africa is severely affected by the AIDS pandemic, with the largest number of HIV infections in the world, a total of 5.7 million (RSA, 2010: 10), affecting approximately 3.2 million women and 280 000 children aged from 0 to14 years. There is a significant variation in HIV prevalence per province, with the Eastern Cape (EC) reportedly having an average prevalence rate of 28 percent. Hence South Africa is likely to be the country with highest percentage of children orphaned by AIDS within its population. Orphanhood is a major consequence of the AIDS pandemic in South Africa with an estimated 2.2 million AIDS-orphaned children, 11,188 per 100,000 by 2015. Most children who are AIDS orphans living in township communities live predominantly uncared for and unsupported. Therefore the purpose of this research study was to develop strategies to provide care and support to children who are AIDS orphans living in township communities. To achieve the purpose of this research study, a qualitative, exploratory, descriptive and contextual design was used by the researcher to gain insight from health and social care practitioners who render care and support to children who are AIDS orphans living in these communities. The data from in-depth interviews with the health and social care practitoners was used by the researcher to develop strategies to provide care and support to children who are AIDS orphans living in township communities. The study comprised the following four phases: Phase One: During this phase, the researcher will present an overview of the current legislative framework policies at an international, national and provincial level, regarding the the rights of children living in South Africa. Phase Two: During this phase data from two research populations were collected and analysed. As the research process of this study dealt with two groups of participants, namely in group one health care practitioners and group two comprised social workers and psychologists, who work in the township communities to provide care and support to children who are AIDS orphans living in these communities. The researcher discussed each group separately in the discussion of phase two of the study. Phase Three: Comprised the themes identified in the data gathered from the transcribed in-depth interviews, the field notes as well as the reflective journals were cross-validated to ensure trustworthiness of the data which was then organised into a conceptual framework. The conceptual framework was used to clarify the relationships of the concepts and the themes identified during the research process and also used to link the gathered data to previously established models and theories (Schneider, 2004: 133). Phase Four: The last phase of the research design, focused on the development of the “Steps of progression strategies” to provide holistic care and support to children who are AIDS orphans living in township communities. This was done making use of the themes identified during data analysis and the literature sources used throughout this research process. The evaluation criteria of Chinn and Kramer (2008: 237-248) were used to evaluate the strategies. It is therefore concluded that the researcher succeeded in achieving the purpose of this study because strategies which were understandable, clear, simple, applicable and significant to nursing practice have been developed for use by the Department of Health and Department of Social Development as well as primary health and social care practitioners to provide holistic care and support to children who are AIDS orphans living in township communities in South Africa.
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8

Reyneke-Barnard, Elisabeth. "Holistic care of vulnerable children determining the fundamental needs of children, orphaned and otherwise made vulnerable by the HIV/AIDS pandemic, in the household /." Diss., Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-09112007-104242/.

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9

Maposa, Innocent. "Survival modelling and analysis of HIV/AIDS patients on HIV care and antiretroviral treatment to determine longevity prognostic factors." University of the Western Cape, 2016. http://hdl.handle.net/11394/5444.

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Philosophiae Doctor - PhD
The HIV/AIDS pandemic has been a torment to the African developmental agenda, especially the Southern African Development Countries (SADC), for the past two decades. The disease and condition tends to affect the productive age groups. Children have also not been spared from the severe effects associated with the disease. The advent of antiretroviral treatment (ART) has brought a great relief to governments and patients in these regions. More people living with HIV/AIDS have experienced a boost in their survival prospects and hence their contribution to national developmental projects. Survival analysis methods are usually used in biostatistics, epidemiological modelling and clinical research to model time to event data. The most interesting aspect of this analysis comes when survival models are used to determine risk factors for the survival of patients undergoing some treatment or living with a certain disease condition. The purpose of this thesis was to determine prognostic risk factors for patients' survival whilst on ART. The study sought to highlight the risk factors that impact the survival time negatively at different survival time points. The study utilized a sample of paediatric and adult datasets from Namibia and Zimbabwe respectively. The paediatric dataset from Katutura hospital (Namibia) comprised of the adolescents and children on ART, whilst the adult dataset from Bulawayo hospital (Zimbabwe) comprised of those patients on ART in the 15 years and above age categories. All datasets used in this thesis were based on retrospective cohorts followed for some period of time. Different methods to reduce errors in parameter estimation were employed to the datasets. The proportional hazards, Bayesian proportional hazards and the censored quantile regression models were utilized in this study. The results from the proportional hazards model show that most of the variables considered were not signifcant overall. The Bayesian proportional hazards model shows us that all the considered factors had different risk profiles at the different quartiles of the survival times. This highlights that by using the proportional hazards models, we only get a fixed constant effect of the risk factors, yet in reality, the effect of risk factors differs at different survival time points. This picture was strongly highlighted by the censored quantile regression model which indicated that some variables were significant in the early periods of initiation whilst they did not significantly affect survival time at any other points in the survival time distribution. The censored quantile regression models clearly demonstrate that there are significant insights gained on the dynamics of how different prognostic risk factors affect patient survival time across the survival time distribution compared to when we use proportional hazards and Bayesian propotional hazards models. However, the advantages of using the proportional hazards framework, due to the estimation of hazard rates as well as it's application in the competing risk framework are still unassailable. The hazard rate estimation under the censored quantile regression framework is an area that is still under development and the computational aspects are yet to be incorporated into the mainstream statistical softwares. This study concludes that, with the current literature and computational support, using both model frameworks to ascertain the dynamic effects of different prognostic risk factors for survival in people living with HIV/AIDS and on ART would give the researchers more insights. These insights will then help public health policy makers to draft relevant targeted policies aimed at improving these patients' survival time on treatment.
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Kizza, Margaret. "An investigation of living conditions of children living with terminally ill parents due to HIV and AIDS : a case study in Havana informal settlement – Windhoek, Namibia." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5273.

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Thesis (MPhil (Industrial Psychology. Centre for HIV/AIDS Management))--University of Stellenbosch, 2010.
ENGLISH ABSTRACT: This study was conducted as an inquiry into the living conditions of children living with terminally ill parents due to HIV and AIDS. It examined possible support systems that such children can access from general communities in which they live. The study was also purposed to identify specific needs related to the fact of living with terminally ill parents due to HIV and AIDS. Both qualitative and quantitative research methods were employed in conducting the study. These included interviews, focus group discussions and questionnaires. Social workers, class teachers and parents were the main respondents in the study. The study revealed that children living with terminally ill parents suffer multidimensional effects that are social, economic and psychological. Children assume adult responsibilities at a very early stage including that of fending for the family. In an effort to meet family needs, older children resort to a host of activities in an attempt to earn money for self and family survival from temporary paid labor, sex work to rudimentary trade. In effect, children become prone to abuse, exploitation and are exposed to crime.
AFRIKAANSE OPSOMMING: Hierdie studie was gedoen om inligting te verkry oor die lewensstandard van kinders wat saam met hul ouers woon wat terminal siek is weens MIV/VIGS. Die beskikbare ondersteunings sisteme in hul gemeenskap was ondersoek. Die novorsingsstudie het ook daarop gefokus om die kinders wat as gevolg van MIV/VIGS saam met hul terminale siek ouers woon se spesifieke behoettes te identifiseer. Tydens die norsingsstudie was kwalitatiewe en kwantitatiewe navorsingsmetodes gevolg. Onderhoud focus groep besprekings en vraelyste was benut. Maatsplike werkers, onderwysers en terminal siek ouers was die hoof respondenete in die navorsingdstudie. Die navorsingsstudie het bewys dat kinders wat saam met hul terminale siek ouers woon, multidimensionele gevolge ervaar waat sosiaal-ekonomies en psigologies van aard is. Kinders neem ouers se verantwoordelikhede op „n vroeë ouderdom aan. Om vir die gesin te voorsien, gaan die ouer kinders tot die ekstreem en raak betrokke in seks werk en smous vir „n tydelike inkomste. Die gevolg is dat die kinders blootgestel word aan mishandeling, en moontlike misdaad. Die addisionele verantwoordlikhede dwing hulle om te oorleef deur gebruik te maak van misdaad, prostitusie en kinderarbeid. Al die kondisies dra by daartoe dat kinders blootgestel word.
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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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Francis-Chizororo, Monica. "The formation, constitution and social dynamics of orphaned child headed households in rural Zimbabwe in the era of HIV/AIDS pandemic." Thesis, St Andrews, 2008. http://hdl.handle.net/10023/454.

