To see the other types of publications on this topic, follow the link: HIV-positive childrenr.
Dissertations / Theses on the topic 'HIV-positive childrenr'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'HIV-positive childrenr.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Mc, Guire Jessica Kate. "Radiological differences between HIV-positive and HIV-negative children with cholesteatoma." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27435.
Full textAbstract:
Introduction: HIV-positive children are possibly more prone to developing cholesteatoma. Chronic inflammation of the middle ear cleft may be more common in patients with HIV and this may predispose HIV-positive children to developing cholesteatoma. There are no studies that describe the radiological morphology of the middle ear cleft in HIV-positive compared to HIV-negative children with cholesteatoma. Aim: Compare the radiological differences of the middle ear cleft in HIV-positive and HIV-negative children with cholesteatoma. Method A retrospective, cross-sectional, observational analytical review of patients with cholesteatoma at Red Cross War Memorial Children's Hospital over a 6 year period. Results: Forty patients were included in the study, 11 of whom had bilateral cholesteatoma and therefore 51 ears were eligible for our evaluation. HIV-positive patients had smaller (p=0.02) mastoid air cell systems (MACS). Forty percent of HIV-positive patients had sclerotic mastoids, whereas the rate was 3% in HIV-negative ears (p<0.02). Eighty-two percent of the HIV-positive patients had bilateral cholesteatoma compared to 7% of the control group (p<0.02). There was no difference between the 2 groups with regards to aeration of the middle ear cleft, bony erosion of middle ear structures, Eustachian tube obstruction or soft tissue occlusion of the post-nasal space. Conclusion: HIV-positive paediatric patients with cholesteatoma are more likely to have smaller, sclerotic mastoids compared to HIV-negative patients. They are significantly more likely to have bilateral cholesteatoma. This may have implications in terms of surveillance of HIV-positive children, as well as, an approach to management, recurrence and follow-up. HIV infection should be flagged as a risk factor for developing cholesteatoma.
2
Kanyemba, Patricia. "An investigation into the challenges faced by children as victims of HIV/AIDS with reference to the Nyandeni area in the Eastern Cape." Thesis, Walter Sisulu University, 2012. http://hdl.handle.net/11260/d1007756.
Full textAbstract:
The aim of the study was to delineate, discuss and analyze major challenges that affect children between the ages of 13 and 18 in the Nyandeni area due to HIV/AIDS. This exploratory study was also performed to identify the categories of children made vulnerable by HIV/AIDS. One of the objectives was to provide a descriptive and analytical interpretation of the day to day experiences of children affected by HIV/AIDS. In shaping the sample size, 50 respondents were selected from three wards (2, 3 and 16) of the Nyandeni Local Municipality in the Nyandeni area in the Eastern Cape.The researcher made use of the interview technique to collect data from the respondents. In analysing data, the researcher made use of the quantitative and qualitative measures.The outcome of the study points out that HIV/AIDS is the major threat to children and that there is a significant increase in number of child headed families as a result of HIV/AIDS.
3
Williams, Margaret. "A chronic care coordination model for HIV-positive children requiring antiretroviral therapy." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1020346.
Full textAbstract:
The human immunodeficiency virus / acquired immune deficiency syndrome pandemic (HIV/AIDS) continues to increase in prevalence worldwide, particularly in South Africa. There is a concurrent and distinct increase in the prevalence of HIV/AIDS and HIV-related diseases in the paediatric population in South Africa, particularly those using public sector health services, with a corresponding increase in morbidity and mortality rates (Abdool Karim & Abdool Karim, 2010:363), which impacts greatly on paediatric healthcare services. Adding to this, the provision of paediatric antiretroviral care has numerous stumbling blocks, not least of which is lack of decentralisation of facilities to provide treatment. There is the additional shortage of staff, which includes staff that are comfortable dealing with children, lack of training programmes on the provision of antiretroviral therapy to children, and minimal on-site mentorship of staff regarding HIV/AIDS disease in children. This lack of capacity in the healthcare system means that not all of those who require treatment will be able to access it, and this is particularly pertinent to paediatric patients (Meyers et al., 2007:198). Therefore the purpose of this research was to develop a nursing model that would assist healthcare professionals, in particular professional nurses, to optimise the comprehensive treatment, care and support for HIV-positive children who require antiretroviral therapy at PHC clinics. To achieve the purpose of this study, a theory-generating design based on a qualitative, explorative, descriptive and contextual approach was implemented by the researcher to gain an understanding of how the healthcare professionals and parents/caregivers of HIV-positive children experienced the comprehensive treatment, care and support provided at primary healthcare clinics. The information obtained was used to develop a chronic care coordination model for the optimisation of comprehensive treatment, care and support for HIV-positive children requiring antiretroviral therapy. The study design comprised the following four steps: Step One of the research design focused on the identification, classification and definition of the major concepts of the study. This involved describing and selecting the research population and the sampling process prior to conducting the field work which comprised in-depth interviews with two groups of participants, namely healthcare professionals and parents/caregivers who accompany their HIV-positive children to PHC clinics in order to receive antiretroviral therapy. Step Two of the research design focused on the development of relationship statements in order to bring clarity and direction to the understanding of the phenomenon of interest. Step Three of the design concentrated on the development and description of the chronic care coordination model for optimising comprehensive treatment, care and support for HIV-positive children who require antiretroviral therapy in order to ensure a well-managed child on ART. A visual representation of the structure of the model for chronic care coordination was given and described as well as a detailed description of the process of the model. Step Four was the last step of the research design and its focus was the development of guidelines for the operationalisation of the model for chronic care coordination for the optimisation of comprehensive treatment, care and support for HIV-positive children requiring antiretroviral therapy at PHC clinics. Guidelines and operational implications for each of the five sequential steps of the model were developed. The evaluation criteria of Chinn & Kramer (2008:237‒248) were used to evaluate the model. It is therefore concluded that the researcher succeeded in achieving the purpose for this study because a chronic care coordination model that is understandable, clear, simple, applicable and significant to nursing practice has been developed for use by healthcare professionals, particularly professional nurses, in order to optimise the comprehensive treatment, care and support for HIV-positive children requiring antiretroviral therapy at primary healthcare clinics.
4
Denis, Marie F. "Extrapulmonary tuberculosis in HIV-positive and HIV-negative children in Haiti : a hospital-based Investigation." [Tampa, Fla] : University of South Florida, 2005. http://purl.fcla.edu/usf/dc/et/SFE0001404.
Full text
5
Jones, Stephanie. "Assessment of health related quality of life in HIV positive children." Master's thesis, University of Cape Town, 2005. http://hdl.handle.net/11427/8657.
Full textAbstract:
Includes bibliographical references.Background: Quality of life is an important concept because it is the essence of health as defined by the WHO. Pain and other distressing symptoms affect children's quality of life. There is very little published information on pain in children with HIV infection, its prevalence or its affect on their quality of life. This study will add to a growing body of literature on health-related quality of life (HRQOL), but more specifically address these issues in a South African context of HlV/AIDS in children. Such data is currently not available. Methods: A cross sectional descriptive study with an analytic component was performed on a convenience sample of 30 caregivers who attended the Paediatric HIV Clinic at Chris Hani Baragwanath Hospital, Johannesburg. All data was collected by a single investigator over a 4 month period. An established, multidimensional health related quality of life assessment tool (The PedsQL(TM) 4.0) designed for children, was used to measure HRQOL. Results: Mean HRQOL scores were evaluated as well as those for physical and psychosocial health. Scores resembled those of children with other chronic diseases. Disease progression affected the scores with lower values for those children with advanced disease. Where no disclosure of HIV status occurred scores were lower for all dimensions. The prevalence of pain in HIV-affected children was 83%. Caregivers reported 55 individual pains in 12 different regions of the body. On average each patient had 2.3 pain sites. Parents often had difficulty describing the nature of the children's pain. Moderate to severe pain was associated with decreased HRQL scores. Discussion: This study is the first to examine pain and HRQOL in HIV-infected children in South Africa. As the nature of HIV changes to a chronic disease with the availability of antiretroviral treatment, HRQOL will become more important as a medical outcome measure. The PedsQL inventory is brief, easy to understand and takes only about 10 minutes to complete. This makes it an ideal tool for a busy clinic setting. Comprehensive, multidisciplinary health services will be required to minimize long-term illness and disability and to maximize children's potential as they move into adolescence and adulthood. The small study number leant itself to a descriptive study of exploratory nature. A follow up study which includes children's self report in their first language would be valuable.
6
Popov, Diana Dimitra. "HIV Positive Foster Children in Medical Research: Ethics of Disclosure and Assent." Thesis, Connect to resource online, 2008. http://hdl.handle.net/1805/1672.
Full textAbstract:
Thesis (M.A.)--Indiana University, 2008.Title from screen (viewed on June 2, 2009). Department of Philosophy, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Richard B. Gunderman. Includes vita. Includes bibliographical references (leaves 39-40).
7
Ahmed, Aabid Abdulmajid. "The Impact of Palliative Care on Health Status in HIV-Positive Children." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3271.
Full textAbstract:
HIV-positive children in sub-Saharan Africa have numerous challenges to overcome. These challenges increase psychosocial stress as well as symptom burden including fatigue, weight loss, pain, and mental changes. The symptoms may persist even after initiation of antiretroviral therapy, so such children need additional care. Palliative care lays emphasis on holistic patient-centered care, including physical, psychological, social, and spiritual symptoms, alongside antiretroviral therapy. There is limited data on the impact of integrating palliative care with standard HIV care and treatment in children. The purpose of this study was to fill the gap in the literature by investigating the impact of palliative care on health status in HIV-positive children on antiretroviral therapy. The theoretical framework was based on the humanistic nursing theory. Using the Mann Whitney U and logistic regression tests, the health-related quality of life of 97 children who received palliative care in addition to standard HIV care was compared to 180 HIV-positive children who received standard HIV care only through chart reviews. According to study results, children receiving palliative care alongside antiretroviral therapy have better physical and psychosocial health compared to children receiving only antiretroviral therapy. Increasing age was a contributing factor to better psychosocial and physical health in patients receiving palliative care. Emotional, social, and school functioning are important factors that determine treatment outcomes in children on antiretroviral therapy, and addressing those factors through palliative care will create a positive social change by improving treatment outcomes, quality of life, and longevity.
8
Rieser, Anna, and Maria Nilsson. "Children of our time - How two nongovernmental organizations mobilize their work regarding orphaned HIV positive children." Thesis, Ersta Sköndal högskola, Institutionen för socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1286.
