Dissertations / Theses on the topic 'MIV/VIGS'

This study is aimed at exploring the psychosocial needs and problems experienced by black African women with HIV/AIDS and their families. In order to address these needs and problems it is necessary to determine what HIV/AIDS is, how it is transmitted and what the reasons may be for African women’s vulnerability to acquire HIV. Since the family members of the African woman with HIV/AIDS is also affected by the appearance of the illness it is important to look at needs and problems that may arise in the family. Addressing both the needs of the African woman with HIV/AIDS and that of the family members is of great importance, since these problems cannot be separated and addressed individually. The research methodology applied in this study was firstly defined, after which the various literature chapters followed with descriptions of important concepts and the discussion of HIV/AIDS related aspects. The above-mentioned provide the necessary background and knowledge whereby insight of the needs and problems experienced by African women with HIV/AIDS and their families is possible, as well as how these needs can be addressed. Research findings were schematically r4epresented and thoroughly discussed to determine if there were any comparisons with the assumptions of the study that indicate that African women with HIV/AIDS and their families experience financial- and psychosocial problems because of HIV/AIDS, and serious pressure is placed on them because of these problems. Some guidelines for HIV-counselling were also compiled by integrating the literature study, the research findings and experience in practice. These guidelines show that there are various problems in the different phases of HIV-counselling, that demand specific knowledge and insight from the counsellor in addressing these needs. Lastly a general summary, conclusions and recommendations were made with reference to relevant findings of the study. It was found that specific sexual behaviour among African men and women promote the rapid spread of HIV, and that African men and women should be empowered to prevent the spreading of HIV through relevant information. It also seemed that social welfare organisations are not visible in affected communities and should promote the services they deliver by introducing these services into the affected communities.
Dissertation (MA (Social Work))--University of Pretoria, 2002.
Social Work and Criminology
unrestricted

Thesis (MA (Afrikaans and Dutch))—University of Stellenbosch, 2005.
The question about how the reader persona is realised in HIV/AIDS documents, how readers appreciate this persona, as well as what effect it has on the eventual text appreciation occurred as a direct result of Claatje ter Hoeven’s study, “Auteurs- en lezersrollen in wervende tekste: Drie deelstudies naar personae in Zuid-Afrikaanse bankbrochures” (2002).

AFRIKAANS: In hierdie navorsing is die implementering van lewensvaardigheidsopleiding as MIV/VIGS¬ voorkoming in skole gemoniteer en geëvalueer. Die projek is geïnisieer deur 'n gesamentlike komitee van die Departemente van Nasionale Gesondheid, Onderwys en Welsyn en 'n aantal nie-regeringsorganisasies met die doel om die verspreiding van MIV/VIGS onder die jeug te voorkom. Die projek het behels dat twee onderwysers per skool landswyd deur 'n stelsel van afwaartse kommunikasie opgelei is om MIV/VIGS- en lewensvaardigheidsopleiding vir leerders in skole aan te bied en om die skool as geheel by die programimplementering te betrek. In hierdie navorsing is die opleiding van die onderwysers en programimplementering in twee onderwysdistrikte gemoniteer. Die navorsing het deur onderskeie fases verloop wat daartoe bygedra het dat die teoretiese onderbou vir die gemeenskapsielkunde ondersoek is, die leemtes van die tradisionele benaderings aangedui is en die sisteemteorie as onderliggende epistemologiese raamwerk vir die gemeenskapsielkunde aanbeveel word. Lewensvaardigheidsprogramme as voorkomende intervensies is ondersoek en die voorkomende benadering is geïnterpreteer in terme van die sisteemteoretiese uitgangspunt. Die uitdagings gekoppel aan MIV/VIGS-voorkoming en die evaluering van bestaande programme is bespreek. Riglyne uit die literatuur vir die ontwikkeling en implementering van MIV/VIGS-voorkomingsprogramme in skole word ook bespreek. Die aanduiding is dat daar nog nie in Suid-Afrika programme geïmplementeer is wat bygedra het tot 'n grootskaalse sosiale veranderingsproses wat daarop gerig is om die verspreiding van MIV/VIGS te voorkom nie. Gemeenskapsintervensies as terug- en vooruitvoerprosesse het nog nie daartoe bygedra om selfreguleringsprosesse in groot dele van die gemeenskap te fasiliteer nie. Dit kan moontlik toegeskryf word aan individuele en gemeenskapsprosesse intern tot die gemeenskap wat verandering in hierdie verband teenwerk. Die proses van program-implementering is ook bestudeer aan die hand waarvan die implementering van die program in die skole bestudeer kon word. Die programmonitering is gedoen deur 'n aksienavorsingsproses te implementeer wat gestrek het oor die periode van twee jaar. Dit het behels dat elke fase van die implementeringsproses geëvalueer is en daar terugvoering gegee is wat gebruik kon word in die implementering van die volgende fase van programimplementering. Die opleiding van onderwysers is eerstens deur deelnemende waameming en terugvoer van die opgeleide onderwysers tydens twee opleidingsessies waaraan 34 onderwysers deelgeneem het, geëvalueer. Daama is die vordering met programimplementering ondersoek deur onderhoude met die opgeleide onderwysers in 24 skole te voer. Die terugvoer uit die onderhoude was dat daar prosesse intern en ekstern tot die skoolsisteem is wat programimplementering benadeel. Hierna is verdere intervensies geïmplementeer om van die prosesse wat programimplementering benadeel, te probeer verminder. Die intervensies het onder andere beoog om al die rolspelers in die skoolsisteem, die leerders, al die onderwysers, die ouers en die skoolhoofde by die programimplementering te betrek. Hierdie fase van die implementeringsproses is gemoniteer deur vyf skole in die area as gevallestudies te bestudeer met die doel om die betekenisse wat die onderskeie rolspelers aan die program en programimplementering heg, te ondersoek. Die moniteringsproses is begin deur 'n situasie-ontleding te doen waarin die hoë risikogedrag van leerders ondersoek is en terugvoering aan die ondenvysers gegee is oor die behoeftes van leerders wat in die lewensvaardigheidsprogramme aangespreek kan word. Dit het daartoe bygedra dat konteksspesifieke programme ontwikkel kon word. Die programimplementering en waargenome uitkoms van die programme is ondersoek in onderhoude met die opgeleide onderwysers en die skoolhoofde en fokusgroepbesprekings met die leerders en ander personeellede. Na die implementering van intervensies het dieselfde groep leerders weer die vraelys wat in die situasie-ontleding as voormeting ingevul het, as nameting ingevul. Uit die twee vraelyste is die hoë risikogedragspatrone en verandering in gedragspatrone van die leerders ondersoek. Die programevaluering is gedoen vanuit die ekosistemiese verwysingsraamwerk met komponente van die sosiale konstruksionisme ingesluit. Deur die gebruik van kwalitatiewe en kwantitatiewe navorsingsmetodes aanvullend tot mekaar, kon verskillende prosesse in die gemeenskap ondersoek word, elk op 'n gepaste vlak van ontIeding. Die betekenisse wat die onderskeie rolspelers aan die program geheg het, is deur beskrywende data ondersoek, terwyl gedragspatrone van groter groepe leerders deur metings en statistiese ontleding ondersoek is. Deur data van verskillende rolspelers met verskillende data-insamelingsmetodes te integreer kon 'n geheelbeeld van prosesse in die skoolgemeenskap gekry word. Die resultate van die navorsmg dui aan dat daar tydens die moniteringstydperk slegs beperkte programimplementering in die skole plaasgevind het. In enkele skole is enkele Voorligtingperiodes gebruik om die programinhoud aan te bied. Die implementering het egter nie verder as die inisiëringsfase gevorder nie. Die organisasie en struktuur van die skoolsisteem het dit vir die meerderheid onderwysers nie moontlik gemaak om die program te implementeer nie en ten spyte van die onderskeie intervensies het daar nie verandering in die organsisasie en struktuur van die skoolsisteem ter ondersteuning van die programimplementering plaasgevind nie. Hierdie bevinding word verduidelik deur die prosesse wat programimplementering teenwerk te ontleed in terme van Bateson (1979) se orde van logiese tipering waarin hoër-orde prosesse laer-orde prosesse kan reguleer. Hoër-orde prosessse wat geïdentifiseer is wat die programimplementering benadeel het, was onder andere die volgende: • Die gebrek aan deelname van ander onderwysers weens gebrek aan kennis oor MIV/VIGS en betekenisse wat hulle aan hul rol as onderwysers heg. • Die skoolhoof se gebrek aan betrokkenheid, omdat dit nie moontlik was om die groot aantal gestelde doelwitte in die skool te bereik met die beperkte hulpbronne nie. Die struktuur van die skool was nie sodanig dat dit verandering in die organisasie moontlik maak nie. • Beperkte ondersteuning vanuit die Onderwysdepartment, weens die projekbestuur se hoë werkslading en min ondervinding in die implementering van programme. Meervoudige doelwitte vanuit die Departement van Onderwys, baie veranderings wat gelyktydig geïmplementeer word, gepaard met die vermindering van hulpbronne, dra by tot 'n skoolsisteem wat nie die kapasiteit het om verandering te implementeer nie. • Prosesse in die makrokonteks dra ook by tot die gebrek aan programimplementering. Die onderwysklimaat, gekenmerk deur 'n gebrekkige kultuur van onderrig en leer, lae motiveringsvlakke, gebrek aan dissipline en 'n eksterne lokus van beheer waardeur die onderskeie rolspelers nie aktief is in die oplos van probleme nie, maar 'n ingesteldheid het dat hulle hulp van buite-instansies nodig het, kan die programimplementering benadeel. Hoewel die grootste deel van die gemeenskap bewus is van die MIV/VIGS-epidemie, is daar gemeenskapsprosesse wat die voorkoming daarvan teenwerk. Die passiewe klimaat in die gemeenskap rakend MIV/VIGS kon ook die proses van programimplementering benadeel. Wat hieruit blyk, is dat die reëls of sosiale betekenisse onderliggend aan gedrag op elke vlak van ontleding nog nie verander het nie en dat daar 'n verskeidenheid hoër-orde prosesse is wat die program impIementering kan benadeel. Na 'n implemeteringstydperk van twee jaar het daar nie statisties beduidende verandering in die leerders se gedragspatrone plaasgevind nie. In die nameting het die leerders meer kennis van MIV/VIGS gehad, maar daar was nie 'n beduidende vermindering in hoë risikogedragpatrone nie. In drie van die vyf skole was daar 'n verhoging in gerapporteerde seksuele aktiwiteit en 'n tendens in die rigting van meer onverantwoordelike gedrag ten opsigte van kondoomgebruik en meervoudige seksuele maats. Die moontlikheid van meer openlikheid in die rapportering van gedrag moet egter in ag geneem word. Daar word weer aangedui dat die gedragspatrone van leerders nie verander het nie, omdat die reëls of betekenisse onderliggend aan die gedragsprosesse nie verander het tydens die intervensies nie. Aanbevelings word gemaak om die programimplementering te verbeter veral in terme van die volgende: • verandering in hoër-orde prosesse veral in terme van die onderwysklimaat en prosesse in die onderwyssisteem, veral ten opsigte van doelwitte en hulpbronvoorsiening; • die implementeringstrategie waarin deelname uit die gemeenskap belangrik om gedeelde betekenisse te vorm; en • die vlak van programintervensie om ook reëls onderliggend aan gedrag en hoër-orde leerprosesse in te sluit. In die navorsmgsproses het ook teoretiese insigte ontwikkel wat bygedra het tot die ontwikkeling van 'n teoretiese onderbou vir gemeenskapsintervensies en metodologiese ontwikkeling in terme van die integrering van veelvuldige navorsingsmetodes binne die sisteemteoretiese verwysingsraamwerk. ENGLISH: This research monitored and evaluated life skills training in the prevention of HIVIAIDS in schools. The project was initiated by a joint committee of the Departments of National Health, Education and Welfare with the object of preventing the spread of HIV I AIDS among young people. In terms of the project two teachers per school countrywide were trained by means of a top-down communication system to present HIVIAIDS and life skills training to school learners and to involve the school as a whole in the implementation of the programme. The research monitored the teacher training and programme implementation in two educational districts. The research was conducted in different phases, involving an investigation of the theoretical foundation for community psychology, an indication of the gaps in traditional approaches, and the recommendation of system theory as the underlying epistemological framework for community psychology. Life skills programmes as preventive interventions were investigated and the preventive approach was interpreted in terms of the system-theoretical perspective. The challenges linked to HIVIAIDS prevention and the evaluation of existing programmes are discussed, as are guidelines from the literature for the development and implementation of HIVIAIDS prevention programmes in schools. Programmes have evidently not yet been introduced in South Africa to bring about a large-scale social change process aimed at the prevention of HIV/AIDS. Community. interventions in the form of feedback and feed-forward processes have not yet helped to facilitate self-regulation in large parts of the community. This can possibly be ascribed to individual and community processes in the community itself which oppose change in this regard. The programme implementation process was also studied on the basis of which the implementation of the programme in schools could be examined. Programme monitoring was carried out by means of action research that extended over the two-year period. This meant that each phase of the implementation process was evaluated and the resultant feedback used in the next phase of the programme implementation. First the training of teachers was evaluated on the basis of participatory observation and feedback from the trained teachers during two training sessions attended by 34 teachers. Progress with programme implementation was then investigated by conducting interviews with the trained teachers in 24 schools. The feedback from the interviews was that processes internal and external to the school system were inhibiting programme implementation. Subsequently, further interventions took place in an attempt to reduce these inhibiting processes. The main aim of the interventions was to involve all the role players in the school system ¬the learners, all the teachers, the parents and the school principals - in the programme implementation. This phase of the implementation process was monitored by examining five schools in the area as case studies to determine the meaning the various role players attached to the programme and to its implementation. The monitoring process began with a situation analysis involving the investigation of the high-risk behaviour of the learners and providing feedback to the teachers on learner needs that could be addressed in the life skills programmes. This contributed to the development of context-specific programmes. The programme implementation and the observed outcomes of the programmes were investigated through interviews with the trained teachers and the school principals, and through focus group discussions with the learners and other members of staff. Following the implementation of the interventions the same group of learners again filled in the questionnaire as a pot-measurement; this was the questionnaire they had filled in earlier as a pre-measurement step in the situation analysis. The high-risk behaviour patterns of the learners and changes in these behaviour patterns could be investigated on the basis of the two questionnaires. The programme evaluation was done from an ecosystemic framework that included components of social constructionism. Through the use of complementary qualitative and quantitative research methods, different processes in the community could be investigated, each on an appropriate level of analysis. The meaning attached to the programme by the various role players was investigated by means of descriptive data, while the behaviour patterns of larger groups of learners were investigated on the basis of measurements and statistical analysis. By integrating the data of different role players with different data-collection methods, an overall view of processes in the school community could be obtained. The research results indicated that during the monitoring period only limited programme implementation took place in the schools. In a few schools a few guidance periods were used for the presentation of the programme content. However, the implementation did not progress further than the initiation phase. The organisation and structure of the school system made it impossible for most teachers to implement the programme and, despite the various interventions, no changes took place in the school system to promote programme implementation. This finging is explained by analyzing the processes that oppose programme implementation in terms of Bateson's (1979) order of logical typing in which higher order processes can regulate lower order processes. Identified higher order processes that inhibited programme implementation included the following: • The limited participation of other teachers because of their lack of knowledge of HIV/AIDS and the meaning they attached to their role as teachers. • The limited involvement of the school principal because of the impossibility of achieving the large number of goals set in the school with inadequate resources. The school structure did not lend itself to any changes. • Limited support from the Department of Education because of the project management’s high work load and limited experience in the implementation of programmes. The multiple objectives of the Department of Education, the many changes implemented simultaneously, together with a reduction in resources, contributed to a school system that did not have the capacity to implement further change. • Macro-context processes also contributed to the lack of programme implementation. The educational climate, characterised by a defective culture of teaching and learning, low motivation levels, lack of discipline and an external locus of control whereby the various role players were not active in problem solving, but whose disposition suggested that they needed help from external institutions, also helped inhibit programme implementation. Although most of the community were aware of the HIV / AIDS epidemic, certain community processes militated against the combating of the scourge. The passive climate in the community regarding HIV / AIDS further undermined the programme implementation process. What emerges from this is that the rules or social meaning underlying behaviour on every level of analysis have not changed yet and that various higher order processes can inhibit the programme implementation. After an implementation period of two years no statistically significant change in the learners' behaviour patterns had taken place. In the post-measurement the learners demonstrated more knowledge of HIV / AIDS, but there was not a significant reduction in their high-risk behaviour patterns. Learners in three of the five. schools reported an increase in sexual activity and a trend towards more irresponsible behaviour in condom use and multiple sexual partners. However, the possibility of greater openness in behaviour reporting should be taken into account. It was again indicated that the behaviour patterns of learners had not changed, as the rules or meanings underlying their behaviour processes had not changed during the interventions. Recommendations are made for improving programme implementation, especially in terms of the following: • a change in higher order processes particularly in respect of the educational climate and processes in the education system, especially concerning objectives and resource provision; • a the implementation strategy in which community participation is important in developing shared meanings; • a raising the level of programme intervention by including rules underlying behaviour and higher order learning processes. The research process also led to the development of theoretical insights that contributed to the construction of a theoretical foundation for community interventions and methodological development in terms of the integration of multiple research methods within the system-theoretical reference framework.
Thesis (PhD (Psychology))--University of Pretoria, 2007.
Psychology
unrestricted

