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Sobane, Konosoang Mabafokeng. "Language discordant HIV and AIDS interactions in Lesotho health care centres." Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80323.
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Thesis (PhD)--Stellenbosch University, 2013.ENGLISH ABSTRACT: This PhD study investigated the organisational structure of medical communicative facilities and the related communicative experiences of health care providers and patients in HIV and AIDS care centres where there is language discordance between physicians and patients. Such discordance refers specifically to communication in contexts where patients and health care providers speak a number of different, mostly mutually unintelligible first languages (L1s) and where speakers have varying levels of proficiency in a lingua franca such as English. This study considers key moments within the organisational communication structure to assess how well the structure meets its communicative aims. The sites of care that provided empirical data in this study, were a public health clinic which is a division of a state hospital, and a privately run day care clinic both located near Maseru, the capital city of Lesotho. The participants were drawn from four categories, namely physicians, nurses, lay interpreters and patients. Data collection was done through semi-structured interviews, focus group discussions and direct observations of the study sites. The data was later transcribed interpreted and analysed according to insights gained from Organisation Theory on the one hand and Thematic Analysis and Qualitative Data Analysis on the other hand. The most important result of the study is the recognition of organisational fragmentation of care into different units which helps to facilitate communication where patients and physicians show marked language discordance. Further results illuminate several challenges that are encountered by participants in mediating and making meaning where language diversity is such that physicians’ linguistic repertoire does not match the repertoires of patients and local HCPs. The study highlights several institutional and interpersonal strategies that are used to overcome these challenges and to assure effective communication in the particular institutions. It also shows how some of these strategies fail to fully address the communicative challenges identified. The findings of this study suggest that in multilingual clinical contexts there is a need for more dedicated attention to interpreting practices, to the kinds of material distributed among patients and, more generally, to make consultative decisions on improved systems to put in place in order to facilitate communication related to quality health care.
AFRIKAANSE OPSOMMING: Hierdie PhD-studie het die organisatoriese struktuur van mediese kommunikatiewe geleenthede en die verwante ervarings van beroepsmense in gesondheidsorg van pasiënte in HIV-versorgingsentra ondersoek, waar die taalvaardighede van dokters en pasiënte nie gesinchroniseer is nie. Die taaldissonansie verwys spesifiek na kommunikasie in kontekste waar pasiënte en beroepsmense in gesondheidsorg 'n verskeidenheid tale praat wat meestal onderling onverstaan-bare eerste tale (T1e) is van sprekers met ongelyke vlakke van vaardigheid in 'n lingua franca soos Engels. Die studie vestig aandag op sleutelmomente binne die struktuur van die kommunikasie van die organisasie om vas te stel hoe goed die bepaalde struktuur sy kommunikatiewe doelstellinge verwesenlik. Die terreine van gesondheidsorg wat empiriese data vir hierdie navorsing voorsien het, was 'n openbare kliniek wat verbonde is aan 'n staatshospitaal, en 'n privaat dagsorgkliniek wat albei naby Maseru, die hoofstad van Lesotho, geleë is. Die deelnemers behoort aan vier kategorieë, naamlik dokters, verpleegpersoneel, leke-vertalers/-tolke en pasiënte. Data insameling is gedoen deur middel van semigestruktureerde onderhoude, fokus groepbesprekings and direkte waarrneming by die betrokke instansies. Die data is later getranskribeer, geinterpreteer en geanaliseer volgens insigte uit Organisasie Teorie aan die een kant en Tematiese Analise en Kwalitatiewe Data Analise aan die ander kant. Die belangrikste bevinding van die studie is herkenning van die organisatoriese fragmentering van die sorg in verskillende eenhede wat help om kommunikasie te fasiliteer binne ‘n konteks waar pasiënte en dokters merkbare taaldissonansie vertoon. Verdere bevindinge werp lig op verskeie uitdagings wat deelnemers ervaar in die bemiddeling en skep van betekenis waar taaldiversiteit sodanig is dat die talige repertoires van die mediese praktisyns nie aangepas is by die talige repertoires van die pasiënte of plaaslike mediese beamptes nie. Die studie vestig aandag op verskeie institusionele en interpersoonlike strategieë wat gebruik word om uitdagings te oorkom en om effektiewe kommunikasie binne die betrokke instansies te verseker. Dit wys ook hoe sommige van hierdie strategieë misluk in die aanspreek van bepaalde kommunikatiewe uitdagings. Die bevindinge bevestig dat in die omgewing van ‘n veeltalige kliniek daar ‘n behoefte is aan meer toegewyde aandag aan tolkingspraktyke, aan die soort materiaal wat onder pasiënte versprei word, en in meer algemene terme, aan die neem van besluite gegrond op konsultasie sodat verbeterde stelsels geimplimenteer kan word om kommunikasie wat verband hou met goeie kwaliteit gesondheidsorg, te help bedien.
The African Doctoral Academy for financial support
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Mphana, Mateboho Patricia. "HIV/AIDS prevention and care for learners in a higher education institution in Lesotho." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5307.
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Thesis (MCur (Interdisciplinary Health Sciences. Nursing Science))--University of Stellenbosch, 2010.ENGLISH ABSTRACT: HIV/AIDS is considered as a global problem with the number of people living with HIV infection continuing to increase. At the end of 2007 HIV/AIDS had already claimed 25 million lives. Of all new HIV infections 71% were diagnosed in the Sub-Saharan region in 2008, remaining the worst affected region globally. UNAIDS (2008:43) indicated that heterosexual intercourse remained the main origin for HIV infection in the Sub-Saharan region. Therefore the researcher is of the opinion that prevention strategies should focus mainly on sexual transmission of the disease. HIV/AIDS affects mainly people between the ages 15-24 years, notably the age group of most of the learners in Higher Education Institutions (HEIs). Lesotho, a country in the Sub- Saharan region, presents with the third highest HIV adult prevalence (23.2%) in the world and in the region. In an attempt to address the prevailing situation, Lesotho has a number of programmes geared towards addressing HIV/AIDS in the country. However, all these attempts exclude the learners in HEIs, yet the majority of learners are found within the most affected age group. It is also to be noted that Higher Education provides the bedrock for socio-economic and political development in Africa. Some studies have identified insufficient knowledge as being at the root of the increasing HIV infections among youth. However, other studies have shown that there is adequate knowledge among the young people, but still a challenge remains and that is to facilitate changes in behavioural patterns as a component to be linked to the knowledge. Studies conducted in other African countries have shown that there are anti-AIDS programmes and clubs for learners in HEIs where learners are involved in the fight against HIV/AIDS. No publication indicating the same for Lesotho’s HEIs could be found, except for the National University of Lesotho (NUL) that only launched its HIV/AIDS policy for learners in 2009. The researcher is of the opinion that HEIs in Lesotho are not doing enough to combat HIV/AIDS and hence intends to focus on HEIs in Lesotho. This study had two objectives namely: To determine the knowledge of learners in a specific HEI in Lesotho regarding HIV/AIDS prevention and care. To explore the needs of learners in a specific HEI in Lesotho regarding HIV/AIDS prevention and care. This mixed method study was conducted, comprising of both quantitative and qualitative designs. Quantitative phase used a questionnaire for determining the knowledge of learners. The questionnaire was adopted from a study that was performed to determine knowledge of South African educators in public schools with some modifications. The qualitative phase was used to explore the needs of the learners through the focus group discussions with the leaders of the learners. Sample was drawn from the entire population using stratified random sampling for the quantitative phase. The qualitative phase used the purposive sampling to obtain in-depth information concerning learners’ needs. Quantitative data was analysed through the use of statistical package for social sciences (SPSS) and qualitative data was analysed using the thematic analysis and open-coding. All ethical principles were adhered to especially the principle of respect for persons. The findings from the quantitative phase of the study showed that learners had adequate knowledge regarding HIV/AIDS prevention and care and the findings from the qualitative phase showed the various needs of the learners with regards to prevention and care of HIV/AIDS in a specific HEI in Lesotho. Recommendations have been proposed based on the findings from the two phases of the study. Limitations observed by the researcher have also been identified. In conclusion the objectives of the study were met and the research questions had been answered.
AFRIKAANSE OPSOMMING: MIV/Vigs word as ‘n internasionale probleem erken, siende dat daar ‘n verhoging in die toename van MIVgeïnfekteerde indiwidue tans is . Einde 2007 het MIV/Vigs het reeds 25 miljoen lewens ge-eis . In 2008 is 71% van al die nuwe MIV-infeksies in die Sub-Sahara streek gediagnoseer, wat aandui dat die streek die mees geaffekteerde streek tans is. UNAIDS (2008:43) het aangedui dat heteroseksuele omgang die hoofoorsaak van MIV-oordrag in die Sub-Sahara-streek is. Laasgenoemde het daartoe gelei dat die navorser van mening is dat voorkomende strategieë meestal op seksuele oordrag van die siekte moet fokus. MIV/Vigs affekteer meestal mense in die ouderdomsgroep 15-24, opmerklik is dit die ouderdomsgroep waarby meesste leerders in Hoëronderwysinstellings (HOI) is. Lesotho, ‘n land in die Sub-Sahara-streek, het tans die derde-hoogste MIV-voorkoms (23.2%) in die wêreld en in die streek. Lesotho het verskeie programme ontlont om MIV/Vigs te bekamp in ‘n poging om die huidige situasie te beredder . Nieteenstaande sluit al die programme leerders in HOI uit, alhoewel die leerders in die ouderdomsgroep van die mees-geaffekteerde groep val. Dit is ook duidelik dat Hoëronderwys die fondasie vir sosio-ekonomiese- en politieke ontwikkeling in Afrika verskaf. Sommige studies het onvoldoende kennis as die wortel van die verhoging van MIV-infeksies onder die jeug geïdentifiseer. Ander studies, daarenteen, wys dat kennis voldoende is onder jeug, alhoewel veranderinge in gedragspatrone om by die kennis aan te sluit ‘n uitdaging bly. Studies uit ander Afrikalande dui daarop dat daar anti-Vigs programme en klubs is waarby HO leerders betrokke is om teen die verspreiding van MIV/Vigs te veg. Geen publikasies in hierdie verband word in Lesotho aangetref nie, behalwe ‘n MIV/Vigs-beleid wat in 2009 deur “National University of Lesotho’ (NUL) gepubliseer is. Dus is die navorser van mening dat HOI nie genoeg doen om MIV/Vigs te beveg nie, daarom fokus sy op HOI in Lesotho. Hierdie studie het twee doelstellings ten doel gehad, naamlik om die leerders in ‘n sekere HOI in Lesotho se kennis aangaande MIV/Vigs voorkoming en sorg te bepaal en die behoeftes van die leerders aangaande MIV/Vigs voorkoming en sorg te verken. ‘n Studie met beide kwantitatiewe- en kwalitatiewe metodes is gebruik om die doelstellings te verwesenlik. In die kwantitatiewe fase is ‘n vraelys gebruik om leerders se kennis te bepaal. Die vraelys is verkry uit ‘n vorige studie wat in RSA gedoen is, maar aangepas om in die Lesotho-konteks te gebruik. Gedurende die kwalitatiewe fase is fokusgroep besprekings met die leiers van die leerders gehou om die behoeftes indiepte te verken. Die steekproef was uit die totale populasie getrek deur van gestratifiseerde streekproefneming gebruik te maak in die kwantitatiewe fase en ‘n doelgerigte steekproefneming is in die kwalitatiewe fase te gebruik. Die navorser het ‘n kwantitatiewe data-analise sagteware (SPSS)gebruik om kwantitatiewe data te ontleed en tematiese- oopkodering is gedurende die kwalitatiewe fase gebruik. Etiese kode is ten volle gerespekteer, veral die respek vir mense gedurende navorsing. Bevindinge van die kwantitatiewe fase het bewys dat leerders voldoende kennis aangaande die voorkoming en sorg van MIV/Vigs besit en die kwalitatiewe bevindinge het die behoeftes van leerders met betrekking tot die voorkoming en sorg van MIV/Vigs in ‘n spesifieke HOI in Lesotho geopenbaar. Die aanbevelings is gemaak, gebaseer op die bevindinge uit die twee fases. Beperkinge in die studie is uitgelig. Ter afsluiting is die doelstellings in die studie bereik en die navorsingsvrae beantwoord.