Full textAbstract:
The purpose of this study is to compare how two non-governmental organizations (NGO‟ s) with different backgrounds and value systems can function when it comes to mobilization of work with orphaned HIV positive children The ambition with the study has been to find out whether the value bases reflect how the organizations view HIV/AIDS and work with children, and how they thereby mobilize the daily practical work with and around the children. This study is of descriptive characteristic with a qualitative approach in which six interviews has been carried out at two different organizations, and in which the format of the interview questions have been semi structured. The overall result of the study shows that the differences in backgrounds and value systems do not considerably affect the respective organizations‟ mobilization and work with HIV positive children. Also, the results show that there are certain common themes and strategies for the organizations‟ mobilization work. The difference that has been discerned is that the organization that is secular on paper criticizes the South African government more strongly than the organization with a pronounced Catholic value basis. With the help of the theory of social mobilization, we have shown how the organizations mobilize their work with HIV positive children. We show how the two organizations cooperate with various parties and engage in different networks with the aim of strengthening the children and their next of kin. An important aspect from the results is how two non-governmental organizations can contribute with valuable knowledge, and engage people in the work with e.g. preventing the spread on the devastating HIV/AIDS pandemic in South Africa.
9
Peletz, Rachel L. "Safe drinking water for households with young children born to HIV-positive mothers." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.558375.
Full text
10
Behardien, Nashreen. "Oral mucosal and facial manifestations of HIV/AIDS in children (Cape Peninsula, South Africa)." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&.
Full textAbstract:
Currently, HIV/AIDS is one of the greatest threats to child survival in South Africa. It is estimated that approximately 6000 newborn babies become infected with the HIV virus monthly i.e. approximately 200 babies per day. During a 24 month period (October 1999 &ndashOctober 2001), a descriptive prevalence study of the oro-facial manifestations affecting HIV-positive children was conducted in the Cape Peninsula, South Africa. The study population consisted of 268 vertically infected HIV-positive children. The study was motivated by the lack of data regarding oral mucosal lesions in children with vertically acquired HIV-infection.
The study design was descriptive, and the population included consecutive, vertically infected HIV-positive patients sourced from out-patient clinics, hospital wards and special child-care facilities. The children were examined once consent was obtained from caregivers. The findings were documented using data capturing sheets. The data was captured on the Microsoft Excel program and analysed using the Epi 2000 program. The results indicated that a large proportion of HIV-infected children presented with orofacial manifestations at some stage during the course of HIV-infection. Oro-facial manifestations were observed in 70.1% of the study population. The prevalence of the most commonly observed manifestations were: oral candidiasis, 38.8%
parotid gland enlargement, 10.8%
oral ulceration, 5.6%
molluscum contagiosum, 7.8%
periodontal conditions, 3.4%
and herpes simplex infection, 0.7%.It can be concluded that in this sample of HIV-infected children, the prevalence of orofacial manifestations is higher than, and comparable with the findings of similar studies conducted in other regions of the world.
11
Nkambule, Jeaniffer Dekeledi. "The Emotional experiences of HIV-positive married women wanting to bear children: An exploratory study." Thesis, University of Limpopo (Medunsa Campus), 2012. http://hdl.handle.net/10386/1083.
Full textAbstract:
Thesis (MSc (Clinical Psychology)) -- University of Limpopo, 2012.Recent literature on childbearing and HIV has indicated a plethora of evidence suggesting that many women living with HIV continue to desire children, become pregnant and give birth after knowing their HIV status. This desire to have children has been associated with the availability of HAART and PMTC interventions and its improvement in the quality of life for HIV-positive women. This study aimed at exploring the emotional experiences of HIV-positive married women wanting to bear children. A qualitative research design was used to explore the above mentioned aim. Through the use of semi-structured interviews a sample of 12 HIV-positive married women were purposefully selected. The participants were chosen from Tshepang clinic at Dr. George Mukhari Hospital situated in the township of Ga-Rankuwa using a purposive sampling design. Semi-structured interviews using interview guide were conducted to explore their unique and subjective emotional experiences of being HIV, married and in need of a child. The process of data analysis in the current study was guided by phenomenological approach in order to allow the inherent meaning of the data to emerge without being distorted. The findings of these study revealed that the experiences surrounding HIV positive diagnosis, marriage and childbearing proves to be associated with overwhelming emotional experiences for women in the current study. Most of the participants in this study viewed motherhood as a unique, subjective and a personal fulfilment for all women irrespective of their HIV status. Participants felt that children stabilise a marriage by giving it meaning. A decision to conceive for some participants is influenced by pressure as a result of their marital, social and situational context
12
Sandison, Alida. "Exploring the developmental profile of Black HIV positive/AIDS infants and children a longitudinal study." Thesis, Nelson Mandela Metropolitan University, 2005. http://hdl.handle.net/10948/357.
Full textAbstract:
This study aimed at exploring the developmental profile of HIV positive/AIDS infants and children (three to 35 months) over a period of 11 months in the Nelson Mandela Metropole, utilising the Revised Extended Griffiths Scales of Mental Development (GSMD). The purpose was to generate information about the development of HIV positive/AIDS infants and children, highlighting developmental strengths and weaknesses to ultimately aid the custodians of these children with their interventions. A non-probability purposive sampling method was applied, and a longitudinal profile was generated as participants were assessed twice. Participants were all outpatients at Kwazakhele Day Clinic, Dora Nginza and Livingstone Hospitals in the Nelson Mandela Metropole, and were located for the study through their caregiver’s attendance of an HIV support groups at the Dora Nginza Hospital. Data was analysed statistically using descriptive statistics and Hotelings-T² tests. Results indicated a significant difference between first and second assessment on the General Quotient and on two of the six subscales, namely Eye-Hand Co-ordination (D) and Practical Reasoning (F). It was deduced that development declined or did not improve as participants aged.
13
Zingwari, Jebson. "Prevalence of malnutrition in HIV positive infants (age<18months) attending a clinic in Windhoek, Namibia." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3482_1362394243.
Full textAbstract:
Background-Namibia has a high HIV and malnutrition burden. HIV increases the risk of
malnutrition and malnutrition results in rapid progression of the disease and worsening malnutrition. Nutrition plays an important role in the management of an HIV positive child. Optimal nutrition delays disease progression, improves immune function and the effectiveness of antiretroviral drugs thereby improving the quality of life of the child. Early identification of children at risk of malnutrition is therefore essential to prevent malnutrition in HIV positive children. Methodology-The study sought to determine the prevalence and the risk factors for malnutrition in 88 HIV positive children less than 18 months attending Hospital Paediatric ARV Clinic (HPAC). The study used quantitative methods. A questionnaire was administered to the child&rsquo
s caregiver to assess infant, caregiver and socio-economic risk factors for malnutrition after written consent had been obtained. The history of the patient was extracted from the HIV patient care booklet. Nutritional status was assessed using WHO standard growth charts in children and body mass index (BMI) in adults. Results- The study showed that 56.8% of children were wasted (14.8% had severe wasting), 52.3% were stunted (18.2% had severe stunting) and 69.3% underweight (20.5% were severely underweight). This level of malnutrition is much higher than the rates of 8% wasting, 29% stunting and 17% underweight in the general paediatric population. Malnutrition in children was associated with fewer number of working adults per family, frequent illnesses in the child, low level of caregiver education, caregiver unemployment, low household income and lack of adequate food in the family. Children of malnourished caregiver were more likely to be underweight. Conclusions- The results showed a high prevalence of malnutrition (56.8%wasting, 52.3%stunting and 69.3% underweight) among HIV positive infants attending the HPAC. The study showed that poverty and food insecurity were strongly associated with malnutrition in children. This therefore
highlights the urgent need to address poverty to reduce malnutrition in the community. Although the study did not show any statistically significant association between feeding practices and malnutrition in children, health workers should encourage HIV positive mothers to breastfeed their infants as per the WHO and Namibian antiretroviral therapy guidelines (2010). Recommendations - There is need to train health workers to identify and manage malnourished children early. Linkages with social services must be improved and strengthened to help reduce poverty in the community.
14
Davids, Nailah. "The motor development of HIV positive and HIV negative children aged three to six years, residing in institutions and in foster care." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/3010.
Full textAbstract:
Includes abstract.Includes bibliographical references (leaves 129-135).
To compare the motor development of children aged 3-6 years with HIV/AIDS in institutions and in foster care using the Peabody Motor Developmental Scale (PDMS II). A description of socio-economic conditions to the children, to compare the health status of HIV positive children, to establish and compare developmental quotients of children across two care-giving environments and compare performance of children with and without HIV, to determine to what extent developmental quotient changes over a six-month period and establish which factors predict performance. A descriptive, analytical, prospective, longtudinal study design was used. 44 children participated in the study at baseline. The children were recruited from four institutions in Cape Town and from community outreach programmes supporting foster parents. Six months later 37 children were tested.
15
Innes, Steven Eugene Vere. "Lipoatrophy in HIV-infected children on antiretroviral therapy." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79864.
Full textAbstract:
Thesis (PhD)--Stellenbosch University, 2013.Bibliography
ENGLISH ABSTRACT: Introduction: Lipoatrophy is a common adverse effect of stavudine and this effect is strongly dose-dependent. Stavudine remains the most commonly used paediatric antiretroviral drug in sub-Saharan Africa, yet when the current study began in 2009, the prevalence and severity of lipoatrophy in children on antiretroviral therapy in sub-Saharan Africa had never been studied. The development of lipoatrophy may have serious and far-reaching consequences for patients and their families. The off-label stavudine dosing method, prescribed to children whose caregivers do not have access to a refrigerator, in which the contents of an adult capsule is mixed into tap water, has potential for over-dosing or under-dosing. In addition, children on stavudine continue to be exposed to a disproportionately high dose out of line with the reduced adult dose. Aims: 1. a) To investigate the prevalence and risk factors for lipoatrophy in HIV-infected children in Southern Africa b) To identify a simple anthropometric screening tool to detect early lipoatrophy in children 2. To validate the off-label stavudine dosing method prescribed to children whose caregivers do not have access to a refrigerator, with a view to reducing the recommended dose and thereby the side-effects. Methods: 1. a) We recruited pre-pubertal children on antiretroviral therapy from a family HIV clinic in our facility. Lipoatrophy was identified by two experienced paediatric HIV clinicians using a standardized grading scale. A dietician performed dietary assessment and anthropometric measurements. Previous antiretroviral exposures were recorded. A subset of recruits received Dual-Energy X-ray Absorbtiometry scanning. b) Anthropometric measurements in children with and without lipoatrophy were compared using multivariate linear regression adjusting for age and gender. The most discerning anthropometric variables underwent Receiver Operating Characteristic curve analysis to identify the most appropriate diagnostic cut-off. 2. a) Accuracy of the standard off-label stavudine dosing method was investigated using high-performance liquid chromatography to recover active drug from solutions made up using the prescribed method. This was compared to the stated drug content of the capsules. b) Bioavailability was investigated by performing a randomized crossover pharmacokinetic study wherein healthy HIV-seronegative adult volunteers received one of two generic stavudine capsule formulations, either intact or mixed in water using the prescribed method. Plasma stavudine concentrations were assayed by liquid chromatography tandem mass spectrometry. Results: 1. a) Prevalence of lipoatrophy was 36%, and incidence was 12% per person-year. Adjusted odds ratio for developing lipoatrophy was 1.9 (CI: 1.3–2.9) for each additional year of accumulated exposure to standard-dose stavudine. b) Baseline biceps skin-fold thickness correlated well with maximum lipoatrophy grading score at any site, giving a partial correlation coefficient of 0.33 (p=0.0006), and a receiver operating characteristic area-under-curve value of 0.75 (CI: 0.64 – 0.84). Biceps skin-fold thickness <5mm at baseline had a sensitivity of 89% (CI: 67–100%) and a negative predictive value of 97% (CI: 91–100%) for predicting which children would go on to develop lipoatrophy by 15 month follow-up. Specificity was 60% (CI: 46–75%) and positive predictive value was 32% (CI: 14–50%). 2. a) Recovery of active drug from solution was 97.1%, 97.4% and 93.8% for the proprietary and two generic formulations respectively. b) Pharmacokinetic parameters of the off-label dosing method were well within the target range of intact capsule dosing for both generics. Conclusions: 1. a) The prevalence and incidence of lipoatrophy in pre-pubertal children on antiretroviral therapy in South Africa is high. Cumulative exposure to standard-dose stavudine was the greatest risk factor for lipoatrophy. b) Biceps skin-fold thickness provided reasonable sensitivity and specificity to detect and predict lipoatrophy in pre-pubertal children on antiretroviral therapy. 2. The off-label dosing method for stavudine prescribed to children whose caregivers do not have access to a refrigerator is reasonably accurate and is bioequivalent to intact capsule administration.
