The effectiveness of social support mechanisms provided to HIV and AIDS opharns: the case of Tembisa child and family welfare society, Gauteng
- Authors: Khumalo, Princess Sengeziwe
- Date: 2013
- Subjects: Child welfare -- South Africa -- Gauteng -- Case studies , HIV infections -- South Africa -- Gauteng , Children of AIDS patients -- Services for South Africa -- Gauteng , AIDS (Disease)
- Language: English
- Type: Thesis , Masters , M SW
- Identifier: vital:11761 , http://hdl.handle.net/10353/d1005633 , Child welfare -- South Africa -- Gauteng -- Case studies , HIV infections -- South Africa -- Gauteng , Children of AIDS patients -- Services for South Africa -- Gauteng , AIDS (Disease)
- Description: The study was aimed at investigating the effectiveness of social support mechanisms provided to HIV and AIDS orphans in Tembisa, Gauteng Province. An interview guide was designed and it guided the in-depth interviews with HIV and AIDS affected and infected orphans. In addition, a focus group was run with the social workers and the children‟s caregivers. Empirical findings gathered were based on the qualitative information from the participants. The findings indicated that social support systems were effective although there were various challenges facing their smooth running. Firstly social support provided to orphans is mainly provided by caregivers, social workers, schools and the government. Secondly for some, the support is not entirely enough to help them cope with life. The minority of the orphans indicated that they were not even aware that they were orphaned. The study therefore recommends that social workers and caregivers be trained on how to be effective social support systems for HIV and AIDS orphans. Furthermore psycho-social support groups need to be more informational and inclusive of HIV and AIDS orphans.
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- Authors: Khumalo, Princess Sengeziwe
- Date: 2013
- Subjects: Child welfare -- South Africa -- Gauteng -- Case studies , HIV infections -- South Africa -- Gauteng , Children of AIDS patients -- Services for South Africa -- Gauteng , AIDS (Disease)
- Language: English
- Type: Thesis , Masters , M SW
- Identifier: vital:11761 , http://hdl.handle.net/10353/d1005633 , Child welfare -- South Africa -- Gauteng -- Case studies , HIV infections -- South Africa -- Gauteng , Children of AIDS patients -- Services for South Africa -- Gauteng , AIDS (Disease)
- Description: The study was aimed at investigating the effectiveness of social support mechanisms provided to HIV and AIDS orphans in Tembisa, Gauteng Province. An interview guide was designed and it guided the in-depth interviews with HIV and AIDS affected and infected orphans. In addition, a focus group was run with the social workers and the children‟s caregivers. Empirical findings gathered were based on the qualitative information from the participants. The findings indicated that social support systems were effective although there were various challenges facing their smooth running. Firstly social support provided to orphans is mainly provided by caregivers, social workers, schools and the government. Secondly for some, the support is not entirely enough to help them cope with life. The minority of the orphans indicated that they were not even aware that they were orphaned. The study therefore recommends that social workers and caregivers be trained on how to be effective social support systems for HIV and AIDS orphans. Furthermore psycho-social support groups need to be more informational and inclusive of HIV and AIDS orphans.