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Sekhibane, Veronica Mabohle. "The impact of HIV/AIDS among different organizations in Lesotho and how they respond to the challenge : a Lesotho study." Thesis, Stellenbosch : Stellenbosch University, 2005. http://hdl.handle.net/10019.1/50496.
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Thesis (MPhil)--Stellenbosch University,2005.ENGLISH ABSTRACT: The aim of this research is to investigate the impact of HIV/AIDS among different organizations in Lesotho and how they respond to the challenge; and to determine whether these organizations respond positively/effectively to the challenge of the pandemic in their respective organizations and whether they have developed workplace programmes and policies which address the issue, and if they do exist, whether they are effective. Lesotho is one of the countries in the world with a very severe HIV/AIDS infection rate. It is estimated that 28.9% of the entire population was living with HIV/AIDS as of December 2003 (UNAIDS, 2004). The increasing number of HIV/AIDS infectees in the country is affecting the entire labour force; therefore to effectively respond to the pandemic, the government of Lesotho and its development partners and civil society organizations are doing everything within their means to control it. Therefore, work place programmes that deal with HIV/AIDS on the work environment should be an answer to the social capital issue; the most valuable resource being human capital, since the programmes would promote prevention, information, education and training. It would also promote the rights of staff members and their dependants living with and/or affected by the HIV/AIDS pandemic. The population where the investigation was done is made up of corporate places of work stratified into five types of organizations found in Maseru, the capital of Lesotho: o Non-governmental organizations o Private sector o Development partners ( Diplomatic Missions/Donors) o Parastatals o Government The results of the study indicated that the majority of these organizations have workplace programmes and policies which are effective and appreciated by the employees, while others are in the process of drawing up their policies or already have them in draft form. Despite all the efforts being put in place, the feeling among some of the organizations is that HIV infection in Africa will continue to increase because of the way it is being addressed; what they call ‘The Western way’. They feel that if it is addressed situationally, not academically, there will be a slight difference. For example, they claim that Africans do not feel comfortable about bringing their private behaviours in the open; for instance, speaking about sex and sexuality. The belief systems of the Basotho are also identified as great influencers in the pandemic. These include the culture/traditions, relations with the family and pressure from peers, people whom we trust and the fulfilment of women's sexual desires. The conclusion reached is that the different organizations in Lesotho address the challenge of HIV/AIDS positively and in others effectively, and with more effort the pandemic could be brought under control in the near future. The recommendation after viewing the findings, is that the issue of care and support, stigma and discrimination are still issues that need to be worked on, since employees are scared to know their status due to fear of being stigmatized. Therefore, the above cannot be addressed properly unless they are seen in practice.
AFRIKAANSE OPSOMMING: Die doel van hierdie studie is 'n ondersoek na die impak van MIV/Vigs op, en reaksie van verskillende ondernemings in Lesotho. Volgens beraming is die infeksiekoers van Lesotho 28.9% en is die invloed daarvan op die werkersmag beduidend; dit kan selfs katastofies raak indien dit nie doeltreffend aangespreek en bestuur word nie.. Data is versamel by by vyf kategorië van ondernemings in Maseru ten einde te verseker dat al die belangrikste sektore deur die studie betrek word.. Resultate toon aan dat die meeste ondernemings wel werksplekprogramme en MIV/Vigs-beleid in plek het. Die persepsie van werkers binne die ondernemings wat in die ondersoek gebruik is toon egter 'n negatiewe prognose ten opsigte van die doelteffende bestuur van die pandemie. Die gevoel is dat die benadering te reglynig en "Westers" is en dat die metafore en tradisies van Afrika meer effektief in voorkomingsprogramme sal wees. Voorstelle in hierdie verband word gemaak. Voorstelle vir meer doeltreffende voorkomingsprogramme word gemaak en voorstelle vir verdere studies in Lesotho word aan die hand gedoen.
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Diaho, Mahlao Judith. "Experiences and coping strategies of women living with HIV/AIDS diagnosis : a case study of Maseru, Lesotho." Thesis, Stellenbosch : Stellenbosch University, 2004. http://hdl.handle.net/10019.1/49959.
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Thesis (MPhil)--University of Stellenbosch, 2004.ENGLISH ABSTRACT: Several studies have reported that thirty million people are living with HIV/AIDS in sub-Saharan Africa. Fifty percent of the infected adults are women aged between 15 and 49 years. In Lesotho, HIV/AIDS has also been declared a national emergency and an estimated 180,000 women out of 330,000 adults, and 27,000 children are living with HIV/AIDS. Statistics have shown that the majority of AIDS cases occur in adults aged 15 and 49 years in Lesotho. Presently women are the fastest growing infected population in Lesotho. Regardless of the growing numbers of women infected with HIV/AIDS, experiences of women living with HIV/AIDS have received little attention in Lesotho. Qualitative research in this area is necessary to gain access to women's perceptions of their HIV positive status. In this study, the experiences and coping strategies of Basotho women living with HIV/AIDS were investigated. The study used a feminist approach to research. Feminist research stresses the multiplicity of knowledge and it is useful to understand the subjective experiences of women. Indepth, face-to-face interviews were conducted with five women ranging between 29 and 46 years, purposefully drawn from Positive Action Society Lesotho (PASL). Grounded theory was used to analyse the data. Findings indicate that women's risk for exposure to HIV is related to their ability to protect themselves by negotiating a safe sexual relationship. Women who feel powerless in their relationships are less likely to protect themselves against HIVexposure. These perceptions of powerlessness are the result of a broad array of experiences that may include exposure to gender-based violence and restricted economic opportunities. The results show that it is common for women to be shocked, depressed, and discouraged when they find that they are living with HIV/AIDS as can be expected. It is also difficult for women to disclose their HIV positive status to family, friends and community members because of stigma attached to HIV/AIDS. Participants developed different ways of coping with their status such as religion, healthy life style, AIDS counselling and social networks. There was a profound sense of anxiety about the future care of children. The study concludes with a number of recommendations to promote an environment that will make it possible for women living with HIV/AIDS to cope with their illness.
AFRIKAANSE OPSOMMING: Studies het bevind dat daar ongeveer dertig miljoen mense in sub-Sahara Afrika is wat met MIVNIGS leef. Vyftig persent van geinfekteerde volwassenes is vroue tussen die ouderdom van 15-49 jaar. In Lesotho is MIVNIGS as 'n nasionale ramp verklaar en daar word beraam dat 330,000 volwassenes, 180,000 vroue en 27,000 kinders MIVNIGS het. Statistiek het ook getoon dat die meerderheid VIGS gevalle in Lesotho voorkom by volwassenes in die ouderdomsgroep 15-49 jaar. Vroue is tans die vinnigste groeiende groep. Ten spyte van die groeiende getalle vroue wat met MIVNIGS geinfekteer is, het die ervaringe van vroue in Lesotho wat met MIVNIGS saamleef tot dusver relatief min aandag geniet. Kwalitatiewe navorsing in hierdie verband is nodig om toegang tot vroue se persepsies te verkry rakende hul eie MIV positiewe status. In hierdie studie is die ervaringe en hanteringsmeganismes van Basoetoe vroue wat MIVNIGS het, ondersoek. Die studie het 'n feministiese benadering gebruik, wat die multiplisiteit van kennis en die subjektiewe ervaringe van vroue beklemtoon. In-diepte aangesig-tot-aangesig onderhoude is met vroue tussen 29-46 jaar gevoer. Gegronde teorie is gebruik om die data te analiseer. Bevindinge dui aan dat vroue se risiko vir blootstelling aan MIV verband hou met hul vermoë om hulself te beskerm deur te onderhandel vir 'n veilige seksuele verhouding met 'n maat. Vroue wat magteloos in hul verhoudings voel, is waarskynlik minder suksesvol om hulself teen MIV blootstelling te beskerm. Hierdie persepsies van magteloosheid is die resultaat van 'n breë spektrum ervaringe wat sekondêre status, blootstelling aan geweld, en beperkte ekonomiese geleenthede insluit. Soos wat verwag word, toon die bevindinge dat dit algemeen vir vroue is om geskok, deppressief en ontmoedig te wees wanneer hulle uitvind dat hul MIVNIGS het. Dit is ook moeilik vir vroue om hul MIV status aan familie, vriende en gemeenskapslede bekend te maak weens die stigma wat aan MIVNIGS kleef. Respondente het verskeie wyses ontwikkelom hul status te hanteer, soos godsdiens, 'n gesonde leefstyl, VIGS raadgewing en sosiale netwerke. Daar was ook 'n intense bekommernis by vroue oor die toekomstige sorg vir hul kinders. Die studie sluit af met 'n aantal aanbevelings om 'n omgewing te promoveer wat dit vir vroue wat met MIVNIGS leef moontlik sal maak om hul siekte te hanteer.