Thesis (MPhil)--University of Stellenbosch, 2003.
ENGLISH ABSTRACT: This study investigates the meaning of responsible news coverage of the HIV/Aids epidemic with references to Die Burger en The Star. Even though the numbers of HIV positive people are escalating in our country, the media still persist in addressing HIV/Aids news in exactly the same way as any other news, which means that journalists are still detached observers who simply reflect the news of the day. This study emphasizes that the limited success of HIV prevention campaigns should urge the South African society to re-evaluate our approach to addressing HIV/Aids. It is also important to convince the media of its responsibility towards more ethical practices and especially towards greater involvement in this subject. Greater involvement will necessitate the press to re-evaluating some conventional practices as detachment and objectivity. Within this context greater involvement and activism do not have to be synonyms. With greater involvement one would like to emphasize the need for the media to take a few steps closer to the realities of HIV/Aids in order to be able to have a deeper understanding of the complexities of this disease. If one would like to see a difference in the spreading and impact of HIV/Aids on the South African community it is very important that the media will be included in the efforts against HIV/Aids. The media are a powerful and influential institution, which shape the minds and ideas of the society. The majority of South Africans are dependent on the media for most of their information - including HIV/Aids information. The greater involvement and responsibility requires pro-activity of the media and could facilitate the establishment of a better informed, well empowered and involved civil society who would themselves also be prepared to take ownership of HIVand Aids in the South African community.
AFRIKAANSE OPSOMMING: In hierdie studie word ondersoek ingestel na wat verantwoordelike mediadekking met betrekking tot MIVNigs sou beteken met spesifieke verwysings na enkele uitgawes van Die Burger en The Star. Onafhanklik van die groeiende epidemie in Suid-Afrika kies die meeste publikasies om MIVNigs nuusdekking steeds soos enige ander nuus te hanteer. Dit beteken dat joernaliste die oogmerk van objektiwiteit nastreef en dus as onbetrokke waarnemers die gebeure van die dag aan die publiek weergee. Hierdie studie beklemtoon die omvang van die MIVNigs krisis en die beperkte sukses van voorkomingsinisiatiewe in Suid-Afrika wat gevolglik ook die media noodsaak om konvensionele joernalistiek praktyke in heroënskou te neem. Indien 'n mens 'n verandering in die verspreiding en impak van MIVNigs op die Suid-Afrikaanse samelewing wil sien, is dit veral nodig om ook die media in die stryd teen MIVNigs te betrek. Die media is 'n invloedryke instelling en die grootste deel van die publiek se inligting - ook oor MIVNigs - word op die inhoud van dagblaaie gebaseer. Dit beklemtoon die verantwoordelikheid wat op die media rus om verantwoordelike en etiese nuusdekking aan die kwessie te gee. Vir die media om optimaal tot die stryd teen MIVNigs by te dra, is dit egter nodig dat die media self betrokke raak en proaktiewe nuusdekking sal nastreef. Met 'n meer betrokke media word nie noodwendig aktivisme bedoel nie, maar dit vra eerder dat die media 'n paar tree nader aan MIVNigs sal gee sodat die epidemie in sy totaliteit beter verstaan kan word. Met so 'n benadering kan die media bydrae tot die vestiging van 'n ingeligte, bemagtige en betrokke gemeenskap wat self ook eienaarskap van MIVNigs begin neem.

Not only in South-Africa, but worldwide, HIVIAIDS is a morbidity that increases on a daily basis. Currently, it can be seen as the hugest health dilemma in the world. The implications of the Aids pandemic on community structures are distressful. It is estimated that just as many people will die of Aids as from any other cause. A positive HIV test result has an enormous impact on the life of the person. A person's whole life changes the very moment he is informed that he is HIV positive. The person who is diagnosed with HIV as well as the people around him need to make life-changing decisions. These decisions should be made to deal with demands of HIV in an effective manner. According to people with HIVIAIDS from different communities, negative responses from fellow community members have a far more negative impact on them than having to deal with the positive HIV-status itself. It therefore is essential that a supporting environment be established in which in people living with HIVIAIDS can be accepted. To be able to understand and manage the situation better it is necessary to establish which processes made it possible for people to disclose their positive HIVIAIDS-status and what the experience of a person was after disclosure. The study established which processes were present to enable him to disclose and what support systems are necessary for people to disclose a positive HIVIAIDSstatus. A case study was used.
Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2006.

Thesis (MA)--University of Stellenbosch, 2001.
ENGLISH ABSTRACT: The levels of self-efficacy for specific HIV/aids-preventive behaviour patterns for high school pupils from a previously disadvantaged community were measured. Self-efficacy can be described as an individual's perception about his/her ability to perform certain actions effectively in a specific situation. For this purpose, the Sexual Self-Efficacy Questionnaire of Kasen, Vaughan and Walter (1992) was administered. A group of 227 pupils from the Macassar High School were involved in the study. The results showed that the Macassar adolescents display low self-efficacy in areas essential for HIV/aids prevention. The adolescents were especially uncertain about their ability to refuse sexual interaction where potential sexual partners are familiar or desirable and after alcohol or drugs were used. Furthermore, the Macassar adolescents showed low self-efficacy for dealing with sensitive issues concerning a sexual partner and for purchasing condoms in a shop. Regarding gender differences, the results showed that boys display lower self-efficacy than girls in relation to the behaviour patterns that where examined. Those adolescents with lower self-efficacy for refusing sexual intercourse, were also more likely to have had sexual intercourse. Regarding condom use, the results suggested that boys that are sexually active and do not use condoms, display low self-efficacy for the correct, consistent use of condoms. The role what the relationship between self-efficacy and behaviour should play in the development of HIV/aids-preventive interventions, is accentuated in the study. The emphasis must be on the building of self-effective thoughts, associated social and self-handling skills, and especially the development of programmes aimed at changing social cognitions.
AFRIKAANSE OPSOMMING: Die self-effektiwiteitsvlakke vir spesifieke MIV/vigs-voorkomende gedragskeuses of -patrone onder hoërskoolleerlinge uit "n histories benadeelde gemeenskap is bepaal. Self-effektiwiteit kan omskryf word as "n individu se oordeeloor sy/haar vermoë om sekere aksies doeltreffend in "n spesifieke situasie te kan uitvoer. Vir dié doel is die Seksuele Self-effektiwiteitsvraelys van Kasen, Vaughan en Walter (1992) gebruik. "nGroep van 2271eerlinge van die Macassar Hoërskool is by die studie betrek. Volgens die resultate het die Macassar-adolessente lae self-effektiwiteit getoon in areas wat onontbeerlik is vir MIV/vigs-voorkoming. Die adolessente was veralonseker oor hul vermoë om seksuele omgang te weier in situasies waar potensiële seksuele maats toenemend bekend of begeerlik is en ook nadat alkoholof dwelms gebruik is. Verder toon die Macassar-adolessente lae self-effektiwiteit wat betref hul vermoë om sensitiewe aspekte van "n seksuele maat te hanteer en om kondome by "n winkel te koop. Wat geslagsverskille betref toon die resultate dat seuns laer self-effektiwiteit het as meisies wat betref die gedragskeuses of -patrone wat ondersoek is. Dit blyk ook dat respondente wat lae self-effektiwiteit getoon het vir die weiering van seksuele omgang, juis meer geneig was om seksueel aktief te wees. Ten opsigte van konsekwente kondoomgebruik, blyk dit dat seuns wat seksueel aktief is en nie van kondome gebruik maak nie, lae self-effektiwiteit getoon het juis vir die korrekte en konsekwente gebruik van kondome. Die studie beklemtoon die rol wat die verhouding tussen self-effektiwiteit en gedrag in die ontwikkeling van MIV/vigs-voorkomingsintervensies behoort te speel. Die fokus moet lê op die opbou van selfeffektiewe denke, gepaardgaande sosiale en selfhanteringsvaardighede, en veral die ontwikkeling van programme gemik op veranderinge in sosiale kognisies.

Thesis (MA)--University of Stellenbosch, 2002.
ENGLISH ABSTRACT: The human immune deficiency virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) have already reached a magnitude in Southern Africa which can hardly be addressed by the existing structures. HIV counselling is considered to be an important preventative and supportive strategy in the battle against HIV. In recent years therefore, urgent attempts have been made to provide HIV/AIDS counselling services throughout South Africa. The researcher had a firsthand experience of such an attempt as manager of HIV counselling services for a NGO working in a peri-urban community. She realised that although the ideal outcome and aims of HIV counselling have been widely documented, very little research has been done on the implementation of these principles in health systems with limited resources. It was thought that a meaningful contribution could be made to the development of HIV counselling services in a specific South African community by critically exploring current HIV counselling services in such a community. This exploration entailed the following: • reviewing the literature on HIV counselling; • clarifying the goal of HIV counselling; • clarifying behaviour change as an outcome of HIV counselling; • exploring the influence of the Stellenbosch context on the content and outcome of HIV counselling; and; • exploring to what extent the goals of HIV counselling (as prescribed by international and national literature) are pursued in the Stellenbosch context. The ecological model and an action research method were used to direct this study. The researcher used her position and experience as manager of the HIV counselling services within a non-governmental organisation to access sources of information. Direct and participatory observations were utilised to gather information regarding the implementation of HIV counselling services in the community. The model of Raeburn and Seymour (1979) and specifically the overview phase have been used as a framework to organise the data and to describe the HIV counselling system in the specific community. The researcher concluded that the theoretical principles that were identified as prerequisites for effective HIV counselling services were often irreconcilable with the management skills, context, infrastructure and aims of the primary health services within the district. It was highlighted that a systemic understanding of the impact of the environment should be considered when future models and outcomes are formulated and implemented. Finally, alternative suggestions for the management, the formulation of outcomes and the utilisation of personnel in HIV counselling in this specific community were discussed.
AFRIKAANSE OPSOMMING: Die Menslike Immuniteitsgebreksvirus (MIV) en Verworwe Immuniteitsgebreksindroom (Vigs) in Suider-Afrika het reeds 'n omvang bereik wat beswaarlik deur die bestaande strukture aangespreek kan word. MIV-berading word beskou as 'n belangrike voorkomende en ondersteunende strategie in die stryd teen MIV. In die laaste paar jaar is dringende pogings dus aangewend om MIV-beradingsdienste in die hele Suid Afrika beskikbaar te stel. Die navorser het eerstehandse ervaring gehad van hierdie inisiatief as bestuurder van MIV -beradingsdienste vir 'n nie-regeringsorganisasie wat werksaam is in 'n semilandelike gemeenskap. Alhoewel die ideale uitkoms en doel van MIV -berading wyd gedokumenteer is, het sy besef dat baie min navorsing gedoen is oor die implementering van hierdie beginsels in gesondheidsisteme met beperkte bronne. Daar is geredeneer dat 'n betekenisvolle bydrae gemaak kan word tot die ontwikkeling van MIV -beradingsdienste binne 'n spesifike Suid-Afrikaanse gemeenskap deur die huidige MIV -beradingsdienste in so 'n gemeenskap krities te verken. Hierdie verkenning het die volgende behels : • literatuur oor MIV -berading te bestudeer; • MIV-berading se doelwitte te verhelder; • gedragsverandering as uitkoms van MIV -berading te verhelder; • te eksploreer hoe die Stellenbosch konteks die inhoud en uitkoms van MIV -berading beïnvloed; en • te eksploreer tot watter mate die doelwitte van MIV -berading ( soos voorgeskryf deur internasionale en nasionale literatuur) in die Stellenbosch konteks nagestreefword. Die ekologiese model en 'n aksienavorsingsmetode is gebruik om die ondersoek te rig. Die navorser het haar posisie en ervaring as bestuurder van MIV -beradingsdienste binne 'n nie-regeringsorganisasie gebruik om toegang te verkry tot inligting. Direkte en deelnemende waarneming is gebruik om inligting in te samel rakende die implementering van MIV -beradingsdienste in die gemeenskap. Die model van Raeburn en Seymour ( 1979) en spesifiek die oorsigfase is gebruik as 'n raamwerk om data te organiseer en die MIV -beradingsisteem in die spesifieke gemeenskap te beskryf. Die navorser het tot die gevolgtrekking gekom dat die teoretiese beginsels wat geïdentifiseer is as essensiële voorvereistes vir effektiewe MIV -beradingsdienste in soveelopsigte onversoenbaar is met die bestuursvaardighede, konteks, infrastruktuur en doelwitte wat binne die spesifieke primêre gesondheidsdienste geld. Dit is beklemtoon dat In sistemiese verstaan van die invloed van die omgewing en die inagneming van die sisteem belangrik is wanneer toekomstige doelwitte geformuleer en modelle geïmplementeer word. Alternatiewe voorstelle vir die bestuur van beradingsdienste, die formulering van uitkomsdoelwitte en die benutting van personeel in hierdie dienste is ten slotte bespreek.

