Lived experiences of people living with HIV and hypertension with regard to disease management in the Eastern Cape
- Authors: Tokwe, Lwandile
- Date: 2019
- Subjects: HIV-positive persons -- South Africa -- Eastern Cape , Hypertension -- South Africa -- Treatment Chronic diseases -- Treatment Patient compliance Public health
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43765 , vital:37045
- Description: Globally, approximately 36.9 million people in 2017 were reported to be living with the human immunodeficiency virus (HIV) across the world. In South Africa, 7.52 million people in 2018 were reported to be living with HIV. In light of the increased life expectancy among people living with HIV (PLWH), which is attributed by availability and enrolment to Highly Active Antiretroviral Therapy (HAART), chronic noncommunicable diseases (NCDs) compound the management of HIV in PLWH. South Africa is encountering a burden of communicable diseases and NCDs, in particular, the co-morbidity of HIV and hypertension (HTN). The aim of the study was to explore and describe the lived experiences of people living with HIV and HTN with regard to disease management in the Eastern Cape. Qualitative research design was used and amongst its methods, Husserl’s descriptive phenomenological method was utilized to explore the lived experiences of the participants. The Health Belief model was the theoretical framework that underpinned the study. The study was conducted at Sakhisizwe sub-district located in the Eastern Cape Province, South Africa. The target population were adults living with HIV and HTN who were accessing care from Primary Health Care (PHC) clinics and who met the researcher’s inclusion criteria. A purposive sampling method was used and nine participants were interviewed using semi-structured interviews. The data was analysed using Giorgi’s (1985) phenomenological method of data analysis which facilitated the emergence of the themes from the data. Four themes and 14 subthemes emerged. The participants reported that they experienced illness-related stigma, support of different influential people, self-love in the form of taking ownership of the diseases, experience of creating self-care practices and transforming lifestyle modification behaviours. Recommendations for clinical practice were made to support the professional nurses in the management of the HIV and HTN in the PHC setting. The study findings reflected the lived experiences of the patients of the selected setting and was conducted only in one province rather than in the entire South Africa.
- Full Text:
- Date Issued: 2019
- Authors: Tokwe, Lwandile
- Date: 2019
- Subjects: HIV-positive persons -- South Africa -- Eastern Cape , Hypertension -- South Africa -- Treatment Chronic diseases -- Treatment Patient compliance Public health
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10948/43765 , vital:37045
- Description: Globally, approximately 36.9 million people in 2017 were reported to be living with the human immunodeficiency virus (HIV) across the world. In South Africa, 7.52 million people in 2018 were reported to be living with HIV. In light of the increased life expectancy among people living with HIV (PLWH), which is attributed by availability and enrolment to Highly Active Antiretroviral Therapy (HAART), chronic noncommunicable diseases (NCDs) compound the management of HIV in PLWH. South Africa is encountering a burden of communicable diseases and NCDs, in particular, the co-morbidity of HIV and hypertension (HTN). The aim of the study was to explore and describe the lived experiences of people living with HIV and HTN with regard to disease management in the Eastern Cape. Qualitative research design was used and amongst its methods, Husserl’s descriptive phenomenological method was utilized to explore the lived experiences of the participants. The Health Belief model was the theoretical framework that underpinned the study. The study was conducted at Sakhisizwe sub-district located in the Eastern Cape Province, South Africa. The target population were adults living with HIV and HTN who were accessing care from Primary Health Care (PHC) clinics and who met the researcher’s inclusion criteria. A purposive sampling method was used and nine participants were interviewed using semi-structured interviews. The data was analysed using Giorgi’s (1985) phenomenological method of data analysis which facilitated the emergence of the themes from the data. Four themes and 14 subthemes emerged. The participants reported that they experienced illness-related stigma, support of different influential people, self-love in the form of taking ownership of the diseases, experience of creating self-care practices and transforming lifestyle modification behaviours. Recommendations for clinical practice were made to support the professional nurses in the management of the HIV and HTN in the PHC setting. The study findings reflected the lived experiences of the patients of the selected setting and was conducted only in one province rather than in the entire South Africa.