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Nthinya, Bojoalo Cynthia. "Implementation of workplace HIV/AIDS policies and programmes by small and medium enterprises in Masery." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79922.
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Thesis (MPhil)--Stellenbosch University, 2013.ENGLISH ABSTRACT: An alarming rate of HIV/AIDS in the country has compelled the Government of Lesotho to make changes in the labour act; to accommodate HIV/AIDS in the workplace. In order to assist businesses in complying with the labour Act requirements, the Government put in place guidelines, aimed at assisting businesses in the development and implementation of workplace HIV/AIDS policies and programmes. However, it has been observed SMEs have not been utilising these guidelines. The purpose of the study therefore is to establish the level of knowledge SMEs have about the Government guidelines; to determine whether they have existing workplace HIV/AIDS policies; and establish the challenges SMEs face in using the guidelines to implement workplace HIV/AIDS policies and programmes; with the purpose of providing guidelines for support in the implementation of workplace HIV/AIDS policies. The results show 46.7% and 46% of employers and employees respectively is not aware of the guidelines. There were only five managers who indicated they have policy in place. Only 21 employees were aware of the existence of HIV/AIDS workplace policies at their work. There were various challenges that were stipulated by the SMEs. Some businesses pointed out they did have the expertise and financial strength to develop and implement HIV/AIDS workplace policies. Further it was stated the guidelines were not clear, therefore could not be put in practice. It is therefore essential to ensure training is provided to SMEs and their employees; to ensure they do understand what is required of them. It is also imperative to make sure those who are in financial need are also assisted. The other important aspect that needs to be addressed during training is why HIV/AIDS should be treated as a workplace issue. This will enlighten SMEs on the importance of developing and implementing workplace policies and programmes. Thus they will understand the benefits of effective management of HIV/AIDS in the workplace; which can be brought about by effective HIV/AIDS policies and programmes.
AFRIKAANSE OPSOMMING: ‘n Kommerwekkende koers van MIV/VIGS in die land het die Lesotho regering gedwing om veranderinge in die Arbeids wet aan te bring, om sodoende MIV/VIGS in die werkplek te akkomodeer. Om besighede te help om die Arbeids wet se riglyne na te kom, het die regering sekere riglyne in plek gestel wat daarop gemik is om MIV/VIGS programme te ontwikkel en implementeer in die werkplek. Dit is egter opgemerk dat KMG ondernemings nie die riglyne toe pas nie. Die doel van die studie is dus om vas te stel wat die vlak van kennis die KMG’s het in verband met die regering se riglyne; of hulle enige bestaande MIV/VIGS beleide in plek het en om die eise wat die implementering van die riglyne om ‘n MIV/VIGS beleid in die werkplek stel. Die doel is dus om die riglyne te voorsien wat die implementering van werkplek MIV/VIGS beleid ondersteun. Die resultate toon dat 46.7% en 46% van werkgewers en werknemers onderskeidelik, nie bewus is van die riglyne nie. Daar was slegs 5 bestuurders wat aangedui het dat daar wel ‘n beleid in plek is. Net 21 werknemers was bewus van die MIV/VIGS beleid by hul werk. Verskeie uitdagings is deur die KMG’s uitgewys. Sommige besighede het aangedui dat hulle wel die kennis en finansies om die MIV/VIGS beleid te ontwikkel en te implementer. Verder is ook aangedui dat die riglyne nie duidelik is nie en daarom nie geimplementeer kon word nie. Dit is daarom noodsaaklik om te verseker dat opleiding verskaf word aan die KMG’s en hul werknemers, om te verseker dat hulle verstaan wat van hulle verwag word. Ook is dit noodsaaklik dat persone wat finansiele hulp benodig ondersteun moet word. ‘n Ander belangrike aspek wat aangespreek moet word tydens opleiding is hoe MIV/VIGS behandel moet word in die werkplek. Dit sal vir KMG’s verlig hoe belangrik die ontwikkeling en implementeering van werkplak beleid en programme is. Sodoende sal hulle die voordele van effektiewe bestuur van MIV/VIGS in die werkplek, wat deur effektiewe MIV/VIGS beleid en programme te weeg gebring kan word, beter verstaan.
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Mopeli, Makhala. "The impact of HIV/AIDS on primary and secondary education in Mohales hoek in Lesotho." Thesis, Bloemfontein : Central University of Technology, Free State, 2006. http://hdl.handle.net/11462/74.
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Thesis (M. Tech) - Central University of Technology, Free State, 2006The main purpose of this study is to investigate different attributing factors that contribute to the impact of HIV/AIDS on Primary and Secondary education at Mohale’s Hoek in Lesotho. The fact that about 30% of teachers and close to 170 000 children are shown to be HIV positive, demonstrates the urgent need for an educational based study. This study strives towards elaborating on these key elements by providing recent statistical evidence. Quantitative research and qualitative research were used in the study. The descriptive research survey method was utilised through the use of questionnaires and interviews, as well as additional data, which were obtained from contributions by school principals and interviews held with Heads of Departments, to portray a holistic view of the research problem. The tests carried out demonstrate that the HIV/AIDS epidemic can lead to negative school population growth in some areas, a decline in school enrolment and an increase in the drop-out-rate. The literature reviewed also shows that Lesotho is seriously affected by the AIDS pandemic. It is probable that by the year 2010, 30-35% of children will have lost one or both parents and the ability of relatives to keep such children in school, will have become a critical issue. The results of the statistical analysis indicate that the impact of HIV/AIDS has been a significant factor in primary and secondary enrolment patterns, as well as in the dwindling pool of qualified educators. The findings of the ANOVA show statistically insignificant differences in all the independent variables; that is, age, gender, level of education and years of experience with respect to the impact of HIV/AIDS on education. The limitations of the study have been indicated and recommendations have been made. Decisions on the research questions, research aim and objectives have been made, and decisions on the research hypotheses have been reported as well. Recommendations for further studies have been made.
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Strand, Cecilia. "Perilous Silences and Counterproductive Narratives Pertaining to HIV/AIDS in the Ugandan, Lesotho and Namibian Press." Doctoral thesis, Uppsala universitet, Medier och kommunikation, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-157234.
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Research on Western mainstream media’s framing of HIV/AIDS in the 1980’s, showed that media narratives influenced audiences’ understanding of the epidemic, as well as society’s responses. Subsequently, by analyzing a society’s mass media and its framing of HIV/AIDS, it is possible to explore what understandings are given preferential treatment in that society, as well as explore what social change those narratives indirectly or directly facilitate. Such an analysis is particularly important in Sub-Saharan Africa, the continent most affected by HIV/AIDS and which has struggled to reverse the course of the epidemic. This dissertation has in five separate articles, not only identified and described media narratives on HIV/AIDS and the closely related topic of same-sex sexuality in three countries hard-hit by the epidemic –Lesotho, Namibia and Uganda – but also discussed the potential effects of persistent silences, as well as narratives that are counterproductive to the countries’ ability to respond to their epidemics. The research uses a combination of quantitative and qualitative approaches: content analysis of independent and government-controlled print media products, semi-structured interviews with media practitioners and representatives from organizations that seek to influence the media agenda, as well as analysis of legislative and policy documents. The articles discuss a range of persistent silences and counterproductive narratives on HIV/AIDS in the three countries. Overall, the media is found to largely fail in providing its readers with narratives that contain many of the particular factors – economic, social, cultural, biological, as well as those related to stigma and discrimination –that fuel their epidemics. The research however also finds differences between the countries and the types of media. In particular privately-owned media is found to play important role in terms of acknowledging the existence of same-sex sexuality as well as relevance in relation to HIV/AIDS prevention and treatment services in Namibian and Ugandan.
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Mofokeng, Shoeshoe. "Views of health service providers on the need for support services for HIV-positive mothers in the rural areas of Lesotho : an ecological perspective." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96969.
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Thesis (M Social Work)--Stellenbosch University, 2015.ENGLISH ABSTRACT: HIV/AIDS is one of the worst pandemics affecting the world today. It cuts across all boundaries and many people are infected as well as affected. The virus has reached all the corners of the globe, but the most hit by it is Africa, especially southern Africa, which carries more than half of the population infected and affected by HIV/AIDS. The top five countries whose populationsare infected with HIV are in southern Africa. Lesotho is amongst the top three on this list and also has problems of poverty and a high unemployment rate. Women and children, who are the target groups that are most affected by poverty, are also those living in rural areas. Thus, being an HIV-positive mother living in the rural areas of Lesotho means one has to deal with poverty, the inaccessibility of services and the psychological impacts of HIV. The aim of the study was to gain a better understanding of the views of health service providers on the need and accessibility of support services for HIV-positive mothers in the rural areas of Lesotho from an ecological perspective. To achieve this aim, the objectives were: to offer an overview of the phenomenon of HIV and describe the psychosocial needs and sociocultural circumstance of HIV-positive mothers in the rural areas of Lesotho, and to discuss the HIV-positive mothers’ need for support services from an ecological perspective. Both quantitative and qualitative research approaches were used. The research utilised exploratory and descriptive design. Purposive sampling was used to select the 30 participants who took part in the study. Data was gathered by means of semi-structured questionnaires that were administered during individual interviews. The questionnaires were formulated on the basis of information retrieved during the literature review. The findings of the study reveal that HIV-positive mothers living in the rural areas of Lesotho have economic, social and cultural circumstance as factors hindering their treatment and prevention of HIV/AIDS. They are also faced with the psychological impacts of HIV, and the findings revealed that disclosure was the key to addressing their problems. The findings also show that most mothers receivedemotional, instrumental, informational and appraisal support from their families at the micro-level of the ecological perspective. The other levels – meso, exo and macro – provided only limited support for the mothers. The recommendations are that these mothers need social support at all levels of the ecological perspective to meet their needs
AFRIKAANSE OPSOMMING: MIV/vigs is een van die ergste pandemies in die moderne wêreld. Dit ken geen grense nie, en vele mense ly hetsy daaraan of daaronder. Die virus het reeds alle uithoeke van die aarde bereik. Tog gaan Afrika, veral Suider-Afrika, die swaarste daaronder gebuk, en word meer as die helfte van die totale populasie wat aan of onder MIV/vigs ly hier aangetref. Die vyf lande met die hoogste MIV-infeksiesyfers ter wêreld is almal in die streek geleë. Lesotho is een van die drie lande boaan hierdie lys, en het terselfdertyd te kampe met die probleme van armoede en ’n hoë werkloosheidsyfer. Vroue en kinders, synde die groepe wat die ergste deur armoede geraak word, woon ook meestal in landelike gebiede. ’n MIV-positiewe moeder in die landelike gebiede van Lesotho moet dus armoede, ontoeganklike dienste sowel as die sielkundige uitwerking van MIV trotseer. Die doel van hierdie studie was om vanuit die ekologiese perspektief ’n beter begrip te vorm van gesondheidsdiensverskaffers se sienings oor die behoefte aan en toeganklikheid van steundienste vir MIV-positiewe moeders in die landelike gebiede van Lesotho. Om hierdie doel te bereik, was die oogmerke om ’n oorsig van die MIV-verskynsel te bied, die psigososiale behoeftes en sosiokulturele omstandighede van MIV-positiewe moeders in die landelike gebiede van Lesotho te beskryf, en die moeders se behoefte aan steundienste vanuit die ekologiese perspektief te bespreek. ’n Kwantitatiewe sowel as ’n kwalitatiewe navorsingsmetode is gevolg, en die navorser het van ’n verkennende en beskrywende ontwerp gebruik gemaak. Doelgerigte steekproefneming is gebruik om die 30 studiedeelnemers te kies. Data is met behulp van semigestruktureerde vraelyste gedurende individuele onderhoude ingesamel. Die vraelyste is opgestel op grond van inligting wat in die literatuuroorsig bekom is. Die studie bevind dat ekonomiese, maatskaplike en kulturele omstandighede MIV/vigs-behandeling en -voorkoming vir MIV-positiewe vroue in die landelike gebiede van Lesotho belemmer. Daarbenewens moet hulle die sielkundige uitwerking van MIV die hoof bied, en die studie dui op openbaarmaking as die sleutel om hul probleme te hanteer. Die bevindinge toon ook dat die meeste moeders emosionele, fisiese, inligting- en bevestigende steun van hul families op die mikrovlak van die ekologiese perspektief ontvang. Die ander vlakke – meso, ekso en makro – bied slegs beperkte steun. Die studie kom tot die gevolgtrekking dat hierdie moeders op alle vlakke van die ekologiese perspektief maatskaplike steun moet ontvang om in hul behoeftes te voorsien.