AFRIKAANSE OPSOMMING: Inleiding: Lipoatrofie is 'n algemene nadelige uitwerking van stavudien en hierdie effek is sterk dosis-afhanklike. Stavudien bly die mees algemeen gebruikte paediatriese antiretrovirale medikasie in sub-Sahara Afrika, maar toe ons studie begin het, was lipoatrofie in kinders op antiretrovirale terapie in sub-Sahara Afrika nog nooit voorheen bestudeer nie. Die ontwikkeling van lipoatrofie kan ernstige en verreikende gevolge vir die pasiënt en hul familie hê. Die af-etiket stavudien dosering metode voorgeskryf aan kinders wie se versorgers nie toegang tot 'n yskas het nie het 'n aansienlike potensiäal vir oor-dosering of onder-dosering. Daarbenewens, is kinders op stavudien blootgestel aan 'n disproporsionele hoë dosis uit-pas met die verminderde volwasse dosis. Doelwitte: 1. a) Om ondersoek in te stel na die voorkoms en risiko faktore vir lipoatrofie in MIV-geïnfekteerde kinders in Suid Afrika b) Om 'n eenvoudige antropometriese instrument te identifiseer om vroeë lipoatrofie op te spoor in kinders op antiretrovirale medikasie 2. Om die af-etiket stavudien dosering metode wat voorgeskryf is aan kinders wie se versorgers nie toegang tot 'n yskas het nie te valideer, met 'n oog op die vermindering van die aanbevole dosis Metodes: 1. a) Ons het 'n groep van onder-puberteitsjarige kinders op antiretrovirale terapie gewerf uit 'n familie MIV kliniek in ons fasiliteit. Lipoatrofie is geïdentifiseer deur twee ervare MIV pediaters deur gebruik van 'n gestandaardiseerde gradering skaal. 'n Diëetkundige het diëet assessering en antropometriese metings uitgevoer. Vorige antiretrovirale blootstellings is aangeteken. In 'n subset was Dual-energie X-straal Absorbtiometry (DXA) skandering uitgevoer. b) Antropometriese metings in kinders met en sonder lipoatrofie is vergelyk met behulp van meerveranderlike lineêre regressie aangepas vir ouderdom en geslag. Die mees kieskeurige antropometriese veranderlikes het Receiver Operating Curve analise ondergaan om die mees geskikte diagnostiese afgesnypunt te identifiseer. 2. a) Akkuraatheid is ondersoek deur gebruik te maak van hoë werkverrigting vloeistofchromatografie om aktiewe medikasie vanuit oplossings te herstel, wat gemeng is soos aangedui deur die voorgeskrewe af-etiket dosering metode. b) Biobeskikbaarheid is ondersoek deur die uitvoering van 'n ewekansige oorgesteekde farmakokinetiese studie waarin gesonde MIV- negatiewe volwasse vrywilligers een van twee generiese stavudien kapsule formulerings ontvang het, óf heel of in water gemeng soos aangedui deur die voorgeskrewe af-etiket dosering metode. Plasma stavudien konsentrasies is gemeet deur vloeistofchromatografie tandem massaspektrometrie. Uitslae: 1. a) Voorkoms van lipoatrofie was 36%, en insidensie was 12% per persoon-jaar. Aangepaste Odds ratio vir die ontwikkeling van lipoatrofie was 1,9 (CI: 1,3-2,9) vir elke addisionele jaar van opgehoopte blootstelling aan standaard dosis stavudien. b) Biceps vel-vou dikte <5mm het 'n sensitiwiteit van 89% (CI: 83-96%) en 'n negatiewe voorspellende waarde van 90% (CI: 84-96%) vir die opsporing en voorspelling van lipoatrofie. 2. a) Herwinning van aktiewe medikasie uit oplossings was 97,1%, 97,4% en 93,8% vir die oorspronklike en twee generiese formulerings onderskeidelik. b) Farmakokinetiese parameters van die af-etiket dosering metode was wel binne die teikenband van ongeskonde kapsule dosering vir beide generiese formulerings. Gevolgtrekkings: 1. a) Die voorkoms van lipoatrofie in onder-puberteitsjarige kinders op antiretrovirale terapie in Suid-Afrika is hoog. Die bedrag stavudien waaraan kinders blootgestel is moet hersien word. Die standaard stavudien dosis vir kinders moet herge-evalueer word. b) Biceps vel-vou dikte het redelike goeie sensitiwiteit en spesifisiteit om lipoatrofie op te spoor en te voorspel. 2. Die af-etiket dosering metode vir stavudien voorgeskryf aan kinders wie se versorgers nie toegang tot 'n yskas het nie is redelik akkuraat en is bio-ekwivalent aan ongeskonde kapsule administrasie.
16
Nassen, René. "Neuropsychiatric profile of a cohort of perinatally infected HIV positive children after one year of antiretroviral medication." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/12158.
Full textAbstract:
Includes abstract.Includes bibliographical references.
The Highly Active Antiretroviral Therapy (HAART) era in the mid-nineties signalled a dramatic change in the long-term outcome of Human Immunodeficiency Virus (HIV). Many children have shown significant neurologic benefit, and in particular, a decline in the incidence of HIV encephalopathy. As increasing numbers of children have survived into adolescence and early adulthood new challenges have arisen, such as the detection and characterization of milder forms of HIV-associated neurocognitive deficits in children previously thought to be asymptomatic...
17
Floor, Henriëtte Carolien. "Developing music therapy referral criteria for institutionalized children affcted by HIV / AIDS at the Mohau Centre." Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-09302008-145409/.
Full text
18
Silva, Richardon Augusto Rosendo da. "Cartografia da percep??o de m?s e profissionais sobre a aten??o a sa?de de crian?as/adolescentes soropositivos no munic?pio de Natal." Universidade Federal do Rio Grande do Norte, 2006. http://repositorio.ufrn.br:8080/jspui/handle/123456789/13417.
Full textAbstract:
Made available in DSpace on 2014-12-17T14:14:03Z (GMT). No. of bitstreams: 1
RichardsonARS.pdf: 244790 bytes, checksum: 7ec9324fdc574c3d106b56b638713650 (MD5)
Previous issue date: 2006-05-19This study had as objective to identify to the perception of mothers and professionals of health on the attention to the health of HIV-Positive children/adolescents in the city of Natal-RN. It is a descriptive-exploratory study with quantitative and qualitative approach, carried through in the Giselda Trigueiro Hospital and in the State and Municipal Health Councils in Natal - RN, from march to december of 2005. The sample was composed by 56 participants, 33 mothers of children who use specialized assistance and 23 professionals. Data collection occurred with the application of a half-structuralized interview. Quantitative data were analyzed through descriptive statistics and qualitative data were submitted to content analysis. Prevailing categories in relation to the cartography of the attention to seropositive children and adolescents in Natal were: Organization and dynamics of the attention; Institutional management and human development; Control and prevention; other contexts of attention; relationship/communication team-patient and organization and functioning of the services. The profile epidemiologist of the children, adolescents and of the people/mothers, who take care of them with HIV/Aids, followed the evolution of the epidemic in the country and the world. It was verified that mothers need care and information; however they make a positive evaluation of the attendance they receive. It was also observed many gaps in the services of assistance, in which the researched group was attended, beyond imperfections in the communication between health professionals and users. The professionals recognize the advances that the politics represent for the assistance of people with Aids; however feel themselves limited by the precariousness of the system and the partner-economic conditions of the people. According to these data, it can be verified great challenges to go through in the context of integrality of the assistance to HIV positive children and adolescents in the city of Natal and in the improvement of the communication in the institution of reference
Este estudo teve como objetivo Identificar a percep??o de m?es e profissionais de sa?de sobre a aten??o ? sa?de de crian?as/adolescentes soropositivos no munic?pio de Natal-RN. Tratou-se de um estudo descritivo-explorat?rio com abordagem quantiqualitativa, realizado no Hospital Giselda Trigueiro e nas Secretarias Estaduais e Municipais de Sa?de situados em Natal RN, no per?odo de mar?o a Dezembro de 2005. A amostra foi formada por 56 participantes, sendo 33 m?es de crian?as usu?rias da assist?ncia especializada e 23 profissionais. A coleta de dados ocorreu com a aplica??o de uma entrevista estruturada. Os dados quantitativos foram analisados atrav?s da estat?stica descritiva e os dados qualitativos foram submetidos ? an?lise de conte?do. As categorias prevalentes em rela??o ? cartografia da aten??o as crian?as e adolescentes soropositivos em Natal foram: Organiza??o e din?mica da aten??o; Gest?o Institucional e desenvolvimento humano; Controle e preven??o; Outros Entornos de aten??o; relacionamento/comunica??o equipe-paciente e organiza??o e funcionamento do servi?o. O perfil epidemiol?gico das crian?as, adolescentes e seus respectivos cuidadores/m?es com HIV/Aids, foi semelhante ? evolu??o da epidemia no pa?s e no mundo. Observou-se que essas m?es s?o carentes de cuidados e informa??es, por?m fazem uma avalia??o positiva do atendimento que recebem. Foram verificadas diversas lacunas nos servi?os de assist?ncia, no qual o grupo pesquisado foi atendido, al?m de falhas na comunica??o entre equipe de sa?de e usu?rios. Os profissionais reconhecem os avan?os que as pol?ticas representam para a assist?ncia de pessoas com Aids, por?m sentem-se limitados pela precariedade do sistema e das condi??es s?cioecon?micas das pessoas. Diante desses dados, constatam-se os grandes desafios a serem percorridos no contexto da integralidade da assist?ncia a crian?as e adolescentes portadores de HIV no munic?pio de Natal e na melhoria da comunica??o na institui??o de refer?ncia
19
SOMWE, Jean-Jacques. "HIV positive street children’s access to treatment for HIV/AIDSin the district of Katuba, in the South-West of the city of Lubumbashi, democratic republic of Congo (DRC)." University of Western Cape, 2019. http://hdl.handle.net/11394/7660.