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Mohangi, Kamleshie. "Finding roses amongst thorns : how institutionalised children negotiate pathways to well-being while affected by HIV&AIDS." Thesis, Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-04272009-094758.

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Blunden, Christelle. "'n Bindingsprogram vir verwante, enkelouerpleegmoeders en pleegkinders." Thesis, Pretoria : [S.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-09142005-122907/.

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Ofunne, Ifeanyichukwu. "An assessment of the knowledge, attitudes and practices of caregivers of HIV positive children on treatment in Pretoria, South Africa : a case study of out-patients in Kalafong Hospital, Pretoria." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86874.

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Thesis (MPhil)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: This study examines the level of HIV and AIDS knowledge, attitudes, as well as practices amongst caregivers of HIV infected children in Pretoria, using Kalafong hospital as a case study. The study uses a questionnaire as survey instrument. A total of 30 respondents participated in the study, which took place in October of 2013. The respondents were selected via simple random sampling and the results were analyzed. The results showed a remarkably high level of HIV and AIDS knowledge amongst the respondents, from which it was evident, that: A significant number of caregivers were aware of and able to take care of existing medical conditions arising from HIV in children. Most of the home-based care of children living with HIV was carried out by women in a very disproportionate ratio to men. In this regard, the study offers a range of suggestions and recommendations as well as existing best practices, such as the UNAIDS booklet on caregiving within the context of HIV and AIDS. The study was undertaken with the realization that generalizations cannot be made through extrapolation to the larger society because of limitations, such as the sample size of this study.
AFRIKAANSE OPSOMMING:Hierdie studie ondersoek die vlak van MIV/VIGS kennis, houdings teenoor dieselfde, sowel as praktyke onder versorgers van MIV-besmette kinders in Pretoria, met behulp van Kalafonghospitaal as 'n gevallestudie. Die studie maak gebruik van 'n vraelys as opname instrument. 'n Totaal van 30 respondente het deelgeneem aan die studie, wat in Oktober 2013 plaasgevind het. Die respondente is gekies deur 'n eenvoudige ewekansige steekproefneming en die resultate is ontleed. Die resultate toon 'n merkwaardig hoë vlak van MIV en VIGS kennis onder die respondente. Hierdie kennis, houdings en praktyke opgedoen was voldoende om daarop te let: • 'n beduidende aantal van die versorgers is bewus van en in staat om bestaande toestande in MIV-sorg in kinders te versorg. • Die meeste van die tuisversorging van kinders wat met MIV leef is uitgevoer deur vroue in 'n baie oneweredige verhouding met mans. In hierdie verband bied die studie 'n verskeidenheid van voorstelle en aanbevelings sowel as die bestaande beste praktyke soos die UNAIDS boekie oor versorging binne die konteks van MIV en VIGS. Die studie is gedoen onder die besef dat veralgemenings nie gemaak kan word deur ekstrapolasie na die groter samelewing nie, as gevolg van beperkings soos die monster grootte van hierdie studie
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Neethling, Marcha. "Corporate social responsibility towards AIDS orphans in South Africa : trends in the motor manufacturing sector and guidelines for corporate action." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50306.

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Thesis (MPhil)--Stellenbosch University, 2005.
ENGLISH ABSTRACT: The HIV/AIDS pandemic is destroying young adults in the prime of their lives. Children not only become orphans, but also gain instant “adult” status – becoming heads of households, breadwinners and customers. Children who fill such roles must be recognised as important stakeholders with regard to business. As limited available estimations suggest that South Africa is home to 800 000 orphans, corporations must realise that it will make good business sense to invest in the country’s AIDS orphans1 today, as these children will constitute both their future clients and employees. This study examines trends in the Corporate Social Responsibility (CSR) initiatives of five major corporations in the South African motor manufacturing sector. AIDS orphans were also involved in the study through participation in three focus group discussions. The evidence reveals that corporations do not recognise AIDS orphans as important stakeholders to business, nor do they see it as their responsibility to carry the burden of care for such children. Orphans felt that corporations in this business sector do not care about their needs and well-being. They regarded companies who were involved in CSR projects in their communities as “caring” and this resulted in the children hosting positive feelings towards involved companies. They even expressed the desire to purchase their brand of motor vehicle, as opposed to competitor’s brands that were not involved (through CSR) in their community, in future.
AFRIKAANSE OPSOMMING: Die MIV/VIGS pandemie is besig om die lewens van jongmense te verwoes. Kinders word nie alleenlik wees gelaat nie, maar word ook oornag volwassenes. Hulle word die hoof van huishoudings, broodwinners en kliënte vir besighede. Kinders wat hierdie rolle vervul moet daarom as belangrike aandeelhouers in die besigheidswêreld erken word. Beperkte skattings veronderstel dat Suid-Afrika tans ongeveer 800 000 weeskinders huisves. Besighede moet, in die lig hiervan, besef dat dit goeie besigheidssin maak om in VIGSWeeskinders1 te belê, aangesien hierdie kinders hul toekomstige kliënte en werknemers is. Hierdie studie ondersoek tendense in besighede se sosiale verwantwoordelikheidsinitiatiewe (“Corporate Social Responsibility Initiatives”), binne die motorvervaardigingsbedryf van Suid- Afrika. VIGS-Weeskinders was ook nouliks by die studie betrokke, deur middel van deelname aan drie fokusgroepbesprekings. Die studie het bewys dat besighede nie VIGSWeeskinders as belangrike aandeelhouers erken nie, en dat dit ook nie as hul plig gesien word om na weeskinders om te sien nie. Weeskinders, daarenteen, was van die opinie dat besighede in dié bepaalde bedryf nie omsien na hul welstand, of probeer om in hul behoeftes te voorsien nie. Kinders het wel besighede wat betrokke is by sosiale verwantwoordelikheidsinitiatiewe in hul gemeenskappe, beskryf as “liefdevol”, en dit het daartoe gelei dat kinders positiewe houdings jeens sulke besighede gehuldig het. Kinders het selfs die behoefte uitgespreek om, eendag eerder handelsmerke se voertuie te koop wat wel sosiale verwantwoordelikheidsinitiatiewe in hul gemeenskappe bedryf, as dié wat niks doen om hul lot te verlig nie.
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17

Van, den Berg Elisabeth D. C. "Factors influencing the capacity of extended families to provide psychosocial support to AIDS orphans." Diss., 2006. http://hdl.handle.net/10500/2150.