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Knowledge and attitudes of professional nurses towards HIV and AIDS patients at the Libode District Health Services in the Eastern Cape Province
- Authors: Gedu, Grace Nontuthuzelo
- Date: 2011-12
- Subjects: Rural health services , AIDS (Disease)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/24610 , vital:63213
- Description: This study was conducted at the Libode District Health Services amongst professional nurses who render services to HIV and AIDS patients. Generally, caring for HIV positive patients, nurses need to be knowledgeable about the transmission of the HIV virus, in order to render quality care to the patients. They also need to be sensitive and to demonstrate positive attitudes towards the patients. It was unknown whether the professional nurses at the Libode District Health Services are knowledgeable or not regarding HIV and AIDS. Their attitudes towards the HIV positive patients, were also unknown. Not knowing the knowledge and attitude of professional nurses regarding HIV and AIDS has the potential to compromise the quality of nursing care rendered to the patients. The purpose of the study was to explore and describe the level of knowledge of professional nurses regarding HIV and AIDS well as their attitudes towards the HIV-positive patients so as to make recommendations for quality patient care based on the results. A quantitative explorative descriptive research design was used to examine the level of knowledge about HIV and AIDS as well as the attitudes of professional nurses to HIV and AIDS patients. The target populations were the 218 professional nurses working at the Libode District Health services who had nursed HIV positive patients. A simple random sampling method was used to select a sample of 120 participants. A structured self-administered questionnaire was used to obtain data. The questionnaire consisted of a section on the demographic profile of the participants, and two other sections for responses on knowledge and attitudes. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 17.0 software for consistency of the twenty (20) items in the questionnaire. Findings showed that nurses of Libode District Health Services had an approximately fair amount of knowledge. The majority (79percent) of participants scored above the cut-off point of 24. Twenty one percent (21percent) scored below 24. On attitude, the majority (76percent) had scored below the cut-off point of 36. Recommendations were that professional nurses of Libode District Health Services, need to be exposed to ongoing training on HIV and AIDS to increase their knowledge about HIV and AIDS and to ensure that they demonstrate positive attitudes towards HIV and AIDS patients. , Thesis (MSc) -- Faculty of Science and Agriculture, 2011
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- Authors: Gedu, Grace Nontuthuzelo
- Date: 2011-12
- Subjects: Rural health services , AIDS (Disease)
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/24610 , vital:63213
- Description: This study was conducted at the Libode District Health Services amongst professional nurses who render services to HIV and AIDS patients. Generally, caring for HIV positive patients, nurses need to be knowledgeable about the transmission of the HIV virus, in order to render quality care to the patients. They also need to be sensitive and to demonstrate positive attitudes towards the patients. It was unknown whether the professional nurses at the Libode District Health Services are knowledgeable or not regarding HIV and AIDS. Their attitudes towards the HIV positive patients, were also unknown. Not knowing the knowledge and attitude of professional nurses regarding HIV and AIDS has the potential to compromise the quality of nursing care rendered to the patients. The purpose of the study was to explore and describe the level of knowledge of professional nurses regarding HIV and AIDS well as their attitudes towards the HIV-positive patients so as to make recommendations for quality patient care based on the results. A quantitative explorative descriptive research design was used to examine the level of knowledge about HIV and AIDS as well as the attitudes of professional nurses to HIV and AIDS patients. The target populations were the 218 professional nurses working at the Libode District Health services who had nursed HIV positive patients. A simple random sampling method was used to select a sample of 120 participants. A structured self-administered questionnaire was used to obtain data. The questionnaire consisted of a section on the demographic profile of the participants, and two other sections for responses on knowledge and attitudes. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 17.0 software for consistency of the twenty (20) items in the questionnaire. Findings showed that nurses of Libode District Health Services had an approximately fair amount of knowledge. The majority (79percent) of participants scored above the cut-off point of 24. Twenty one percent (21percent) scored below 24. On attitude, the majority (76percent) had scored below the cut-off point of 36. Recommendations were that professional nurses of Libode District Health Services, need to be exposed to ongoing training on HIV and AIDS to increase their knowledge about HIV and AIDS and to ensure that they demonstrate positive attitudes towards HIV and AIDS patients. , Thesis (MSc) -- Faculty of Science and Agriculture, 2011