Full textAbstract:
Master of Public Health - MPHThe number of street children, in the Democratic Republic of Congo (DRC), is estimated at 70,000 and it increases each year. The President's Emergency Plan for AIDS Relief reported a 75.1% of street boys and 81.1% of street girls report multiple sex partners in DRC, thereby increasing their risk for transmission. Access to HIV treatment remains one of the challenges for the street children with HIV/AIDS. A study conducted in Lubumbashi and Kipushi in the Province of Haut Katanga, found that 78.2% of street children have no access to health care The District of Katuba as in other local districts in the province, has seen a growing number of street children in recent years. T
20
Manase, Frank. "Intensive Paediatric Case Finding : evaluation of a programme for identification of HIV positive children and adolescents, Dar es Salaam, Tanzania." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/6096.
Full textAbstract:
Includes abstract.Includes bibliographical references.
The purpose of the study was to evaluate the impact of the IPCF in improving identification of HIV positive children. Contrary to other two traditional approaches for HIV testing, Voluntary Counselling and Testing (VCT) and Provider Initiated Counselling and Testing (PICT), the IPCF approach initiates the process of HIV testing for children by identifying children while at the community through utilization of community social networks whereas, VCT and PICT interventions initiate the process of HIV testing for children who have already presented at health facilities for either an HIV test or other health needs.
21
Basterfield, Candice. "The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017881.
Full textAbstract:
Pharmacological interventions to treat Human Immunodeficiency Virus (HIV) with antiretrovirals (ARVs), have dramatically improved the survival rates of HIV positive children maturing into adulthood. However, HIV-associated neurocognitive decline still persists in the era of ARVs. Within the framework of brain plasticity, a number of researchers have begun to assess the feasibility of cognitive rehabilitation therapy as a complement to ARVs to reverse neurocognitive decline as a result of HIV (e.g., Becker et al., 2012). Only one study has been conducted in South Africa, by Zondo & Mulder (2014), assessing the efficacy of cognitive rehabilitation in a paediatric sample. The current research builds on the above mentioned study by implementing an experimental approach to examine the effect of cognitive rehabilitation in a sample of both HIV positive and HIV negative children. Five HIV positive and six HIV negative children were assigned to either an experimental or control group. The experimental group underwent two months of cognitive rehabilitation therapy remediating sustained attention, whereas the control group took part in placebo activities. Sustained attention measures were taken before and after the intervention training sessions, using a sustained attention subtest from the Test of Everyday Attention for Children (TEA-CH). A Mann Whitney U Test revealed that the experimental group (Mdn=38.50) did not differ significantly from the control group (Mdn = 37.00) after the cognitive rehabilitation intervention, U=12.00, z= -.55, p= .66, r= -.17. But a Wilcoxon Signed Rank Test found that there was a significant improvement from pretest scores (Mdn=31.00) to posttest scores (Mdn=38.00) following the rehabilitation for HIV positive participants in the sample, T=15.00, z = -2.02, p= .04, r= -.90. This raises the possibility that cognitive rehabilitation could be used as a low cost intervention in underdeveloped contexts
22
Ramoraswi, Sophy Ramadimetja. "The knowledge of pregnant women about polymerase chain reaction HIV testing of infants in the Molemole Municipality of the Capricorn District, Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2013. http://hdl.handle.net/10386/1052.
Full textAbstract:
Thesis (M.Cur.) --University of Limpopo, 2013All pregnant women who seek antenatal health care at the public clinics are offered HIV counselling and testing. Those who agree to test and who test positive, often fail to bring their infants for polymerase chain reaction (PCR) HIV testing after delivery, despite the fact that they have been advised to do so during delivery. There are very few studies which have assessed the women’s knowledge with regard to the PCR HIV testing of infants. In this study; a qualitative, exploratory, and descriptive methodology was applied to explore and describe the knowledge of pregnant women with regard to PCR HIV testing of infants in the Molemole Municipality of the Limpopo Province, Capricorn District. Purposive sampling was used and semi-structured interviews were conducted until saturation of data was reached. Qualitative data analysis design of Marshall and Rossman was used. The study indicated that the participants had knowledge with regard to the PCR HIV testing of infants. The nurse and lay counsellors knew about the different modes of prevention of mother-to-child transmission (PMTCT) and they used every contact opportunity with pregnant women to share its benefits. Mother to mother support groups for HIV positive pregnant and lactating women should be established for continuous support and counselling with the purpose of achieving an HIV-free generation.
23
Ferguson, Jessica. "The effectiveness of a caregiver-directed intervention promoting development in HIV-positive children on caregivers' self-efficacy: A randomised controlled trial." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29660.
Full textAbstract:
Background: Caregiver self-efficacy (CSE) supports the capabilities of caregivers to engage in parenting activities including stimulating development in their children. Human immunodeficiency virus (HIV) remains a prevalent concern in South Africa, even with the use of antiretroviral treatment. Children with HIV are compromised in their health and development which adds to the general stress of families rearing HIV-positive children. Stress has a negative effect on CSE. However, studies indicate that CSE can be improved through parent-mediated intervention. Caregivers’ engagement in the intervention may grow their skills to promote development in their HIV-positive children. This may have a positive influence on CSE. Occupational therapists working in governmental paediatric HIV clinics developed a play-informed, caregiver-implemented, home-based intervention (PICIHBI) for HIV affected families to be implemented. This study evaluates the effectiveness of PICIHBI on CSE. Aim: The aim of the study is to determine if the CSE levels in a group of caregivers of HIV-positive children aged 6 months to 8 years 0 months on ART, after receiving play-informed caregiver-implemented home-based intervention (PICIHBI) are not inferior to CSE levels in an equivalent group of caregivers with children receiving conventional one-on-one occupational therapy. Method: The study applied a pragmatic, randomised control trial with caregiver-child dyads attending the antiretroviral clinic at Groote Schuur Hospital, Cape Town. The control group received conventional child-directed occupational therapy on an individual basis and the experimental group received caregiver-directed, PICIHBI in a group format. The Parenting Self-Efficacy Measure (P-SEMI), Parenting Sense of Competency (PSOC) scale, and the General Self-Efficacy Scale (GSE) measured self-efficacy at baseline, half way and at the end of the yearlong, monthly interventions. Results: Sixty-four caregiver-child dyads were recruited and assessed at baseline. Thirty-nine dyads were retained in the study, completing the measures at all three test points. Results revealed that baseline CSE was high for both groups. There was a significant change (p < .001) in the P-SEMI total scale in both groups from baseline to mid-test and mid-test to post-test. In both groups the CSE scores decreased from baseline to mid-test and then increased from mid-test to post-test. There was not a significant difference in CSE results between baseline and post-test on the P-SEMI total scale for either groups. There were no significant differences between test points for the other scales and subscales for both groups. Conclusion: The results suggest that PICIHBI has a non-inferior effect on CSE to that of conventional occupational therapy. This suggests that PICIHBI is comparable to conventional occupational therapy and could be implemented as an alternative intervention without comprising the effects on CSE. Employing PICIHBI as an alternative intervention could provide a number of benefits including the development of caregiver skills, a larger reach within the population, and contextually driven intervention that is embedded in children’s home environments. Various influencing factors are proposed to explain the patterns of CSE demonstrated in the groups. Neither group showed a significant increase in CSE from baseline to post-test and thus further investigation and intervention development is required to specifically demonstrate enhanced CSE in this context. Intervention attendance for both groups was poor. This is the first investigation on the effects of PICIHBI on CSE which can inform further research to develop best occupational therapy practice in the vast population of HIV affected families.
24
Zeelie, Jean-Pierre. "Analysing costs of a facility-based lay health worker intervention focused on improving health outcomes for HIV positive women and children." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/6029.
Full textAbstract:
South Africa is facing a health care worker shortage which is contributing to poor health outcomes, especially in mother-to-child transmission of HIV. In order for Prevention of Mother to Child Transmission (PMTCT) programmes to achieve success, coverage needs to be dramatically increased. This paper aims to provide specifics on the costs of integrating a Lay Health Worker (LHW) into a clinic to improve patient uptake and retention of PMTCT services, in what was previously the Motheo district, Free State.
25
Achen, Jasinta H. "Evaluation of the nutritional correlates of growth of early and middle stage HIV-infected children in Uganda and zinc content of Ugandan food plants." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=83957.
Full textAbstract:
A cross-sectional survey was carried out to evaluate the nutritional correlates of growth in 93 HIV-infected children in the early and middle stages of infection. Also, as zinc is important for growth and immune function, foods commonly eaten by these children were evaluated for zinc content. Foods with relatively high zinc were identified in Uganda, and these food items were legumes and cereals. A high prevalence of stunting and wasting was found in HIV-infected children. The study also found that the frequency of past week oil/fat and staples consumption was non-significantly correlated to weight-for-height at the early stage, while household size was negatively, but non-significantly, associated with WHZ in all HIV-infected children. Few caregivers reported feeding certain foods to HIV-infected children based on beliefs.
26
Vale, Beth. "Of blood and belonging : the practice of antiretroviral treatment among HIV-positive youth in South Africa's Eastern Cape." Thesis, University of Oxford, 2015. https://ora.ox.ac.uk/objects/uuid:c3db9d98-7d18-4e39-b8ef-344f3bbbdbff.