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Statistics on HIV/AIDS are alarming. Very little is known about how communities are actually coping with this disease and what methods seem to be working to empower them to deal with it. Psychosocial distress is one of the dimensions of the impact of AIDS on children and families, and stresses the necessity to enhance the capacities of extended families and friends to be able to deal with these psychosocial issues. Using qualitative research and a case study as the strategy of inquiry, this dissertation of limited scope explores and describes the factors influencing the capacity of extended families in providing psychosocial support to AIDS orphans. A literature study was done to give a theoretical overview on the following aspects: * AIDS orphans * The extended family and HIV/AIDS To reach the first objective of this study, an empirical study was done and semi-structured interviews were used to obtain information from four extended families in the Mukwe area of the Kavango Region in Namibia. The literature study and the empirical study enabled the researcher to draw conclusions on the factors which influence the capacity of extended families to provide psychosocial support to AIDS orphans. The information was analysed, interpreted and published in this research report so as to reach the other objectives of this study.
Social Work
M. Diac. (Play therapy)
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18

"The challenge of pastoral care and counselling of HIV/AIDS affected families in ten Evangelical Lutheran Church parishes in the Oshanga region, Namibia." Thesis, 2005. http://hdl.handle.net/10413/1851.

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The onset and rapid spread of the HIV/AIDS pandemic in Sub-Saharan Africa has challenged and continues to challenge the church in its doctrine as well as its practical ministries. The Evangelical Lutheran Church in Namibia has been no exception. The disease challenges the theological and pastoral disciplines, especially in the area of contextuality. This thesis is developed at the very site of the struggle to care for the infected and affected individuals and families in the ten Evangelical Lutheran Church parishes in the Oshana Region, Namibia. Healing and caring for the sick is the primary mission of this church. Therefore, the quest of this study is to investigate how ELCIN through pastoral care and counselling helps HIV/AIDS infected and affected family members cope with their situation. The study concentrated mainly on ten ELCIN parishes in the Oshana Region, Namibia. Chapter one is an introduction to the whole thesis. Included is the statement of the problem, the methodology used to collect data and the literature review. Chapter two deals with pastoral care and counselling of HIV/AIDS infected and affected families. The African understanding of heath and illness is also considered as well. Chapter three is about the Church and HIV/AIDS in the Oshana Region, Namibia. This chapter investigates the responses of ELCIN's pastors towards HIV/AIDS affected families in the Oshana Region, and how they understand HIV/AIDS biblically. Chapter four deals with the impact of HIV/AIDS on affected families in Oshana Region, Namibia. This chapter discusses how HIV/AIDS affects the family members, nurses, and community ministers and how pastoral care and counselling help the widowers, widows, orphans, caregivers of orphans and nurses to take care of orphans. This is the main chapter of this thesis. Chapter five is about data analysis, recommendations and research findings using the Christian theoretical framework of Mwaura, van Dyk, Msomi, Snidle and Welsh, and Dube. Chapter six is the conclusion of the whole thesis.
Thesis (M.Th.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.
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19

Mkhize, Gugu Sharon. "Housing conditions of AIDS orphans in Malangeni : implications for housing policy." Thesis, 2006. http://hdl.handle.net/10413/2114.

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This dissertation examines the housing conditions experienced by the AIDS orphans at Malangeni. It documents and highlights the housing conditions and makes policy recommendations with regards to addressing housing needs of AIDS orphans. AIDS orphans are faced with the problem of inadequate housing. They are living in houses that have a variety of defects. These houses have broken windows, broken doors, leaks, holes in roof, cracks on walls, mould as well as poor ventilation. These, AIDS orphans are being cared for by their relatives, like their aunties but in most cases it is their grandparents that are getting money from the pension grant to support the whole family. The community of Malangeni is very poor and it does not have adequate funds to provide assistance to solve this problem of inadequate housing. The government and the community organizations have done very little to trying and provide assistance in this regard. AIDS orphans get emotional and moral support from members of local churches who visit each and every household that has AIDS orphans. It can therefore be argued that given the inadequate housing conditions that AIDS orphans live in, there is a need for housing policy to address the problem by providing AIDS orphans with housing that has basic infrastructure facilities that ensure basic health and safety and most importantly, improve the overall quality of life.
Thesis (M.Housing)-University of KwaZulu-Natal, Durban, 2006.
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20

Pillay, Jeevanthri. "The evaluation of the AIDS care pilot project at Durban's Children Society as a model of care for HIV infected orphans in Durban." Thesis, 2003. http://hdl.handle.net/10413/5204.

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The HIV/AIDS orphan crisis is one of the humanitarian and developmental challenges facing the global community. Providing a home, medical care, education, psychosocial support and basic needs for these children is part of the challenge that faces our generation. The purpose of this study was to explore whether an AIDS CARE pilot project implemented at DCS was able to successfully place ten HIV/AIDS infected orphans in fostercare. The ecological perspective provided the theoretical framework within which the study was conducted. This perspective guided the selection of the study samples and the analysis of data. Sample one comprised ten foster parents who resided in various townships and suburbs in Durban. Sample two comprised of semi professional and professional staff that were involved in the daily care of the HIV infected orphans and well as ensuring their placement in fostercare. The study found that recruitment, training and support were vital aspects in preparing foster parents to care for the HIV/AIDS infected child. The study also found that while residential child care institutions will continue to play a role in the care of children affected by HIV/AIDS, the magnitude and social impact of the disease renders it necessary that alternate models of care (this study proposes one model), within a community development paradigm be developed.
Thesis (M.A.)-University of Natal, Durban, 2003.
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21

McCarthy, Ashling Elizabeth. "An exploratory study of the non-kin models of care available to orphans and vulnerable children affected by HIV/AIDS in KwaZulu-Natal." Thesis, 2010. http://hdl.handle.net/10413/122.

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Victims of HIV/AIDS are not only those who are infected with the disease, but also those who are affected by it; such as the children of infected parents and relatives, and indeed, all children living in communities in which the disease has reached epidemic proportions. As the number of orphaned and vulnerable children continues to rise unabated in South Africa the question remains as to who will look after these children once their parents, and relatives, have died. Research shows that the extended family continues to be the first line of support for such children; however, the dissolution of the extended family, due to HIV/AIDS, is also widely documented. The aim of this study is to explore two non-kin models of care which are available to orphaned and vulnerable children in KwaZulu-Natal; a transition home and a cluster foster home. The two organisations chosen for the study cater for children who are at different stages of childhood; one caters specifically for babies and toddlers, while the other caters for children and young adults between the ages of five and the early twenties. Both organisations emerged as a response to the HIV/AIDS epidemic which is profoundly evident in the areas in which the organisations are situated. The theory of social rupture thesis is utilised as it asserts that the extended family is reaching breaking point in terms of absorbing orphaned and vulnerable children, and therefore that it is slowly losing its ability to act as the first line of support against the disease. Based on the research and findings of this study, this hypothesis was found to be true, as was evident in the large (and increasing) numbers of children who can be found living in non-kin models of care around South Africa. An interesting phenomenon which was documented in both organisations was the re-emergence of the father figure in the home setting. South Africa is a country where the majority of children grow up without a traditional father figure and these two homes expressly include men in the lives of the children in order to highlight what they consider to be the necessary role of men within a family setting. This study explores the central themes which emerged during the research; that of the impact of shifting care-givers on the development of children, as well as the many socio-cultural issues which foster parents face while raising foster children.
Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2010.
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22

Zwane, Ntombizonke E. "An investigation of orphans and vulnerable children care-giving and education in selected care-giving institutions of Sedibeng region, Gauteng province." 2013. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1001233.