AFRIKAANS: Die doel van hierdie studie was om te beskryf op welke wyse ek, in samewerking met die deelnemers aan my studie, ‘n MIV&VIGS-skoolplan ontwikkel het. Die behoefte aan ‘n gestruktureerde MIV&VIGS-skoolplan het ontstaan tydens ‘n omvattende navorsingsprojek, waarvan hierdie studie deel uitmaak en waartydens laerskoolonderwysers die behoefte uitgespreek het om MIV&VIGS-geïnfekteerde en -geaffekteerde kinders beter te ondersteun. Ek het my studie vanuit ‘n interpretivistiese benadering onderneem en my navorsingsproses verdeel in drie fases, wat onderlê is deur deelnemende aksienavorsingsbeginsels. ‘n Gevallestudie is as navorsingsontwerp gebruik. Agt laerskoolonderwysers, in ‘n informele nedersettingsgemeenskap binne die Nelson Mandela Metropool, is by wyse van gerieflikheid geselekteer. Deur die verloop van hierdie studie het ek ‘n multi-metodiese benadering geïmplementeer. Gedurende Fase 1 het ek eerstens relevante verwante studies binne die omvattende navorsingsprojek tematies ge-analiseer, om deelnemers se idees en behoeftes betreffende ‘n MIV&VIGS-skoolplan te identifiseer. Tweedens het ek gedurende ‘n eerste veldbesoek twee fokusgroepbesprekings gefasiliteer, om te bepaal wat deelnemers se bestaande kennis met betrekking tot die Departement van Onderwys se Nasionale MIV&VIGS-Beleid was; wat hulle onderliggende rasionaal vir die ontwikkeling van die MIV&VIGS-skoolplan was; wat die moontlike inhoud van ‘n MIV&VIGS-skoolplan sou behels; asook hoe en deur wie die MIV&VIGS-skoolplan aangewend en benut sou kon word. Hierna het ek die rou data getranskribeer en op tematiese wyse ge-analiseer en geïnterpreteer. Ek het voortdurend gebruik gemaak van observasies, wat vasgelê is in die vorm van veldnotas, asook foto’s. Vir Fase 2 het ek tydens ‘n tweede veldbesoek ‘n deelnemende aksienavorsingswerkswinkel gefasiliteer. Gedurende hierdie werkswinkel is die inhoud van die MIV&VIGS-skoolplan verfyn en gefinaliseer. Vervolgens het Fase 3 die dokumentering van die MIV&VIGS-skoolplan behels, in die vorm van ‘n formele dokument en ‘n plakkaat. Tydens my derde veldbesoek, met die bekendstelling van die skool as Resource and Support Centre in die gemeenskap, is die MIV&VIGS-skoolplan in tweeledige vorm (plakkaat en formele dokument) aan die skoolhoof oorhandig. Die gebruik van ‘n navorsingsjoernaal het my in staat gestel om deurgaans my persoonlike opinies, reflektiewe gedagtes en indrukke van my navorsingstudie aan te teken. Tydens data-analise het ek drie temas geïdentifiseer. Eerstens is die onderliggende rasionaal vir ‘n MIV&VIGS-skoolplan bepaal, waar verbandhoudende subtemas aangedui het dat onderwysers hulle kennis en vaardighede wou oordra na ander skole in die omgewing ter ondersteuning van die breër gemeenskap; dat die oordrag van kennis en vaardighede om geïnfekteerde en geaffekteerde kinders in die klaskamer meer effektief te ondersteun ’n behoefte was; en dat die behoefte verder bestaan het om kennis en vaardighede te dokumenteer in die vorm van ‘n MIV&VIGS-skoolplan. Tweedens is die deelnemers se verwagtinge met betrekking tot ‘n MIV&VIGS-skoolplan gepeil, waar moontlike fundamentele beginsels vir ‘n MIV&VIGS-skoolplan en die implementering van ‘n MIV&VIGS-skoolplan, as subtemas geïdentifiseer is. Derdens is die moontlike inhoud van ‘n MIV&VIGS-skoolplan bepaal. Die subtemas wat voorgekom het, was die identifisering en verwysing van geïnfekteerde en geaffekteerde kinders, asook ondersteuning aan hierdie kinders. Op grond van die bevindinge van my studie kan die gevolgtrekking gemaak word dat deelnemende aksienavorsing ‘n moontlike wyse is waarop ‘n MIV&VIGS-skoolplan, in samewerking met onderwysers, ontwikkel kan word. ENGLISH: The purpose of this study was to describe the manner in which I, in collaboration with the participants of the study, developed an HIV&AIDS school plan. The need for a structured HIV&AIDS school plan stemmed from a broad research project of which this study forms part and during which the participating educators expressed the need to support HIV&AIDS infected and affected children more efficiently. I approached the study from an interpretivist perspective, underpinned by action research principles, and divided the research process into three phases. I implemented a case study as research design and selected eight primary school teachers in an informal settlement community in the Nelson Mandela Metropole, by means of convenience sampling. Throughout this study, I followed a multi-methodical approach. During Phase 1, I conducted an analysis of the transcripts of related studies within the broad research project, in order to identify the participants’ needs and ideas, concerning an HIV&AIDS school plan. Secondly, I facilitated two focus group discussions during a first field visit, in an attempt to determine the teachers’ existing knowledge concerning the Department of Education’s National HIV&AIDS Policy; what the underlying rational for the development of an HIV&AIDS school plan could be; what the possible content of such a plan could entail; and how and by whom such a plan would be utilised and used in the classroom. I transcribed the focus group discussions and thematically analysed and interpreted the raw data. Throughout, I made use of observations, captured in the form of field notes and photographs. For Phase 2, I facilitated a participatory action research workshop during a second field visit. During this workshop we finalised the content of the school’s HIV&AIDS plan. The third phase entailed the documentation of the HIV&AIDS school plan, in the form of a formal document and a poster. During my third field visit, at the launch of the school as a Resource and Support Centre in the community, I presented the schools’ principal with the HIV&AIDS school plan, in the form of the formal document and poster. I continuously relied on a research journal to document my personal opinions, reflective thoughts and impressions of the study. Subsequent to the data analysis I completed, three themes emerged. Firstly, the underlying rational for an HIV&AIDS school plan were determined, with sub-themes indicating that educators wanted to transfer their knowledge and skills to other schools in the area to support the wider community; that teachers wanted to transfer their knowledge and skills to support infected and affected children more effectively, and that the need existed for knowledge and skills to be documented in the form of an HIV&AIDS school plan. Secondly, the participants’ expectations of an HIV&AIDS school plan were determined, with the fundamental principles of an HIV&AIDS school plan and the implementation of the plan as related sub-themes. The third main theme indicated the possible content of an HIV&AIDS school plan. This theme comprises sub-themes relating to the identification, referral and support of infected and affected children. Based on the findings of my study, I can conclude that participatory action research might be used to develop an HIV&AIDS school plan, in collaboration with teachers.
Dissertation (MEd)--University of Pretoria, 2011.
Educational Psychology
unrestricted

HIV/AIDS mainly is a health problem, which is accompanied by social and economic implications worldwide and is seen as a pandemic that negatively affects South Africa. The agricultural labour force, specifically the farm worker community, is also negatively affected by it. However, few research reports are available pertaining to this problem in this section of the population Based on the above, the researcher investigated the attitudes and level of knowledge of the farm worker community with regard to HIV/AIDS. During the investigation it was established that knowledge was lacking and a misperception regarding the HI virus prevailed in the farm worker community. A needs assessment was executed in order to establish what information the farm workers wish to receive and whether they would be willing to attend group assemblies. Initially, the farm workers were not familiar with the term 'group work', but once it was explained to them it was established that the farm workers did indeed feel a need for a group work programme. A prevention programme was compiled in accordance with the needs of the farm workers, which included giving information on HIV/AIDS as well as teaching them life skills. An attempt was made to compile the programme in a culture sensitive manner so that information could reach the farm workers at their level of functioning. The aim of the investigation was: To establish the attitudes, convictions and level of knowledge of black farm workers with regard to HIV/AIDS by means of a literature study and empirical investigation; and To compile an HIV/AIDS group work prevention programme based on a literature study and empirical research. In conclusion, it can be said that the research has proved that knowledge pertaining to the virus is lacking among the farm worker community and that it is essential to change their attitudes. Group work, as a method of social work, can be utilised with remarkable success to bring about positive changes regarding HIV/AIDS in this sector.
Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2006.

As a result of the HIV/AIDS problem, South Africa is presently confronted by the worst pandemic in the history of this country. An estimated 4,2 million people in South Africa are already infected with the HI virus. The Faculty of Health Sciences at the PL) for CHE (Focus area 9.1) for this reason undertook to investigate the immune systems of HIV/AIDS patients in the Potchefstroom health district. The aim of this effort was multiple, namely: * to improve by means of oral supplements the immune systems of HIV/AIDS patients in the named health district; * to slow down by means of the above mentioned action the deterioration of patients from HIV to AIDS, and * to improve the sense of well-being and quality of life of HIV/AIDS patients by means of a group work intervention programme. To reach this aim, the following goals had to be attained: * To determine by means of a literature study the nature and extent of HIV/AIDS world-wide. This aim was reached by analysing theoretical perspectives gained from the relevant literature as well as empirical results regarding the nature and extent of HIV/AIDS, especially in South Africa. * To determine by means of a literature study and an empirical investigation the needs of persons diagnosed as being HIV positive or having AIDS. In order to reach this goal, the procedure of survey was used. Schedules were personally completed by the investigator, assisted by field-workers, regarding 110 HIV/AIDS patients. In this manner the needs of the patients could be determined. From the results obtained by this survey, it was evident that HIV/AIDS patients experience various problems and definitely had a need for help. * To investigate by means of a literature study the task of Social Work, and specifically group work, regarding assistance to HIV/AIDS patients. This investigation emphasised that Social Work definitely has a task and responsibility regarding the prevention of HIV/AIDS as well as supplying direct assistance for HIV/AIDS patients. If group work intervention is thoroughly planned, it can render a valuable contribution to the improvement of the sense of well-being and quality of life of these patients. * The aim of the last-mentioned goal was to compile an appropriate programme based on the specific needs of patients and to evaluate it after implementation. This programme was successfully presented in the course of 13 weeks and was in particular suited, not only to improve the knowledge of the HIV/AIDS group members concerning their condition, but also to broaden their insight with regard to the impact of their illness on their social functioning. By means of this programme the group members could develop skills concerning the handling of their condition. * To evaluate the effect of the group work intervention programme on the sense of well-being and quality of life of the patients who have been diagnosed as HIV positive or having AIDS. This goal was attained by measuring on four occasions the sense of well-being and quality of life by means of the measuring scale known as Affectometer 2 (AFM) by Kammann and Flett (1983). The results obtained by this evaluation showed that the group work intervention programme brought about a significant difference in the sense of well-being and quality of life of these HIV/AIDS patients. The sense of well-being of HIV/AIDS patients who participated in the group work intervention programme was significantly higher than that of patients who did not form part of the group work intervention programme. All in all this research undeniably proved that a scientifically grounded, well-planned group work intervention programme can be successfully implemented to improve the quality of life of HIV/AIDS patients.
Thesis (Ph.D. (Social Work))--Potchefstroom University for Christian Higher Education, 2002.

Hoofstuk 1 benadruk die sentrale en skerpsinnig-wyse sleutelposisie van eskatologiese hoop en getuienis daarvan in die lewens van gelowige terminale MIV/VIGS Iyers. 'n Eksegetiese studie van Johannes 9:1-8, Lukas 5:12-15, Job 1:6-22; 2:3-13, Genesis 2:1617, Romeine 5:2-5; 6:5-11; 8:18-25, 1 Petrus 1:3-9 en Matteus 28:19-20 is die studiekern van Hoofstuk 2. Siekte (blindheid, melaatsheid), Iyding en pyn (Job), dood van die mensdom (Adam en Eva) en die retrovitale dood van Jesus Christus, hoop en getuienis is nagevors en ontleed. Vergelykings met huidige tendense waar MIV/VIGS 'n gestigmatiseerde terminale siekte is, word getref. Die basis van hoop op die ewige lewe in die volle teenwoordigheid van God Almagtig, is die beloftes en oorweldigende liefde van die lewende God. Getuienis van hierdie standhoudende en lewende hoop is die Groot Opdrag aan die dissipels van Christus in Matteus 28:19-20, en daarom aan alle gelowiges tot die wederkoms (advent) van Christus. Hoofstuk 3 stel die bydrae vas van die metateorieë van die mediese -, kommunikasiewetenskappe en Psigologie as komplementerende ervaringvelde. Die mediese en sosiale omstandighede van die gelowige terminale MIV/VIGS Iyers toon 'n uiters negatiewe situasie, wat onder meer bestuurbaar gemaak word deur die sogenaamde "signature strengths" van die Positiewe Psigologie. Op 'n veel hoer vlak is spirituele gesondheid en heling, as die vrug van die Hel/lge Gees, van kardinale belang vir die ewige lewe. Hierdie metateorieë bevestig die waarhede rakende die Groot Geneesheer soos in Hoofstuk 2 aangedui, en voorsien verder verhelderende perspektiewe op 'n nuwe prakties-teologiese teorie. Empiriese navorsing aan die hand van 'n kwalitatiewe studie by die gesondheidsentrum van 'n voorstedelike motorvervaardigingaanleg, word in Hoofstuk 4 onderneem. In twee groeponderhoude met multi-veranderlikes per deelnemer (gelowige terminale MIV/VIGS Iyers en 'n kontrolegroep van mediese personeel/gesondheidwerkers), is vasgestel dat die MIV/VIGS Iyers versterkende geestelike krag van hul eskatologiese hoop vir die ewige lewe saam met God, ervaar. Pastorale behoeftes sluit gebed, vertroosting en koinonia/"fellowship" in. Hoofstuk 5 stel praktiese riglyne voor tot kerugmatiese -, liturgiese -, koinoniale -en diakoniale getuienis oor hoop. Versoening met God deur die "retrovitale" liefde/dade van Jesus Christus se dood as die spil-as wat radikaal-Skriftuurlike denke/lewe inisieer (in teenstelling met die "retrovirale" vermoë van die MI-virus waar die "kwaad" vermenigvuldig), word in die riglyne aangemoedig. Getuienis oor hoop aan ander is die "geskenk van die Lewe”. Die slotsom waartoe gekom word, is dat die gelowige terminale MIV/VIGS Iyer tot in die vierde fase van die siekte, oor haar/sy hoop kan getuig. Praktiese riglyne hiertoe moedig die gelowige met enige terminale siekte of in elk geval, aan om met 'n lewe van aanbidding oor hierdie hoop te getuig en s6 die lewende God te eer.
Chapter 1 emphasizes the central and perspicacious position of eschatological hope and witnessing thereof, in the lives of the believing terminal HIV/AIDS sufferers. An exegetical study of John 9:1-8, Luke 5:12-15 Job 1:6-22; 2:3-13, Genesis 2:16-17, Romans 5:2-5; 6:511; 8:18-25, 1 Peter 1 :3-9 and Matthew 28: 19-20 is conducted in Chapter 2. Illnesses (blindness, leprosy), suffering and pain (Job), death of mankind (Adam and Eve) and the retrovital death of Jesus Christ, hope and witnessing are researched and analysed. Comparisons with life today where HIV/AIDS is a stigmatised terminal illness, are weighed. Hope for eternal life in the full presence and reign of God Almighty, is based on the promises and overwhelming love of the living God. Witnessing of this vivacious and living hope is imperative to the disciples of Christ in Matthew 28: 19-20, and therefore to all believers until the advent of Christ. Chapter 3 establishes the contribution of meta theories of complementary and entwined sciences, such as health and medicine, communications and the positive psychology. The medical and social circumstances of the believing terminal HIV/AIDS sufferers revealed an extremely grave situation, which is manageable with inter alia positive "signature strengths". On a much higher plain, spiritual health and healing as the fruit of the Spirit, is of cardinal importance for eternal life. These theories only confirm the truths about the Great Healer as stated in Chapter 2 and provide enlightening perspectives for a new practical theological theory. Empirical research via a qualitative study at the health centre of an urban vehicle manufacturing plant, is conducted in Chapter 4. Two group interviews with multi-variables per participant (believing terminal HIV/AIDS sufferers and a control group of health workers), have established that the HIV/AIDS sufferers are spiritually enormously strengthened by their eschatological hope for eternal life with God, without this earthly suffering. Pastoral needs include prayer, comfort and koinonia/fellowship. Chapter 5 suggests practical guidelines in terms of witnessing hope by means of cherugmatical, liturgical, koinonial and diaconial communication. The image of the 'retrovital' Lord Jesus Christ as the pivotal change that paths the way to radical Biblical thinking/living (in comparison with the "retroviral" ability of the. HI-virus which multiplies the "evil"), is encouraged. The final conclusion is that a believing terminal HIV/AIDS sufferer is able to witness hope for eternal life until the fourth phase of the terminal illness. Practical guidelines hereto may encourage the believer of any terminal illness or in any case, to witness hope with a life of worship and thus honour the living God.
Thesis (M.A. (Practical Theology))--North-West University, Potchefstroom Campus, 2010.

The negative impact of HIV/Aids, internationally and nationally; as well as on the education system of South Africa, is well-documented and cannot be ignored. The latest statistics indicate that South Africa currently has the highest occurrence of HIV/Aids in the world. Due to this high occurrence of HIV/Aids infected people, an unbelievably high percentage of the community is affected by the pandemic. Teachers, specifically life orientation teachers, are also affected by this phenomenon. All teachers, but specifically Life orientation teachers, are faced on a daily basis with various personal and professional challenges related to the HIV/Aids pandemic. These challenges threaten the well-being of teachers, so that researchers have been asked to empower teachers so that they can resist these challenges. A resilient teacher avails of the correct information on HIV/Aids and can therefore contribute to fighting the pandemic by providing correct information. This teacher will, amongst others, also have strong faith, the ability to discuss the pandemic openly and to obtain access to counselling. This resilient teacher realises the importance of a positive attitude despite the fact that she is realistic about the impact of the pandemic, has positive relationships and realises the value of support. The aim of my study was to determine the degree to which the programme Resilient Educators (REds) can support life orientation teachers who are affected by HIV/Aids, so that they will be equipped to resiliently withstand the challenges HIV/Aids set them. REds has been evaluated many times, but until the present, participants have not been life orientation teachers. In response to this aim, I followed a pre-experimental research design in the course of my study with twelve affected life orientation teachers in Sasolburg, as participants. Before beginning with the programme, a pretest (qualitative as well as quantitative data were collected) was done. Intervention took place over seven weeks by means of the REds programme. I wrote a reflection journal during the intervention and asked participants to report their impressions of the sessions in writing. After completing the programme, a post test was written (qualitative as well as quantitative data were collected) to determine the degree to which participants were able to withstand the challenges of HIV/Aids more resiliently. Thorough analysis of the pre and post test data, as well as the reflection data, creates the impression that participants were already resilient to some degree before joining the programme, but after completing the programme, their resilience can be described as more profound than before, and this fact can largely be ascribed to the effectiveness of the REds programme.
Thesis (M.Ed. (Educational Psychology))--North-West University, Vaal Triangle Campus, 2010.