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Makoae, Mokhantšo Gladys. "An experiential study of caregiving for HIV and AIDS patients in the 'pre-ARVs era' in Lesotho." Doctoral thesis, University of Cape Town, 2007. http://hdl.handle.net/11427/3861.
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Musariri, Herbert. "The effect of HIV/AIDS on the own child-method of estimating child mortality : Lesotho and Zimbabwe." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/12751.
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Includes bibliographic references (leaves 74-76).This study evaluates the overall impact of the bias due to HIV/AIDS on the own-child method of estimating child mortality, and the contribution of the various components to the overall bias. Indirect estimates of child mortality are calculated by applying the own-child method to the 2009 Lesotho Demographic and Health Survey (LDHS) and the 2005-6 Zimbabwe DHS. In the process, the potential of the software, MATCHTAB, to link successfully surviving children to their biological mothers is demonstrated using the 2006 Lesotho census data. To evaluate the impact of HIV/AIDS on the own-child method, the target estimates of child mortality for Lesotho and Zimbabwe are also developed by adjusting the direct estimates from the full history data for the selection has introduced by HIV/AIDS.
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Muhumuza, F., T. Tamasane, I. Goldman, Tom R. Franks, Anna L. Toner, David Howlett, and Faustin Kamuzora. "Goodbye to Projects? - Briefing Paper 6: Lessons for HIV/AIDS interventions." Thesis, Bradford Centre for International Development, 2004. http://hdl.handle.net/10454/2962.
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YesThis briefing paper reports on research exploring detailed case studies of HIV/AIDS livelihoods-oriented interventions operating in Uganda, Lesotho and South Africa. The interventions were analysed through an audit of sustainable livelihood `principles¿. This revealed general lessons both about the practical opportunities and challenges for employing sustainable livelihoods approaches to the design, implementation, monitoring and evaluation of development interventions and also about the changing format of development interventions.
Department for International Development
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Phekani, Mamello Priscilla. "The psychosocial impact of HIV and AIDS on child development in Lesotho : a Human Rights call for action." Diss., University of Pretoria, 2013. http://hdl.handle.net/2263/37270.
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Ntaote, Grace Makeletso. "Exploring ways of assisting Lesotho educators to offer care and support to children orphaned and rendered vulnerable by HIV and AIDS." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/1320.
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The HIV and AIDS pandemic has resulted in 14 million children being orphaned worldwide. In Lesotho alone, where this study was carried out, there are about 180 000 of these children (UNAIDS, 2007). Teachers, especially in Lesotho‘s primary schools need to be equipped to better deal with the challenges that result from having these children in their classrooms. At the Lesotho College of Education, where I have worked for 12 years as a teacher educator, pre-service and in-service student teachers are not trained to offer care and support to orphans and vulnerable children. They experience problems in the classroom emanating from the needs of these children. This study followed an action research design to find ways to support teachers to better deal with the issues they face as a result of having orphans and vulnerable children in their classes. Using a qualitative approach, educators perceptions, feelings, attitudes and experiences in dealing with orphans and vulnerable children in their schools were identified, and it became apparent that educators were negatively affected on a personal and professional level. It was concluded that the development of resilience in educators would help them to better cope with orphans and vulnerable children in their classes. The chosen intervention Resilient Educators Programme (REds) was implemented and evaluated and findings revealed that it was beneficial in increasing educator resilience. Recommendations, based on the findings of the study, were made for future teacher education in this area.
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Noble, Charlotte Ann. "Small Plots, Big Hopes: Factors Associated with Participation in an Urban Garden Project in Lesotho." Scholar Commons, 2010. http://scholarcommons.usf.edu/etd/3617.
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Studies of food insecurity have frequently focused on rural dwellers as vulnerable
populations. However, during the ‘global food crisis’ of 2007-2008, riots in more than
50 countries visibly demonstrated the vulnerability of urban populations to food
insecurity due to rapidly rising food prices. This study examines factors associated with
participation in an urban garden project (UGP), utilizing surveys (n=61) and in-depth
household interviews (n=37) to examine food security and dietary diversity of households
in urban Lesotho.
Households that participated in the garden project were more food insecure and
had lower dietary diversity than those that did not participate. However, it cannot be
determined if participation in the project caused this difference, or if households already
experiencing these issues self-selected to participate. Factory workers households, which
make up a large part of the target population, did not appear to be much difference
between factory worker and non-factory worker households. More female-headed
households than male-headed households were categorized as severely food insecure and
experienced lower levels of dietary diversity, though this difference is not statistically
significant. Because the study did not utilize random sampling, the findings cannot be
generalized. Nonetheless, they provide important direction for future studies.
Lack of awareness was the primary barrier to participation in the project. Another
barrier was not having enough time to attend demonstrations, to plant, or to tend a
garden. Time constraints were often work-related but sometimes included to other
obligations such as attending funerals. Participants in the urban garden project were very
knowledgeable about the costs and benefit of participating, reported having taught others
how to replicate the gardens, and had even shared seeds with friends and neighbors.
Despite the project having started a mere six weeks before the time of this study, and the
fact that the garden demonstrations were being held during the winter season in Lesotho,
UGP participants reported having already eaten and sold leafy greens from their gardens.
Key areas for follow up study include a randomized, longitudinal examination of
participation in the garden program, as well as an evaluation of the effectiveness of the
project. Further, an examination of coping strategies such as the use of funerals as a
source of food also deserves systematic study. Finally, there should be consideration of
how information is disseminated to communities, with careful examination of what
defines “community” and how social networks strongly influence the distribution of
knowledge about such projects.
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Ramphoma, Khabiso Jemimah. "Knowledge, attitudes and practices of oral health care workers of Lesotho regarding the management of patients with oral manifestations of HIV/AIDS." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/4233.
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Magister Chirurgiae Dentium - MChDLesotho has the third highest prevalence of HIV in the world with an estimated 23% of the adult population infected. At least 70% of people living with HIV/AIDS (PLWHA) present with oral manifestations of HIV as the first sign of the disease. While Lesotho has a population of fewer than 2 million people, it is faced with the harsh reality of a dire shortage of health care workers including oral health care workers (OHCWs). The high prevalence of HIV is of major concern to oral health workers who regularly encounter patients presenting with oral lesions associated with HIV disease. Oral health care workers need to have adequate knowledge of these conditions for effective management thereof. To determine the knowledge, attitudes and practises of oral health care workers (OHCWs) of Lesotho regarding the management of oral manifestations of HIV/AIDS. A descriptive cross-sectional survey was conducted on all 46 OHCWs in 26 public and private care facilities in all ten districts of Lesotho. A self–administered questionnaire was used to gather information on demographic characteristics of OHCWs and their knowledge, attitudes and practices regarding the management of oral lesions associated with HIV. A visual aid depicting seven colour images of lesions strongly associated with HIV was used to assess knowledge. Data was analysed using Microsoft Excel® and the R statistical package. The outcome of the study was then presented using tables and charts as appropriate. Frequencies, means and 2x2 contingency tables were generated and Fisher‟s exact tests were used for associations. A significance level of (p<0.05) was used.
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Workman, Cassandra Lin. "A Critical Ethnography of Globalization in Lesotho, Africa: Syndemic Water Insecurity and the Micro-politics of Participation." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4616.
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In spite of decades-long development programs, Lesotho faces an ongoing problem of water insecurity with far- reaching individual and social impacts. The purpose of this research was to understand how women in Lesotho are impacted by the synergistic epidemics, or syndemics, of water insecurity and HIV/AIDS and how they respond to these forces. Little has been done to address how water insecurity, defined in terms of both sufficient amount and quality of water, catalyzes the syndemic impact on the people of Lesotho. Access to safe and reliable sources of water is crucial for all individuals, particularly those who have been affected by the HIV/AIDS epidemic. First, water is essential for adequate nutrition since it is required for the growing of agricultural products and for the preparation of adequate foods needed to maintain the nutritional health of those already infected with the virus. Second, food and water security is essential for the treatment of AIDS, as the complex drug regimes of anti-retroviral (ARV) medications require reliable and constant access to safe water and nutritious foods to facilitate compliance with medications.