Full textAbstract:
HIV-positive adolescents are an increasingly numerous and challenging population in the South African HIV/AIDS epidemic. Their access to, and retention in, ART care has become a pressing public health concern. Comprised of four journal articles, this thesis explores the practice of antiretroviral treatment (ART) among a cohort of HIV-positive adolescents (age 10-19) in South Africa's Eastern Cape. By 'practice', I mean the volatile, situated and relational 'work' that goes into young people's everyday achievement of ART - into consuming daily medication, regularly attending health appointments, and participating in HIV programmes. Through an exploration of the ways in which some HIV-positive adolescents use, appropriate, or reject ART care; this thesis contributes to a much-needed evidence-base on the needs and survival strategies of adolescent ART users. Data for this study was gathered through eight months of multi-method ethnographic fieldwork with 23 HIV-positive youth, their families, and local health workers. The findings elucidate adolescent ART as a complex (and often volatile) form of social incorporation, through which young people negotiate survival, care and moral connection in contemporary South Africa. Enrolling in ART meant being encompassed into a (often hierarchical) set of social relationships, through which adolescents sought belonging, recognition and protection, amid profound insecurity. Through ART and its associated programmes, adolescents and their families attempted to strengthen familial ties, appeal to powerful patrons, petition for care, and access basic resources. Yet these pursuits were often deeply ambivalent, as discipline, blame, and resentment often came encased in the terms of care. At the crux of each article is an attempt to understand how adolescents, often alongside their families, negotiated both the social stakes and possibilities of ART. Through these discussions, we might better be able to grasp the fragility and complexity of young people's retention in ART.
27
Korsman, Stephen Nicolaas Jacques. "Molecular epidemiology of mother-to-child transmission of HIV-1 in children at Tygerberg Hospital." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1074.
Full text
28
Pavlov, Dobromir Nikolov. "Genomic mutations in oral poliovirus vaccine strains implications for the eradication of poliovirus /." Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-11172005-120800.
Full text
29
Wasserfall, Estelle. "Growth patterns and nutrition-related problems of infants under one year attending Red Cross Children's Hospital's antiretroviral clinic and the knowledge, attitudes, beliefs and practices of their caregivers, concerning infant feeding." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17969.
Full textAbstract:
Thesis (MNutr)--Stellenbosch University, 2011.ENGLISH ABSTRACT: Introduction A paucity of data exists regarding growth patterns and nutrition-related problems in infants (<12 months) on antiretroviral treatment (ART) and the infant feeding knowledge, beliefs, attitude and practices of their caregivers. Aim To describe the growth and nutrition-related problems of infants (<12 months) attending the Antiretroviral (ARV) clinic at Red Cross Children’s Hospital, as well as the knowledge, attitudes, beliefs and practices of their caregivers concerning infant feeding. Methods A cross-sectional, descriptive study was conducted with census sampling. Thirty infants and 31 caregivers were included in the sample. Anthropometric measurements were performed and interviewer-administered questionnaires were utilised to obtain the knowledge, attitude, beliefs and practices of the caregivers. The mean Z-score of each measurement as well as the weight-for-age, length-for-age, weight-forlength and bodymass index-for-age for each infant were determined, analysed, interpreted and described according to the World Health Organisation (WHO) growth standards for children. Results Thirty-nine percent (n=11) of the mothers (n=28) did not receive infant feeding counselling prior to delivery, while only 9 (32%) received the minimum number of at least 4 sessions, as prescribed by the Department of Health. It was not assessed whether the counselling occurred before delivery. The mean age of the infants was 6.9 (SD 3.3) months. Eighty-three percent (n=25) had an opportunistic infection prior to data collection. Twenty-three percent (n=7) were underweight-forage and 40% (n=12) of the infants were stunted. Vomiting and diarrhoea were the most common nutrition-related problems experienced. A statistical significant positive correlation (p=0.003) was found between an infant’s duration on ART and W/A z-score. Only two caregivers were breastfeeding at the time of data collection, but 34% (n=10) of the other caregivers had at some stage breastfed their infant. Formula feeding practices were poor. Sixty-two percent (n=18) were not preparing the feeds correctly and only six (21%) were correctly cleaning and sterilising the bottles. Thirty-nine percent (n=11) of the infants were not receiving an adequate amount of milk per day. Sixty-five percent (n=11) of the infants (>six months) did not receive a diet the previous day which met the minimum WHO dietary diversity indicator and only 18% (n=3) received a minimum acceptable diet. Caregivers had an average knowledge concerning infant feeding. Thirteen percent (n=4) knew the correct definition of exclusive breast- or formula feeding. Sixty-eight percent (n=21) did not know what mixed feeding meant, or the dangers associated with it. Most caregivers (n=25, 81%) knew that oral rehydration solution had to be given when infants developed diarrhoea, but only 48% (n=15) knew how to prepare it and only 6% (n=2) knew how to administer it. Seventy-five percent (n=9) of caregivers did not know what should be done when experiencing breast problems. Sixty-four percent (n=19) of the caregivers believed that if a HIV-positive woman breastfeeds she would definitely transmit HIV to her infant. Conclusion The infant sample showed a variety of erratic growth patterns with a high prevalence of underweight and stunting. Infant feeding knowledge of caregivers was average, but not deemed sufficient to translate into appropriate, safe and optimal infant feeding practices. The breastfeeding prevalence was low. Formula preparation, feeding and hygiene practices were poor and dietary intake of infants was not optimal. The quality and quantity of HIV infant feeding counselling sessions received at antenatal clinic visits were poor and need to be addressed.
AFRIKAANSE OPSOMMING: Inleiding Daar is 'n tekort aan data oor groeipatrone en voedingsverwante probleme by babas (<12 maande) op antiretrovirale behandeling asook die babavoedingkennis, -oortuigings, -houdings en -praktyke van hul versorgers. Doelwit Om ondersoek in te stel na die groei- en voedingsverwante probleme by babas (<12 maande) in die antiretrovirale kliniek by Rooikruis-kinderhospitaal, sowel as die babavoedingkennis, - oortuigings, -houdings en -praktyke van hul versorgers. Metodes 'n Beskrywende dwarssnitstudie is met sensussteekproefneming onderneem. Dertig babas en 31 versorgers is by die steekproef ingesluit. Antropometriese metings was gedoen en onderhoude was met behulp van vraelyste gevoer ten einde inligting oor die versorgers se kennis, houdings, oortuigings en praktyke te bekom. Elke baba se gemiddelde z-telling per meting sowel as die gewig-vir-ouderdom, lengte-vir-ouderdom en liggaamsmassa-indeks-vir-ouderdom was volgens die Wêreldgesondheidsorganisasie (WGO) se groeistandaarde vir kindersbepaal, ontleed, vertolk en beskryf. Resultate Altesaam 39% (n=11) van die moeders (n=28) het nie voor die bevalling voorligting oor babavoeding ontvang nie, terwyl slegs 9 (32%) die Departement van Gesondheid se voorgeskrewe minimum 4 sessies, deurloop het. Dit was nie bepaal of hierdie sessies voor die bevalling ontvang was nie. Die gemiddelde ouderdom van die babas was 6,9 (standaardafwyking 3,3) maande. 'n Totaal van 83% (n=25) het voor data-insameling 'n opportunistiese infeksie gehad, 23% (n=7) was ondergewig-vir-ouderdom, en 40% (n=12) van die babas se lengtegroei was ingekort. Die algemeenste voedingsverwante probleme was braking en diarree. Daar blyk 'n statisties beduidende positiewe korrelasie (p=0.003) te wees tussen die duur van die baba se antiretrovirale behandeling en sy/haar gewig-vir-ouderdom-z-telling. Slegs twee versorgers het hul babas ten tyde van die studie geborsvoed, hoewel 34% (n=10) van die versorgers in 'n stadium geborsvoed het. Voedingspraktyke met die gee van melkformule was swak. Altesaam 62% (n=18) het die melkformule verkeerd aangemaak en slegs ses (21%) het die bottels behoorlik skoongemaak en gesteriliseer. Nege-en-dertig persent (n=11) van die babas het te min melk per dag ontvang. Vyf-en-sestig persent (n=11) van die babas (>6 maande) se melkinname die vorige dag het nie aan die minimum WGO aanbevole dieetdiversiteitsaanwyser voldoen nie, en slegs 18% (n=3) het 'n minimum aanvaarbare dieet gevolg. Versorgers se kennis ten opsigte van babavoeding was gemiddeld, met net 13% (n=4) wat die korrekte omskrywing van eksklusiewe bors- of formulevoeding geken het. 'n Totaal van 68% (n=21) het nie geweet wat gemengde voeding beteken of watter gevare dit inhou nie. Die meeste versorgers (n=25, 81%) het geweet dat orale rehidrasie oplossing toegedien moet word wanneer babas aan diarree ly, maar slegs 48% (n=15) het geweet hoe om dit aan te maak en 'n skrale 6% (n=2) hoe om dit toe te dien. Vyf-en-sewentig persent (n=9) van die versorgers het nie geweet wat om te doen as hulle probleme met hul borste ervaar nie. Altesaam 64% (n=19) van die versorgers het geglo dat 'n MIV-positiewe vrou definitief haar baba MIV sal gee indien sy hom/haar sou borsvoed. Samevatting Die steekproef babas het 'n verskeidenheid onreëlmatige groeipatrone getoon en baie was ondergewig of het ook dwerggroei getoon. Versorgers se kennis van babavoeding was gemiddeld, maar nie voldoende om tot toepaslike, veilige en optimale babavoedingspraktyke aanleiding te gee nie. Die voorkoms van borsvoeding was laag. Melkformulevoorbereiding, - voeding en -higiëne was swak, en babas se voedinginname was nie ideaal nie. Die gehalte van en hoeveelheid voorligting oor MIV-babavoeding met besoeke aan voorgeboorteklinieke was swak en moet aangespreek word.
30
Tame-Gwaxula, Sindiswa Ruby, and Lange Naydene De. "High school teachers' experiences of dealing with learners made vulnerable by HIV and AIDS." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/2959.
Full textAbstract:
The HIV and AIDS pandemic have become not only a health concern but educational and social concern as well. According to Beyers and Hay (2011, p. 99) many school-going children are not only affected by HIV but a large number of adolescents are also either HIV positive or have AIDS. Other researchers argue that education should act as a vaccine against new HIV infections (Kendall and O’Gara, 2007, p. 6). This argument comes with the expectation that all teachers are willing and ready to work with learners made vulnerable by HIV and AIDS; without considering the lived realities of the teachers in relation to HIV and AIDS. While many teachers make a difference in the lives of affected and infected learners through the way in which they deal with the learners concerned, some may not take up the challenge to assist the learners, while others might unknowingly and unintentionally do harm. This study, therefore, aimed at exploring high school teachers’ experiences of working with learners made vulnerable by HIV and AIDS in order to generate guidelines to assist teachers to effectively deal with vulnerable learners in their classrooms.
31
Matlala, Chidi Elizabeth. "Disclosure of parental HIV positive status to children among patients on antiretroviral therapy at the Dr George Mukhari Wellness Clinic: An explorative study." Thesis, University of Limpopo ( Medunsa Campus ), 2010. http://hdl.handle.net/10386/412.