Persuasion communication, elaboration likelihood model, intrinsic persuasion variables, extrinsic persuasion variables, Life Orientation, HlV/Aids, grade 9 learners, guidance counselling, persuasion campaigns, credibility, motivation, capacity, youth The elaboration likelihood model (Petty & Caccioppo, 1996:l-309) in the field of persuasion communication explains the role that variables can play in the measure to which the youth can be influenced and persuaded by messages aimed at changing sexual risk behaviour. In order to offer the North West Province Department of Education's Life Orientation learning area, which is marked by a life skills approach, a better chance of success, it is important to determine which of the intrinsic and/or extrinsic variables-as is hypothesised by the elaboration likelihood model-play a role with grade 9 learners. Thus, the persuasion messages within Life Orientation could be adapted accordingly. The purpose of this study was to determine what role the intrinsic and/or extrinsic persuasion variables have in the presentation of Life Orientation classes to selected grade 9 learners at three Potchefstroom high schools. Relevant literature was analysed in regard to HlV/Aids campaigns and programmes that had been launched in South Africa, especially in instances where the theoretical framework corresponded with this study. The empirical study was done by way of methodological triangulation. An overall picture was formed by way of a quantitative survey questionnaire of the persuasion variables that are found among grade 9 learners in Potchefstroom, Promosa and Ikageng. Qualitative methods (focus groups, personal interviews and non-participatory observation) were employed to investigate the deeper seated aspects of the persuasion variables. The results of the study confirm the premise of the elaboration likelihood model, and proved that intrinsic persuasion variables play an important role with grade 9 learners when HlV/Aids persuasion messages are conveyed to them through Life Orientation classes. Thus, it can be inferred that grade 9 learners of the three selected Potchefstroom schools would process these persuasion messages via the central route, which enhances the chances of long term persuasion. Further, it appears that in this study extrinsic persuasion variables mostly played a strengthening role with regard to persuasion messages. The study deduces, therefore, that Life Orientation, and specifically the content that is focused on HIV/Aids, led to the successful persuasion of grade 9 learners in the selected schools. However, the study also makes important recommendations on how the impact of these persuasion messages can be even more heightened within the context of the elaboration likelihood model.
Thesis (M.A. (Communication Studies))--North-West University, Potchefstroom Campus, 2006

HIV/AIDS is a terrible scourge that affects the whole of humanity. This is something nobody can deny or ignore. It is not only HIV infected people who are affected by this. Millions of others suffer too. Millions of Aids orphans live in poverty and are stigmatized by their communities. If one or both of the parents died of AIDS these orphans will have to burden the ensuing grief, hunger, illiteracy, sibling care, abuse and sometimes having AIDS themselves. Grandparents lose there children and get the responsibilities of raising their grandchildren thrust upon them. Other family members and friends sometimes have to share these unforeseen responsibilities too. The state faces an ever-increasing financial drain on its resources, and tries to keep up with ever changing legislation. The church, especially the local church is also deeply affected by this reality. She cannot shirk her responsibilities in the matter. She cannot turn a blind eye to the overwhelming need out there. The methodological model of Zerfass is being used in the study. The crux of this study concerns the church's duty in this matter. Matthew 25 : 31 - 46 and their supportive texts will test the local church on their involvement in this universal need. This study endeavours to find adequate and novel ways and forms of dealing with need with reference to Practical Theology, relevant Scriptural quotes and the historical churchly tradition of communal aid as witnessed in the early church. The social sciences are involved in this endeavour to fathom the depth of human need in connection with HIV/AIDS. This study clarifies what HIV/AIDS really means to people, the extent of the challenge, the stigma attached to the affliction, reasons for its spread, poverty, a shortage of ARV's, its incurability, the problems of Aids orphans. In addition this study will explore the challenges facing caregivers, substitute parents like grandparents or family members, formal or institutional care and children acting as heads of families. Their experiences are dealt with, as well as people's material and spiritual wants, and what they need, in order to survive and even grow in dire circumstances. The local church has a pastoral duty that encompasses much more than the needs of its parishioners. It needs to equip church members with missionary skills to strengthen those in need with the hope and good news of the Gospel. The impact of a concerted effort of a possible 33 000 Christian congregations in South-Africa cannot be underestimated. A study on small groups identify small groups as empowering bodies in the church's pastoral obligation. In one qualitative study the focus is on the daily life of a range of substitute caregivers: Grandparents, relatives, the experiences of substitute caregivers within institutionalized care, the experiences of people of European descent that run a house of safety and lastly the story of a kid acting as a family head over her siblings. There is the excitement of church involvement and the disappointment over church apathy. This practical model envisions a coordinated plan whereby the local church can serve and aid these substitute caregivers, to be part of the solution and not of the problem concerning HIV/AIDS. This could be called a "Flexi model". All local churches do not have the same resources, training and infrastructure. Nevertheless several possible solutions are possible, so that caregivers can be involved and empowered, to do what they have to do. The consequences of a successful outreach could be spiritual growth in a local church, inner mental and spiritual health, identification of new and suitable caregivers, reciprocity, poverty alleviation, the breaching of boundaries, empowerment of church members in the exercising of spiritual gifts, development of spiritual zeal, information exchange about the real challenges of AIDS, and the ongoing empowerment of caregivers to the lasting benefit of Aids orphans. The positive outcome is the inner transformation of a local church. Matthew 25 : 31 - 46 especially verse 40b will become relevant to everyone: "In as much as you have done it to the lesser most of these brethren, you have done it to me."
Thesis (Ph.D. (Pastoral)--North-West University, Potchefstroom Campus, 2009.

The aim of this research was to determine the way in which informal caregivers of HIV/AIDS patients experience their task as caregivers as well as to identify factors, or general resistance resources, which exercise an influence on their psychological well-being, and more specifically on their sense of coherence. The stressors encountered by informal caregivers of HIVIAIDS patients have previously been investigated thoroughly in a number of studies. The tasks of informal caregivers very often encompass much more than what would be, for example, included in the nursing context and therefore exceed the limits applying to the formal sector. Stressors to which caregivers are exposed include physical, financial and emotional aspects. It has been proved that this state of affairs has a negative impact on their physical health conditions as well as their psychological well-being. Caregivers do, however, at times report a certain extent of growth experienced by them which can be related to the care giving situation. The salutogenic perspective allows for a study of the origin of health and has, for the purposes of this study, been applied to obtain an alternative description of the caregivers' experiences. According to this perspective health does not merely mean the absence of disease, but also refers to health being influenced by an individual's management of stressful events. When an individual, even if confronted with stressful circumstances, has adequate general resistance resources at his/her disposal, a strong sense of coherence can develop and this will have a positive influence on his/her psychological well-being. In the South African context little if any literature can be found on the salutogenic factors that may affect informal caregivers of HIV/AIDS patients. The investigation of this study was based on an availability sample consisting of 8 informal caregivers of HIVIAIDS patients. A one shot cross sectional design with triangulation of data assessment techniques was used. The researcher obtained data with regard to the caregivers' sense of coherence by means of the Sense of Coherence Scale (SOC) (Antonovsky, 1987). Semistructured interviews were conducted with all the caregivers involved and a qualitative analysis followed. The results revealed that informal caregivers' sense of coherence was much lower than- that of a group of nurses (formal caregivers) as described by Cilliers (2003). One of the reasons for this significant difference could be the lack of a structured setting or environment in which caregivers still have to perform their duties and responsibilities. According to the results a variety of factors exercising a negative impact on informal caregivers' sense of coherence could be identified. These included (a) stress, (b) exposure to unfamiliar situations, and (c) a lack of counselling skills. Within the framework of the salutogenic perspective there were, however, different factors also known as general resistance resources, that exercised a positive impact on the caregivers' sense of coherence. Among these the following could be counted: (a) spirituality, (b) insight into interpersonal situations, (c) utilisation of social support systems, and (d) multi-disciplinary cooperation. It would therefore seem that informal caregivers do possess general resistance resources which enable them to persevere with their tasks as caregivers in spite of the stressors they encounter on a daily basis. One of the recommendations that can be posed after having carried out this study and after having analysed the results, is the compilation as well as the evaluation and implementation, of a psycho-education training programme for informal caregivers, with special emphasis on such general resistance resources.
Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2006.

The media has an important role to play in providing information to form the perceptions of media users on HIV/Aids. Furthermore, the media has an agenda setting function through which it determines what news consumers think about, and how they think about these topics they are presented with. Extensive media coverage has been given to the subject of HIV/Aids since the start of the pandemic. The nature of the coverage has, however, been widely criticised, mainly by interest groups actively involved in the fight against the disease. Few formal guidelines exist to guide journalists in this field. Moreover, the existing guidelines that originated mainly from the gaps interest groups identified in the coverage on HIV/Aids, are fairly fragmented. Many newspapers follow the general guidelines set by the media industry for ethical news reporting. These guidelines, such as the ethical code of the Press Ombudsman, are a result of self regulation, which is intrinsic to the social responsibility model that is seen as ideal for South Africa. There are several existing codes offering guidance regarding professional standards and general conduct. Only one - that of the now inactive South African Union of Journalists - includes criteria on HIV/Aids reporting. Through formulating guidelines, interest groups have an agenda setting function and a subsequent potential influence on the media and the public agenda. This paper endeavours to analyse and systematically summarise criteria set by the interest groups for ethically acceptable and accountable HIV/Aids reporting against the background of the agenda setting theory and the social responsibility model. In addition, HIV/Aids reporting in three Sunday papers (the Sunday Times, Sunday Sun and Rapport) is verified against these interest group criteria to ascertain how it measures up, and to determine whether a separate interest group code of ethics is desirable. It was found that the Sunday Times views HIV/Aids as a news priority, while the topic does not feature very high on the agenda of the other two papers. The analysis of news items created the impression that journalists have a basic knowledge of HIV/Aids. However, there is little evidence of deeper insight into the potential impact the media could have on the public's perception of the epidemic. Existing ethics codes compare well to interest group guidelines where general professional standards and ethical aspects are concerned. The interest group guidelines, however, focus on specific problems associated with the epidemic, such as stigma and a tendency to focus on the negative. It is within this applied context that such criteria could be useful.
Thesis (M.A. (Communication Studies))--North-West University, Potchefstroom Campus, 2005.

Thesis (MSc (Psychology))--Stellenbosch University, 2008.
As part of the South African government’s strategy to support those with HIV/AIDS and their relatives, HIV/AIDS service points have been established at Public Health Facilities. An increasing number of HIV-positive children and their caretakers receive treatment here. Indirectly the paediatric patients’ uninfected caretakers and the adult patients’ children also come into contact with the Public Health System during visits. The HIV-positive and uninfected children and caretakers form a heterogeneous HIV/AIDS-affected population, which may experience particular fears due to their particular circumstances. Circumstance-particular coping strategies may be necessary. Children do, however, also experience normative childhood fears and their coping strategies display developmental characteristics. Direct and indirect learning experiences furthermore may contribute to children’s experience of fear. The participants were 40 HIV/AIDS-affected children (M = 9.4 years; HIV-positive = 30.0%) and their caretakers (N = 34; M = 36.7 years; HIV-positive = 76.5%) who had been in contact with the Public Health System of the Western Cape Province, South Africa. There were five sub-objectives. Regarding the children the objectives were to consider, against the background of normative literature, whether the target group was a special population regarding their (1) fears and (2) coping strategies. Furthermore the objective was (3) to get to know the children’s world through their learning experiences. Concerning the caretakers the objectives were to explore their personal (4) fears and (5) coping strategies. In addition the caretakers’ perceptions about their children’s fears and coping strategies were gathered. The study was explorative and a mixed methodological research model was used. Data were gathered through individual interviews. The children also completed the Goodenough-Harris Drawing Test (GHD) and the caregivers a demographic questionnaire. Data were analysed by using a combination of qualitative and quantitative strategies. The children reported normative childhood fears, mainly of wild animals. A substantial minority of the children reported fears connected to crime, an unsafe transport system, death, illness, and HIV/AIDS and special circumstances were therefore identified. The children’s coping strategies were circumstance-specific and problem-focused avoidance reported most. Living in a modern society these children’s fears have also been influenced by for instance television. The fears and coping strategies reported by the children and their care-takers’ perceptions thereof, concurred. The caretakers’ personal fears mainly were connected to psycho-social needs and social roles, which stand central during adulthood. Specifically fears about the children’s welfare were reported most. The caretakers reported crime and animalrelated fears similar to their children. A search for social support as well as preventative action were the coping strategies that were reported most. A noteworthy preventative-action strategy seemed to be healthy eating habits, given the controversy about natural products being used as HIV/AIDS treatment within the South African context. The findings were integrated within a systems-theoretical framework. The fears and coping strategies of the HIV/AIDSaffected children and their caretakers were interpreted to be the result of an interaction between their personal characteristics and their social environment.

Thesis (MPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2009.
This thesis is about children who are vulnerable in the context of HIV/AIDS. The epidemic leaves children vulnerable in a number of ways. The education sector is confronted with vulnerable children and this has caused the roles and responsibilities of teachers to be extended. The research is aimed at determining whether teachers see a role for themselves in this context that extends beyond formal education and also to find out how teachers view this role. The research was conducted at three schools in the Llingelethu community in Malmesbury: a pre-primary school (the Siphumeze Educare Centre), a primary school (Naphakade Primary School) and a high school (Naphakade Secondary School). The research determined that teachers do feel that they have a role in this context, but there were also those who felt that other role players must rather fulfil this role. One of the most important findings of the research was that teachers often view their role in the context of HIV/AIDS in a limited way. In this regard, teachers often think only in terms of children who are infected by die virus, while not taking into account children who are affected in other ways. Teachers, as well as schools, also often still focus on their role in HIV/AIDS prevention. A further aim of the research was to determine which challenges prevent teachers from playing an extended role in the lives of vulnerable children. The participants in the research identified various challenges, including those that are a result of keeping HIV status secret, because of stigma and a lack of trust. A further challenge that was identified is a lack of background information about learners, sometimes as a result of the fact that teachers do not come from the community. Factors that make it difficult for teachers to conduct follow up work were also identified, as well as emotional exhaustion and other facors that prevent teachers from playing an extended role. A lack of support was also identified by participants as a challenge and different dimensions of support were identified.

Teachers are often in contact with children whose family members are affected or infected by the HIV and AIDS pandemic, or children themselves who are affected or infected by the HIV and AIDS pandemic. Often, it is teachers themselves who are suffering due to the HIV and AIDS pandemic. School training and tertiary training are one of the most important components, which need a lot of attention in a developing country. Teachers play a very important role in developing the youth’s thoughts. School training is often negatively impacted due to absenteeism of teachers, negative attitudes of teachers and the time wasted to replace teachers who are negatively impacted by the HIV and AIDS pandemic or who take medical discharge. Teachers often don’t know how to handle the impact of the HIV and AIDS pandemic and they are also unaware of resources available in this regard. The REds-programme is a support programme designed for teachers who are affected by the HIV and AIDS pandemic. The aim of the REds-programme is to provide teachers with support so that they will be able to handle the impact of the HIV and AIDS pandemic. The focus is specifically on teachers, as they don’t live or work in isolation. Teachers form part of communities and school units whom are directly impacted by the HIV and AIDS pandemic. The REds-programme was vi implemented in 2004. This programme is thus running, tested and still in the process of testing, for the past six years. Article 1 consists of the following: The nature and content of the REds-programme. The group work process, as well as a discussion of each group work session. Article 2 consists of the following: An evaluation of the REds-programme by means of the qualitative and quantitative results obtained. From the results, it is clear that the REds-programme is a very effective programme from which life orientation teachers can benefit.
Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2012

Literature shows that HIV/AIDS greatly affects the self-esteem of HIV/AIDS directly affected learners (these affected learners are either directly infected, or one or both parents are or had been infected). Studies also show that appropriate motor activities can have a positive influence on a child's self-esteem. The purpose of this study was to determine the effect of an appropriate motor development programme on the large muscle skills and the self-esteem of 4 to 6 year old HIV/AIDS directly-affected learners. Eight gross motor and perceptual motor skills, as well as self-esteem was evaluated among 28 directly-affected HIV/AIDS (HIV/AIDS-infected as well as - affected) learners in a pre-primary school for terminally sick children in Promosa, a township of Potchefstroom, South Africa. Evaluation took place before and after the implementation of a 12-week long appropriate large muscle development programme. A co-variance analysis (ANCOVA) was done on post-test scores to correct possible differences between pre-test scores in order to achieve a statistical more significant comparison between the experimental and control groups. The motor scores as well as the self-esteem scores of the experimental group showed statistically significant (p≤0.05) improvements after the programme, in contrast with the scores of the control group which showed no significant improvements after completion of the large muscle development programme. These improvements entailed certain fundamental locomotor and balance skills, and self-perceived competence with reference to certain movement skills, as well as peer acceptance. The results imply that by improving the gross motor and perceptual motor skills of HIV/AIDS directly-affected learners by means of an appropriate motor development programme, the self-esteem and related aspects of these learners may be enhanced.
Thesis (M.Ed.)--North-West University, Potchefstroom Campus, 2007.