This research was also concerned with understanding the psycho-emotional experience of water insecurity. Water insecurity constrained people's ability to effectively care for their families and, as a result, created additional work and stress. Indeed, quantitative findings revealed that there was a significant relationship between water insecurity and psycho-emotional distress, and that water insecurity predicted higher scores on the Hopkins Symptoms Checklist (HSCL-25), holding constant socio-economic variables and food insecurity. Water security is dependent on many dimensions from adequate availability, secure access, and having enough water for one's daily needs. However, worry about water safety emerged as an important focus in both the qualitative and quantitative data. Water safety was a noted stress in people's daily lives, and significantly predicted increased scores on the HSCL-25.
More broadly, this research theoretically informs critical medical anthropology and development anthropology. While this research was conducted in three villages in the Lesotho lowlands, this research must be contextualized within larger anthropological theory regarding international development and women in relation to it. This research combines several theories used in anthropology, international development, and social geography including political economy and structural violence, post-structuralism and governmentality, and theorizations about space and place to understand how women in Lesotho respond to globalization.
Despite the proliferation of the terms participation and participatory development nearly 20 years ago, these constructs remain important in international development. While the ideology of participation originally stems from activist understandings of the role of communities in development, the use of participation has become depoliticized. As opposed to grassroots mobilization and the foregrounding of local realities, participation often means little more than a method for facilitating project implementation. Furthermore, respondents routinely discussed programs coming into communities and leaving without notice or explanation. It is imperative for donor organizations to consider the ethics of sustainability when planning and implementing new programs. In terms of community programs and grassroots organizing, findings from this research indicate that there are many material and social barriers to participation. Understanding not only women's other responsibilities but also the support they may receive from family and friends is important in any discussion of community participation.
Many feminist critics of development argue that gender and class considerations have not been meaningfully addressed in policy and development programs. As global feminists argue that development aims should understand the heterogeneity of women worldwide, more research on women's perceptions of their vulnerability and their position in society is needed to inform development. Women in the global South are not passive victims and their views are important in delineating the goals and methods of development plans. Furthermore, it is important to recognize that participation may not always be in women's, or men's, best interest and that often activism and collective organizing may be more subtle than expected. In short, neither globalization nor resistance are complete power is contingent and negotiated, and thus this research reaffirms the importance of ethnography in uncovering the lived experience of globalization, or a critical ethnography of globalization.
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Okolo, Arinze. "Knowledge, attitude & practice of non-dental health care providers in relation to the oral manifestations of HIV/AIDS in Butha-Buthe district, Lesotho." University of the Western Cape, 2016. http://hdl.handle.net/11394/5029.
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Magister Scientiae Dentium - MSc(Dent)BACKGROUND: The scourge of HIV and AIDS on the people of Lesotho is a huge public health problem faced by the country’s Ministry of Health and in 2005 the national adult HIV prevalence rate was 23% (WHO, 2009). It is estimated the one in every four adults in the country is HIV positive and in 2012, new HIV infection per year was estimated to be 18,000 (MoH Lesotho, 2014). The 2014 health reform by the Ministry of Health, Lesotho plans to capacitate village health workers (VHWs) to play an important role in addressing Lesotho's most urgent health crises which are: to reduce child mortality, to improve maternal health, to combat HIV/AIDS and other diseases. This is because VHWs and primary health care nurses (PHC nurses) are in vital positions to identify, manage or refer such patients for appropriate care. Studies have shown that between 74.4% - 90% of HIV infected people present with at least one oral lesions in the course of the disease. Health care workers need to have adequate knowledge of these conditions for effective management thereof. AIM: To determine the knowledge, attitudes and practices of nurses and VHW in Butha-Buthe district with respect to oral HIV/AIDS manifestations. METHODOLOGY: A descriptive cross-sectional survey was conducted on one hundred and forty-one Village health workers and nurses in Butha-Buthe district of Lesotho. A self– administered questionnaire was used to gather information on demographic characteristics of the participants and their knowledge, attitudes and practices regarding the management of oral lesions associated with HIV. Analysis was done using the SPSS statistical software package. Descriptive statistics such as frequency distributions and cross tabulations was generated and the results were summarized in tables and figures. RESULTS: The ages of the participants ranged between 21 and over 50 years. There majority were female (83.7%). And two thirds had a secondary school education. The healthcare providers that had ten years or less of service accounted for 59.6% of the respondents and 0.7% had more than 30 years of service. Most of the respondents (97.9%) had previous knowledge on oral lesions related to HIV/AIDS but only (8.2 %) reported having received knowledge through training institutions. The majority (79.3%) identified oral candidiasis (OC) as the most common lesion found in people living with HIV/AIDS while lesions of NOMA, aphthous ulceration, Kaposi’s sarcoma and herpes zoster were the least identified lesions by the respondents. The findings showed that 67.4% of the participants washed their hands routinely with water only whereas 66.7% routinely washed their hands with antiseptics. However, a majority of them (96.5%) said that they washed their hands with water and soap routinely. CONCLUSION: There are however gaps in the knowledge, attitude and practices of nurses and VHWs in Butha-Buthe district to oral HIV/AIDS manifestations. Improvement in the knowledge and ability of these cadres of health care providers to recognize and manage such lesions can be done through an introduction of such training in their school curriculum. It may also be necessary to continuously have seminars aimed at training and retraining these cadres of health workers on this topic. It is also worrisome that a high number of the participants indicated they didn’t strictly adhere to standard precautions as stipulated by WHO. It may be necessary to conduct studies to assess reasons for their infection control practices.
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Ramathebane, Maseabata Venus. "A review of antiretroviral medicine cost in primary health care clinics in Lesotho / M.V. Ramathebane." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4742.
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HIV/AIDS treatment is costly. Lesotho as a resource–limited country depends mostly on donor funding for HIV/AIDS treatment and care. Knowledge of how much was spent on treatment of HIV/AIDS was lacking. This leads to overstocking of some ART medicines resulting in expiry. Sufficient funds need to be secured for the treatment programme. The main objective of the study is to assess the cost of antiretroviral medication treatments, by specifically assessing the cost of antiretroviral regimens, antiretroviral side effects, and the cost of medicines used for prophylaxis and treatment of opportunistic infections as well as the cost of monitoring laboratory tests and dietary supplements.
The study engaged both public and private ART clinics in the Maseru District in Lesotho. The study population consisted of 1 424 patients and study period was between 12 and 56 months from January 2004 to August 2008. Retrospective observational method was used. The cost for HIV/AIDS treatment comprised the cost of antiretroviral medicines and those used for their side effects, opportunistic infections (OI) prophylaxis and treatment, dietary supplements as well as monitoring laboratory tests. Prescribed daily dose (PDD) was used to calculate the cost of all the medicines used. To determine significant differences in average costs for various regimens d– values were used, while a cost/prevalence index was used to determine whether the cost was worth spending on the population or not. Cost–effectiveness ratio was also utilized in order to assess whether the cost born was worth the benefit.
The main findings revealed that regimens 1a (stavudine/lamivudine/nevirapine) and 1c (zidovudine/lamivudine/nevirapine) were the least expensive (cost/prevalence index of 0.6 and 0.7 respectively). Regimens containing efavirenz were found to be more expensive than those containing nevirapine (cost/prevalence index of 1.2 and 1.7 respectively). When using d–values, there was a significant difference between the cost of regimens 1a and 1b, 1a and 1d, 1c and 1d and the information could be used for regimen switching decisions. Increase in CD4 cell count was more in stavudine–based regimens than in zidovudine–based regimens, which cost less per treatment. Cost effectiveness ratio was lower in 1a with R9.42/1cell/mm3 of CD4 cell count increase, and the highest was 1d with R31.77/1cell/mm3 of CD4 cell count increase. Therefore it was concluded that stavudine–based regimens are less costly as they have the lowest cost– effectiveness ratio in the Lesotho clinic environment.Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2011.
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Carciotto, Sergio. "Assessing the role of Development Communication in fostering social change: the case study of Sesotho Media and Development (SM&D)." Thesis, University of Western Cape, 2013. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3147_1391500511.
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A number of programmes have been implemented in the field of development communication, with the specific aim of promoting social change among communities, and a series of studies have illustrated the positive effects of entertainment-education (EE) interventions on individuals variety of fields, including health, agriculture and sustainable development, and make use of a different range of media such as radio, television and theatre. In line with the theory and conceptual framework of the Integrated Model of Communication for Social Change (IMCSC), this research is intended to explore, empirically, how development communication programmes can foster collective action amongst community members. The research is based on a case study of Sesotho Media &
Development (SM&
D), a nongovernmental organisation that has been operating in Lesotho, using media to promote social transformation and individual change. For the past 10 years, SM&
D has been working in Lesotho using a methodology based on facilitated documentary screening with a specific focus on HIV/Aids-related issues, combined with capacity building programmes aimed at training facilitators among support groups, youth groups and prison inmates around the country. Both quantitative and qualitative research methods of enquiry were employed throughout the research. Common research tools used include questionnaires, semi-structured interviews, focus group discussions and observation. In addition, a variety of secondary sources of information, including evaluation reports, funding proposals and journal articles were reviewed. The results of the study reveal that development communication initiatives are able to foster collective forms of action by increasing the level of
efficacy
amongst the audience. Conclusions highlight that participatory development communication with an educational aim allows people to identify problems and to strategise and mobilise resources for collective action.
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Adebanjo, Adefolarin Babafemi. "Comparison of clinical and immulogical responses to Zidovudine (AZT) and Tenofovir (TDF) – containing ARV regimens in patients taking HAART at Roma health service area of Lesotho." Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20440.
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Thesis (MMed) -- Stellenbosch University, 2010.Bibliography
Objective: The objective of this retrospective cohort study is to assess whether demographic and anthropometric parameters, laboratory tests, co-morbidity, co-infection, treatment regimen, IRIS and adherence to treatment predict the expected response to HAART and differences if any, in the pattern of response as measured by CD4 count, weight gain and haemoglobin levels in two cohorts of patients in Roma, The Kingdom of Lesotho. Method: Data were collected randomly from a computerised database of the Antiretroviral Centre of the hospital and two cohorts of 151 subjects in each of the two arms of the study were identified from hospital records from January 2008. Each of these subjects was followed up over a period of 12 months with data obtained for at least 2 visits within the 12 month span. Data were obtained at baseline, 3 months and also at 6 and 12 months marks. Data on characteristics were compared between the two arms. Variables that may be potential confounders were identified and univariate and multivariate logistic regression analyses were carried out to establish differences independent of confounding factors for the combined endpoints as well as for each endpoint separately. Results: In all 302 patients had their records analysed and comparison of clinical and immunological response patterns in patients taking AZT and TDF-containing ART regimens and the possible prediction of which the regimen would be better and within which population. Despite the perceived mismatch between two NRTIs it can be concluded from the results of this study that, overall, the inclusion of AZT in treatment regimen showed a modest protective effect over the TDF counterpart as measured by the endpoints of the discriminative powers of the Receiver Operating Curves of the explanatory variables being 66% , 77% and 66% for CD4, Haemoglobin and Weight respectively, and 63%, 70% and 65% for the same variables in the AZT and TDF arms of the study respectively. Conclusion: In a population of HIV patients on treatment in resource-limited settings AZT-containing regimens appear to show a slight improvement over the TDF-containing ones.