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D. Tech. Education
The HIV/AIDS pandemic is one of the greatest humanitarian and development challenges ever faced by the global community. It is alarmingly estimated that by 2015 more than 30 per cent of all children younger than 15 years of age will have lost their mothers to HIV. This means that, by 2015, a total of 5.7 million children in South Africa will have lost one or both parents to AIDS. Research has shown that children orphaned by the pandemic - if not cared for - are likely to engage in alternative actions that pose a risk to themselves and society. This implies that it becomes critical to raise orphaned and vulnerable children well to ensure that we don't have a society filled with people who pose a danger to themselves and others. The study is based on systems theory which unravels the multilayers of the government system to bring to bear the challenges regarding care-giving and education experienced at the level of national, provincial and local government. The purpose of the study was to investigate the care-giving process and education of orphaned and vulnerable children.
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23

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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24

Tissiman, Lindy Michelle. "An exploration of the life-experiences of AIDS-orphans in kinship foster care in South Africa." Diss., 2008. http://hdl.handle.net/10500/3254.

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Human Immuno-Deficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) have many devastating impacts, including the growing number of AIDS-orphans left without care. In the study, semi-structured interviews, incomplete sentences and Kinetic family drawings were used to explore the life-experiences and perceptions of AIDS-orphans living in kinship foster care, from a Gestalt perspective. The study revealed that the majority of the AIDS-orphans included were making good contact at the contact boundary and all the respondents were not familiar with the term 'foster care'. The researcher therefore recommended that children are educated about foster care at school, thus possibly increasing the awareness of foster care in South Africa, thus possibly increasing the provision of homes for the vastly growing numbers of AIDS-orphans in our country and perhaps make a difference in society.
Sociology
M. Diac. (Play therapy)
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25

Odongpiny, Ajok Florence. "Socio-economic outcomes for the beneficiaries of the Expanded Child Survival Initiative in Uganda." Thesis, 2008. http://hdl.handle.net/10500/3097.

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A quantitative study was conducted to determine the socio-economic outcomes for the beneficiaries of the Expanded Child Survival Initiative in Uganda. The population comprised of all orphans and vulnerable children who were trained under the Expanded Child Survival Initiative of which a sample of 102 respondents were included in the structured data collection process. The outcomes that were explored were employment, income, assets and family support to siblings and other dependants by the primary beneficiaries. The findings show that the outcomes of the Expanded Child Survival Initiative were positive and benefited socio economic lives of the respondents and their family members. The majority of the respondents were using the skills obtained from the training and were employed. The employment provided a source of income and the income earned facilitates the respondents in providing the basic needs of the family members. They were able to provide adequately for most of their basic needs. The findings also show that the respondents had accumulated some assets. A number of factors influenced the utilisation of the newly acquired skills including having tool kits, start-up capital and business management skills. It is recommended that training providers should provide start-up support to the apprentices in order to facilitate them to utilise the skills obtained from apprenticeship trainings.
Public Health
Thesis (M.A. (Public Health))
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26

Hamza, Endris Hussien. "The socio-economic situation of orphans and vulnerable children in Dessie Town, Ethiopia." Diss., 2011. http://hdl.handle.net/10500/6564.

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This study was a situation analysis of the socio-economic conditions of orphans and vulnerable children in Dessie Town. Specifically the study assessed the educational attainment, economic status, social isolation, adjustment, discrimination and psycho-social status of OVCs, the characteristics of the care-givers of OVCs and the support systems for OVCs. Therefore, 270 OVCs, 130 guardians and 4 OVCs service-providing organisations were selected as respondents. A survey research design was used. The study found that OVCs and their households faced problems such as school dropout, low educational performance; economic and food insecurity, lack of adequate clothing; social isolation and emotional hardships due to separation of siblings; discrimination, and neglect. Children’s housing conditions, toilet facilities, and access to clean water and health facilities were poor. The majority of guardians were unemployed and unable to fulfil the needs of the OVCs in their care. It is recommended that support systems for OVCs be strengthened.
Sociology
M.A. (Sociology)
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27

Ngonyama, Luyanda George. "Exploring community resilience strategies on challenges faced by orphans and vulnerable children affected by HIV and AIDS in EkurhuleniMetropolitan Municipality, Gauteng." Thesis, 2013. http://hdl.handle.net/10500/13333.

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Evidence suggests that caring for orphans and vulnerable children affected by HIV and AIDS remains one of the greatest challenges facing South Africa. Statistics indicate that there are 1.91 million AIDS orphans in the country (UNICEF, 2012; Statistics South Africa, 2009:8)). The majority of these orphans live in rural and poor urban households. Caring for orphans and vulnerable children places severe strain on support systems, such as the extended family; this spills over into the community. Providing care and support also places an extra burden on the already overstretched welfare sector and drains state resources. The primarily objective of this study was to explore community resilience strategies on challenges faced by orphans and vulnerable children affected by HIV and AIDS in Ekurhuleni Metropolitan Municipality, Gauteng. A purposive sample of 32 participants was selected and field data were collected over a period of two months using a structured research guide. A combination of data collection methods was employed in order to explore different perspectives of community resilience strategies on challenges faced by orphans and vulnerable children affected by HIV and AIDS in Benoni. Emerging data illustrate a clear account on the impact of the AIDS epidemic in Benoni. All of the respondents were directly or indirectly affected by the epidemic. This should be located within the high prevalence of HIV and AIDS and the high number of orphans in Ekurhuleni. The study findings further suggest a correlation between socioeconomic challenges and the AIDS epidemic in Ekurhuleni. This is demonstrated through the challenges experienced by orphans and vulnerable children in Benoni, which include: non-disclosure by parents of their illness; economic deprivation and disrupted schooling; children caring for an ill parent with AIDS and child-headed households; emotional, sexual and economic exploitation, stigmatisation and discrimination. Despite these challenges, through community resilience the Benoni community has taken some initiatives to mitigate against these challenges. This includes the establishment of a community based organisation which provides basic services to orphans and vulnerable children in Benoni. To date this organisation has successfully provided material and psychosocial to more than 278 orphans. The success of this initiative confirms the importance of community driven interventions using the resilience framework to supports orphans and vulnerable, rather than dependency on the government imposed programmes- top down approach. However, community based programmes need to be strengthened by the government and non-governmental organisations in order to maximise benefits.
Psychology
M.A. (Social Behaviour Studies)
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28

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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29

Woldeyohannes, Moges Jemaneh. "The roles and challenges of household care giving in child headed households affected by HIV/AIDS : the case of 10 child households heads in Addis Ababa." Diss., 2010. http://hdl.handle.net/10500/3484.