- Full Text:
- Date Issued: 2019
Factors contributing to non-adherence in HIV positive patients on antiretroviral treatment in primary health care facilities, East London, Eastern Cape
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa , Patient compliance , HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa , Patient compliance , HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
An investigation of experiences encountered by female adults living with HIV/AIDS and taking ARV treatment: the case of Ntselanzi location, Raymond Mhlaba municipality, Alice Eastern Cape
- Authors: Matumelo, Nobuhle
- Date: 2017
- Subjects: AIDS (Disease) -- South Africa -- Eastern Cape -- Prevention , HIV-positive persons -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/15012 , vital:40132
- Description: The study investigated the experiences encountered by female adults from Ntselamanzi living with Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome (HIV/AIDS) and using Anti-retroviral (ARV) treatment. The study used a qualitative approach as well as a case study design that was descriptive explorative and explanative. The sample size or the unit of analysis consisted of 29 participants who included 12 female adults living with HIV/AIDS and having used ARVs for a minimum of three months; six nurses directly serving the people living with HIV/AIDS (PLWHA); six family members catering for the infected members within their family setting; and five key informants that included a social worker, a community leader, a health promoter, a community developer, and an HIV co-ordinator situated within the community of Ntselamanzi. A non-probability sampling method was adopted, specifically incorporating both snowball and purposive sampling techniques to select the sample. Significantly, the study was led by the following objectives: (1) To explore the experiences of female adults living with HIV/AIDS in Ntselamanzi, (2) To establish the coping mechanisms adopted by the PLWHA (3) To determine the effects of coping challenges and the adherence to ARVs. The data was collected by means of face-toface in-depth interviews in tandem with focus group discussion (FGD); and it was analysed qualitatively using content thematic analysis. The findings of the study revealed that all female adults living with HIV/AIDS and using ARVs encountered innumerable challenges that impaired their coping. The findings also indicated that malfunctioning and interruption of PLWHA coping was influenced by social factors such as unemployment, high level of poverty, low educational levels, lack of information sharing programmes and dependency on social grants. Lastly, the support to PLWHA especially by family members was highly indicated in the study’s findings. The following recommendations emanated from the study: strengthening research on coping challenges of female adults using ARVs in rural areas; empowering and training more caregivers for PLWHA by the Health Department; more involvement of social workers in helping the PLWHA; more involvement of government in the HIV/AIDS campaign in rural settings; and government facilitation and support to the PLWHA to form and belong to support groups.
- Full Text:
- Date Issued: 2017
- Authors: Matumelo, Nobuhle
- Date: 2017
- Subjects: AIDS (Disease) -- South Africa -- Eastern Cape -- Prevention , HIV-positive persons -- South Africa -- Eastern Cape , HIV infections -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/15012 , vital:40132
- Description: The study investigated the experiences encountered by female adults from Ntselamanzi living with Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome (HIV/AIDS) and using Anti-retroviral (ARV) treatment. The study used a qualitative approach as well as a case study design that was descriptive explorative and explanative. The sample size or the unit of analysis consisted of 29 participants who included 12 female adults living with HIV/AIDS and having used ARVs for a minimum of three months; six nurses directly serving the people living with HIV/AIDS (PLWHA); six family members catering for the infected members within their family setting; and five key informants that included a social worker, a community leader, a health promoter, a community developer, and an HIV co-ordinator situated within the community of Ntselamanzi. A non-probability sampling method was adopted, specifically incorporating both snowball and purposive sampling techniques to select the sample. Significantly, the study was led by the following objectives: (1) To explore the experiences of female adults living with HIV/AIDS in Ntselamanzi, (2) To establish the coping mechanisms adopted by the PLWHA (3) To determine the effects of coping challenges and the adherence to ARVs. The data was collected by means of face-toface in-depth interviews in tandem with focus group discussion (FGD); and it was analysed qualitatively using content thematic analysis. The findings of the study revealed that all female adults living with HIV/AIDS and using ARVs encountered innumerable challenges that impaired their coping. The findings also indicated that malfunctioning and interruption of PLWHA coping was influenced by social factors such as unemployment, high level of poverty, low educational levels, lack of information sharing programmes and dependency on social grants. Lastly, the support to PLWHA especially by family members was highly indicated in the study’s findings. The following recommendations emanated from the study: strengthening research on coping challenges of female adults using ARVs in rural areas; empowering and training more caregivers for PLWHA by the Health Department; more involvement of social workers in helping the PLWHA; more involvement of government in the HIV/AIDS campaign in rural settings; and government facilitation and support to the PLWHA to form and belong to support groups.
- Full Text:
- Date Issued: 2017
Attitudes of community stakeholders towards stigmatization of people living with HIV/AIDS in Highland View, linked to St Patrick's Clinic, Bizana, Eastern Cape
- Authors: Nkalane, Athenkosi
- Date: 2017
- Subjects: AIDS (Disease) -- Social aspects -- South Africa -- Eastern Cape , HIV-positive persons -- South Africa -- Eastern Cape , Stigma (Social psychology)
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/9446 , vital:34352
- Description: The researcher attempted to investigate attitudes of community stakeholders towards stigmatization of people living with HIV/AIDS (PLWHA). This is because people living with HIV/AIDS are usually subjected to negative and positive attitudes in South African communities. The study made use of a case study as a specific research design which was explorative and descriptive. The study employed in-depth interviews, focus group discussions and secondary data sources to collect data. The study was a cross-sectional and adopted a non-probability sampling methodology, but specifically purposive technique. The study used 25 participants who consisted of 12 PLWHA, 5 nurses, and 8 selected community members. The data were analyzed through content thematic analysis. The findings that emanated from the study were: awareness of stigmatizing attitudes subjected to people living with HIV/AIDS (PLWHA); the attitudes displayed towards PLWHA, the drivers of stigma; the impact of stigma on PLWHA; PLWHA suffers immense psychosocial deficit; PLWHA face a state of abject poverty; PLWHA faces Psycho-emotional deficit; the secrecy surrounding the virus forms a fertile ground for infection; fear of contagion; stigma confounds chances of HIV/AIDS disclosure and issues of confidentiality. The study recommended that: the government should prioritize the PLWHA’s human rights; adoption of social media platforms to raise awareness and education of HIV/AIDS; collaboration between the Department of Health and the Department of Traditional affairs; invention of a youth-based psycho-emotional programme; and establishment of in-depth community supported interventions.