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Kale, Mamofuta Vivian. "Realising the right to food in the context of HIV/AIDS in Lesotho." Diss., 2013. http://hdl.handle.net/2263/37280.
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T'Seole, Nkeka Peter. "Workplace HIV and AIDS management : the case of Thetsane industrial area in Maseru, Lesotho." Thesis, 2011. http://hdl.handle.net/10413/5000.
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The aim of this study was to investigate outcomes of approaches used to mitigate the
negative impacts of HIV and AIDS at workplaces in Lesotho using Thetsane Industrial Area
as a case study. Garment industries in Lesotho are faced with a serious threat due to the HIV
and AIDS prevalence in the country. A huge number of the labour force is leaving firms due
to increased morbidity and mortality associated with HIV and AIDS. In view of this, this
study investigated approaches used in managing HIV and AIDS in the workplace. In order to
optimize the accuracy of the research results, a triangulation research method was utilized.
The results indicate production levels to have improved since the advent of the Apparel
Lesotho Alliance to Fight AIDS (ALAFA). The findings suggest ALAFA to have taken over
the responsibility of HIV and AIDS prevention and management, especially in the garment
industries, providing HIV and AIDS victims with all the necessary services needed to keep
HIV and AIDS under control. These findings therefore suggest overdependence on ALAFA
by the garment industries for HIV and AIDS management. The findings also imply that
garment industries had no resources in the form of human capital specializing in the
knowledge of HIV and AIDS management from the individual garment industries. Despite
the fact that HIV and AIDS still spreads at an alarming rate, the larger implications of this
research’s findings, especially relating to the serious challenge faced by the garment
industries of losing their labour force to HIV and AIDS, is that the pandemic has lately
become manageable given that there are now ARVs and ART to be used as treatment by HIV
and AIDS victims.Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.
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Mothibeli, Lydia Maseatile. "Factors influencing utilization of voluntary counselling and testing of HIV among pregnant women in Lesotho." Thesis, 2009. http://hdl.handle.net/10413/915.
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Voluntary Counselling and Testing for HIV is an effective and important strategy for prevention, care and support. The study examines factors affecting utilization of VCT among pregnant women in Lesotho. A combination of quantitative and qualitative methods was employed. The quantitative part of the study utilized the 2004 Lesotho Demographic and Health Survey data and the qualitative study drew on data from focus group discussions among women attending antenatal clinics in Maseru and Leribe. The majority of pregnant women have never been tested for HIV/AIDS. Married women were less likely to go for VCT as compared with those who are not married. The study also established that place of residence, education and marital status were significantly associated with knowledge of HIV/AIDS and ever been tested for HIV. Stigma and discriminations and fear associated with HIV testing were highlighted as the main factors hindering the use of VCT services among pregnant women. However, knowing one’s status in order to access early treatment was the main reason for utilizing VCT. The VCT promotion programme for pregnant women in Lesotho has to focus on enhancing positive perception of VCT and alleviating perceived barriers related to the use of VCT services.Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.
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Koto, 'Masebeo Veronica. "The impact of HIV/AIDS on the health care provision in Lesotho : perceptions of health care providers." Thesis, 2011. http://hdl.handle.net/10413/4892.
Full textAbstract:
Sub-Saharan Africa has the highest number of people living with HIV and AIDS in the world. Several studies that were carried out suggest that there is a negative impact of HIV and AIDS on the health sector. This impacts directly on health care providers as they are the first point of contact for ill people. This study seeks to explore the impact of HIV and AIDS on health care provision looking at the perception of health care providers. Qualitative methods were used for collecting data from the health care providers. Two focus group discussions were conducted and ten in-depth interviews were conducted in three health care facilities in Lesotho. Audio tapes were used to record the interviews and thematic analysis was utilized to analyse the data. The results showed that the workload has increased due the increased number of people who seek health care services. There is also a shortage of staff in facilities which leads to health workers having to work extra hours. The study further indicated that there is lack of knowledge among health care providers regarding the management of HIV and AIDS. Consequently, the health care providers fear the risk of contracting HIV from their patients. In addition, the results revealed that the poor infrastructure at the facilities hinder health care providers from performing their duties effectively. The other concern was the lack of support structures from the management. Furthermore, stigma and discrimination emerged as the major problems for providers as work and home. As a result, the health care providers are stressed and suffered from burnout. There is a need for further research on the impact of HIV and AIDS on health providers. Government should take more responsibility for encouraging students to enroll at health training institutes. The curriculum should include an emphasis on HIV and AIDS and workshops on HIV and AIDS should be held.Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2010.
25
Ekeji, Immaculata Nwogo. "An investigation into the stigmatization of HIV-positive clients at clinics in the Leribe district." Diss., 2010. http://hdl.handle.net/10500/3683.
Full textAbstract:
A quantitative approach was used to investigate the stigmatization of HIV positive
clients in the Leribe District of Lesotho. The study population included 5200 HIV positive
patients who enrolled for ARV in government clinics. A randomly selected sample of
520 clients responded through a questionnaire and interviews. The statistical package
(STATA version 9) was used to analyze data. The objectives of the study were to
explore the type and level of stigmatization of HIV-positive clients and to describe ways
in which health workers in the PHC can reduce the stigmatization of HIV-positive clients
at the clinics. The findings revealed that types of stigmatization included separation,
isolation, labeling and discrimination. Ways to reduce the stigma within a community
based primary health care facility included educating people living with HIV on how to
protect themselves from multiple infection, providing effective counselling to clients and
families maintaining confidentiality, and using change strategies to change attitudes of
health care providers. The integration of HIV-related activities is a strong
recommendation and the importance of the consistent availability of ARV treatment was
emphasized.Public Health
M.A. (Public Health)
26
Nyangu, Isabel. "The experience of HIV positive patients who have been using Sesotho traditional medicines for the management of HIV/AIDS at Scott Hospital, Morija, Lesotho." Diss., 2014. http://hdl.handle.net/10500/13278.
Full textAbstract:
The purpose of this study was to explore and describe experiences of HIV/AIDS positive patients using Sesotho traditional medicines at Scott Hospital in Morija, Lesotho. The specific objectives were to explore and describe the experiences and views of patients using Sesotho traditional medicines. The study uded an explorative qualitative design with a sample of seventeen (17) HIV positive adults aged 18-49 years who were purposively sampled. The major findings of the study were that; Sesotho traditional medicines improved the health status of the participants; and also they were of the view that Sesotho traditional medicines work as they beneficially contributed to HIV/AIDS management. The study concludes that Sesotho traditional medicines are believed and understood to play a role in the symptomatic management of HIV/AIDS even though the actual role they play is yet to be proven scientifically.Department of Health Studies
M.A. (Public Health)
27
Malibo, Rethabile Khantse. "Using popular participatory theatre as a research method to expose the relationship between HIV/AIDS and silence in Malealea Valley, Lesotho." Thesis, 2008. http://hdl.handle.net/10413/926.
Full textAbstract:
his study discusses the benefits of Popular Participatory Theatre (PPT) as a research method with which to investigate the culture of silence around HIV/AIDS issues in Malealea Valley, Lesotho. Popular Participatory Theatre provided the means by which the community named, reflected on and initiated action with regard to their problems. This research will contribute to the growing body of research which aims to uncover effective modes of communication which could lead to behaviour change. This study employed the qualitative research methodology. This was in recognition that qualitative research involves in-depth understanding of human behaviours and the reasons that govern that behaviour, and looks at the reasons behind various aspects of behaviour, perceptions, beliefs and attitudes. Qualitative research seeks meaning rather than generality and contributes to theory development (Miller et al, 2003:192-3). In-depth interviews and focus groups were also used as instruments for data collection. The findings of the study indicate that socio-economic issues such as language, cultural practices, the way that Basotho are brought up and power dynamics around patriarchy contribute to the culture of silence. The Malealea Theatre Project helped the Malealea community to re-examine some of their beliefs and cultural practices. The findings also indicate that popular participatory theatre is an effective research method that can be used to collect data while also leading to community action.Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.
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Nyangu, Isabel. "Evaluation of antiretroviral therapy program in primary health care settings of Lesotho." Thesis, 2016. http://hdl.handle.net/10500/22135.
Full textAbstract:
The purpose of this study was to evaluate the antiretroviral therapy program in primary health care settings in Lesotho. Mixed methods research using a convergent parallel mixed methods design was used to collect both quantitative and qualitative data which were analysed during the same phase of the research process. Two groups of participants participated in the study, the registered nurse group was composed of registered nurses/midwives/nurse clinicians involved in ART service provision and the second group was composed of adults aged 18 years and older who were HIV/AIDS positive.
Quantitative data had a compliance rate of 92% and it were analysed using SPSS (23). Qualitative data were analysed using constant comparison analysis and seven themes, fourteen categories and twenty two sub-categories emerged from the data analysis. Findings of the study revealed that the majority of PHC facilities were staffed by registered nurse midwives and nurse clinicians who were qualified, confident, knowledgeable and competent in the execution of duties. Generally there were a large number of patients that sought ART services which were offered on a weekly basis although there was variation in the actual number of days the services were provided. The time patients spent seeking ART services varied across the facilities and ARVs and other drugs were usually available. Challenges in the delivery of ART services included unsatisfactory staffing resulting in the provision of inadequate services and work overload, lack of knowledge of some patients, use of incentives by some partners and too many partners being involved in ART, inadequate documentary evidence and stigma pertaining to the HIV status of individuals. Furthermore, ARVs were reported to make patients feel hungry hence resulting in lack of satisfaction in ART services, ART services were inadequate due to dysfunctional equipment and some patients had been lost due to inability to screen for cancer and there was incomplete monitoring and evaluation of the ART program. However, participants in this study generally showed their acknowledgement of the ART services as they generally improved their health status despite the many challenges that were being faced.Health Studies
D.Litt.et Phil. (Health Studies)
29
Motalingoane-Khau, Mathabo Senkepeng. "Women teachers talk sex : a gendered analysis of woman teachers' experiences of teaching sexuality education in rural schools in the age of HIV and AIDS." Thesis, 2010. http://hdl.handle.net/10413/3476.