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Ethiopia faces large and growing numbers of child household heads, mainly due to AIDS-related parental deaths. Many of them are vulnerable to abuse and are forced to look after themselves and their siblings, drop out of school and find work. This exploratory study employed qualitative research methods using purposive sampling. The aim was to ascertain how child household heads affected by AIDS adapted to changed life circumstances. The study entailed fieldwork for five weeks in Addis Ababa, the capital of Ethiopia, where evidence was gathered from 10 selected households headed by children (aged 12 to18), their siblings and key informants. It was found that all the children in the study are in dismal living conditions although some reported feelings of satisfaction and happiness. The need to provide special recognition and support to child household heads and their siblings by policy makers and service providers in Ethiopia is highlighted.
M.A. (Social Behaviour Studies in HIV/AIDS)
Social Work
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30

Zivor, Jacqueline Carol Ann. "Self-esteem of aids orphans: a descriptive study." Diss., 2007. http://hdl.handle.net/10500/2034.

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In the light of the child's self-esteem that is affected by traumatic events, the goal of the research was to explore and describe the self-esteem of children orphaned by HIV/AIDS. The researcher made use of a quantitative research method. 30 (N=30) respondents, both male (n=16) and female (n=14), between the ages of 11 to 15, were randomly sampled for inclusion in the study. Each participant completed a self-report measure of self-esteem, The Culture-free Self-esteem Inventory for Children, which yielded a score of Global Self-esteem, as well as in four sub-domains including: General, Social, Academic and Parent-related Self-esteem. The results of this study demonstrated that the participants experienced a lowered self-esteem. These findings were explored in light of a literature review, after which conclusions and recommendations were provided.
Social Work
M. Diac. (Play Therapy)
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31

Zheve, Kudzai Ottilia. "Experiences of older women caring for HIV/AIDS affected households in Atteridgeville." Diss., 2014. http://hdl.handle.net/10500/18595.

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The aim of this qualitative study was to understand how older women experience their roles as care-givers to HIV/AIDS affected households in the Atteridgeville community and to identify specific problems they encounter. Twelve older women attending three elderly day care centres in Atteridgeville participated in the study. Purposive sampling was done and data was collected through two focus group interviews. Colaizzi‟s seven-step method of data analysis yielded the following four main themes: Caring for adult children with HIV/AIDS, Caring for HIV affected and infected grandchildren, Multiple role players involved in caring for HIV/AIDS persons, The impact on the lives of care-givers. Factors with a positive and negative impact on caring for HIV/AIDS households were identified. The study raises awareness for the need for social workers in Atteridgeville to intervene in assisting older women in their challenging role of caring for HIV/AIDS households
Health Studies
M.A. (Public Health)
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32

Kamiru, Harrison N. Ross Michael W. "Evaluation of a training program to increase the capacity of health care providers to provide antiretroviral therapy to pediatric patients in sub-Saharan Africa /." 2006. http://proquest.umi.com/pqdweb?did=1324368241&sid=1&Fmt=2&clientId=68716&RQT=309&VName=PQD.

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33

Maseko, Priscilla Zanele. "An exploration of the needs of and services provided to orphaned and vulnerable children affected by HIV and AIDS in Richmond, Kwazulu-Natal, South Africa." Diss., 2014. http://hdl.handle.net/10500/18569.

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The focus of this dissertation is on exploring the needs of and services provided to orphaned and vulnerable children (OVCs) in Richmond, KwaZulu-Natal. This research is based on the findings from in-depth face-to-face interviews, and the focus group discussion conducted with key informants and primary caregivers of OVCs, respectively. The findings underline that although the needs of OVCs are similar to those of all other children, OVCs face unique challenges. It further shows that the government of South Africa has been responsive in developing relevant legislation, policies, and programmes that attempt to address the needs of OVCs. The findings also revealed that the services provided are coordinated, to a limited extent, through the Flagship Project led by the office of the Premier and. that coordination and integration of activities rendered by various stakeholders is crucial to a positive impact, and in increasing the accessibility of these services.
Social Work
M.A. (Social Behaviour Studies in HIV/AIDS)
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34

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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35

Dunga, Ntombifikile Sylvia. "An investigation of the services provided by the Bhambayi Drop-in Centre in Inanda, KwaZulu-Natal for orphans and vulnerable children affected by HIV and AIDS." Diss., 2014. http://hdl.handle.net/10500/19999.

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The purpose of the study was to investigate the services provided by the Bhambayi Drop-In Centre in Inanda, KwaZulu-Natal for orphans and vulnerable children (OVCs). Qualitative research design and in-depth interviews with key informants and foster parents of the OVCs were conducted. The study found that the services which are provided by the Centre enabled the orphans and vulnerable children to enjoy life as normally as possible and to experience life meaningfully. As beneficiaries of the Bhambayi Drop-In Centre the children had access to education and two meals per day. Beyond meeting such basic needs, the study also found that Centre instilled a sense of belonging and community in the children. Access to social grants enabled the children’s basic needs to be met. In addition foster parents played a crucial role in taking care of orphans and vulnerable children.
Health Studies
M.A. (Social Behaviour Studies in HIV/AIDS)
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36

Grobbelaar, Hendrina Helena. "Development of nutrition education material for caregivers of immune compromised children in children's homes in the Durban area." Thesis, 2011. http://hdl.handle.net/10321/709.