Full textAbstract:
Thesis (MPH))--University of Limpopo (Medunsa Campus), 2010.Introduction: HIV-positive parents taking antiretroviral therapy are faced with the difficult decision of whether and what details to share about their HIV status with their children. They need to decide if, when, and how they will disclose their illness to their children. Many reasons have been identified which influence parents’ decision to disclose their HIV status to their children. Aim and objectives: The aim of the study was to explore parental decision and experiences of disclosing or not disclosing their HIV status to children and to explore strategies used by non-disclosed parents to conceal their HIV status from their children. Methodology: Using a qualitative approach, six focus group discussions were conducted with a sample of disclosed and non- disclosed biological parents of children aged between 7-18 years. Participants were recruited from a wellness clinic at the Dr George Mukhari where they routinely collect antiretrovirals. A total of 44 parents (13 biological fathers and 31 mothers) were recruited and participated in two focus groups with disclosed parents, three with non disclosed parents and a pilot focus group interview with disclosed and non disclosed parents. Findings: Disclosure to children was difficult and occurred within a context influenced by death, dying and discrimination. Despite parents being on ARVs, fear of death and dying continues to influence disclosure to children. HIV related practices like taking ARVs and child feeding practices predisposes parents to stigma and discrimination and was major reason for non-disclosure to children, family and neighbours. Whereas previously, prior to the availability of ARVs, parents disclosed to prepare children to face parental death, now disclosure occurs for children to support parents in adherence and when they are sick. The need for support is not surprising given that for parents who disclosed immediately, disclosure was prompted by ill health. The primary reason parents delayed disclosure is because they do not know how to tell the child. One other concern was that disclosure will makes children responsible for caring for parents. By delaying disclosure parents were protecting their children mostly from being hurt, from social rejection and discrimination and from fear of mother’s death. Conclusion: Regardless of whether parents had disclosed or not disclosed the decision to disclose was difficult and emotional for parents, and is influenced by various factors. Due to stigma and discrimination disclosure in most families is often treated as a secret; parents do everything possible to protect their HIV status. Common strategies used to protect their HIV status include hiding antiretrovirals, removing labels from ARV bottles, use of different packages for ARVs, taking medication privately and substituting TB for HIV. Parents believed that by delaying disclosure they were protecting their children from consequences of disclosure. Most children reacted positively to disclosure and were protective and supportive to parents, while some non disclosed children became suspicious of parental status. Recommendations: There is need for the development of health service practices that would protect HIV positive people taking ARVs from stigma and discrimination. Most HIV positive parents currently on ARVs have seronegative and seropositive children. They therefore need to develop strategies to discuss managing HIV illness especially with their seropositive children who also need to have their diagnosis disclosed. It is imperative that disclosure guidelines are developed to guide parents in disclosing HIV to children. Key words: Parental, disclosure, non disclosure, HIV positive, children, qualitative research.
32
Boyana, Tembela. "Mothers’ experiences of disclosure to their children of their HIV-positive status at a local hospital in the Western Cape area: A Social work perspective." University of the Western Cape, 2020. http://hdl.handle.net/11394/7564.
Full textAbstract:
Magister Artium (Social Work) - MA(SW)Antiretroviral therapy (ART) is been researched and reported available worldwide and it has been reported to work; children on treatment live longer periods of life. Tygerberg Hospital (TBH) is one of the well-known academic healthcare institutions located in Parow, Western Cape, South Africa with several units including the paediatric unit. This research unit situated at TBH is focused on pharmaceutical trials and consists of approximately 500 children actively participating in the study, as well as approximately 300 pregnant mothers. This study aimed at exploring the experiences of mothers who have disclosed to children about their HIV-positive status, as well as exploring interventions to assist disclosure. The ethics of care is the theoretical framework utilised in the study. The population was mothers whose children are HIV-positive and the purposive sample included approximately four social workers and ten mothers who have been cognisant about disclosing to their children their HIV status. Key informants included social workers who dealt with these cases interviewed to triangulate the data. The interviews were conducted at the social worker's office located at TBH paediatrics unit. The study is qualitative with explorative and descriptive research design. Data was collected through in-depth semi-structured interviews transcribed verbatim. Data analysis was utilised to develop themes and sub-themes on the topic. Ethics considerations were adhered to. The findings highlighted challenges that mothers encountered during the process of disclosing, particularly a sense of shame and fear how their children and their communities will respond. There was a mixed response to how mothers felt about support from social workers and other care workers at the hospital, including the local clinics and there was a strong belief that training should be secured so that mothers can be empowered to do HIV disclosure to their HIV positive children.
33
Mkontwana, Phumeza Eudicia. "An assessment of infant and young child feeding policy implementation of HIV mother-to-child transmission in the Nelson Mandela Bay Municipality health care facilities." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1011632.
Full textAbstract:
This descriptive study aimed to assess the Infant and Young Child Feeding (IYCF) policy implementation in the Prevention of Mother-to-Child Transmission of HIV (PMTCT) among healthcare workers in the Nelson Mandela Bay Municipality public health care facilities. A convenience sampling method was used to gather information from nurses (n=32) rendering maternal and child health services in nineteen permanent Nelson Mandela Bay public health care facilities (MOU’s, paediatric sections, well baby clinics and PMTCT sites). Recommendations included to the need develop indicators for measuring the IYCF policy objectives and regularly collect data on infant and young child feeding, standardising infant feeding education given by peer educators / lay counsellors from various organisations, capacity building and training of staff on IYCF and scaling up monitoring and evaluation of the IYCF policy impact.
34
Mohangi, Kamleshie. "Finding roses amongst thorns : how institutionalised children negotiate pathways to well-being while affected by HIV&AIDS." Thesis, Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-04272009-094758.
Full text
35
Chinkubala, Lontia. "To investigate the extent to which under-five HIV positive children access Antiretroviral Therapy (ART) : a case of Siavonga District of Southern Province of Zambia." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/97087.
Full textAbstract:
Thesis (MPhil)--Stellenbosch University, 2015.ENGLISH ABSTRACT: The impact of HIV/AIDS has affected all categories of people in society, including children under the age of five. This segment of the population depends entirely on adults and older children in order for them to survive. This research endeavoured to investigate the extent to which under-five HIV positive children access ART in Siavonga District in the Southern Province of Zambia. The necessity of such information for all cannot be over-emphasised as this category of the population under study is among the most neglected when it comes to issues of HIV/AIDS. Under-five HIV positive children need special attention in order for them to enjoy their right to survival and development. In terms of methodology, the research took an interpretive approach as it employed the qualitative methodology in its endeavours, in order to get an in-depth understanding of people’s views on the topic under research. Different interview schedules were used to collect data from community members, Community Health Workers (CHW), Home-based Care Providers (HBCP), staff of the Ministry of Health and District AIDS Task Force (DATF). The findings of this research addressed all the objectives but one. This research revealed that almost all the community members in Siavonga District had general knowledge about HIV/AIDS and the need for under-five HIV positive children accessing antiretroviral therapy. However, their attitudes and practices varied when it came to the application of this knowledge. According to respondents, the major challenges that under-five HIV positive children were facing when it came to accessing ART were as follows: food insecurity, followed by access to health facilities and social matters. Others included stigma and discrimination, long distances to health facilities, inadequate disposable income at household level and negative attitudes by some people who think that it is a waste of time and resources to give too much attention, including ART to under-five HIV positive children whom according to them will die soon. However, the majority of respondents indicated that there was need to accept these children like any other as they too had the right to live; hence, they needed care and support which included facilitating their access to ART. This research was an eye opener to all duty bearers to recognize and acknowledge the importance of under-five HIV positive children’s access to ART. This will contribute towards enhancing the will to step up efforts for this intervention. From the findings, it is evident that there is need for income generating activities to provide disposable income to people of Siavonga District so that they give appropriate support, particularly to children who are infected or affected by HIV/AIDS. Furthermore, more resources are required from NGOs, government and other stakeholders to enhance not only sensitization on the importance of the target population’s access to ART, but also provision of these ART services. All relevant stakeholders should heed the call to aggregate information for under-five HIV positive children in question so as to specially target interventions accordingly.
AFRIKAANSE OPSOMMING: Die impak van MIV/Vigs raak alle kategoriee van mense in die samelewing, insluitende kinders jonger as vyf jaar oud. Die segment van die bevolking is heeltemal afhanklik van volwassenes en ouer kinders om te oorleef. Hierdie navorsing poog om die omvang van kinders jonger as vyf, wie MIV positief is, se toegang tot antiretrovirale terapie (ART) in die Siavonga Distrik van die suidelike provinsie van Zambia te ondersoek. Die noodsaaklikheid van sodanige inligting vir alle sektore in die samelewing kan nie oorbeklemtoon word nie, aangesien hierdie kategorie van die bevolking een van die mees verwaarloosde is wanneer dit kom by MIV/Vigs verwante kwessies. Kinders jonger as vyf wie MIV positief is, moet spesiale aandag ontvang sodat hulle reg op oorlewing en ontwikkeling kan geskied. In terme van die metodologie het die navorsing ‘n beskrywende benadering gevolg om die kwalitatiewe metode in sy poging, ten einde ‘n in-diepte begrip van mense se standpunte oor die onderwerp onder navorsing te kry. Verskillende onderhoude is gebruik om data in te samel van gemeenskapslede, gesondheidswerkers in die gemenskap, tuisversorgers, personeel van die Ministerie van Gesondheid en Distriks vigs-taakspan. Die bevindinge van hierdie navorsing het al die doelwitte, behalwe een, aangespreek. Die navorsing het getoon dat byna al die gemeenskapslede in Siavonga Distrik algemene kennis het oor MIV/Vigs en die behoefte van kinders jonger as vyf se toegang tot ART. Hul houdings en praktyke verskil egter in die toepassing van hierdie kennis. Volgens die respondente is die grootste uitdagings wat kinders jonger as vyf ondervind wanneer dit kom by toegang tot ART is voedselonsekerheid, gevolg deur toegang tot gesondheidsfasiliteite en sosiale aangeleenthede. Ander sluit in stigma, diskriminasie, lang afstande na gesondheidsfasiliteite, onvoldoende besteebare inkomste op huishoudelike vlak en negatiewe houdings van sommige mense wat dink dat dit ‘n vermorsing van tyd en hulpbronne is om aan kinders jonger as vyf te spandeer, aangesien, die kinders in elk geval (volgens hulle) binnekort sal sterf.Die meerderheid van die respondente het aangedui dat dit nodig is om hierdie kinders soos enige ander kind te aanvaar en dat hulle ook die reg het om te leef: daarom dat hulle sorg en ondersteuning benodig, wat die fasilitering van hul toegang tot ART insluit. Hierdie navorsing het weer die klem geplaas op die belangrikheid van kinders jonger as vyf se toegang tot ART. Dit is duidelik dat daar ‘n behoefte is aan inkomste-genererende aktiwiteite en om besteebare inkomste aan die mense van Siavonga Distrik te voorsien, sodat hulle toepaslike ondersteuning kan bied, veral aan kinders wat deur MIV/Vigs geraak word. Verder is meer hulpbronne nodig van nie-regeringsorganisasies, die regering en ander belanghebbendes, nie net om die belangrikheid van die teikenbevolking se toegang tot ART nie, maar ook vir voorsiening van hierdie ATR dienste.