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The economic impact of HIV and AIDS in South Africa
- Makhetha, Palesa (https://orcid.org/0000-0001-8730-4450)
- Authors: Makhetha, Palesa (https://orcid.org/0000-0001-8730-4450)
- Date: 2011
- Subjects: AIDS (Disease) , Economic Aspects , HIV Infections South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26130 , vital:64918
- Description: The SADC region has felt the impact of HIV/AIDS more than any other region in sub-Saharan Africa and the world. South Africa is the home of the largest number of people living with HIV/AIDS in the world. Historically, South Africa is one the countries that had a very disorderly past and this history is relevant to the explosive spread of HIV/AIDS in the region. The first cases of HIV were diagnosed in 1982 and that is when the first death from this disease was recorded. In 2004 over 5 million people out of a total 46 million South Africans were HIV positive, giving a total prevalence rate of 11 percent. HIV/AIDS has affected societies in many ways. Individuals, households and enterprises have all been affected by the pandemic. For individuals, incomes are lost as a result of HIV/AIDS. When individuals fall sick due to the disease, they loose their jobs and incomes. In most cases, these individuals are breadwinners in their households. The available money is then spent on medical services at the expense of other household investments. For example, the loss of a breadwinner inevitably affects rural households investments on farm inputs such as fertiliser, seeds etc. The result is low agricultural output and thus poverty. Dependent members of the households suffer immensely from the loss of income. Those at school are likely to drop out. When children drop out of school, they are more likely to be unemployed or underemployed. This makes them more vulnerable to being poor and other vices, such as crime or even HIV/AIDS. Poverty is another social and health issue that has a two-way relationship with HIV/Aids. Poverty increases individuals’ vulnerability to HIV/AIDS especially for females. Through its impact on productivity and loss of life of the economically productive members of the society, the disease condemns many to poverty. Households affected by the disease, are poorer than non-affected households. , Thesis (MA) -- Faculty of Management and Commerce, 2011
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- Authors: Makhetha, Palesa (https://orcid.org/0000-0001-8730-4450)
- Date: 2011
- Subjects: AIDS (Disease) , Economic Aspects , HIV Infections South Africa
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/26130 , vital:64918
- Description: The SADC region has felt the impact of HIV/AIDS more than any other region in sub-Saharan Africa and the world. South Africa is the home of the largest number of people living with HIV/AIDS in the world. Historically, South Africa is one the countries that had a very disorderly past and this history is relevant to the explosive spread of HIV/AIDS in the region. The first cases of HIV were diagnosed in 1982 and that is when the first death from this disease was recorded. In 2004 over 5 million people out of a total 46 million South Africans were HIV positive, giving a total prevalence rate of 11 percent. HIV/AIDS has affected societies in many ways. Individuals, households and enterprises have all been affected by the pandemic. For individuals, incomes are lost as a result of HIV/AIDS. When individuals fall sick due to the disease, they loose their jobs and incomes. In most cases, these individuals are breadwinners in their households. The available money is then spent on medical services at the expense of other household investments. For example, the loss of a breadwinner inevitably affects rural households investments on farm inputs such as fertiliser, seeds etc. The result is low agricultural output and thus poverty. Dependent members of the households suffer immensely from the loss of income. Those at school are likely to drop out. When children drop out of school, they are more likely to be unemployed or underemployed. This makes them more vulnerable to being poor and other vices, such as crime or even HIV/AIDS. Poverty is another social and health issue that has a two-way relationship with HIV/Aids. Poverty increases individuals’ vulnerability to HIV/AIDS especially for females. Through its impact on productivity and loss of life of the economically productive members of the society, the disease condemns many to poverty. Households affected by the disease, are poorer than non-affected households. , Thesis (MA) -- Faculty of Management and Commerce, 2011