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Dissertation submitted in fulfillment of the requirements for the Degree of Magister Technologiae: Consumer Science Food and Nutrition, Durban University of Technology, 2011.
Nutrition plays a fundamental role in the care and support of people living with the Human Immunodeficiency Virus (HIV) and children in particular are affected by HIV and the Acquired Immunodeficiency Syndrome (AIDS) epidemic in Africa in various ways. The epidemic puts children at risk physically, psychologically and economically. Children are indirectly affected by HIV and AIDS when the epidemic has a negative impact on their communities and the services these communities provide. Undernutrition is a major problem in HIV-positive children in South Africa with severe malnutrition as a common finding in HIV-positive children. HIV contributes to an increased incidence and severity of undernutrition and micronutrient deficiency. Low serum levels of vitamins A, E, B6, B12 and C, betacarotene, selenium, zinc, copper and iron deficiencies are frequently documented during all stages of HIV-infection. Malnutrition in turn further weakens the immune system which increases the susceptibility to infections and the duration and the severity of infections. Thus, the immune response is less effective and less vigorous when an individual is undernourished. Although guidelines exist for the treatment and management of HIV-infected children, it is clear from the literature that exceptional measures are needed to ensure the health and well-being of the children are met. Furthermore, residential care should not only be considered as a last resort for children’s care, but also as an intervention that requires more than merely addressing children’s basic physical needs. Nutrition education has been utilised globally and in South Africa to address nutrition related problems. The main purpose of nutrition education is to provide individuals with adequate and accurate information, skills and motivation to buy, produce and consume the correct foods to stay healthy and lead an active life. Aim The purpose of this study was to develop reliable and valid nutrition education material for the child care workers (CCWs) of Immune Compromised children vi resident in Children’s Homes in the Durban area in order to maintain the child’s immune system and to optimise their quality of life. Methodology The FAO framework used for planning, implementing and evaluating a nutrition education programme was followed to develop the nutrition education material in this study. Phase I included a situational analysis of the children homes involved. The residential care settings that participated in this study included three Children’s Homes in Durban. The total purposive sample included: boys (5–19 years) n = 112, girls (5–19 years) n = 38 and CCWs n = 40. The sample of HIV-positive children included boys (5–19 years) n = 3 and girls (5– 19 years) n = 6. The physical measurements obtained for this study to determine nutritional status were weight and height. The anthropometric measurements were captured and analysed by the researcher using the World Health Organisation’s AnthroPlus version 1.0.2. Statistical software. The following indices were included: height-for-age (stunting), weight-for-age (underweight) and BMI-for-age (overweight and wasting). The WHO growth standards for school-aged children and adolescents were used to compare the anthropometric indicators. Dietary intake measurements were done by analysing the cycle menus by means of the Food Finder® Version 3 computer software program and comparing the results with the Dietary Reference Intakes (DRIs), specifically the EAR and AI where the EAR were not available. The data were analysed to determine the adequacy of energy and nutrient intake. Average portion sizes were established by the plate waste studies method as well as observation of practices, interviews with the central buyer and focus group discussions with the CCWs. Nutrition knowledge of the CCWs was determined by a self-administered questionnaire developed and tested for reliability and validity. The problems identified in Phase I through the implementation of the questionnaires and other methods directed the design of messages in Phase II. Once suitable media was selected, nutrition education material was developed based on existing guidelines pertaining to HIV and AIDS. The material developed was then tested for reliability and validity before it was produced. vii Results The anthropometric measurements indicated that the majority of the HIV-negative boys and girls were of normal height-for-age and weight-for-age. The results also showed that possible risk of overweight and overweight were more prevalent in girls whereas underweight was more prevalent in boys. Furthermore, the results indicated that a third (33.0%) of the HIV-positive children were stunted and 16.7% was severely stunted. Findings of the menu analysis indicated that both girls and boys consumed three times more carbohydrates than the recommended intake. The DRIs for girls and boys were met for energy and protein in all the age groups except boys aged 14-18 years did not meet the DRI for energy. However, the comparison of the actual intake of the macro nutrients with the WHO guidelines indicated that the protein (10.78%) and carbohydrate (58.07%) is within the recommendations of 10- 15% and 55–75% respectively. This comparison also showed that the total fat intake of 31.15% was above the recommended intake of 15-30%. None of the age groups met the DRIs for fibre. The comparison of the intake with the WHO guidelines also indicated that the total dietary fibre intake was only 19.67g/day and not 27–40g/day. The actual fruit and vegetable intake was a mere 68.64g/day instead of 400g/day as recommended. None of the groups met the DRIs for calcium and iodine. The results clearly showed that micro nutrient inadequacies were more prevalent in the dietary intake of age groups 9-13 and 14-18 years in both girls and boys. Inadequate intake of magnesium, vitamin A, vitamin C, riboflavin, niacin, vitamin B6, pantothenate, biotin, vitamin E and vitamin K were evident in the age group 14-18 year. Overall, it is evident from the results on nutrition knowledge that although the respondents’ knowledge was fair on general nutrition guidelines, the results of the nutrition knowledge questionnaire indicated that knowledge on the importance of a variety in the diet is lacking. The CCWs displayed a very poor knowledge of the recommended number of fruit and vegetable portions per day as well as correct serving sizes of vegetable portions. A very poor knowledge also existed regarding the role of healthy eating in maintaining and supporting the immune system and a limited knowledge on correct hygiene practices was noted. The fridge magnets developed included five messages relating to nutrition and four messages relating to food safety and hygiene. viii Conclusion This study established that malnutrition is apparent in the children’s homes and that there were many gaps in the nutrition knowledge of the CCWs. These gaps included the role of good nutrition in the support and maintenance of the immune system and the importance of adequate intake of fruit and vegetables daily. The NEM developed in this study will address these gaps.
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37

Naidoo, Mirolyn Eunice. "Orphaned and vulnerable children : a development challenge to the Christian community of Pietermaritzburg." Thesis, 2007. http://hdl.handle.net/10413/91.

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The Christian community and local government in Pietermaritzburg is confronted with a crisis of orphan and vulnerable children (OVC). Orphan numbers are expected to peak between 2006 and 2010. No amount of external policies and legislations can adequately deal with both the outward needs and the internal trauma that orphan and vulnerable children experience. However, this study argues that the Christian community is well placed to meet the holistic needs of OVC. By engaging David Korten's Four Generational Framework, the Christian community is challenged to move beyond meeting the visible short term needs of OVC and to become more involved in policy and decision making bodies. Further, through the endeavors of voluntary organizations represented by Fourth Generation development strategies, People's Movements could be mobilized to enhance the strategies of government and other organizations involved in the OVC crisis. Human nature includes issues of human dignity, existential worth, civil responsibility, social equity, political liberty and individual destiny. Understanding one's origin, as expressed in the Bible in terms of humans being created in the image of God (Imago Dei), guides the Christian community first in developing an understanding of themselves and second, on how to function in practical ways toward those that are hurting and are in sorrow. In this study reference is made to OVC who find themselves in this situation because of circumstances that are beyond their control. The crisis of parentlessness leaves children unprotected and vulnerable and thereby sets the stage for hopelessness and despair. God's Imago Dei is the genetical establishment of the individual's person and anthropological construction. The nature and mission of the Christian community is central to its understanding of and response to human need. The Christian community as custodian of the revelations of God reflects the image of Christ as the image of God. This places compliancy demands on the Christian community to represent God's image and transact God's affairs on the earth. Theological reflections on God's mission to the Christian community are explored with the aim of inspiring the Christian community and local government to work together in combating the OVC crisis. Studies seem to indicate that local government is prepared to partner with the Christian community in its attempts to deal with the crisis of OVC in an effective and sustainable manner.
Thesis (M.Th.)-University of KwaZulu-Natal, Pietermaritzburg, 2007.
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38

Thiele, Shelley. "Exploring the feasibility of foster care as a primary permanency option for orphans." Diss., 2005. http://hdl.handle.net/10500/927.

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In the wake of the HIV/AIDS pandemic, welfare organisations in Vryheid situated in northern KwaZulu-Natal have noted dramatic increases in requests for foster care placements for orphaned children. In many instances, orphans have lived by private arrangement with extended families for several years. However, families are increasingly overwhelmed with the burden of overextending scarce resources, forcing them to seek welfare assistance. Community-based responses to the crisis are regarded as top priority. This study examines literature regarding child care alternatives for orphans, focussing on foster care as the primary option. A study was conducted which explored community perceptions towards the local orphan crisis and foster care in particular. Findings revealed that although the adage 'Blood is thicker than water' still applies, foster care cannot stand alone. Alternate forms of care-giving need to be found to avoid plunging orphan care into further crisis.
Social work
M.A.(Social Science (Mental Health))
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39

Germann, Stefan Erich. "An exploratory study of quality of life and coping strategies of orphans living in child-headed households in the high HIV/AIDS prevalent city of Bulawayo, Zimbabwe." Thesis, 2005. http://hdl.handle.net/10500/2395.

