Adolescent sexual reproductive health and rights in the Alice area, Eastern Cape Province of South Africa
- Authors: Moko, Zukhanye
- Date: 2021-02
- Subjects: Reproductive health , Right to health , HIV infections
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20676 , vital:46423
- Description: Sexual Reproductive Health (SRH) is a significant aspect of adolescent’s growth. Adolescents particularly girls face the risk of exposure to Human Immunodeficiency Virus (HIV), Sexually Transmitted Diseases (STDs), child marriages, high rates of unwanted pregnancy and the risk of those pregnancies can lead to unsafe abortion. In South Africa, considerable progress has been made in achieving improved access to Sexual Reproductive Health and Rights (SRHR) among the general population, however, some factors influencing SRHR of adolescents and young people have been slow to achieve. The study aims to investigate factors influencing Sexual Reproductive Health and Rights of adolescents in Alice, which is located in the Eastern Cape Province of South Africa. The Social-Ecological Model was considered appropriate for this study as it provides a comprehensive understanding of the multiple and interacting determinants of Sexual Reproductive Health and Rights. A qualitative methodology was adopted, involving focus groups with high school learners, in-depth interviews with institutional actors (Department of Health, Basic Education and Social Development), and participant observations. The study reveals that adolescents’ have access to Sexual Reproductive Health services from healthcare centres but only a few utilize or access them due to barriers such as the geographical location, denial and judgement about young people's sexuality limits their access to comprehensive knowledge to protect and promote their Sexual and Reproductive Health. The findings show that the adolescents who were most affected by Sexual Reproductive Health and Rights challenges were those from deep rural areas. They had minimal information/education compared to those residing in areas close to the town of Alice and major roads. Multi-sectoral interventions empowering adolescents and young people to exercise their rights to optimize SRHR service yield better results. , Thesis (MSc) -- Faculty of Science & Agriculture, 2021
- Full Text:
- Authors: Moko, Zukhanye
- Date: 2021-02
- Subjects: Reproductive health , Right to health , HIV infections
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/20676 , vital:46423
- Description: Sexual Reproductive Health (SRH) is a significant aspect of adolescent’s growth. Adolescents particularly girls face the risk of exposure to Human Immunodeficiency Virus (HIV), Sexually Transmitted Diseases (STDs), child marriages, high rates of unwanted pregnancy and the risk of those pregnancies can lead to unsafe abortion. In South Africa, considerable progress has been made in achieving improved access to Sexual Reproductive Health and Rights (SRHR) among the general population, however, some factors influencing SRHR of adolescents and young people have been slow to achieve. The study aims to investigate factors influencing Sexual Reproductive Health and Rights of adolescents in Alice, which is located in the Eastern Cape Province of South Africa. The Social-Ecological Model was considered appropriate for this study as it provides a comprehensive understanding of the multiple and interacting determinants of Sexual Reproductive Health and Rights. A qualitative methodology was adopted, involving focus groups with high school learners, in-depth interviews with institutional actors (Department of Health, Basic Education and Social Development), and participant observations. The study reveals that adolescents’ have access to Sexual Reproductive Health services from healthcare centres but only a few utilize or access them due to barriers such as the geographical location, denial and judgement about young people's sexuality limits their access to comprehensive knowledge to protect and promote their Sexual and Reproductive Health. The findings show that the adolescents who were most affected by Sexual Reproductive Health and Rights challenges were those from deep rural areas. They had minimal information/education compared to those residing in areas close to the town of Alice and major roads. Multi-sectoral interventions empowering adolescents and young people to exercise their rights to optimize SRHR service yield better results. , Thesis (MSc) -- Faculty of Science & Agriculture, 2021
- Full Text:
Genetic characteristics of Human Immunodeficiency Virus-1, and deter-minants of late presentation for care and Diabetes mellitus amongst newly diagnosed Human Immunodeficiency Virus positive patients in the Eastern Cape, South Africa.