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Prevalence of Escherichia coli O157:H7 in water and meat and meat products and vegetables sold in the Eastern Cape Province of South Africa and its impact on the diarrhoeic conditions of HIV/AIDS patients
- Authors: Abong'o, Benard Omondi
- Date: 2008
- Subjects: Foodborne diseases , Diarrhea , Escherichia coli , HIV infections , AIDS (Disease) , Bacterial diseases
- Language: English
- Type: Thesis , Doctoral , PhD (Microbiology)
- Identifier: vital:11263 , http://hdl.handle.net/10353/87 , Foodborne diseases , Diarrhea , Escherichia coli , HIV infections , AIDS (Disease) , Bacterial diseases
- Description: Water and food borne Escherichia coli O157:H7 could be one of the pathogens posing high health risk to patients suffering from Acquired Immunodeficiency Syndrome (AIDS) because of its incrimination in diarrhoea cases in AIDS patients. The present study, which was conducted between March 2005 and August 2006, investigated the prevalence of E. coli O157:H7 in water, meat and meat products and vegetables and its impact on diarrhoeic conditions of confirmed and non-confirmed HIV/AIDS patients in the Amathole District in the Eastern Cape Province of South Africa. The water samples used in the study were obtained from stand pipes supplying treated drinking water to communities residing in Fort Beaufort, Alice, Dimbaza and Mdantsane whereas borehole waters were sampled from Ngwenya and Kwasaki. The meat and meat products and vegetable samples were purchased from shops, butcheries, supermarkets and open air markets in Fort Beaufort, Alice and Mdantsane. The stool swabs used in the study were obtained from HIV/AIDS and outpatient clinics at Frere Hospital in East London. A total of 180 each of water, meat and meat products and vegetable samples and another 360 stool samples were analyzed for E. coli O157:H7. Presumptive E. coli O157 was isolated from the samples by culture-based methods and confirmed using Polymerase Chain Reaction techniques. Anti-biogram as well as risk assessment were also carried out using standard methods. The viable counts of presumptive E. coli O157 for water samples ranged between 3.3 × 104 and 1.71 × 105 CFU/ml, and between 1.8 × 104 and 5.04 × 106 CFU/g for meat and meat products, whereas those for vegetables ranged between 1.3 × 103 and 1.6 × 106 CFU/g. The counts of presumptive E. coli O157 for the water and vegetable samples were not significantly different whereas those for meat and meat products were found to be significantly different (P ≤ 0.05). The prevalence rates of presumptive E coli O157 in meat and meat products was 35.55 percent (64/180), and 25.55 percent (46/180) and 21.66 percent (39/180) for water and vegetables respectively. Prevalence of presumptive E. coli O157 in the stool samples of HIV/AIDS patients was 36.39 percent (131/360), of which 56.5 percent (74/131) and 43.5 percent (57/131) were from stools of confirmed and non-confirmed HIV/AIDS patients, respectively. Molecular analysis of representative presumptive E. coli O157 indicated that 10.29 percent (4/39) of vegetables; 14.81 percent (4/27) of water and 38.46 percent (5/13) of meat and meat products carried E. coli O157:H7. Also 36 percent (9/25) and 17.24 percent (5/29) of the stool samples were positive for E. coli O157:H7. Antimicrobial susceptibility profile revealed that all of the E. coli O157:H7 isolated from water, meat and meat products and vegetables as well as those isolated from stools of confirmed and non-confirmed HIV/AIDS patients were resistant (R) to gentamycin and erythromycin. However, 75 percent (20/27) of these isolates were resistant (R) to ampicillin and tetracycline whereas approximately 25 percent (6/27) were resistant (R) to nalidixic acid, ceftriaxone, and chloramphenicol. All the isolates (27/27) were susceptible (S) to amikacin. Probability of risk of E. coli O157:H7 infection was high for confirmed HIV/AIDS patients than for the non-confirmed HIV/AIDS patients. Estimated probability of risk of E. coli O157:H7 due to ingestion of water was 1.00 for 100 confirmed and non-confirmed HIV/AIDS patients. Risk due to meat and meat products was estimated at 0.27 and 0.20 and for vegetables at 0.21 and 0.15 per 100 confirmed and non-confirmed HIV/AIDS patients. The findings of this study predicted a possible link between E. coli O157:H7 isolated from drinking water, meat and meat products and vegetables and diarrhoeic conditions in both confirmed and non-confirmed HIV/AIDS patients, and concludes that confirmed HIV/AIDS patients can be at higher risk of contracting water and food borne E. coli O157:H7 than nonconfirmed HIV/AIDS patients. It is thus recommended that proper water treatment and food handling, maximum food and water safety and sanitation as well as personal body hygiene should be maintained, in order to prevent E. coli O157:H7 infections. Education initiatives and active surveillance of E. coli O157:H7 should be taken by all the stake-holders working directly or indirectly towards ensuring enduring sound public health.