36
Mataka, Anafi. "Perceptions of factors contributing to psychological distress in HIV positive children on antiretroviral therapy in Mochudi, Botswana : a family caregiver and health care worker analysis." University of the Western Cape, 2011. http://hdl.handle.net/11394/5301.
Full textAbstract:
Master of Public Health - MPHBackground: The repercussions of being HIV positive coupled by the complications of antiretroviral therapy are likely to cause distress, emotional and psychological problems particularly among children infected by the virus. The limited support services for children experiencing distress intensify the urgency to address this challenge. Despite the availability of social workers and nurses' interventions currently in place, the number of children in need of psychological care continues to increase. This is particularly true at Deborah Retief Memorial (DRM) hospital, one of the main antiretroviral therapy facilities in Kgatleng district, Botswana. Method: The purpose of this study was to explore and describe the perceptions of social workers, nurses and caregivers on key factors contributing to psychological distress of HIV positive children. A descriptive, exploratory qualitative study design that employed the use of in-depth interviews was used to conduct this study. Participants included four caregivers of HIV positive children who seek antiretroviral therapy at DRM hospital Infectious Diseases Control Clinic, together with five nurses and two social workers who worked in the same clinic. Conventional content analysis was used to analyse the in-depth interview transcripts. Results: Perceived psychological stressors for HIV positive children included disclosure of HIV status, orphanhood, social problems, lifelong treatment, stigma, poor caregiver-child relationship and lack of caregiver‟s love, care and support. However the caregivers did not fully understand the psychological distress the HIV positive children were experiencing, hence were unable to recognize it in these children. The study highlighted that major challenges faced by the health-workers included lack of qualified personnel, lack of adequate knowledge and skills, and a non-conducive working environment required to effectively assist children with psychological distress. The findings also indicated the need for education and support of caregivers and HIV positive children by the educators, family and health-worker systems. Conclusion: The profile of key stressors of psychological distress, the challenges and support needs suggested by the participants in this study can provide a framework for improving the existing services for HIV positive children with psychosocial problems. This information is important for use in training nurses and social workers involved with children with psychological behaviours.
37
Scott, Zachary Aaron. "T Cell Immunity and HIV-1 Replication in Vertically-Infected Infants and Children: A Dissertation." eScholarship@UMMS, 2003. https://escholarship.umassmed.edu/gsbs_diss/71.
Full textAbstract:
Virus-specific cellular immune responses have been shown to be important in the control of viral replication in several animal and human virus models. Cells of both the CD8+ and CD4+T cell lineages have been shown to play protective roles during viral infections by exerting effector functions that can kill infected host cells or inhibit the production and spread of infectious virions. The continued spread of HIV-1 infection throughout the world, as well as the lack of a prophylactic HIV-1 vaccine have generated much interest in HIV-specific cellular immune responses. Recent technical advances have yielded a tremendous increase in our understanding of HIV-1-specific immunity, as well as HIV-1 replication dynamics and host cell factors that shape the course of acute and chronic infection.
Unfortunately, due to small sample volumes and technological limitations, the study of HIV-1-specific T cell immunity in infants and children has been difficult. An improved understanding of the timing, specificity, and intensity of pediatric HIV-specific T cell responses would contribute to the development of a HIV-1 vaccine for use in regions of the developing world without access to antiretroviral therapeutics.
In the small number of published studies investigating pediatric HIV-specific immunity, T cell responses were uncommonly detected in infants. It remains unclear, however, whether the lack of HIV-specific T cells is an accurate reflection of the in vivoimmune state in vertically-infected infants, or rather is a consequence of reagents and assays ill-suited to the detection of low-level and/or diverse T cell responses in pediatric subjects.
In the present dissertation, several methodologies were used to investigate HIV-specific T cell responses in vertically-infected infants and children. HIV-specific CD8+ T cell responses were infrequently detected in a cohort of young infants, but are commonly detected in older infants and children. Interestingly, CMV-specific CD8+ T cell responses were detected in several young infants that lacked HIV-specific responses, suggesting a specific defect in the ability of some infants to generate HIV-specific CD8+ T cell responses. Further experiments characterizing detectable HIV-1-specific CD8+ T cell responses found that the HIV-1 accessory proteins may be important targets of the immune response during early vertical infection. The role of HLA class I genotype and viral sequence are also explored in a pair of vertically-infected twins with discordant CD8+T cell responses. Finally, viral isolates from an infant with a marked shift in gag-specific epitope usage during infancy are analyzed for the presence of escape mutations.
Gag-specific CD4+ T cell responses were commonly detected in a large cohort of vertically-infected children. A linear relationship between HIV-1 replication and the presence and intensity of HIV-specific CD4+ T cell responses was found, but ongoing HIV-1 replication appeared to blunt CD4+T cell proliferation.
The data presented in this dissertation describe pediatric T cell immune responses and how they relate to HIV-1 replication. This information may be useful to the design of a prophylactic or therapeutic HIV-1 vaccine for vertically-infected infants and children.
38
Warren, Angela. "The School-Based Family: Coaches and Teachers as Parental Figures for Orphans and Vulnerable Children in Ugandan Schools." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3252.
Full textAbstract:
The purpose of this study was to qualitatively examine the possible formation of surrogate families within Ugandan schools to provide a context for positive development experiences, especially for orphans who lack positive development opportunities provided by parents. The sample for this study consisted of 66 Ugandan Secondary School students from eight schools in the Mukono district of Uganda. This study found a potentially widespread family formation pattern between students and their teachers/coaches. More than 75% of students self-identified their teacher and/or coach as family. The results provide insight concerning why orphans and vulnerable children are forming surrogate families with staff members at school. Teachers and coaches were able to offer the students positive developmental assets and were therefore identified as family.
39
Ofunne, Ifeanyichukwu. "An assessment of the knowledge, attitudes and practices of caregivers of HIV positive children on treatment in Pretoria, South Africa : a case study of out-patients in Kalafong Hospital, Pretoria." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86874.
Full textAbstract:
Thesis (MPhil)--Stellenbosch University, 2014.ENGLISH ABSTRACT: This study examines the level of HIV and AIDS knowledge, attitudes, as well as practices amongst caregivers of HIV infected children in Pretoria, using Kalafong hospital as a case study. The study uses a questionnaire as survey instrument. A total of 30 respondents participated in the study, which took place in October of 2013. The respondents were selected via simple random sampling and the results were analyzed. The results showed a remarkably high level of HIV and AIDS knowledge amongst the respondents, from which it was evident, that: A significant number of caregivers were aware of and able to take care of existing medical conditions arising from HIV in children. Most of the home-based care of children living with HIV was carried out by women in a very disproportionate ratio to men. In this regard, the study offers a range of suggestions and recommendations as well as existing best practices, such as the UNAIDS booklet on caregiving within the context of HIV and AIDS. The study was undertaken with the realization that generalizations cannot be made through extrapolation to the larger society because of limitations, such as the sample size of this study.
AFRIKAANSE OPSOMMING:Hierdie studie ondersoek die vlak van MIV/VIGS kennis, houdings teenoor dieselfde, sowel as praktyke onder versorgers van MIV-besmette kinders in Pretoria, met behulp van Kalafonghospitaal as 'n gevallestudie. Die studie maak gebruik van 'n vraelys as opname instrument. 'n Totaal van 30 respondente het deelgeneem aan die studie, wat in Oktober 2013 plaasgevind het. Die respondente is gekies deur 'n eenvoudige ewekansige steekproefneming en die resultate is ontleed. Die resultate toon 'n merkwaardig hoë vlak van MIV en VIGS kennis onder die respondente. Hierdie kennis, houdings en praktyke opgedoen was voldoende om daarop te let: • 'n beduidende aantal van die versorgers is bewus van en in staat om bestaande toestande in MIV-sorg in kinders te versorg. • Die meeste van die tuisversorging van kinders wat met MIV leef is uitgevoer deur vroue in 'n baie oneweredige verhouding met mans. In hierdie verband bied die studie 'n verskeidenheid van voorstelle en aanbevelings sowel as die bestaande beste praktyke soos die UNAIDS boekie oor versorging binne die konteks van MIV en VIGS. Die studie is gedoen onder die besef dat veralgemenings nie gemaak kan word deur ekstrapolasie na die groter samelewing nie, as gevolg van beperkings soos die monster grootte van hierdie studie
40
Griffiths, Mikaela Ceridwen. "A profile of needs music therapy with HIV infected children in a South African institution /." Diss., Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-02232005-104125/.
Full text
41
Yoshioka-Armijo, Georgina. "Children living with HIV/AIDS: Variations of grief intensity as manifest in house-tree-person projective drawings." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1850.
Full text
42
Khondowe, Oswell. "A home-based physical activity programme in combination with massage therapy to improve motor and cognitive development in HIV positive children on antiretroviral therapy: A randomised controlled trial." Thesis, University of the Western Cape, 2014. http://hdl.handle.net/11394/4019.
Full textAbstract:
Philosophiae Doctor - PhDThe aim of this study was to prospectively, evaluate the effectiveness of an individually designed home-based physical activity programme in combination with massage therapy, on motor and cognitive development in children infected with HIV. This study used a randomized controlled trial design. One hundred and twenty-eight infants and toddlers (children) were recruited between March 2010 and September 2010 and randomly allocated to receive either an individually designed home-based physical activity programme in combination with massage therapy or standard treatment and massage on a 1:1 ratio. Motor and cognitive development was measured using the Bayley Scales of Infant Development third edition (Bayley-III)
43
Uys, Anandé. "A randomized control trial investigating the effects of a play-informed care-giver implemented home-based intervention on playfulness for HIV positive children aged 10 months to 8 years on HAART from a low socio-economic status." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20469.