Globally, nurses' contribution to informed health policy decisions is limited, as there are many barriers to Nurse led change to successfully influence the HIV and AIDS policy process. In South Africa nurses at all levels of health care are not involved or consulted during the formulation of the HIV and AIDS workplace policy. This has led to concern about the absence of nurses at the policy table. This study forms part of a larger international study programme entitled: “Strengthening Nurses’ Capacity in HIV and AIDS Policy Development in Sub–Saharan Africa and the Caribbean”. This programme of international research aims to empower nurses to become involved in the policy process (formulation, implementation and evaluation) in order to strengthen health systems in the areas of HIV and AIDS care. Nurses' absence at the policy table prompted the researcher to explore and describe barriers to Nurse led change to influence HIV and AIDS workplace policy. Phase 1 of the research consisted of a literature review to identify barriers to Nurse led change to influence the HIV and AIDS workplace policy. Management's opinion about the human resource management capacity and problems experienced working in an HIV and AIDS environment was obtained through a quantitative and qualitative empirical method of data collection and analysis. Frontline nurses' perspective was obtained through qualitative interviewing to identify problems experienced with policy in an HIV and AIDS workplace environment. A mixedmethod triangulation research design was used to achieve the objectives of phase 1 of the study, and strategies applied included exploratory, descriptive and contextual designs. The analysis of the data contributed to the identification and classification of problems experienced by nurses to influence HIV and AIDS workplace policy at macro, meso and microlevel, resulting in the formulation of fifty–nine (59) concluding problem statements. These concluding statements formed the basis for the strategy development for Nurse led change to influence HIV and AIDS workplace policy, which was the only objective of the second phase of the research. The strategy for Nurse led change to influence HIV and AIDS workplace policy was developed by using a strategic process to determine the vision, mission, values, principles, assumptions, strategic objectives and functional tactics based on the concluding problem statements. Finally, the research was evaluated, limitations were identified and recommendations were formulated for practice, education, research and policy.
Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2011.

The Southern parts of Africa have the highest prevalence of HIV-infected people and South Africa is the country with the highest number of infections in the world. There is still no cure for AIDS, but anti-HIV medicine can prolong and enhance the quality of life of an HIV infected person. Patient adherence with antiretroviral therapy is extremely low due to difficult dosing intervals, problematic dosage forms, instability of the antiretrovirals (ARVs) and the severe side-effects caused by these drugs; this leads to resistance of HIV to these drugs. Pheroid™ technology is a patented delivery system. Pheroid™ vesicles were used during this study. The entrapment of an active within the Pheroid™ would generally provide a safer, more effective formulation than the active alone. This could mean that the amount of drug needed for treatment of HIV can be decreased while producing fewer adverse effects and reducing the price of treatment. The main objectives of this study were to optimise and validate the cell viability and viral replication assays that can be used in an in vitro viral infection model. The MTT assay was used to asses the viability of the cells and to determine the toxicity of the antiretroviral drugs and Pheroid™ on the cells. HIV-1 assays were evaluated and used to determine the viral replication in the cells. Two different continuous cell lines were chosen for this study, an anchorage dependent GHOST cell line and suspended M7-Luc cells. Both these cell lines were best infected with the SWl virus. SWl is a subtype C, CXCR4 utilising virus. Subtype C is responsible for 60 % of the HIV infections worldwide and is the prevalent subtype in SUb-Saharan Africa .. Infection enhancers were not added to the cells to improve viral infection since it was observed that the Pheroid™ in combination with DEAE-dextran or Polybrene caused cytotoxicity probably by disrupting the cell's membrane. Antioxidants were added to the Pheroid ™ formulation since it was observed that the viability of the cells incubated with the Pheroid™ decreased as the Pheroid ™ matured. The added antioxidants had no significant effect on the cells. Abacavir (ABC) was chosen as the test substance for this study since it showed low cytotoxicity in cell cultures and is water soluble and would not present solubility issues in the media. It was entrapped within the Pheroid™ and its in vitro efficacy and toxicity was tested on HIV-infected and uninfected cell cultures. One directlHIV-specific (p24 antigen ELISA assay) and one indirect (Luciferase) assays were used to asses the inhibition of HIV replication caused by ABC. The p24 antigen ELISA (Enzyme-Linked ImmunoSorbent Assay) assay required a lot of washing steps and were rather expensive to use. The Luciferase assay was only used on the M7-Luc cells; this assay was sensitive, inexpensive and easy to use. The MTT (3-(4,5-demethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide) viability assay was used to measure the toxicity caused by the Pheroid ™ and/or ABC on the cells. MTT is a widely used quantitative colorimetric assay to measure the viability of cells. The vitamin E and antioxidants contained in the Pheroid ™ reduced the MTT and produced results that were misinterpreted as enhanced viability when the Pheroid™ was present during MTT analysis. To prevent this problem an additional washing step should be introduced prior to analysis to reduce the interference of the Pheroid ™ with analytical methods. In conclusion, the efficacy of ABC entrapped within the Pheroid™ is still inconclusive and further studies will have to be done. MTT should be used with care for viability analysis of cells incubated in the presence of Pheroid TM.
Thesis (M.Sc. (Pharmaceutics))--North-West University, Potchefstroom Campus, 2009.

Because of the HIV– and Aids pandemic, a paradigm shift is currently noticed in the traditional role expectation of educators. Except for didactical education, they are also confronted with professional and personal demands on a daily basis. These changes in professional and personal roles are often traumatic and sufficient coping skills as well as support, seems to be limited. The REds–program (resilient educators) was developed for this reason - to empower educators to cope more resiliently with these demands. This study was conducted in order to determine if this program is effective in the empowerment of educators. Two articles follow, from which the first one examines and explores the content, nature and extent of the program. The evaluation of the REds–program follows in the second article. Findings suggest that there were participants that were empowered in the long run and direct feedback from participants confirm that they found the program to be valuable on professional and personal areas.
Thesis (M.A. (MW.))--North-West University, Potchefstroom Campus, 2011.

The HIV epidemic does not only affect people living with HIV or AIDS but has a large impact on the children. They are being stigmatised by association. There is paucity in research on HIV stigma interventions. In addition, existing interventions aimed at reducing HIV stigma are not community based and very few are aimed at HIV-affected children. The purpose of this study was to assess the change on psychological well-being of HIV-affected children after a Community based HIV Stigma Reduction and Wellness Enhancement Intervention, and to explore and describe their experiences thereof. This study formed part of a larger Community based HIV Stigma Reduction and Wellness Enhancement Intervention project. A mixed method convergent parallel design involving quantitative and qualitative data collection, analyses and integration of findings was applied. The sample was drawn from populations in the greater Potchefstroom urban area and rural Ganyesa in the North West Province. The children as participants in this study were children of PLHA in the larger study and were recruited using snowball sampling (n=11) and were between the ages 15 and 21 years. The quantitative component utilised a one group pre-test-repetitive-post-test design which was analysed by using IBM SPSS (ver. 20) by comparing t-test scores and F-ratios in ANOVA. The qualitative component of the study employed a holistic multiple case study approach and qualitative interpretive description and data were analysed by using thematic content and document analyses. The results indicated no significant difference between the urban and the rural groups in the subscales and total scores of mental well-being. The results of the total scores projected that the participants’ mental health was in the region of moderately mentally healthy. The in-depth interviews confirmed the three dimensions of the subscales indicating that they have verbalised similar experiences to the itemised subscales of emotional, social and psychological well-being. The intervention was a meaningful experience to the children. They gained knowledge about HIV stigma and how to cope with it; as well how to build relationships amongst themselves and with the PLHA. They gained a better understanding of their parents suffering from HIV and other PLHA as well as support of one another being in this difficult situation. Conducting the project led to them becoming empowered to act as leaders in HIV stigma reduction. The results of the in-depth interviews showed that the children gained a greater awareness of the process of the stigma and experienced a general increase in their knowledge throughout the workshop and the project. They formed meaningful relationships with other children and deepened their relationships with their parents and other PLHA. The children were empowered through these interventions to advocate against HIV stigma despite the challenges they faced. They gained confidence and experienced personal growth through their participation in the project. It is recommended that the findings of the study be applied in education to raise awareness of HIV stigma among psychology students and for training of practicing psychologists on their role in reducing HIV stigma and enhancing well-being of the PLHA and those living close to them. It could also be meaningful if the intervention were to be used for practice purposes where support is given to the newly diagnosed PLHA and those associated with them. Further research can be done to test sustainability of the intervention in a different context and with a bigger sample.
Thesis (MA (Research Psychology))--North-West University, Potchefstroom Campus, 2013.

The effects of HIV/AIDS and subsequent opportunistic infections and/or associated conditions on the development of infected children are substantial. Considerable delays and/or disorders in communication development have been noted in the HIV/AIDS infected child, as well as the need for Early Communication Intervention (ECI) services for this population. A dearth of locally relevant data regarding the speech, language and hearing development of HIV/AIDS infected children within the South African context currently exists. The objective of this study was to describe the characteristics of a group of HIV/AIDS infected children being managed at an outreach clinic of regional hospital in Gauteng. A cross-sectional, retrospective, non-experimental, descriptive, quantitative research design was used in this study. The main objective was achieved by analysing the clinic records of 203 children infected with HIV/AIDS between the ages of 0 – 5 years 11months through the use of a pre-designed checklist. A questionnaire completed by four medical doctors practicing at the HIV/AIDS clinic within the hospital was also used. This allowed for the perceptions and practices of the medical doctors to be described. Results revealed that the majority HIV/AIDS infected children being managed at the outreach clinic were significantly immunocompromised and diagnosed with Stage III or Stage IV HIV/AIDS infection. Furthermore, results indicated the presence of several opportunistic infections and HIV/AIDS associated conditions (such as Tuberculosis, Candidiasis and Encephalopathy). A positive finding was that 76% of the HIV/AIDS infected children (n=153) were receiving Highly Active Antiretroviral Therapy (HAART) at the time of data collection. The most outstanding finding was that very few of the children with HIV/AIDS being managed at the outreach clinic were recorded as having speech, language and/or hearing delays and/or disorders. Similarly, referrals to other professionals as recorded in the children’s hospital records seemed to be limited to Social Workers and Dietitians, with only one child recorded as being referred to a Speech-Language Therapist and Audiologist for further management. It was unclear whether more children were in fact referred for additional intervention by other professionals and this was simply not recorded in the children’s records, or whether these referrals were in fact not made. Results from the questionnaires completed by the medical doctors working with the pediatric HIV/AIDS population within the outreach clinic were significant. Findings indicated that the majority of the respondents believed that HIV/AIDS infected infants were more at risk for developmental and communicative delays and/or disorders than the general population, and that this population would likely benefit from Speech-Language Therapy and/or Audiology intervention services. Respondents indicated that medical doctors working with the pediatric HIV/AIDS population were often not adequately informed regarding the effects of HIV/AIDS on communication development and that they would benefit from further training in this regard. The need for further research regarding the characteristics of the pediatric HIV/AIDS population, particularly on a larger sample, was described. This would assist in the development of a guideline for ECI service delivery for children infected with HIV/AIDS. The need for further training of other professionals regarding the effects that HIV/AIDS has on the communication development of the infected child, to assist with necessary referrals and teamwork, was also highlighted. AFRIKAANS : Suid-Afrika is een van die lande ter wêreld, wat die hoogste voorkoms van Menslike Immuniteitsgebrekvirus/ Verworwe Immuniteitsgebreksindroom (MIV/VIGS), toon - met die pediatriese populasie op die voorfront van hierdie epidemie. Die effek wat MIV/VIGS en opeenvolgende opportunistiese infeksies en/of ander geassosieerde toestande op die ontwikkeling van kinders het, is verreikend. Internasionale literatuur beskryf agterstande en/of akwykings in die kommunikasie ontwikkeling van kinders wat met MIV/VIGS geinfekteer is. Die behoefte vir Vroeë Kommunikasie Intervensie (VKI) vir hierdie populasie word ook gemeld. Daar bestaan egter slegs ‘n beperkte hoeveelheid relevante, plaaslike literatuur met betrekking tot die spraak-, taal- en gehoorontwikkeling van kinders met MIV/VIGS binne die Suid-Afrikaanse konteks. Die doelwit van hierdie studie was om die kenmerke van ‘n groep kinders, wat met MIV/VIGS besmet is en by ‘n streekshospitaal in Gauteng behandel word, te beskryf. ‘n Kwantitatiewe, nie-eksperimentele, terugwerkende, dwarsdeurige, beskrywende navorsingsontwerp is gebruik. Die hoofdoelwit was bereik deur die kliniekrekords van kinders wat met MIV/VIGS besmet is, te analiseer deur van ‘n vooraf-ontwerpte merklys gebruik te maak. Data is ook ingesamel deur middel van vraelyste wat deur mediese dokters, wat by MIV/VIGS klinieke binne die hospitale werk, voltooi is. Dit het toegelaat dat die persepsies en praktyke van die mediese dokters ook beskryf kon word. Resultate het getoon dat die meerderheid kinders met MIV/VIGS, wat by klinieke behandel word, se immuunsisteme ernstig onderdruk was en dat hulle met stadium III of stadium IV van MIV/VIGS gediagnoseer was. Die resultate het verder ook die voorkoms van verskeie opportunistiese infeksies en MIV/VIGS geassosieerde toestande aangedui. ‘n Positiewe bevinding was dat 76% van die kinders (n=153), wat met MIV/VIGS geinfekteer was, tydens die proses van data-insameling reeds Hoogsaktiewe Antiretrovirale Terapie (HAART) ontvang het. Die mees uitstaande bevinding was dat slegs ‘n geringe hoeveelheid kinders met MIV/VIGS by die kliniek, as met ‘n agterstand en/of afwyking in spraak, taal en/of gehoor, aangeteken is. Beperkte verwysings na ander professionele persone is ook in die kliniekrekords opgemerk. Verwysings was beperk tot Maatskaplike Werkers en Dieëtkundiges. Daar was slegs een aantekening van ‘n kind wat vir behandeling na ‘n Spraak- en Taalterapeut en Oudioloog verwys is. Dit is egter onduidelik of daar werklik meer verwysings na ander professionele persone gemaak is, maar net nie in die kinders se kliniekrekords aangedui is nie, of dat daar werklik min verwysings na ander professionele dissiplines gemaak is. Bykomend, was die resultate van voltooide vraelyste deur mediese dokters, wat met die pediatriese MIV/VIGS populasie in die kliniek werk, insiggewend. Bevindings dui aan dat die meerderheid proefpersone, wat aan die studie deelgeneem het, van mening is dat kinders wat met MIV/VIGS besmet is wel ‘n hoër risiko toon vir ontwikkelings- en kommunikasie agterstande en/of afwykings in vergeleke met die algemene populasie. Die proefpersone is verder ook van mening dat hierdie populasie wel van spraak- en taalterapie en/of oudiologiese intervensie sal baatvind. Proefpersone het verder aangedui dat mediese dokters, wat met die pediatriese MIV/VIGS populasie werk, nie ten volle ingelig is omtrent die effek van MIV/VIGS op kommunikasie ontwikkeling en dat hulle van verdere opleiding sal baatvind. Die behoefte vir verdere navorsing in die veld van pediatriese MIV/VIGS en kommunikasie ontwikkeling, binne die Suid-Afrikaanse konteks, word in hierdie studie beskryf. Dit sal as riglyn vir VKI dienslewering aan hierdie populasie dien. Daar is ook ‘n groot behoefte vir verdere opleiding van ander mediese professionele persone met betrekking tot pediatriese MIV/VIGS en die effek wat die op die kind se kommunikasie ontwikkeling het.
Dissertation (MCommunication Pathology)--University of Pretoria, 2011.
Speech-Language Pathology and Audiology
unrestricted