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- Authors: Abong'o, Benard Omondi
- Date: 2008
- Subjects: Foodborne diseases , Diarrhea , Escherichia coli , HIV infections , AIDS (Disease) , Bacterial diseases
- Language: English
- Type: Thesis , Doctoral , PhD (Microbiology)
- Identifier: vital:11263 , http://hdl.handle.net/10353/87 , Foodborne diseases , Diarrhea , Escherichia coli , HIV infections , AIDS (Disease) , Bacterial diseases
- Description: Water and food borne Escherichia coli O157:H7 could be one of the pathogens posing high health risk to patients suffering from Acquired Immunodeficiency Syndrome (AIDS) because of its incrimination in diarrhoea cases in AIDS patients. The present study, which was conducted between March 2005 and August 2006, investigated the prevalence of E. coli O157:H7 in water, meat and meat products and vegetables and its impact on diarrhoeic conditions of confirmed and non-confirmed HIV/AIDS patients in the Amathole District in the Eastern Cape Province of South Africa. The water samples used in the study were obtained from stand pipes supplying treated drinking water to communities residing in Fort Beaufort, Alice, Dimbaza and Mdantsane whereas borehole waters were sampled from Ngwenya and Kwasaki. The meat and meat products and vegetable samples were purchased from shops, butcheries, supermarkets and open air markets in Fort Beaufort, Alice and Mdantsane. The stool swabs used in the study were obtained from HIV/AIDS and outpatient clinics at Frere Hospital in East London. A total of 180 each of water, meat and meat products and vegetable samples and another 360 stool samples were analyzed for E. coli O157:H7. Presumptive E. coli O157 was isolated from the samples by culture-based methods and confirmed using Polymerase Chain Reaction techniques. Anti-biogram as well as risk assessment were also carried out using standard methods. The viable counts of presumptive E. coli O157 for water samples ranged between 3.3 × 104 and 1.71 × 105 CFU/ml, and between 1.8 × 104 and 5.04 × 106 CFU/g for meat and meat products, whereas those for vegetables ranged between 1.3 × 103 and 1.6 × 106 CFU/g. The counts of presumptive E. coli O157 for the water and vegetable samples were not significantly different whereas those for meat and meat products were found to be significantly different (P ≤ 0.05). The prevalence rates of presumptive E coli O157 in meat and meat products was 35.55 percent (64/180), and 25.55 percent (46/180) and 21.66 percent (39/180) for water and vegetables respectively. Prevalence of presumptive E. coli O157 in the stool samples of HIV/AIDS patients was 36.39 percent (131/360), of which 56.5 percent (74/131) and 43.5 percent (57/131) were from stools of confirmed and non-confirmed HIV/AIDS patients, respectively. Molecular analysis of representative presumptive E. coli O157 indicated that 10.29 percent (4/39) of vegetables; 14.81 percent (4/27) of water and 38.46 percent (5/13) of meat and meat products carried E. coli O157:H7. Also 36 percent (9/25) and 17.24 percent (5/29) of the stool samples were positive for E. coli O157:H7. Antimicrobial susceptibility profile revealed that all of the E. coli O157:H7 isolated from water, meat and meat products and vegetables as well as those isolated from stools of confirmed and non-confirmed HIV/AIDS patients were resistant (R) to gentamycin and erythromycin. However, 75 percent (20/27) of these isolates were resistant (R) to ampicillin and tetracycline whereas approximately 25 percent (6/27) were resistant (R) to nalidixic acid, ceftriaxone, and chloramphenicol. All the isolates (27/27) were susceptible (S) to amikacin. Probability of risk of E. coli O157:H7 infection was high for confirmed HIV/AIDS patients than for the non-confirmed HIV/AIDS patients. Estimated probability of risk of E. coli O157:H7 due to ingestion of water was 1.00 for 100 confirmed and non-confirmed HIV/AIDS patients. Risk due to meat and meat products was estimated at 0.27 and 0.20 and for vegetables at 0.21 and 0.15 per 100 confirmed and non-confirmed HIV/AIDS patients. The findings of this study predicted a possible link between E. coli O157:H7 isolated from drinking water, meat and meat products and vegetables and diarrhoeic conditions in both confirmed and non-confirmed HIV/AIDS patients, and concludes that confirmed HIV/AIDS patients can be at higher risk of contracting water and food borne E. coli O157:H7 than nonconfirmed HIV/AIDS patients. It is thus recommended that proper water treatment and food handling, maximum food and water safety and sanitation as well as personal body hygiene should be maintained, in order to prevent E. coli O157:H7 infections. Education initiatives and active surveillance of E. coli O157:H7 should be taken by all the stake-holders working directly or indirectly towards ensuring enduring sound public health.
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