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A distressing consequence of the HIV/AIDS pandemic and of the increasing numbers of orphans and decreasing numbers of caregivers is the emergence in ever larger numbers of child-headed households (CHHs). The complexity of issues affecting CHHs and the lack of research on this subject means that CHHs are not well understood. This sometimes prompts support agencies to provide emotionally driven recommendations suggesting that it is better for a child to be in an orphanage than to live in a CHH. This exploratory study, involving heads of 105 CHHs over a 12 month period and 142 participants in various focus group discussions (FGD) and interviews, suggests the need for a change in perspective. It addresses the question of CHH quality of life, coping strategies and household functioning and attempts to bring this into a productive dialogue with community child care activities, NGO and statutory support and child care and protection policies. Research data suggests that the key determining factor contributing towards the creation of a CHH is `pre-parental illness' family conflict. Another contributing factor is that siblings want to stay together after parental death. Quality of life assessments indicate that despite significant adversities, over 69% of CHHs reported a 'medium' to 'satisfactory' quality of life and demonstrate high levels of resilience. As regards vulnerability to abuse, it is found that while CHH members are more vulnerable to external abuse, they experience little within their household. Contrary to public perceptions about CHHs lacking moral values, CHH behaviour might actually be more responsible than non-CHH peer behaviour as their negative experiences appear to galvanize them into adopting responsible behaviour. Community care and neighbourhood support in older townships are better established compared with newer suburbs. Sufficient community care capacity enables CHHs to function, thus avoiding a situation where households disintegrate and household members end up as street children. CHH coping responses seem to be mainly influenced by individual and community factors, and by social, spiritual and material support. The interplay between these and the CHH's ability to engage in the required coping task impacts on the coping outcome at household level. National and international government and non-governmental child service providers in Southern Africa need to recognize that an adequately supported CHH is an acceptable alternative care arrangement for certain children in communities with high adult AIDS mortality and where adult HIV-prevalence exceeds 10%.
Development Studies
D. Ltt. et Phil. (Development Studies)
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40

Tyabazayo, Phumlani. "The duty of the state to give effect to the rights of children in child-headed households in the context of section 28(1)(b) and (c) of the Constitution of the Republic of South Africa, 1996." Diss., 2009. http://hdl.handle.net/10500/3198.

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The scourge of HIV/AIDS is ravaging our communities; many children have lost their parents to this pandemic. The death of parents because of this pandemic has resulted in the emergence of a new phenomenon of child-headed households. This paper seeks to examine the rights of children in child-headed households as entrenched in section 28(1)(b) and (c) of the Constitution. Once the rights of children in child-headed households are ascertained, the state’s duty to give effect to these rights is investigated. In the analysis of the rights, the socio-economic rights jurisprudence of the Constitutional Court is considered. The paper further argues that the state gives effect to the rights of children in child-headed households through legislation and policy. As such, the paper takes a closer look at the legislation and policies that seek to give effect to the rights of children in child-headed households as enumerated in section 28(1)(b) and (c) and gaps in that legislation and policy are highlighted. In conclusion, proposals are made that will assist the state to give effect to the rights of children in child-headed households as set out in the Constitution.
Private Law
LL.M.
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41

Lüneburg, Liezel. "Die impak van die MIV/VIGS-pandemie op sekere aspekte van die Suid-Afrikaanse kinderreg." Thesis, 2008. http://hdl.handle.net/10500/2419.

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Die MIV/vigs-pandemie in Suid-Afiika- van die ergste in die wereld- toon geen tekens van afname nie. Miljoene kinders is reeds of wees gelaat of hewig geaffekteer deur die magdom impakte daarvan op gesinne en gemeenskappe. Die epidemie het voortdurend stygende sterftesyfers tot gevolg en die hewige las van die siekte rus swaar op MIV-positiewe sowel as MIV-negatiewe individue. Verder word tradisionele ondersteuningsnetwerke oorbelaai en/of gaan hulle tot niet. Gesinne en gemeenskappe verloor hul ekonomiese, sosiale en kulturele lewensvatbaarheid. Die pandemie hou, veral onder die armes, 'n geweldige bedreiging vir die gesondheid, welstand en regte van babas, kinders en jongmense in. 'n Groot gedeelte van die impak van MIV/vigs hou verband met die feit dat sommige kinders en hul gesinne beperkte toegang tot die elemente van 'n gesonde omgewing en goeie gesondheid het. Regerings, gemeenskappe en gesinne wat deur MIV/vigs geraak word, het minder tyd, energie en finansiële hulpbronne beskikbaar om op voorkomende gesondheidsorg te fokus. Benewens die impak op gesondheidstatus, word kinders se omstandighede ook as gevolg van MIV/vigsverwante probleme bemoeilik. Dit sluit verhoogde gesinsarmoede, 'n hoer risiko van verlating en weeslating, geforseerde migrasie, onterwing, sielkundige trauma, uitsluiting en diskriminasie, en fisiese en seksuele mishandeling in. Die derde vlaag van die epidemie, welke vlaag nou betree word, word gekenmerk deur 'n ontsettende hoe sterftesyfer, 'n ontploffing in die getal sorgbehoewende en weeskinders en 'n verhoging in menslike pyn en lyding. Die reg speel 'n baie belangrike rol in die beperking van hierdie impak van die MIV/vigs-pandemie op die lewens van alle kinders. MIV/vigs-reg is in die proses van evolusie of vorming en reeds bestaande teorieë kan aangewend word ten einde sekere vrae te beantwoord en probleme daaromtrent aan te spreek. Tog is daar 'n dringende behoefte aan MIV/vigs-spesifieke wetgewing en teorieë ten einde die impak van die pandemie op alle vlakke suksesvol te beheer. Verder het die Kinderreg so 'n mate van ontwikkeling bereik dat daar algemeen aanvaar word dat kinders 'n spesiale belangegroep binne die gemeenskap vorm. Die regsreëls met betrekking tot kinders verander gedurig en is ook nie geskik om volgens die tradisionele wyse, as privaat- of publiekreg, geklassifiseer te word nie. In die hieropvolgende proefskrif word die impak van MIV/vigs op sekere publiekregtelike, maar oorwegend privaatregtelike aspekte van die Suid-Afiikaanse kinderreg ondersoek, sowel as enkele metodes waarop die reg moontlik hierdie impak kan absorbeer en hanteer. Daar word ook in aparte hoofstukke na die impak van MIV/vigs op die lewens van kinders. sorgbehoewende kinders, egskeiding en die ouer-kind-verhouding verwys The HIV/aids pandemic in South Africa - one of the worst in the world - does not seem to be decreasing. Millions of children have already been either orphaned or heavily affected by the numerous impacts on families and communities associated with it. The epidemic brings on an ever-increasing mortality rate and the extreme burden thereof weighs down heavily on HIV-positive as well as HIV-negative individuals. Traditional support networks are further being heavily burdened or perish entirely. Families and communities lose their economical, social and cultural viability. The pandemic threatens, especially among the poorest, the health, wellbeing and rights of infants, children and young people. The impact of HIV/aids is to a great extent the result of the fact that some children and their families do not have sufficient access to a healthy environment and good health. Governments, communities and families affected by HIV/aids have less time, energy and financial resources available in order to enable them to focus on preventive healthcare. In addition to the impact on health status, children's circumstances are also being encumbered by HIV/aids-related problems, including family poverty, a higher risk of being abandoned or orphaned, forced migration, disinheritance, psychological trauma, ostracism and discrimination and physical and sexual abuse. The third wave of the epidemic, which wave is presently being experienced, is characterised by a high mortality rate, an increasing amount of children in need of care and orphaned children and an increase in human pain and suffering. The law plays an important role in the limitation of the impact of the HIV/aids pandemic on the lives of children. HIV/aids law is in the process of evolution or forming and existing theories can be used in order to answer certain questions and address certain issues relating to it. However, there is an urgent need for HIV/aids-specific legislation and theories in order to successfully manage the impact of the pandemic on all levels. Child law has also reached such an extent of development that children is now viewed as a special interest group within the community. The legal principles regarding children change constantly and cannot be classified in the traditional way, which is either as private or public law. In this thesis the impact of HIV/aids on certain aspects of the public and private law pertaining to children is examined. Ways in which the impact can be absorbed and managed by the law is also examined. The impact of HIV/aids on divorce, the parent-child relationship, children in need of care, and the impact of HIV/aids on the lives of children is examined in separate chapters.
Jurisprudence
LL. D.
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42

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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43

Mapurazi, Michelle Nyarai. "The nature of collaboration between social workers and Isibindi child and youth care workers in rendering services to orphans and vulnerable children." Diss., 2016. http://hdl.handle.net/10500/21704.