An estimated 30 to 36 million people worldwide are living with the Human Immunodeficiency Virus (HIV). In 2009 about 5.7 million of the 30 to 36 million people who are infected with HIV were living in South Africa, making South Africa the country with the largest number of people infected with HIV in the world (UNGASS, 2010). Van Dyk (2008) states that HIV infection and Acquired Immunodeficiency Syndrome (AIDS) are accompanied by symptoms of psycho–social distress, but relatively little is known of the direct effect of HIV and AIDS on psychological well–being. The psychological distress is mainly due to the difficulties HIV brings to daily life and the harsh reality of the prognosis of the illness (Van Dyk, 2008). It is not clear whether people infected with HIV who are unaware of their HIV status show more psychological symptoms than people in a group not infected with HIV. The research question for the current study was therefore whether people with and without HIV infection differ in their psycho–social symptoms and strengths before they know their HIV status. Accordingly, the aim of this study was to explore the psychosocial health profiles of people with and without HIV and AIDS before they knew their infection status. A cross–sectional survey design was used for gathering psychological data. This was part of a multi–disciplinary study where the participants’ HIV status was determined after obtaining their informed consent and giving pre– and post–test counselling. This study falls in the overlap of the South African leg of the Prospective Urban and Rural Epidemiology study (PURE–SA) that investigates the health transition and chronic diseases of lifestyle in urban and rural areas (Teo, Chow, Vaz, Rangarajan, & Ysusf, 2009), and the FORT2 and 3 projects (FORT2 = Understanding and promoting psychosocial health, resilience and strengths in an African context; Fort 3 = The prevalence of levels of psychosocial health: Dynamics and relationships with biomarkers of (ill) health in the South African contexts) (Wissing, 2005, 2008) on psychological well–being and its biological correlates. All the baseline data were collected during 2005. Of the 1 025 participants who completed all of the psychological health questionnaires, 153 (14.9%) were infected with HIV and 863 were not infected with HIV (since the HIV status of nine of the participants was not known, they were not included in the study). In the urban communities 435 participants completed the psychological health questionnaires, of whom 68 (15.6%) were infected with HIV and 367 were not infected with HIV. In the rural communities, 581 participants completed the psychological health questionnaires, of whom 85 (14.6%) were infected with HIV and 496 were not infected with HIV. The validated Setswana versions of the following seven psychological health questionnaires were used: Affectometer 2 (AFM), Satisfaction With Life Scale (SWLS), Community Collective Efficacy Scale (CCES), Mental Health Continuum Short Form (MHC–SF), New General Self–efficacy Scale (NGSE), Sense of Coherence Scale (SOC) and the General Health Questionnaire (GHQ). Descriptive statistics were determined for all measures for all the participants with, and without HIV. Significant differences in psychosocial profiles among individuals with and without HIV and AIDS and also between those in the rural and urban areas were determined by means of t–tests and by a multivariate analysis of variance (MANOVA). Practical significance was determined by the size of the effects. The results for the entire group showed statistically significant differences between the two groups of participants who were infected with HIV and those not infected with HIV regarding their sense of coherence and their perspective on the community’s capacity to succeed in joint activities, but these differences were of only small practical significance. The HIV–infected participants in the urban areas displayed statistically and practically a lower sense of coherence and viewed themselves as less capable of meeting task demands in community contexts, than did the participants not infected with HIV. Though the participants not infected with HIV in the rural group had, statistically and practically, a significantly greater capacity to succeed in joint community activities than the participants infected with HIV, an interesting finding was that the participants infected with HIV experienced more positive affect than the participants not infected with HIV. The research showed that people with and without HIV infection differ in some respects in their psycho–social symptoms and strengths even before they are conscious of their HIV status. It is striking that the differences found on the psychological measures for the participants reflected a personal sense of social coherence and perspective on their community’s capacity to succeed in joint activities, which was lower in the case of participants infected with HIV, and might therefore have led to high–risk social behaviours and consequent infections. It might be that the participants with a relatively lower sense of social coherence, integration, and co–operation towards collectively achieving meaningful goals were more inclined to manifest behaviours that would lead to detrimental consequences (in this case HIV infection) for themselves and others. The higher level of positive affect in the rural group of the participants infected with HIV is still unexplained and requires further research.
Thesis (M.Sc. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2011.

The objective of this study is to explore the impact of a social group work programme in the lives of adolescent orphans in foster care in the North–West province who are also affected by HIV and AIDS, and to enhance their social functioning. Keywords: Adolescent, foster care, foster parent, social work, social group work, empower, family, orphan, HIV and AIDS There are a growing number of children in need of care in South Africa who are placed with foster parents. The biggest reason for foster placement is due to the rising mortality rate of biological parents due to HIV and AIDS. Section A refers to the problem statement, research objectives, research procedures and research methodology. The limitations of the research are also investigated and the definitions of key words. The research was conducted in two phases. The needs assessment was conducted in phase one and the planning, implementation, and evaluation of the social group work programme in phase two. The problem statement in section A is based upon the following: It was found that insufficient research is being conducted on the problems and circumstances of adolescent orphans in South Africa. It is evident that the physical and emotional needs of adolescent orphans are not being fulfilled. The HIV and AIDS pandemic have a negative effect on the quality of daily life for orphans under foster care. The problem statement gave rise to five research aims. The overarching research design conformed to the Development and Utilization Research model. The model was divided into five phases that guided the research. The single–system design was used to gather quantitative and qualitative data. A literature study was conducted around the themes of foster care, foster parents, social group work, and circumstances of the foster care situation. Section B consists of the four articles that form the report on the research outcomes Each article is dealt with as a self–contained unit focusing on specific research objectives that were achieved via specific research methods. These methods were employed to collect the necessary data for the design and evaluation of the social group work programme. Article 1: The circumstances and needs of the adolescent orphan in foster care. The aim of this article is to identify the circumstances and needs through a self–designed and structured schedule. Thirty adolescent orphans in foster care from the researcher's case load were identified to take part in the research. Twenty adolescent orphans were selected by means of accidental sampling. Ten (N = 10) were selected for the experimental group and ten (N = 10) were selected for the control group. The results indicated the problems and needs experienced by adolescent orphans. These could be used for discussion during a social group work programme designed to provide knowledge, teach skills, and improve the social functioning of the group. Article 2: The role of the social worker during service delivery to adolescent orphans in foster care. The nature and extent of foster care in the North–West province was investigated by means of the completion of questionnaires. The role of the social worker regarding services to adolescent orphans in foster care was also investigated. A self–structured questionnaire was used for data collection purposes and 85 questionnaires were sent to social workers in the North–West province. The results show the state of existing programmes and the opinions of social workers on topics that could be included in a social group work programme. The data was used in Article 2. Article 3: A social work intervention programme for adolescent orphans in foster care. The programme was developed according to the data received from the 30 (N=30) adolescent orphans in foster care and the 85 (N=85) social workers in the North–West province. The programme was presented to 30 (N=30) adolescent orphans in foster care. Social group work was used as method to present the programme. The group gained knowledge and received skills training, both of which served to enhance their social functioning. Article 4: The evaluation of a social group work programme for adolescent orphans in foster care The purpose of this article is to evaluate the social group work programme. Three standardized measuring instruments were used. The Generalized Contentment Scale, the Index of Family Relations, and the Personal Self–esteem Profile were used. These instruments were used three times: once before intervention, once during intervention and once after intervention. The control group 10 (N=10) also completed the questionnaire three times but did not attend the social group. A self–developed questionnaire was completed before and after each session. A self–developed evaluation was completed after the final session to assess the effectiveness of the programme. Section C - Summary, conclusions and recommendations. Section D - contains the appendices with the results of the three standardized measuring instruments that were used for data collection. Section E - Contains the Bibliography.
Thesis (Ph.D. (Social Work))--North-West University, Potchefstroom Campus, 2012.

HIV/AIDS treatment is costly. Lesotho as a resource–limited country depends mostly on donor funding for HIV/AIDS treatment and care. Knowledge of how much was spent on treatment of HIV/AIDS was lacking. This leads to overstocking of some ART medicines resulting in expiry. Sufficient funds need to be secured for the treatment programme. The main objective of the study is to assess the cost of antiretroviral medication treatments, by specifically assessing the cost of antiretroviral regimens, antiretroviral side effects, and the cost of medicines used for prophylaxis and treatment of opportunistic infections as well as the cost of monitoring laboratory tests and dietary supplements. The study engaged both public and private ART clinics in the Maseru District in Lesotho. The study population consisted of 1 424 patients and study period was between 12 and 56 months from January 2004 to August 2008. Retrospective observational method was used. The cost for HIV/AIDS treatment comprised the cost of antiretroviral medicines and those used for their side effects, opportunistic infections (OI) prophylaxis and treatment, dietary supplements as well as monitoring laboratory tests. Prescribed daily dose (PDD) was used to calculate the cost of all the medicines used. To determine significant differences in average costs for various regimens d– values were used, while a cost/prevalence index was used to determine whether the cost was worth spending on the population or not. Cost–effectiveness ratio was also utilized in order to assess whether the cost born was worth the benefit. The main findings revealed that regimens 1a (stavudine/lamivudine/nevirapine) and 1c (zidovudine/lamivudine/nevirapine) were the least expensive (cost/prevalence index of 0.6 and 0.7 respectively). Regimens containing efavirenz were found to be more expensive than those containing nevirapine (cost/prevalence index of 1.2 and 1.7 respectively). When using d–values, there was a significant difference between the cost of regimens 1a and 1b, 1a and 1d, 1c and 1d and the information could be used for regimen switching decisions. Increase in CD4 cell count was more in stavudine–based regimens than in zidovudine–based regimens, which cost less per treatment. Cost effectiveness ratio was lower in 1a with R9.42/1cell/mm3 of CD4 cell count increase, and the highest was 1d with R31.77/1cell/mm3 of CD4 cell count increase. Therefore it was concluded that stavudine–based regimens are less costly as they have the lowest cost– effectiveness ratio in the Lesotho clinic environment.
Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2011.

The research endeavoured to voice the told and untold stories of adolescents living with HIV undergoing continual disease management at the Kalafong Hospital Paediatric HIV Clinic. Through the telling of their stories the adolescents had the opportunity to make sense of their illness experiences. Some of the participating adolescents had limited opportunities to discuss their experiences with friends or family members. The research was completed within the qualitative social constructionist narrative approach. Six adolescents from the clinic participated voluntarily in the research. The participants attended the clinic regularly for disease management and were on ART. The study explored the experiences of the adolescents by means of two semi-structured individual interviews. Expressive art in the form of drawings and poetry were used to aid storytelling. Through collaborative exploration of the adolescents‟ stories, it became possible to co-construct the meanings that they attached to their experiences of HIV, which informs their identity. The interview transcripts were analysed, re-storied, and placed within a narrative framework of understanding, based on the three-dimensional space approach by Clandinin and Connelly (2000). The framework of understanding aided the researcher to look at the different contexts, identities, and social significant aspects found in the adolescents‟ stories. Multiple identities were constructed in their stories such as patient, scholar, friend, family, and athlete identities. These were constructed based on their experiences in the family and cultural, school and social, and medical contexts. The adolescents attributed different meanings to their stories of living with HIV such as that of normality, sameness, realism, and difference. The unique and similar aspects that were found in the adolescents‟ stories were identified and discussed with reference to various concepts such as disclosure, adherence, and ART. It was found that status disclosure was done by staff at the clinic and it occurred during young adolescence. All the adolescents, except one who was not aware of her status, showed insight into the chronic nature of their disease. Five adolescents‟ statuses have not been disclosed to anyone outside the families. In only one instance, the family was not aware of his status. Most adolescents assumed primary responsibility for ART. They expressed conflicting ideas about the role of ART. Some adolescents had to cope with side effects, the possibility of accidental status disclosure and non-adherence, and fears of rejection. The research, employing a narrative approach, endeavours to contribute to create a holistic understanding of HIV/AIDS in the context of health care. Lack of communication and impersonal staff interactions with patients were identified as barriers to disease management. The research recommends that the clinic should provide ongoing support to the adolescents with regards to disclosure of their status to friends, family, and partners, and adherence to medication. The social significant aspects found in the adolescents‟ stories will be disseminated to the staff at the clinic. This will assist the multi-disciplinary team to gain a better understanding of the reality of the adolescent and how these experiences inform their identity.
Dissertation (MA)--University of Pretoria, 2010.
Psychology
unrestricted

Section 27(1)(a) of the Constitution of the Republic of South Africa, 1996, entrenches everyone's right of access to health care services. The purpose of this dissertation is to determine the manner in which this right must be interpreted and implemented in order to alleviate poverty to the optimal extent possible, in South Africa. As a point of departure, the relationship between poverty and health, as well as the theoretical basis of poverty, is addressed in terms of soft law. Thereafter, the theoretical basis of the right of access to health care service is analysed and explained from both an international and a South African perspective. This is followed by an investigation into international law. The manner in which the United Nations International Covenant on Economic, Social and Cultural Rights is interpreted and implemented and whether or not this contributes to poverty alleviation, is investigated. This is followed by an analysis of the right in terms of the Constitution and case law. Particular attention is paid to the manner in which the courts interpret the right of access to health care services. It is then determined whether the state is implementing the right in such a manner as to contribute to the optimal alleviation of poverty, in South Africa. Finally, a conclusion is reached and recommendations are made as to ways in which the right can be interpreted and implemented to reduce poverty to the optimal extent possible, in South Africa.
Thesis (LL.M.)--North-West University, Potchefstroom Campus, 2010.

Background: According to the United Nations AIDS Reference Group (2010) and World Health Organization (2010:2), approximately 33 million people in the world had HIV/AIDS in 2009 of which 2.6 million were children. More than 30 million of these individuals resided in low– and middle–income countries. South–Africa had the highest prevalence of HIV/AIDS in the world with an estimated 5.2 million patients in 2009 (Statistics South Africa, 2010:2). Although the prevalence of human immunodeficiency virus (HIV) infection among children is reported to be high, little is known about other medication administrated concomitantly with their antiretroviral drugs. Objective: The general objective of this study was to investigate possible changes in the medicine prescribing patterns of HIV/AIDS and non–HIV/AIDS children. Methods: A quantitative, retrospective drug utilisation review was performed utilising medicine claims data of a South African pharmacy benefit management company. Data for a four–year period (Jan 1, 2005 to Dec 31, 2008) were analysed. The study population consisted of all children <=12 years divided into those receiving ARVs (designated HIV positive) and those without (designated HIV negative). Descriptive statistics such as average mean, standard deviation, t–test, d–values, and two way frequency tables were used to describe the results. Data were analysed using the Statistical Analysis System ® SAS 9.1 ® programme. Results: The study population (children <= 12 years) represented 16.2% (n = 197 323) of the total population in 2005, 15.4% (n = 193 346) in 2006, 15.6% (n = 142 049) in 2007 and 13.3% (n = 98 939) in 2008. Children with HIV/AIDS represented 0.2% (n = 197 323) of the study population in 2005 and increased to 0.4% (n = 98 939) in 2008, whereas the percentage of children without HIV/AIDS decreased from 99.8% (n = 197 323) in 2005 to 99.6% (n = 98 939) in 2008. The total number of HIV/AIDS children that also received other medication concomitantly with their ARVs increased from 96.5% (n = 402) in 2005 to 97.2% (n = 427) in 2008. Males with HIV/AIDS who used other medication represented 52.6% (n = 388) in 2005 and increased to 53.3% in 2008 while female HIV/AIDS patients represented 47.4% in 2005 and decreased to 46.7% in 2008. Prescriptions containing three ARV items represented 69.5% (n = 2 969) of the total number of prescriptions received by HIV/AIDS patients in 2005 and decreased to 67.7% in 2008. The combination of lamivudine, nevirapine and stavudine were the three products that appeared most frequently on prescriptions for HIV/AIDS children in the age group 0 <= 1 years and 1 <= 5 years from 2005 to 2008. In the age group 5 <= 12 years the combination most frequently prescribed was lamivudine, nevirapine and zidovudine. HIV positive children received 6.2 ± 4.62 prescriptions for other medication (non–ARVs) per year during 2005 compared to HIV negative children with 3.9 ± 3.71 (p < 0.0001, d = 0.5). In 2008 HIV positive children received 6.4 ± 5.02 prescriptions per year compared to HIV negative patients who received 4.36 ± 4.05 prescriptions (p < 0.0001, d = 0.5) in 2008. HIV negative children received more central nervous system items, endocrine items and autacoids than HIV positive children, whereas HIV positive children received more respiratory system agents, dermatological, ear, nose throat and antimicrobials items. Conclusion: The study showed that HIV positive children received significantly more prescriptions for other medication per year compared to their HIV negative counterparts. The top pharmacological groups mostly prescribed to both groups were respiratory agents, antimicrobials, analgesics, dermatological and ear, nose and throat items.
Thesis (M.Pharm. (Pharmacy Practice))--North-West University, Potchefstroom Campus, 2012.