Full textAbstract:
Introduction: Play is foundational to learning and well-being, and prepares children for functional participation later in life. Playfulness forms a critical aspect to play, and describes a general disposition to play. There is currently no reported research study on playfulness levels for children with HIV/AIDS. The play needs of this population are therefore not adequately understood. The play-informed caregiver implemented home-based intervention (PICIHBI) was developed by pediatric occupational therapists as part of occupation-centred occupational therapy practice. PICIHBI appears to have potential for promoting play and development in children with HIV/AIDS who have been on Highly Active Anti-Retroviral Treatment (HAART) since early childhood. The current study forms part of a larger project investigating the effects of a play-informed caregiver implemented home-based intervention on participation outcomes for HIV positive children on HAART and living in families with low socio-economic status (SES). Objectives: This study aimed to establish a playfulness profile for HIV positive children on HAART as well as compare differences in playfulness between children with HIV on HAART since early childhood attending traditional one-on-one occupational therapy, and those attending PICIHBI.
44
Otto, Caraleigh. "The impact of play-informed caregiver-implemented home-based intervention on the academic learning outcomes for HIV positive children (aged 5 years to 8 years) on Antiretroviral Therapy (ART) living in low income conditions: a randomized control trial." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/22790.
Full textAbstract:
BACKGROUND: The academic learning of HIV positive children is often negatively impacted by cognitive and learning deficits associated with HIV, and usually leads to poor performance at school. Occupational therapy, a profession that promotes and enhances participation in meaningful occupations, has yet to demonstrate its impact in promoting the occupation of academic learning in HIV positive children on ART. OBJECTIVES: This study investigates and compares the impact of two occupational therapy interventions; conventional one-on-one occupational therapy (control group) and play-informed caregiver-implemented home-based intervention (PICHIBI) (experimental group), in promoting academic learning for HIV positive children aged 5 to 8 year olds on ART. METHODS: The research project followed a pragmatic, single-blinded, randomised baseline, mid and post-test control-group design. From a possible population of 60 dyads who attend the Groote Schuur Hospital (Cape Town, South Africa) ARV clinic, 27 child-caregiver dyads (n=27) were recruited. One dyad was excluded from the study, due to home circumstances, leaving 26 dyads that went through the randomisation and allocation process into the two intervention groups. Randomisation was carried out by a central computer system, before the start of the intervention period. The final total sample (n=23) completed the intervention, a slight decrease from the recruited sample size. Four dyads were lost to follow up after the baseline test. This resulted in 12 dyads in the control group and 11 dyads in the experimental group. Baseline, mid (after 5 months of the intervention) and post (after 10 months of intervention) test data was collected using the Griffiths Mental Developmental Scales-Extended Revised (GMDS-ER) and the short form Beery-Buktenica Visual Motor Integration test , 5th edition (Beery-VMI) as outcome measures. RESULTS: Following randomisation there were minimal variations in the baseline demographics and measurements for the two groups, with the exception of a significant difference in time on ART (p=.021). The majority of each group had suppressed viral loads. The total sample showed delays in all the performance components linked to academic learning at baseline, that is, low for visual motor integration and visual perception, below average for motor coordination, borderline delay in language, and practical reasoning, and low average in eye hand co-ordination, performance and the overall level of functioning (general quotient). Severe delays (<70) were detected in the control group at baseline for visual perception, and at post test for language. Average scores (90-109) at post test for visual perception and motor co-ordination were only seen in the experimental group. No statistical significance was noted for between-group differences at baseline, mid and post test. For within-group changes, statistically significant improvements were observed in the following performance components linked to academic learning: in the experimental group, visual motor integration from baseline to mid test (p=.019); in the control group, visual perception from baseline to post test (p=.009) and visual perception baseline to mid test (p=.001), and in performance from baseline to mid test (p=.027). Following interventions the overall GMDS-ER quotient scores for both groups improved with 70% of the experimental group and 58.3% of the control group scoring more than -2 z-score. In the total sample, the level of severe delay at baseline (68.2%) improved to only 8 out of the 23 (36.4%) of the total sample showing a severe overall delay post intervention. These scores still classified the groups as below average (90-109) under the GMDS-ER UK classifications. Despite these scores, 95.7% of the total sample progressed to the next grade during intervention, with only one child repeating a grade. CONCLUSION: Improvements were seen in both groups from baseline to post test. The advantage of PICHIBI however is that it is better suited for expanding access to occupational therapy services in a context where the occupational therapist/patient ratio in the public health sector is low. The continued underperformance of both groups in academic learning outcomes post intervention, displays the need for ongoing intervention for HIV-infected school going children. This information will inform occupational therapy practice, guide policies and legislations relating to academic learning for children with HIV on ART, in South Africa. It is recommended that future research look into using a larger sample size for generalisability of findings, consider conducting a longitudinal study linking results with school report outcomes and comparing the effects of the intervention at various levels of health care.
45
Mamaila, Tshifhiwa. "Community-based care for HIV/AIDS orphans." Diss., Pretoria : [s.n.], 2005. http://upetd.up.ac.za/thesis/available/etd-01312006-092356.
Full text
46
Van, Staden Marinda. "Verpleegsters werksaam in staatshospitale in Noordwes se persepsie van die oudiologiese manifestasies van MIV/VIGS in die pediatriese populasie." Diss., Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-07222008-103443.
Full text
47
Shoopala, Naemi Ndahambelela. "Effective prevention of mother-to-child transmission of HIV at Oshakati District Health Centre in the Republic of Namibia." Thesis, 2012. http://hdl.handle.net/10500/6082.
Full textAbstract:
The aim of this study was to assess the extent on how effective was the prevention of mother-to-child transmission of Human Immunodeficiency Virus (HIV) infection at Oshakati District Health Centre. Explanatory survey was used to conduct the research. A total of 160 nurses experienced in prevention of mother-to-child transmission and women who attended antenatal care and post natal care services participated in the study. Respondents expressed unsatisfactory with the promoting involvement of male partners, high quality voluntary counselling and testing services, couple counselling and testing, integration of Highly Active Antiretroviral Therapy services, administration of short course of Zidovudine to pregnant mothers and the provision of antiretroviral drugs to infants. Therefore, promoting involvement of male partners, couple counselling and testing, administration of short course of Zidovudine to pregnant mothers and educating women about exclusive breastfeeding prior to delivery are some of recommendations for effective prevention of mother-to-child transmission of HIV infections.Health Studies
M.A. (Public Health)
48
Shoopala, Naemi Ndahambemlela. "Effective prevention of mother-to-child transmission of HIV at Oshakati District Health Centre in the Republic of Namibia." Thesis, 2012. http://hdl.handle.net/10500/6082.
Full textAbstract:
The aim of this study was to assess the extent on how effective was the prevention of mother-to-child transmission of Human Immunodeficiency Virus (HIV) infection at Oshakati District Health Centre. Explanatory survey was used to conduct the research. A total of 160 nurses experienced in prevention of mother-to-child transmission and women who attended antenatal care and post natal care services participated in the study. Respondents expressed unsatisfactory with the promoting involvement of male partners, high quality voluntary counselling and testing services, couple counselling and testing, integration of Highly Active Antiretroviral Therapy services, administration of short course of Zidovudine to pregnant mothers and the provision of antiretroviral drugs to infants. Therefore, promoting involvement of male partners, couple counselling and testing, administration of short course of Zidovudine to pregnant mothers and educating women about exclusive breastfeeding prior to delivery are some of recommendations for effective prevention of mother-to-child transmission of HIV infections.Health Studies
(M.A. (Public Health))
49
Kuhn, Julia. "Countertransference reactions to psychotherapy group work with HIV positive children." Thesis, 2008. http://hdl.handle.net/10539/4717.
Full textAbstract:
Abstract
Powerful and diverse countertransference reactions in psychotherapy group work with HIV positive children can be understood to indicate a site of mourning in the life of the group. Data from six interviews with five individuals conducting broadly psychodynamic group work with HIV positive children was analysed according to Thematic Content Analysis. The countertransference responses of the participants are understood as communications of the group unconscious, as well as expressions of the participants’ own unresolved unconscious difficulties. Working with HIV positive children confronts the participants with mortality and activates their earliest losses. A sense of strangeness and displacement, denial, idealisation, feelings of persecution, fantasies of rescue, rage, despair and hopelessness emerge in the countertransference and can be considered indicative of defences against mourning. These defences alternate with an engagement with the work of mourning and are represented in the countertransference as the relinquishment of omnipotence, awareness of fusion, containment, the recognition of the child’s resilience and uniqueness and the promotion of the child’s autonomy and expression. These findings may facilitate containment for therapists working with HIV positive children by offering an explanation of powerful and diverse countertransference responses as indicating a site of mourning, thereby promoting increased receptivity to unexpressed grief in therapy with these children.
50
Milligan, Robyn. "A comparison of working memory profiles in HIV-infected and HIV-exposed uninfected children." Thesis, 2016. http://hdl.handle.net/10539/21426.
Full textAbstract:
A thesis submitted to the Faculty of Humanities (University of the Witwatersrand, Johannesburg), in fulfillment of the requirements for the degree of Doctor of Philosophy by thesis in the field of Psychology. University of the Witwatersrand, Johannesburg, 2015Conventional psychometric measures, such as the IQ score, have significant limitations in addressing the assessment needs of linguistically and culturally diverse communities. In response, working memory assessment has been identified as a promising alternative to these constraints. It is a better predictor of scholastic success than IQ, and is essential in the acquisition of fundamental literacy and numeracy concepts in school beginners. While there is a lot of theoretical and empirical support for working memory performance in typically developing populations, less is known about its functioning in the context of atypical development; particularly in children who are infected with, or exposed to HIV in utero. This study compared the working memory (AWMA) and general neuropsychological functioning (NEPSY-II) of 273 South African school beginners (6-8 years). The sample consisted of both HIV-infected (n = 95), and HIV-exposed (n = 86) children, as well as an uninfected, unexposed typically developing control group (n = 92). Significant differences were found between the three groups on measures of working memory and general neurocognitive functioning, where the processing component of working memory appeared to be particularly impaired in the two HIV-affected atypical groups. A within-group analysis of the relative strengths and weaknesses of each of the three groups showed that both storage and processing skills in the verbal domain appeared to be general weaknesses, while visuospatial working memory was a relative strength. The former is believed to be influenced by issues of linguistic test bias in the multilingual sample, while the latter is posited to be a consequence of this very multilingualism, which affords these children an executive functioning advantage. The two HIV-affected samples also showed significant deviations in the structure of their working memory when compared to the typically developing control group. However, within-group structural comparisons of a number of working memory models showed that the four factor model comprising separate components of the verbal and visuospatial simple and processing components of working memory was still favoured, even in conditions of atypical development. The study contributes to the growing body of working memory research by presenting the working memory profiles of HIV-infected and HIV-exposed, uninfected children. It also assists in identifying HIV-exposed, uninfected children as a vulnerable and under-researched clinical group which could benefit from further intervention, as well as foregrounding working memory as a less biased alternative in the assessment of paediatric cognitive functioning.
MT2016