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Orphans and vulnerable children are increasingly forming a larger portion of the South African population. The escalating number of these children in communities is caused mainly by the loss of parents to HIV/AIDS. This poses a huge challenge for the government and organisations rendering social welfare services to these orphans and vulnerable children. This qualitative study sought to explore and describe the nature of collaboration between social workers and child and youth workers in rendering services to orphans and vulnerable children in the Free State province. The non-probability sampling technique of purposive sampling guided the data collection process using in-depth one on one semi structured interviews as a data collection method. Finally the data was analysed by means of Creswell’s data analysis spiral followed by the principles of Guba for data verification. The ethical considerations adhered to throughout this study were informed consent, right to privacy, avoidance of deception, debriefing of participants, management of information. The rationale was that overlapping boundaries exist when the two professions work together in addressing the needs of orphans and vulnerable children. The findings of the research confirmed that there are no clear guidelines on the collaboration of social workers and child and youth care workers, although personal efforts are made for a healthy working relationship. Recommendations were made in relation to the findings.
Social Work
M.A. (Social Work)
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44

Phuthi, Kesiwe. "Investigating the psycho-social needs of orphaned adolescent learners in the context of HIV and AIDS : a case study of a high school in Bulawayo, Zimbabwe." Diss., 2014. http://hdl.handle.net/10500/14331.

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Orphans from child care institutions and from extended families attend the same schools as non-orphans. They are often given the same psycho-social support yet it is clear that they have different psycho-social needs. Their backgrounds are usually different from those of other adolescent learners because, often, they would have observed or nursed sick parents who eventually died from AIDS-related illnesses. This qualitative study aimed at investigating the psycho-social needs of orphaned adolescent learners in child care institutions and those in extended families in the context of HIV and AIDS. The study further sought to find out how the psycho-social needs affected the HIV- and AIDS-affected orphans’ school performance and social behaviour. In-depth interviews were conducted with four orphaned learners from child care institutions and four from extended families using open-ended questions. Thematic analysis was used to analyse the data. Findings of the study were that the psycho-social needs of AIDS-affected orphans in families were met by relatives more than those of AIDS-affected orphans in child care institutions. The results of the study also revealed that there was not much difference in school performance between HIV- and AIDS-affected orphans from extended families and those from child care institutions. Thus this study contributes to Sociological and Behavioural literature in the area of HIV and AIDS as well as the education literature of the vulnerable groups like orphans. The school offered psycho-social support en masse with no special programme for orphans affected by HIV and AIDS for fear of stigmatising the orphans.
Health Studies
M.A. (Social Behaviour Studies in HIV/AIDS)
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45

Gono, Melania. "The experiences, challenges and coping resources of AIDS-orphans heading households in an urban area in the Free State." Diss., 2015. http://hdl.handle.net/10500/18759.

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HIV and AIDS related deaths have left numerous children heading households as the number of adults dying from this pandemic increased significantly. The goal of this study was to gain an in-depth understanding of the experiences, challenges and coping resources of AIDS-orphans heading households in an urban area in Free State using a qualitative study. The research revealed that the level of suffering faced by these children began with their parents’ illness. This was further worsened by the death of the parents. These children are in most instances not absorbed by their extended families as the traditional safety nets are stretched to their limits. Children heading households were forced to take up adult responsibilities prematurely and as such encounter challenges on daily basis. The study concluded that the child headed families are a reality in South Africa and need lots of support from the government and local communities.
Social Work
M.A. (Social Work)
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46

Mathebula, Thandy Shirley. "From being in charge of a child-headed household to being placed in kinship foster care : the experiences and expectations of orphans previously in charge of child-headed households." Diss., 2014. http://hdl.handle.net/10500/13352.

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Placement of orphans under kinship foster care is a common occurrence in social work practice, especially around Bushbuckridge in Mpumalanga Province. Social workers are facing the challenge of an alarming increase in foster care cases due to the HIV and AIDS pandemic in the area. Thus the social workers are trapped in a situation of having to place orphans in kinship foster care, without adequate preparation nor the opportunity to explore the feelings and experiences of being in a child-headed household. This study aimed at exploring and describing the experiences and expectations of orphans who were in charge of child-headed households, regarding their preparation for being placed in kinship foster care and their subsequent placement in such care. Research findings revealed that some orphaned children who had previously been heading a child-headed household and were now placed in kinship foster care were continuing to head the households despite the fact that an order had been issued by the children’s court for them to be under the care and guidance of kin foster parents. The non-involvement of orphaned heads of households in any decisions that affect them emerged in the findings of the study as a critical issue. Another important finding was that some orphaned children in kinship foster care experienced the abuse of the foster care grant by their kin foster parents. The research study has made provision for conclusions and recommendations to all role-players responsible for placing child-headed households in kinship foster care in order to enhance the efficacy of kin foster care placement.
Department of Social Work
M.A. (Social Science (Mental Health))
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47

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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48

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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49

Kapesa, Mary Joyce. "Understanding resilience and coping in child-headed households in Mutasa District, Zimbabwe." Thesis, 2015. http://hdl.handle.net/10500/20007.

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Zimbabwe had 50 000 child-headed households (CHH) in 2002 and by 2010, the figure had gone up to more than 100 000, making Zimbabwe the African country with the highest number of CHH (UNICEF & UNAIDS 2010). These statistics gave rise to the sprouting of many organisations and programmes aimed at catering for the needs of the affected children. Not much attention is given to what the CHH can do for themselves and how they have be surviving without outside help. The present study explored the resilience factors and coping strategies used by children living in CHH in the Mutasa District, Zimbabwe. The mixed method concurrent triangulation design was used in the study and a constructionist theoretical framework was adopted. Semi-structured interviews and focus group discussions were used to collect data from 28 children in CHH, 46 community members, 24 teachers, 25 child service professionals, 10 advisory panel members, 3 government officials involved in policy formulation and implementation and 5 members of the CHH’s extended family. The Resilience Scale was administered to the CHH and the Tree of Life and problem solving activities were carried out with the children. Resilience scores obtained from the children in CHH were in the high to very high category of resilience. The qualitative data was thematically analysed. The research findings indicate that children in CHH use problem focused coping strategies. Their resilience is anchored in both individual and environmental factors. A Bidirectional Model of Resilience that is based on the findings emerged from the study.Three pathways to resilience that are embedded in this model were identified, furthermore the Self-Efficacy Strengths-Focused Model of Coping was proposed. Intervention strategies to foster resilience in CHH should focus on creating coping enabling environments and strengthening individual characteristics.
Psychology
Ph.D. (Psychology)
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