Full textAbstract:
With the current scourge of HIV and AIDS among the youth in Sub-Saharan Africa, sexuality education has been hailed as the vaccine against new infections. This places teachers at the forefront of the pandemic as facilitators of knowledge. This study explores women teachers’ experiences of teaching sexuality education in rural schools in the age of HIV and AIDS. As a participant researcher, I have worked through photo-voice, drawings, memory work, and focus group discussions with eight Basotho women teachers, and explored how womanhood and teacher-hood shape and reshape each other in becoming a sexuality education woman teacher. I highlight the gender dynamics characteristic of rural communities and how they play out in the construction of sexuality discourses in relation to women teachers, and how such constructions create im/possibilities for women teachers’ facilitation of sexuality education.
An eclectic theoretical approach, with an emphasis on feminist theories, informed the study. A qualitative research design employing a phenomenological narrative approach has been used. The findings show women teachers experiencing the teaching of sexuality education as a challenge. Their experiences are reflected as shaping and being shaped by their understandings regarding sexuality, and their positioning as women and teachers within rural communities. Challenges that create impossibilities for women teachers’ effective facilitation of sexuality education include the patriarchal gender order in Lesotho, cultural practices, teachers’ own sexualities and teachers’ fears of contravening the social constructions of good womanhood.
I argue that Basotho women teachers are facing a challenge of negotiating the socially constructed contestations between normalised womanhood and teacher-hood and thus choose to perform the normalised womanhood at the expense of teacher-hood. The womanhood they perform shapes their teacher identity such that woman teacher-hood in sexuality education becomes ineffective.
This study makes unique contributions to the field of sexuality education in particular and feminist scholarship in general. The methodological contribution lies in the use of visual methods to illuminate women teachers’ positioning in relation to sexuality education. While previous studies in sexuality education have been on pedagogy, this study presents a body of knowledge based on a gendered analysis of women teachers’ embodied experiences of teaching sexuality education and the meanings they make of their experiences.Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2010.
30
Ramakatsa, Lisebo. "Challenges of retaining staff in non-governmental organisations – the organisation focusing on HIV/AIDS in Lesotho." Diss., 2021. http://hdl.handle.net/10500/27903.
Full textAbstract:
Employees are an organisation’s most valuable asset. Their significance to an organisation means that not only the best talent should be attracted but that they should also be retained for the long run. The purpose of this study was to explore the talent retention challenges faced by an HIV/AIDS testing organisation in Lesotho. The study intended to unearth the ideologies behind the high staff turnover in the organisation. The findings of the study indicated that the testing organisation in Lesotho should develop and implement effective policies, systems and strategies that would improve their level of talent retention. These findings can also apply to other non-governmental organisations.
An ethnographic qualitative research design and snowball sampling, using semi-structured interviews were utilised to collect data from the testing organisation staff. The study found that field workers in the testing organisation worked extensive hours with limited resources. In terms of decision-making policies, only senior officers were included in the decision-making processes. There was lack of support from management to aid employees to achieve their targets. While the benefits were satisfactory, staff found their salaries low and not competitive in the market. Moreover, management’s lack of implementing training and development policies crippled the employees’ career growth and talent. Most managers did not regard the testing organisation as an employer of choice.Employees are an organisation’s most valuable asset. Their significance to an organisation means that not only the best talent should be attracted but that they should also be retained for the long run. The purpose of this study was to explore the talent retention challenges faced by an HIV/AIDS testing organisation in Lesotho. The study intended to unearth the ideologies behind the high staff turnover in the organisation. The findings of the study indicated that the testing organisation in Lesotho should develop and implement effective policies, systems and strategies that would improve their level of talent retention. These findings can also apply to other non-governmental organisations.
An ethnographic qualitative research design and snowball sampling, using semi-structured interviews were utilised to collect data from the testing organisation staff. The study found that field workers in the testing organisation worked extensive hours with limited resources. In terms of decision-making policies, only senior officers were included in the decision-making processes. There was lack of support from management to aid employees to achieve their targets. While the benefits were satisfactory, staff found their salaries low and not competitive in the market. Moreover, management’s lack of implementing training and development policies crippled the employees’ career growth and talent. Most managers did not regard the testing organisation as an employer of choice.Business Management
M. Com. (Business Management)
31
Malibo, Rethabile Khantše. "Using popular participatory theatre as a research method to expose the relationship between HIV/AIDS and silence in Malealea Valley, Lesotho /." 2008. http://hdl.handle.net/10413/75.
Full text
32
Nyangu, Isabel. "The experience of HIV positive patients who have been using Sesotho traditional medicines for the management of HIV/AIDS at Scott Hospital, Morija, Lesotho." Diss., 2015. http://hdl.handle.net/10500/15415.
Full text
33
Huggins, Michael W. "Social safety nets, HIV/AIDS & orphans and vulnerable children in Quthing, Lesotho: an examination of coping strategies and how communities survive." Thesis, 2008. http://hdl.handle.net/10539/4684.
Full textAbstract:
Abstract
This dissertation explores four key questions within the HIV/AIDS paradigm1 and the
impact it is having on orphans and vulnerable children in the district of Quthing, Lesotho.
These questions are: What is the status of social safety nets? How are communities
surviving with the growing number of orphans and vulnerable children? What might be
the early warning signs of community breaking points as a new category of child-headed
household emerges? What are the human drivers of the pandemic in terms of behaviour
and attitudes towards HIV/AIDS, orphans and vulnerable children, and sex; and in terms
of reasons why people are not heeding the warning signs and adopting behaviour change?
The findings of the dissertation reveal that communities are overwhelmed with the
demands placed on them to support orphans and vulnerable children to the point where
culture, traditions, and society at large are showing early warning signs of irreversible
strain. Despite the efforts of government, donors, the humanitarian sector and the
communities themselves, awareness of HIV/AIDS is not translating into behavioural
change and as such the spread of the virus continues unabated among the youngest and
most vulnerable groups.
1 The set of assumptions, concepts, values, and practices that constitutes a way of viewing reality for the
community that shares them, especially in an intellectual discipline.
ii
34
Hlongoane, Mocoba Stephen. "An assessment of the contribution of community radio on HIV/AIDS awareness in LeSotho: the case of Mafeteng Community Radio Station (MCRS)." Diss., 2019. http://hdl.handle.net/10500/26988.
Full textAbstract:
Since the first diagnosis of HIV/AIDS more than three decades ago, the epidemic remains a
humanitarian challenge. In Sub-Saharan Africa, the infection rate has escalated at an
alarming rate over the years. Lesotho is no exception. Multiple stakeholders have resorted to
different media platforms, including community radio to communicate HIV/AIDS awareness
messages with the aim of reducing the HIV infection spread. This study focuses on a
community radio station as a way of making sense of HIV/AIDS communication. Using the
case of MCRS, the study assesses the contribution of this community broadcaster on
HIV/AIDS awareness in Mafeteng district, in Lesotho. Two theories: the Public Sphere
Theory and the Agenda Setting Theory guided the study and were used to conceptualise the
contribution of this community radio station towards contributing to HIV/AIDS awareness in
the community of broadcast. In a bid to assess how MCRS programmes contribute to
HIV/AIDS awareness and education; the researcher employed a qualitative research
methodology. The data were collected using two data collection instruments, namely face-toface interviews and focus group discussions. Thematic analysis was used to deduce the
meaning and present the findings. The findings reveal that MCRS programmes largely
contribute to HIV/AIDS awareness in the community. The station’s programmes on
HIV/AIDS awareness are easily understood and influence communities’ socio-behavioural
change as they enlighten them about the dangers of HIV/AIDS and how to reduce its spread.
The results also reveal that live broadcasts proved to be more effective as they encourage
two-way communication whereby listeners are involved and participate in these HIV/AIDS
programmes. It is therefore concluded that MCRS programmes have been useful in the
dissemination of valuable HIV/AIDS awareness messagesCommunication Science
M.A. (Communication Science)
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Boopa, Mafusi Claurana. "Adherence to antiretroviral therapy by adolescents in Maseru : influencing factors and social work support." Diss., 2016. http://hdl.handle.net/10500/21680.
Full textAbstract:
Adherence to long-term medications has remained a problem among adolescents worldwide. Antiretroviral therapy adherence is a wide-reaching challenge among HIV positive adolescents. The aim of this study is to explore and describe poor ART adherence among HIV positive adolescents in Maseru: influential factors and the need of social work support.
Qualitative approach was used, following an explorative, descriptive and contextual research design. The research was conducted at BCMCOE Lesotho. Data was collected by using semi-structured in-depth interviews and purposive sampling was applied to select a sample of adolescents who are HIV positive and who have poor adherence to ART. Data was analysed according to the framework provided by Tesch (in Creswell 2003). Guba’s model (in Krefting 1991) was employed for data verification. Conclusions were drawn and recommendations were made about factors influencing adherence of adolescents to ART and support needed from social workers.Social Work
M.A.(S.S.)
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Prithiviraj, Thamotharampillai Gerard. "The knowledge, attitude and practice among primary health care nurse practitioners regarding oral health and oral HIV lesions in QE II and Roma health service areas in Maseru, Lesotho." Thesis, 2012. http://hdl.handle.net/10539/11441.