This study focused on HIV-positive domestic helpers and the constructions of their experiences in their employing families. A literature survey established the primary theoretical assumption for the study that acknowledges the domestic helper as an integral part of the extended family of the employer. The study sought to generate grounded theory through content analysis, qualitative research methods and the constructivist-interpretative paradigm. Semi-structured interviews with open questions were conducted with 14 HIV-positive domestic helpers. Responses captured in audio recordings were transcribed and analysed. The textual data was then analysed and interpreted based on open, axial and selective coding. From this coding process four themes emerged as the ways in which HIV-positive domestic helpers construct their experiences within the families. The results from this study indicate that they construct their experiences around:

• the HIV&AIDS diagnosis,
• their HIV&AIDS status,
• their emotions and
• their needs.

A particularistic scrutiny of the data and research results indicate that participants experience that visible symptoms of HIV&AIDS may forewarn employers when domestic helpers are HIV-positive. These domestic helpers experience negative attitudes, reduction of job content and retrenchment with concomitant financial repercussions. However, the participants in this study indicated that the attitude of employers' children towards them remain positive after diagnosis. In terms of the way in which they construct their experience around emotion, results indicate that they experience complex emotions including shock, uncertainty, loneliness, unworthiness, guilt, rejection, concern, anger, shamefulness and depression. Yet, they also present high levels of acceptance and spiritual growth. In terms of needs, they indicate the need for HIV-friendly workplaces and medical care. They specifically desire employers to help care for their children when they pass away. A comprehensive appraisal of the research results points towards two key aspects: the lack of agency that is prevalent in this group of participants and the silences that is evident from their narratives. The narratives of the HIV-positive domestic helpers indicate that they easily negate agency of their lives to their employers and concomitantly that the lack of agency hampers their ability to retain a sense of worthiness and responsibility for their lives. The results from this study also ensconce silences in many guises. Silences were reflected:

• through semantic values and linguistic nuances,
• regarding acts or omissions of employers,
• regarding communications,
• regarding needs and
• regarding reduction of job content

In rare instances, the construction of experiences of some participants confirmed the ability of HIV-positive domestic helpers to accept agency of their circumstances. In summary, HIV-positive domestic helpers in this study experienced a lack of agency, they report narratives of silences, but they also reflect elements of healing, growth and spiritual deepening when they construct their experiences of HIV&AIDS in their families of employment. Copyright 2004, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. Please cite as follows: Barnard, JP 2004, MIV-positiewe huiswerksters se konstruering van hul ervarings van MIV en VIGS binne die werkgewersgesin (Afrikaans), PhD thesis, University of Pretoria, Pretoria, viewed yymmdd < http://upetd.up.ac.za/thesis/available/etd-03112005-080007 / >
Thesis (PhD (Educational Psychology))--University of Pretoria, 2006.
Educational Psychology
unrestricted

The study is aimed at looking at the emotional needs the HIV/Aids affected coloured child in middle childhood. An in depth literature study was done and shortcomings have been identified with regard to the HIV/Aids affected child, in specific the experience of the child within the period before the loss of a parent because of HIV/Aids. A number of objectives were set in order to reach the goal of this study. By the consultation of literature and experts working in the field of HIV/Aids affected children in middle childhood, a theoretical framework was set up which included the following aspects: HIV/Aids in Sub Sahara Africa, the impact of HIV/Aids on the South African society, the HIV/Aids infected and –affected child, the impact of HIV/Aids on the family, the psycho social-, emotional- and social development of the child in middle childhood and cultural diversity in South Africa (with specific reference to the coloured culture and counselling for these children). During an empirical study, semi-structured interview techniques were applied as a method for data collection in order to assess the emotional needs of the HIV/Aids affected coloured child in middle childhood. Interviews focused on the HIV/Aids child and the following aspects were handled: the child’s wishes at that specific time in life (excluding the parent’s HIV/Aids status), the child’s experience of other’s interest in his own well being, the duration of the child’s knowledge of the parent’s HIV/Aids status, concerning changes (at school or at home) in the life of the child due to the parent’s HIV/Aids status, the child’s future custody and his feelings and ideas about it, individuals whom this child can talk to about his feelings of distress/anger/hurt, the child’s feelings about the knowledge concerning the parent’s HIV/Aids status and the child’s experience of newly acquired responsibilities at home (or towards his siblings) since the parents were HIV/Aids infected. Applied research was undertaken to aid the researcher in enhancing the awareness of professionals in practice with regard to the emotional needs of the affected coloured children in middle childhood. The professionals can then be empowered to understand and handle the problems which can be caused by the unfulfilled emotional needs of the HIV/Aids affected children. A qualitative research approach was used in gathering data, in order to get a full understanding of the emotional needs of the HIV/Aids affected child. A phenomenological strategy within an exploratory study was used aiming to understand and interpret the research question. The research question for this study is: “What are the emotional needs of the HIV/Aids affected coloured child in middle childhood?” Empirical data was obtained by means of an interview schedule and verified the following: -- The HIV/Aids affected coloured child in middle childhood experiences the need for emotional safety, which is threatened by the knowledge of the possibility of the death of a parent, and insecurity considering their future custody. The child is experiencing a variety of emotions of which bereavement is the most common one. The child’s emotional safety is also threatened by other factors associated with the parent’s HIV/Aids status. -- The HIV/Aids affected coloured child in middle childhood expresses the need to debriefing. It is common that these children do not have someone to share emotions with. Proof of above mentioned assumption can be ascribed to three factors namely: the people involved are not aware of the need for debriefing, the perception that it is better for the child not to express their emotions regarding the parent’s HIV/Aids infection and last, the lack of skills on ‘know how’ in approaching and handling this specific situation. -- The HIV/Aids affected coloured child in middle childhood experiences intense emotions concerning the parent’s HIV/Aids status whereas bereavement, concern and sympathy are identified. A few of these children are partly in denial about their parents’ HIV/Aids status and claim that the parents will die because of Tuberculoses. A number of these children totally deny the fact that their parents are sick. To assist the child in handling the related emotions and the traumatic situation, it will be beneficial to get therapeutic support. -- The HIV/Aids affected coloured child in middle childhood experiences drastic change when the parent’s HIV/Aids status is disclosed, or the moment the child starts to realise that something is wrong. The HIV/Aids parent is concerned about the impact of disclosure on the child and therefore delays this process. When the parent’s HIV/Aids status is disclosed, the child experiences a crisis and does not have the inner strength or required skills to handle his emotions and the situation which he is confronted with. -- The HIV/Aids affected coloured child in middle childhood experiences a need for acceptance by peer group members and therefore fear that they will discover their parent’s status. It became clear that in cases where the peers have found out about the HIV/Aids infected parent, their reactions were negative. Because of this, the HIV/Aids affected child experiences anger and grief. -- The HIV/Aids affected coloured child in middle childhood experiences a lack of concentration at school, which has a direct negative impact on his school performance. School attendance is also influenced negatively because of the other children’s negative attitude towards them. Seeing that school, as a formal institution, will influence the child’s social-, emotional- and psycho social development, it is of importance that the HIV/Aids affected child is supported in his scholastic functioning. This study exposed the emotional needs of the HIV/Aids affected coloured child in middle childhood which holds possibility for future research. The information collected can be utilized for further studying purposes and the intervention of children in similar situations.
Dissertation (MSD (Play Therapy))--University of Pretoria, 2006.
Social Work
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Text in Afrikaans
Die MIV/vigs-pandemie in Suid-Afiika- van die ergste in die wereld- toon geen tekens van afname nie. Miljoene kinders is reeds of wees gelaat of hewig geaffekteer deur die magdom impakte daarvan op gesinne en gemeenskappe. Die epidemie het voortdurend stygende sterftesyfers tot gevolg en die hewige las van die siekte rus swaar op MIV-positiewe sowel as MIV-negatiewe individue. Verder word tradisionele ondersteuningsnetwerke oorbelaai en/of gaan hulle tot niet. Gesinne en gemeenskappe verloor hul ekonomiese, sosiale en kulturele lewensvatbaarheid. Die pandemie hou, veral onder die armes, 'n geweldige bedreiging vir die gesondheid, welstand en regte van babas, kinders en jongmense in. 'n Groot gedeelte van die impak van MIV/vigs hou verband met die feit dat sommige kinders en hul gesinne beperkte toegang tot die elemente van 'n gesonde omgewing en goeie gesondheid het. Regerings, gemeenskappe en gesinne wat deur MIV/vigs geraak word, het minder tyd, energie en finansiële hulpbronne beskikbaar om op voorkomende gesondheidsorg te fokus. Benewens die impak op gesondheidstatus, word kinders se omstandighede ook as gevolg van MIV/vigsverwante probleme bemoeilik. Dit sluit verhoogde gesinsarmoede, 'n hoer risiko van verlating en weeslating, geforseerde migrasie, onterwing, sielkundige trauma, uitsluiting en diskriminasie, en fisiese en seksuele mishandeling in. Die derde vlaag van die epidemie, welke vlaag nou betree word, word gekenmerk deur 'n ontsettende hoe sterftesyfer, 'n ontploffing in die getal sorgbehoewende en weeskinders en 'n verhoging in menslike pyn en lyding. Die reg speel 'n baie belangrike rol in die beperking van hierdie impak van die MIV/vigs-pandemie op die lewens van alle kinders. MIV/vigs-reg is in die proses van evolusie of vorming en reeds bestaande teorieë kan aangewend word ten einde sekere vrae te beantwoord en probleme daaromtrent aan te spreek. Tog is daar 'n dringende behoefte aan MIV/vigs-spesifieke wetgewing en teorieë ten einde die impak van die pandemie op alle vlakke suksesvol te beheer. Verder het die Kinderreg so 'n mate van ontwikkeling bereik dat daar algemeen aanvaar word dat kinders 'n spesiale belangegroep binne die gemeenskap vorm. Die regsreëls met betrekking tot kinders verander gedurig en is ook nie geskik om volgens die tradisionele wyse, as privaat- of publiekreg, geklassifiseer te word nie. In die hieropvolgende proefskrif word die impak van MIV/vigs op sekere publiekregtelike, maar oorwegend privaatregtelike aspekte van die Suid-Afiikaanse kinderreg ondersoek, sowel as enkele metodes waarop die reg moontlik hierdie impak kan absorbeer en hanteer. Daar word ook in aparte hoofstukke na die impak van MIV/vigs op die lewens van kinders. sorgbehoewende kinders, egskeiding en die ouer-kind-verhouding verwys The HIV/aids pandemic in South Africa - one of the worst in the world - does not seem to be decreasing. Millions of children have already been either orphaned or heavily affected by the numerous impacts on families and communities associated with it. The epidemic brings on an ever-increasing mortality rate and the extreme burden thereof weighs down heavily on HIV-positive as well as HIV-negative individuals. Traditional support networks are further being heavily burdened or perish entirely. Families and communities lose their economical, social and cultural viability. The pandemic threatens, especially among the poorest, the health, wellbeing and rights of infants, children and young people. The impact of HIV/aids is to a great extent the result of the fact that some children and their families do not have sufficient access to a healthy environment and good health. Governments, communities and families affected by HIV/aids have less time, energy and financial resources available in order to enable them to focus on preventive healthcare. In addition to the impact on health status, children's circumstances are also being encumbered by HIV/aids-related problems, including family poverty, a higher risk of being abandoned or orphaned, forced migration, disinheritance, psychological trauma, ostracism and discrimination and physical and sexual abuse. The third wave of the epidemic, which wave is presently being experienced, is characterised by a high mortality rate, an increasing amount of children in need of care and orphaned children and an increase in human pain and suffering. The law plays an important role in the limitation of the impact of the HIV/aids pandemic on the lives of children. HIV/aids law is in the process of evolution or forming and existing theories can be used in order to answer certain questions and address certain issues relating to it. However, there is an urgent need for HIV/aids-specific legislation and theories in order to successfully manage the impact of the pandemic on all levels. Child law has also reached such an extent of development that children is now viewed as a special interest group within the community. The legal principles regarding children change constantly and cannot be classified in the traditional way, which is either as private or public law. In this thesis the impact of HIV/aids on certain aspects of the public and private law pertaining to children is examined. Ways in which the impact can be absorbed and managed by the law is also examined. The impact of HIV/aids on divorce, the parent-child relationship, children in need of care, and the impact of HIV/aids on the lives of children is examined in separate chapters.
Jurisprudence
LL. D.

ENGLISH : The purpose of this study was to determine the role of fear for HIV/AIDs in adolescents’ sexual choices. Theories which informed the study included developmental theory, decisionmaking theory, as well as emotion theory. In this survey study a mixed-method questionnaire was designed, piloted and then implemented with 252 purposefully selected Grade 11, Afrikaans learners (127 boys and 125 girls), aged 16 to 17 years in one high school in Gauteng. Data was analysed quantitatively and qualitatively. It was found that adolescents link several emotions with HIV&AIDS: fear, concern and caution. Another finding was that adolescents reportedly made safe sexual choices. Therefore, it was concluded that adolescents fear for HIV&AIDS positively impacted on their safe sexual choices. AFRIKAANS : Die doel van hierdie studie was om te bepaal welke rol vrees vir MIV&VIGS speel in adolessente se seksuele keuses. Teorieë wat die studie ingelig het was ontwikkelingsteorie, besluitnemingsteorie en emosie-begronde teorieë. Die navorsingsontwerp van hierdie studie was ‘n opname studie. ‘n Gemengde metode vraelys is ontwerp, geloods, aangepas en geïmplementeer met. 252 graad 11, Afrikaanse leerders (127 seuns en 125 dogters), tussen die ouderdom van 16 en 17 jaar, wat doelgerig geselekteer is vanuit een hoërskool in Gauteng. Vraelysdata is kwantitatiewe en kwalitatiewe geanaliseer. Daar is bevind dat adolessente MIV/VIGS verbind met die emosies: vrees, bekommernis en versigtigheid. Verder blyk dit dat adolessente veilige seksuele keuses maak. Die gevolgtrekking is gemaak dat adolessente se vrees vir MIV&VIGS positief korreleer met hul veilige seksuele keuses.
Dissertation (MEd)--University of Pretoria, 2009.
Educational Psychology
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This research is aimed at the needs of counsellors working with children infected and affected by HIV/AIDS. A lack of sufficient guidelines for this field has been identified in the relevant literature. This shortage has been confirmed by experienced counsellors working with children. To reach the required goal a number of objectives were set. This included setting up a theoretical framework by way of a literature study as well as consultation with experts in the field; studying the developmental needs of children in the mid childhood phase and how these needs are influenced by HIV/AIDS; the need for guidance of children affected by AIDS as well as the role that counsellors can play in this regard. An empirical study was undertaken during which focus group interviews were held with a group of lay counsellors as well as a group of trained counsellors. Ten participants took part in the focus groups. Applied research was undertaken as the researcher aimed at establishing the true needs of counsellors working in the field. The empirical data showed the following: Ø Counsellors feel that they have a specific role to play during the therapy with AIDS-affected children. Ø Counsellors have definite views on the needs of children affected by AIDS. Ø Counsellors have listed specific skills and training needed by therapists working with these children. Ø Counsellors have listed definite shortcomings and needs that they experience in their work with AIDS-affected children. The basic need for the establishing of a protocol to be used in guidance of children infected and affected by AIDS was one of the key findings of the study.
Dissertation (MSD (Play Therapy))--University of Pretoria, 2005.
Social Work and Criminology
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The positive diagnosis of HIV impacts the lives and the relationships of both people living and HIV and AIDS (PLHA) and their partners. This could be the result of the PLHA experiencing stigmatisation from the side of his or her partner, or associated stigmatisation experienced by the partner due to living with the PLHA. The literature review makes it clear that limited research has been conducted on interventions to reduce HIV stigma in PLHA and their partners and this subsequently forms the focus of this study. The study describes the effect of a community-based HIV stigma reduction intervention on PLHA and their partners through a case study method. In addition, it explores and describes the lived experiences of these two groups during and after an intervention in both an urban and a rural setting of the North West Province, South Africa. A qualitative holistic multiple case study design and interpretive descriptive approach through in-depth interviews was used to implement and evaluate the intervention. Purposive voluntary sampling was conducted to access PLHA, and snowball sampling to reach their partners. The case record included multiple sources. Document analysis and open coding was used for analysis of the case records and open coding for the in-depth interviews. No real differences were noted between the urban and rural groups. It was evident from both the case study and the expressed experiences of participants that the intervention was successful. Follow-up interventions with PLHA and partners are suggested, as well as implementations that involve other cultural groups in other provinces of South-Africa. Such implementations could be useful to evaluate the sustainability of the intervention in various cultural groups. The intervention could further be included in educational programmes offered in health care settings or NGO‘s to nurses, health care workers and volunteers to train people in HIV-stigma reduction programmes.
MCur, North-West University, Potchefstroom Campus, 2014