- Full Text:
- Date Issued: 2017
- Authors: Nkalane, Athenkosi
- Date: 2017
- Subjects: AIDS (Disease) -- Social aspects -- South Africa -- Eastern Cape , HIV-positive persons -- South Africa -- Eastern Cape , Stigma (Social psychology)
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/9446 , vital:34352
- Description: The researcher attempted to investigate attitudes of community stakeholders towards stigmatization of people living with HIV/AIDS (PLWHA). This is because people living with HIV/AIDS are usually subjected to negative and positive attitudes in South African communities. The study made use of a case study as a specific research design which was explorative and descriptive. The study employed in-depth interviews, focus group discussions and secondary data sources to collect data. The study was a cross-sectional and adopted a non-probability sampling methodology, but specifically purposive technique. The study used 25 participants who consisted of 12 PLWHA, 5 nurses, and 8 selected community members. The data were analyzed through content thematic analysis. The findings that emanated from the study were: awareness of stigmatizing attitudes subjected to people living with HIV/AIDS (PLWHA); the attitudes displayed towards PLWHA, the drivers of stigma; the impact of stigma on PLWHA; PLWHA suffers immense psychosocial deficit; PLWHA face a state of abject poverty; PLWHA faces Psycho-emotional deficit; the secrecy surrounding the virus forms a fertile ground for infection; fear of contagion; stigma confounds chances of HIV/AIDS disclosure and issues of confidentiality. The study recommended that: the government should prioritize the PLWHA’s human rights; adoption of social media platforms to raise awareness and education of HIV/AIDS; collaboration between the Department of Health and the Department of Traditional affairs; invention of a youth-based psycho-emotional programme; and establishment of in-depth community supported interventions.
- Full Text:
- Date Issued: 2017
Living with HIV/AIDS in King Williams Town, Eastern Cape
- Authors: Chinyama, Ephraim
- Date: 2012
- Subjects: AIDS (Disease) -- South Africa -- Eastern Cape , HIV-positive persons -- South Africa -- Eastern Cape , HIV-positive persons -- Social aspects -- South Africa -- Eastern Cape , King William's Town (South Africa)
- Language: English
- Type: Thesis , Masters , M Soc Sc (Rural Development)
- Identifier: vital:11956 , http://hdl.handle.net/10353/d1005964 , AIDS (Disease) -- South Africa -- Eastern Cape , HIV-positive persons -- South Africa -- Eastern Cape , HIV-positive persons -- Social aspects -- South Africa -- Eastern Cape , King William's Town (South Africa)
- Description: This study examines the lifestyle decisions of people who are diagnosed with HIV/AIDS in King Williams Town, Eastern Cape. The study was motivated by the ever growing number of people who are now living with HIV/AIDS. Therefore the researcher intended to examine their decisions regarding sexual choices, reproductive health, diet, physical fitness and their coping strategies. The study found that there is very low uptake of Voluntary Counseling and Testing (VCT). Most people only get tested if they are compelled by other factors, like illness and pregnancy. It also found that HIV positive people continue to engage in risky sexual behaviour regardless of their positive status. In addition it also found that HIV positive status does not affect sexual activity and social support from family and friends is a very important factor that is helping the respondents to cope with HIV diagnosis.
- Full Text:
- Date Issued: 2012
- Authors: Chinyama, Ephraim
- Date: 2012
- Subjects: AIDS (Disease) -- South Africa -- Eastern Cape , HIV-positive persons -- South Africa -- Eastern Cape , HIV-positive persons -- Social aspects -- South Africa -- Eastern Cape , King William's Town (South Africa)
- Language: English
- Type: Thesis , Masters , M Soc Sc (Rural Development)
- Identifier: vital:11956 , http://hdl.handle.net/10353/d1005964 , AIDS (Disease) -- South Africa -- Eastern Cape , HIV-positive persons -- South Africa -- Eastern Cape , HIV-positive persons -- Social aspects -- South Africa -- Eastern Cape , King William's Town (South Africa)
- Description: This study examines the lifestyle decisions of people who are diagnosed with HIV/AIDS in King Williams Town, Eastern Cape. The study was motivated by the ever growing number of people who are now living with HIV/AIDS. Therefore the researcher intended to examine their decisions regarding sexual choices, reproductive health, diet, physical fitness and their coping strategies. The study found that there is very low uptake of Voluntary Counseling and Testing (VCT). Most people only get tested if they are compelled by other factors, like illness and pregnancy. It also found that HIV positive people continue to engage in risky sexual behaviour regardless of their positive status. In addition it also found that HIV positive status does not affect sexual activity and social support from family and friends is a very important factor that is helping the respondents to cope with HIV diagnosis.
- Full Text:
- Date Issued: 2012
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