Full textAbstract:
M.P.H., Faculty of Health Sciences, University of the Witwatersrand, 2011Although the nursing sector has not been spared the effects of human resource shortages and Human Immune-deficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) crisis in Lesotho, it still remains the backbone of the primary health care delivery. There is a well-established linkage between oral health and HIV/AIDS with many of the early symptoms of HIV manifesting in the oro-facial region. However, the lack of oral health personnel at primary health care levels in Lesotho makes Primary Health Care Nurse Practitioners (PHCNPs) often the first health care providers to consult, manage and refer patients with such oral lesions. Aim: To assess the “knowledge, attitude and practice” (KAP) of the PHCNPs regarding oral health and oral HIV lesions in Queen Elizabeth II (QE II) and Roma health service areas (HSA) of Maseru district in Lesotho. Objectives: To assess the demographic profile of PHCNPs in the target health facilities, their knowledge, attitude and practice regarding oral health and oral HIV lesions. Methods and Materials: The research was a descriptive cross-sectional survey. A convenience sample of 57 primary health care nurse practitioners (PHCNPs) from QE II and Roma health service areas were identified. During their monthly PHC meeting, a questionnaire was administered to assess the knowledge, attitude and practice regarding oral health and oral HIV lesions. The information gathered was both quantitative and qualitative. Data was entered and analysed using the SPSS statistical package. Results: The response rate was 87.7%. There was 100% consensus regarding the importance of oral health to the total well being of individuals. The majority of the PHCNPs recognised oral candidiasis (OC) (94.7%), bleeding gums (87.7%), herpes lesions (71.9%) and dental caries (75.4%). Lesions such as acute necrotizing ulcerative gingivitis (ANUG) (40.3%), angular cheilitis (AC) (56.1%) and apthous ulcerations (24.6%) were also recognised but to a lesser extent. The respondents associated OC (84%), herpes (61%), AC (54%), Oral Hairy Leukoplakia (OHL) (49%), Kaposi‟s‟ sarcoma (KS) (49%) with HIV/AIDS. OC was the most common lesion associated with HIV. Some lesions commonly seen in the clinics such as apthous ulceration and ANUG were not significantly associated with HIV (18% and 33%, respectively). The majority of PHCNPs (81%) indicated that they had knowledge about oral HIV lesions. Twenty nine 6 respondents (50.8 %) reported having received this knowledge through training institutions. Mass media (Radio (53%), TV (40%), and newspapers/magazines (49%)) was one of the major sources of information. Forty-four PHCNPs (77.2%) saw only Zero or one (0-1) HIV patients with oral lesions. Similarly, 15.8 % and 7% of the PHCNPs saw 11 to 20 and more than 20 (21+) HIV patients with oral lesions, respectively. The two thirds of the PHCNPs (67%) said they would not advise patients to seek care from Traditional Health Practitioners (THP) due to their lack of trust and confidence in the practices, knowledge and the patient management of the THPs. However, 16% of them reported that they would refer because they thought traditional medicine boosts the immune system. Only seven respondents (12.3%) routinely washed their hands with antiseptics. However, 44 of respondents (77.2 %) cleaned their instruments with bleach and disinfectants. The majority (89.5%) washed their hands with water and soap. Forty three respondents (75.4%) wore gloves during examination. Routine use of facemasks was limited to only 12 respondents (21.1 %). Ninety eight percent of the PHCNPs stated that they would like to learn to manage oral lesions at health centres. The majority (79%) of the respondents said that they would like to receive more training on the management of oral lesions through workshops. Conclusions: There was an observable correlation between PHCNPs self-assessment of oral health knowledge and the objective knowledge as assessed by ability to identify the oral lesions on a chart ( 2 –sided Fischer‟s test-0.000-0.261).This needs to be confirmed by undertaking a study with a larger sample size. OC was the most common lesion associated with HIV as reported by the PHCNPs. The majority of the participants (94.7%) identified OC and associated it (84%) with HIV infection. The finding indicated that with training and/or mentoring, PHCNPs are likely to confidently diagnose oral HIV lesions. PHCNPs showed a positive attitude towards learning more about the oral manifestations of HIV/AIDS. PHCNPs should be utilised more effectively in the diagnosis and management of HIV/AIDS.
37
Lerotholi, Polo. "What role do nurses play and what are the cultural challenges they face in culture brokering in HIV/AIDS prevention activities in Mohale's Hoek District, Lesotho?" Thesis, 2011. http://hdl.handle.net/10539/10486.
Full textAbstract:
This Research Report explores the cultural challenges faced by nurses in HIV/AIDS prevention activities in five Health Centers of Mohale’s Hoek, Lesotho. It investigates in turn what role nurses play as culture brokers. Lesotho faces major challenges from HIV/AIDS with high prevalence rates. Despite the governments’ significant efforts in the fight against the disease, these efforts have been largely unsuccessful in combating new infections. At the fore front of the struggle against HIV/AIDS nurses play a crucial role by providing services related to HIV prevention, treatment and care. With the increased burden of HIV/AIDS on nurses, expectation is that as biomedical Health Care providers nurses should go beyond the parameters of biomedicine and provide a more holistic approach towards provision of care and support to the patients and educating their patients about HIV/AIDS. In conclusion this research was able to suggest positive aspects of Sesotho culture that can be included in HIV/AIDS prevention interventions.
This research focused on five Health Centers where fifteen face to face open-ended interviews with nurses at the Health Care Centers were carried out. The principle research method employed in this research was semi-structured interviews.
The research findings show that nurses working in the five Health Centers are responsible for facilitating HIV/AIDS prevention activities. Their responsibilities in providing various HIV/AIDS services not only take place in Health Center settings but often take place in nearby villages through interactions with community members and administering the HIV/AIDS services while making their community visits. Nurses described some of the personal challenges they faced but a lot of the problems that nurses have to deal with which constrains their efforts in the prevention of HIV are mainly structural and cultural in nature, ranging from economic dependency, overexposure to HIV/AIDS prevention messages, youth culture and HIV/AIDS to current prevailing perceptions about HIV/AIDS, gender and socio-cultural practices and risky sexual behaviours that expose men and women to HIV.
Overall the findings show first and foremost, though nurses are not aware of the concept of culture brokering, in fact they are not even aware that they are engaging in activities of brokering, the process of culture brokering is evidenced by the numerous activities that nurses engage with to successfully facilitate HIV/AIDS prevention strategies. Second, the awareness of
nurses that there are differences in values, beliefs, and behaviors of the people and communities
they service, and understanding that these values, beliefs and behaviors are the basis for the way
people interact with each other form part of the process of brokering. Third, another important
role within this process is what nurses decide to do with the information they have about the
people they work with. By guiding them on how to protect themselves against HIV through
educational talks, interactions in the communities, collaborations with other significant figures
and translations of messages in Sesotho qualifies as a tactic in problem solving. Lastly, drawn
from the nurses’ various opinions about what is suited as competent to be included in HIV/AIDS
prevention strategies in Lesotho, the researcher was able to gather and conclude what aspects of
Sesotho culture can be considered for inclusion in HIV/AIDS strategies.
38
Maja, Lineo Joyce. "Assessment of adverse drug reactions caused by HAART at antiretroviral clinics in the Maseru district, Lesotho / Lineo Joyce Maja." Thesis, 2014. http://hdl.handle.net/10394/11829.
Full textAbstract:
Antiretroviral drugs are successful in controlling HIV/AIDS and reducing disease progression. Antiretroviral regimens are stopped in up to 25% of all patients during their initial treatment therapy as a result of adverse drug effects, failing treatment and nonadherence within the initial eight months of treatment (Sharma et al., 2007: 235). A pharmacovigilance surveillance system makes it possible for physicians, pharmacists and other healthcare providers to report suspected ADRs. The purpose of this system is to operate as a guide in identification of new ADRs and predisposing risk factors to known ADRs.
The objective of this study was to assess the prevalence and documentation of adverse drug reactions (ADR) in the private and public antiretroviral clinics in Maseru district, with special reference to zidovudine (AZT) and tenofovir (TDF) - based regimens. The empirical investigation was divided into two phases. The first phase was a cross-sectional quantitative retrospective drug utilisation review study which focused on the occurrence of adverse drug reactions in patients taking zidovudine (AZT) and tenofovir (TDF). The second phase, a survey in a form of questionnaires for the health professionals.
Drug utilisation review: The sample size of patients was 300. Of the 44 patients who experience ADRs, 72.73% (n = 32) were female and 27.27% (n = 12) were male. A greater number of patients who experienced ADRs were females with 43.18% (n = 19) presenting with skin rash, 27.27% (n = 12) with nausea/vomiting, and 2.27% (n = 1) with diarrhoea. In male patients, 2.27% (n = 1) had peripheral neuropathy, 18.18% (n = 8) skin rash, 2.27% (n = 1) Fanconi syndrome, 2.27% (n = 1) nausea/vomiting, and 2.27% (n = 1) diarrhoea. Patients whose ART regimen changed due to ADRs were five. 60% (n = 3) of the patients were females and 40% (n = 2) were males. There was an estimated increase of 0.0025 cell/mm³, 0.0026 cell/mm³, 0.0024 cell/mm³, 0.0025 cell/mm³, and of 0.0019 cell/mm³ in CD4 cell count per day according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. An estimated increase of 0.00021 g/dL, 0.00022 g/dL, 0.00018 g/dL, 0.00022 g/dL, and of 0.00020 g/dL in Hb profile per day occurred according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. There was an estimated increase of 0.000062%, 0.000046%, 0.000068%, 0.000062%, and of 0.00017% in neutrophil count according to sex, age group, weight group, initial ART regimen, and ADRs per day, respectively. There was an estimated increase of 0.000044 IU/L, 0.000043 IU/L, 0.000046 IU/L, and of 0.000028 IU/L in ALT according to sex, age group, weight group, and initial ART regimen per day, respectively. An estimated decrease of 0.000013 IU/L in ALT according to ADRs per day also occurred. There was an estimated decrease of 0.00038 μmol/L, 0.00039 μmol/L, 0.00040 μmol/L, 0.00040 μmol/L, and of 0.00028 μmol/L in serum creatinine per day according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. There was an estimated decline of 0.00023 mmol/L, 0.00022 mmol/L, 0.00023 mmol/L, 0.00024 mmol/L, and of 0.00015 mmol/L per day in urea according to sex, age group, weight group, initial ART regimen, and ADRs, respectively.
Health professional’s questionnaire: 49 health professionals responded to the questionnaire. 100% (n= 49) of the participants showed that they did not use the yellow card scheme to report ADRs. 34.65% (n = 17) use the individual case safety reports. 57.14% (n = 28) used the structured databases to report ADRs. 85.71% (n = 42) documented in the patient bukana, and 6.12% (n = 3) used the HIV/AIDS ART card to document ADRs occurrence. 91.84% (n = 45) of the health professionals never filled the ADR reporting form in their working environment.
In conclusion, adverse drug reactions occurring in a hospital or healthcare facility should be recorded and reported by the medical practitioners, nurses, pharmacists, and the pharmacy technicians. Therefore, it is important to assess the continuous evaluation of the benefits and harm of medicines which will help in achieving the ultimate goal of making safer and more effective treatment available for patients. As well as to help the health professionals to participate in the very important process of continuous surveillance of safety and efficacy of pharmaceutical products used in clinical practice.MPham (Pharmacy Practice), North-West University, Potchefstroom Campus, 2014