During the past decade, South Africa has become the country with the highest number of HIV/AIDS infections in the world. In the wake of the widely spread HIV/AIDS epidemic in South Africa, hundreds of thousands of children are left parentless. Since limited research exists on the psycho-educational needs of children orphaned by AIDS in South Africa, the focus of this study was on their psycho-educational development. A literature study was conducted to investigate the HIV/AIDS epidemic in South Africa and its consequences for the psycho-educational development of AIDS orphans. A qualitative investigation was undertaken and interviews were conducted with caregivers of AIDS orphans at two care centres in rural KwaZulu-Natal. The aim of the investigation was to identify the psycho-educational needs of AIDS orphans as perceived by their caregivers. Moreover, the investigation also aimed at identifying factors that impede the psycho-educational development of AIDS orphans, and to determine the extent to which these day care centres meet the psycho-educational needs of these orphans. The following psycho-educational needs of AIDS orphans emerged from the investigation: - the need to socialise and communicate - the need to cope with parental death - the need for acceptance - the need for security and care - the need for love and belonging - the need to deal with negative emotions Physical and material needs were added to the above needs, since these were frequently mentioned during the course of the interviews. Factors that seriously impeded the psycho-educational development of AIDS orphans were abuse and neglect. The investigation also revealed that the care centres were to a large extent able to meet a broad spectrum of these orphans’ psycho-educational needs, especially at the care centre where the AIDS orphans were able to sleep over and received the full-time attention caregivers. Since the extended family system can no longer fully carry the burden of hundreds of thousands of AIDS orphans in South Africa, care centres situated in the affected communities can offer a viable alternative to traditional models of care. The study emphasised the need for further research on the needs of AIDS orphans as well as increased support of AIDS orphans on local, provincial and national levels.
MEd (Learner support), North-West University, Potchefstroom Campus, 2012

The Resilient Educators support programme (REds) for HIV and AIDS affected educators was initiated by the University of the Northwest in 2006, following a research project in 2005 that highlighted the need for a support programme that addresses the challenges of educators affected by HIV and AIDS, as existing support structures were found to be inadequate. The REds programme is implemented in phases, and after the completion of each phase, the programme is modified to meet the needs of a broader audience of educators. Since 2006, the REds programme has been implemented by independent researchers in four South African provinces, Gauteng, Mpumalanga, the Northwest province and the Free State. This round of implementation included a comparison group, to allow researchers to compare data. The 2009 implementation of the REds programme was aimed at gathering comparative data to prove that the programme has a positive impact on the quality of life and resilience of educators. This was done in order to provide to the greater REds programme the opportunity to generalise the findings of the programme, and implement it on a national level. The goal of this study was to evaluate the effectiveness of the 2009 version of the REds programme to enhance the quality of life and resilience of HIV and AIDS affected educators in Gauteng. For the purpose of this research study, the researcher used applied and evaluative research. The mixed methods research approach was used, followed by the concurrent triangulation design. The qualitative and quantitative data carried the same weight in the results of the study, and the data sets were merged in the interpretation to produce well-validated conclusions. When comparing the pre- and post-test results, both the quantitative and qualitative data were used to prove or disprove the hypothesis. For the quantitative part of the study, the researcher made use of a quasi-experimental design namely the comparison group pre-test-post-test design. For the qualitative part of the study, the researcher used a collective case study design. Quantitative data was collected through two group administered standardised questionnaires, the Professional Quality of Life Screening (ProQol) and the Resilience Scale for Adults (RSA). Qualitative data was collected by using a narrative, drawings and observations. Pre-test data was collected from the experimental and comparison groups prior to exposure to the REds programme. The experimental group participated in the programme and afterwards, both the experimental and comparison groups participated in a post-test. The participants were recruited from the Diepsloot Combined School and the Emfundiswene Primary School in Alexandra, Johannesburg, Gauteng, by using non-probability volunteer sampling. The quantitative empirical research findings in the experimental group data showed minimal differences between the pre- and post-test data for the ProQol test, and trivial differences in the RSA screening. The comparison group data also showed minimal differences, but the differences were in a downward trend. When comparing the experimental and comparison group findings, the experimental group’s results were slightly more positive than the comparison group, but not enough to draw valid conclusions. However, the qualitative findings showed that the participants in the experimental group found that the programme addressed their support needs as HIV and AIDS affected educators and they felt empowered with knowledge and skills that they lacked, thus making them more resilient. The researcher did not mark any changes in the comparison group data, thus indicating that they did not feel empowered. The researcher hypothesised the following: If the Resilient Educators support programme (REds) were implemented among HIV and AIDS affected educators, their quality of life and resilience will be increased. Conclusions drawn from the qualitative research findings indicated that the REds programme met the support needs of HIV and AIDS affected educators, as the experimental group indicated that they felt empowered and the comparison group did not indicate this. The quantitative data results were not significant enough to prove or disprove the proposed hypothesis, and thus the researcher recommends that the reasons for the insignificant test results from the questionnaires be investigated. AFRIKAANS : Die Resilient Educators Support Programme (REds), ’n ondersteunings program vir MIV-en VIGS-geaffekteerde opvoeders, is in 2006, deur die Noordwes-Universiteit ontwikkel. Die projek spruit uit navorsing wat in 2005 gedoen is en getoon het dat die uitdagings wat MIV-en VIGS-geaffekteerde opvoeders in die gesig staar nie aangespreek word deur die huidige ondersteuningstrukture nie, en dat daar ’n daadwerklike behoefte aan ’n ondersteuningsprogram bestaan. Die REds-program word in fases geïmplementeer, en in elke fase, word die program heraangepas om aan die behoeftes van ’n breër teikengehoor van opvoeders te voldoen. Sedert die begin van die projek in 2006, is die REds-program deur verskeie onafhanklike navorsers, in vier Suid Afrikaanse provinsies, Gauteng, Mpumalanga, Noordwes en die Vrystaat geïmplementeer. Die 2009-implementering van die REds-program, het ’n vergelykende groep ingesluit, wat navorsers instaat stel om die data wat ingesamel word te vergelyk met ’n groep wat nie ’n intervensie ontvang het nie. Die 2009-implementering van die REds-program se doel was om vergelykbare data in te samel, en sodoende te bewys dat die program ‘n positiewe impak op die lewensgehalte en veerkragtigheid van opvoeders het. Die doel van hierdie studie was om te evalueer hoe doeltreffend die 2009-weergawe van die REds-program die lewenskwaliteit en veerkragtigheid van MIV-en VIGS geaffekteerde opvoeders in Gauteng verbeter. Vir die doeleindes van hierdie navorsing het die navorser toegepaste en evaluerende navorsing benut. Die gemengdemetode-navorsingsbenadering en die samewerkende triangulasie-ontwerp is benut. Die kwantitatiewe en kwalitatiewe data dra ewe veel gewig in die resultate van die studie. Datastelle is ook saamgevoeg tydens die interpretasie daarvan ten einde deeglik gestaafde gevolgtrekkings te maak. Tydens die vergelyking van die voor- en na-toetsresultate, is die kwantitatiewe en kwalitatiewe data benut om die hipotese te bewys of te weerlê. Vir die kwantitatiewe deel van die studie het die navorser ‘n kwasieksperimentele ontwerp, genaamd die groep-vergelykende voor-toets-na-toetsontwerp benut. Die kwalitatiewe deel van die studie is gedoen met behulp van die kollektiewe gevallestudie-ontwerp. Kwantitatiewe data is verkry deur twee groepgeadministreerde gestandaardiseerde vraelyste, die Professional Quality of Life Screening (ProQol) en die Resilience Scale for Adults (RSA), te gebruik. Kwalitatiewe data is ingesamel deur gebruik te maak van ’n narratief, tekeninge en observasies. Voor-toets-data is ingesamel by die eksperimentele en vergelykende groep. Die eksperimentele groep het die die REdsprogram deurloop en beide groepe het daarna deelgeneem aan die na-toets. Die deelnemers van die Diepsloot gekombineerde skool en die Emfundiswene laerskool in Alexandra, Johannesburg is by wyse van ’n nie-waarskynlikheids steekproeftrekking gekies, deur van die vrywillige steekproeftegniek gebruik te maak. Die kwantitatiewe navorsingsbevindinge van die eksperimentele groep het minimale verskille tussen die voor- en na-toets-data getoon vir die ProQol-toets, en niksbeduidende verskille is opgemerk in die RSA-toets. Die vergelykende groep se data het ook minimale verskille tussen die voor- en na-toets getoon, maar hierdie veranderings was negatief. In ’n vergelyking tussen die eksperimentele en vergelykende groep se resultate, is bevind dat die eksperimentele groep se uitslae meer positief van aard was as die van die vergelykende groep. Hierdie verskil is egter so klein dat geen werklilke gevolgtrekkings gemaak kan word nie. Desnieteenstaande het die kwalitatiewe bevindinge getoon dat die program wel aan die eksperimentele groep se ondersteuningsbehoeftes voorsien het. Die deelnemers het aangedui dat hulle bemagtig is met die kennis en vaardighede wat hul benodig om hul veerkragtigheid te verhoog. Die navorser het egter geen veranderinge in die vergelykende groep se data waargeneem nie, wat dus beteken dat die vergelykende groep nie bemagtig is nie. Die navorser het die volgende hipotese geformuleer: Indien die Resilient Educators support program (REds) onder MIV-en VIGS-geaffekteerde opvoeders geïmplimenteer word, sal hul lewenskwaliteit en veerkragtigheid verbeter. Gevolgtrekkings gemaak na gelang van die kwalitatitewe navorsingsbevindinge toon aan dat die REds-program wel die ondersteuningsbehoeftes van die opvoeders aanspreek, aangesien die eksperimentele groep aangedui het dat hulle bemagtig voel, in teenstelling met die vergelykende groep wat nie bemagtig voel nie. Die kwantitatiewe navorsingsbevindinge was egter van so ’n aard dat die navorser dit nie kon benut om die hipotese waar of vals te bewys nie. Na gelang van hierdie bevinding beveel die navorser onder andere aan dat die rede(s) vir die niksseggende kwantitatiewe toetsresultate verder ondersoek word.
Dissertation (MSW)--University of Pretoria, 2010.
Social Work and Criminology
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Afrikaans text
Die studie ondersoek die leemte aan teoreties gefundeerde riglyne om pleegouers in die bekendmakingsproses van hulle kind se MIV-positiewe status te ondersteun Die studie geskied binne die teoretiese raamwerk van ʼn intervensienavorsingsmodel. In die empiriese navorsing is die vrese en probleme van pleegouers by die bekendmakingsproses ondersoek. Daar is bevind dat hierdie vrese en probleme in ag geneem moet word in die beoogde riglyne. Die kognitiewe ontwikkeling van die kind is deur middel van ʼn literatuurstudie ondersoek om vas te stel watter kennis, denke en inligting die kind op verskillende ouderdomme begryp. Daar is bevind dat kinders wat MIV-positief is, moontlike agterstande ondervind en dat die riglyne gevolglik gebaseer moet word op die toenemende ontwikkeling van die kind, met begrip vir individuele ontwikkelingsverskille. Voorts is bevind dat pleegouers se eie gereedheid ʼn belangrike rol speel. Alhoewel die pleegouer die bekendmakingsproses self moet aanvoer en hanteer is dit belangrik dat die pleegouers deur ʼn interdissiplinêre span ondersteun en begelei sal word.
This study investigates the absence of theoretical grounded guidelines to support foster parents when disclosing paediatric HIV. The study was done within the theoretical framework of an intervention research model. The empirical research investigated the fears and problems experienced by foster parents during the disclosure process. It was found that these fears and problems should be taken into account when compiling guidelines. The child‟s cognitive development was researched by way of a literary study in order to determine what knowledge, thoughts and information the child is able to grasp at different ages. It was found that children who are HIV positive could possibly lag behind and that the guidelines should therefore be based on the accumulative development of the child, with consideration given to individual developmental differences. Furthermore, it was established that foster parents‟ own readiness plays an important role. For this reason the foster parents should be supported and guided by an interdisciplinary team, but that they themselves should take care and execute the process of disclosure.
Social Work
M. Diac. (Spelterapie)

Antiretroviral drugs are successful in controlling HIV/AIDS and reducing disease progression. Antiretroviral regimens are stopped in up to 25% of all patients during their initial treatment therapy as a result of adverse drug effects, failing treatment and nonadherence within the initial eight months of treatment (Sharma et al., 2007: 235). A pharmacovigilance surveillance system makes it possible for physicians, pharmacists and other healthcare providers to report suspected ADRs. The purpose of this system is to operate as a guide in identification of new ADRs and predisposing risk factors to known ADRs. The objective of this study was to assess the prevalence and documentation of adverse drug reactions (ADR) in the private and public antiretroviral clinics in Maseru district, with special reference to zidovudine (AZT) and tenofovir (TDF) - based regimens. The empirical investigation was divided into two phases. The first phase was a cross-sectional quantitative retrospective drug utilisation review study which focused on the occurrence of adverse drug reactions in patients taking zidovudine (AZT) and tenofovir (TDF). The second phase, a survey in a form of questionnaires for the health professionals. Drug utilisation review: The sample size of patients was 300. Of the 44 patients who experience ADRs, 72.73% (n = 32) were female and 27.27% (n = 12) were male. A greater number of patients who experienced ADRs were females with 43.18% (n = 19) presenting with skin rash, 27.27% (n = 12) with nausea/vomiting, and 2.27% (n = 1) with diarrhoea. In male patients, 2.27% (n = 1) had peripheral neuropathy, 18.18% (n = 8) skin rash, 2.27% (n = 1) Fanconi syndrome, 2.27% (n = 1) nausea/vomiting, and 2.27% (n = 1) diarrhoea. Patients whose ART regimen changed due to ADRs were five. 60% (n = 3) of the patients were females and 40% (n = 2) were males. There was an estimated increase of 0.0025 cell/mm³, 0.0026 cell/mm³, 0.0024 cell/mm³, 0.0025 cell/mm³, and of 0.0019 cell/mm³ in CD4 cell count per day according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. An estimated increase of 0.00021 g/dL, 0.00022 g/dL, 0.00018 g/dL, 0.00022 g/dL, and of 0.00020 g/dL in Hb profile per day occurred according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. There was an estimated increase of 0.000062%, 0.000046%, 0.000068%, 0.000062%, and of 0.00017% in neutrophil count according to sex, age group, weight group, initial ART regimen, and ADRs per day, respectively. There was an estimated increase of 0.000044 IU/L, 0.000043 IU/L, 0.000046 IU/L, and of 0.000028 IU/L in ALT according to sex, age group, weight group, and initial ART regimen per day, respectively. An estimated decrease of 0.000013 IU/L in ALT according to ADRs per day also occurred. There was an estimated decrease of 0.00038 μmol/L, 0.00039 μmol/L, 0.00040 μmol/L, 0.00040 μmol/L, and of 0.00028 μmol/L in serum creatinine per day according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. There was an estimated decline of 0.00023 mmol/L, 0.00022 mmol/L, 0.00023 mmol/L, 0.00024 mmol/L, and of 0.00015 mmol/L per day in urea according to sex, age group, weight group, initial ART regimen, and ADRs, respectively. Health professional’s questionnaire: 49 health professionals responded to the questionnaire. 100% (n= 49) of the participants showed that they did not use the yellow card scheme to report ADRs. 34.65% (n = 17) use the individual case safety reports. 57.14% (n = 28) used the structured databases to report ADRs. 85.71% (n = 42) documented in the patient bukana, and 6.12% (n = 3) used the HIV/AIDS ART card to document ADRs occurrence. 91.84% (n = 45) of the health professionals never filled the ADR reporting form in their working environment. In conclusion, adverse drug reactions occurring in a hospital or healthcare facility should be recorded and reported by the medical practitioners, nurses, pharmacists, and the pharmacy technicians. Therefore, it is important to assess the continuous evaluation of the benefits and harm of medicines which will help in achieving the ultimate goal of making safer and more effective treatment available for patients. As well as to help the health professionals to participate in the very important process of continuous surveillance of safety and efficacy of pharmaceutical products used in clinical practice.
MPham (Pharmacy Practice), North-West University, Potchefstroom Campus, 2014