- Authors: Sogbanmu, Olufunso Oladipo
- Date: 2019
- Subjects: HIV infections
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/${Handle} , vital:40495
- Description: Phylogenies may help to characterize transmission pairs, enhance contact tracing and outbreak investigations, track the origin and spread of epidemics over place and time, and to identify patterns of onward Human Immunodeficiency-Virus (HIV) transmission among risk groups. If the pattern and evolution of HIV drug resistance can be mapped, this may influence the development of guidelines in the clinical management of HIV especially with issues relating to prevalence of primary drug resistance and its impact on outcomes of present antiretroviral treatment (ART) regimen in use and the ability to trace and track the development of drug resistant strains. The roll-out of the test and treat Programme for newly diagnosed HIV infected pa-tient, seeks to identify HIV infected individuals early and to prevent morbidity and mortality associated with the late presentation for HIV care. The determination of the magnitude of ‘late presentation’ and or ‘presentation with advanced HIV disease’ can be used in very diverse settings and for many purposes. It provides a unified way to define the problem, thereby targeting appropriate interventions to prevent the detrimental outcomes associated with late presentation to care. The subtle relationship between HIV and diabetes mellitus (DM) may also help in formulating better preventive programs to aid the control of non-communicable diseases such as DM. This cross-sectional study includes a purposive selection of 335 HIV positive patients attending the voluntary counselling and Testing (VCT) and HIV Counselling and Testing (HCT) centres and outpatient departments at Cecilia Makiwane Hospital and the HCT sites at the Buffalo District municipality community health centres, Eastern Cape Province, South Africa. Late or delayed presentation of HIV infection was defined as CD4 cell count beneath 350 cells/μL and/or patients presenting with an AIDS-defining event at the first follow-up regardless of the CD4 cell count. Chapter 1 provides the general introduction had an overview of the introduction to the study, the statement of the research problem, hypothesis, the aim and the objectives. xx Chapter 2 looked in-depth at the HIV, case definition, the latest epidemiology of HIV, the HIV genome, the life cycle of HIV, its diagnosis, the classes of antiretroviral drugs, development of drug resistance. Chapter 3 highlighted the prevalence of Transmitted Drug Resistance (TDR) with focus on the protease gene. RNA was extracted from blood samples of 72 newly diagnosed HIV-1 patients attending some HIV testing and counselling clinics from August 2016 to July 2017. Protease fragments were amplified with specific primers by RT-PCR followed by nested PCR. The amplified products were sequenced using the ABI 360 sequencer, edited with Geneious version 9.1.5 and translated into amino acid with BioEdit software. Drug related resistance mutation (DRMs) analysis was performed on all the protease sequences in accordance with the 2009 WHO list of surveillance drug resistance mutations by submitting the edited sequences to Stanford HIV drug interpretation programme and the international AIDS society-USA guidelines for query of drug resistance associated mutations while phylogenetic analysis was performed using MEGA 6 to allocate all viral sequences into subtypes. In the study, a total of 52/72 (71.1%) reliable HIV-1 protease sequences were obtained in which subtyping and drug resistance mutations were performed. Two (3.8%) major Protease resistance associated mutation (V82A/L and L90M) were observed while another polymorphism like L10F, T74S, Q58E, L10I/V and M46V were also identified. Phylogenetic analyses delineated all the sequences as HIV-1 subtype C. Chapter 4 describes the prevalence and the determinants of late presentation amongst newly diagnosed HIV positive individuals in the Eastern Cape. It indicates the extent of the prevalence of patients presenting to care and at what HIV stage they were assessing health care services since the inception of the ‘test and treat’ strategy. It is a cross-sectional study where a total of 335 newly diagnosed patients were recruited consecutively be-tween August 2016 and July 2017. Late presenter for HIV care was defined in accordance with the European Late Presenter Consensus working group as a patient who reports for care when the CD4 count is below 350 cells/μL and/or when there is an established Aids- xxi defining clinical condition, irrespective of CD4 count. Adjusted and unadjusted logistic regression analysis was used to examine the determinants of late HIV diagnosis. The study showed that 60% of patients were late presenters, with 35% presenting with advanced disease. The major determinants identified were being male and low level of education. This led to recommendations directed at ensuring programmes that targets men in identifying their HIV status and assess care at early stage to prevents the morbidity and mortality associated with delayed presentation. Also, it was recommended that effort should be made to improve access to education and also include HIV related topics into the educational curriculum. Chapter 5 aimed to describe the prevalence and determinants of DM amongst newly diagnosed HIV positive individuals. This is a cross-sectional study which recruited 335 patients between August 2016 and September 2017. Definition for diabetes mellitus was made based on the SEDMSA 2015 guideline of HBA1C of above 6.5%. Adjusted and unadjusted logistic regression analysis was used to examine the determinants of abnormal glycated haemoglobin. Findings showed the prevalence of DM at about 6% amongst newly diagnosed HIV positive individuals. This is similar to findings in other study within the country, but a bit lower than what was obtained in the developed countries. The role of older age (above 40 years) as predisposing factor to development of diabetes in newly diagnosed HIV positive individual was well noted and taken. This ensures that screening for DM should be targeted at elderly HIV positive individuals. The grey area of the appropriate mode of diagnostic test to use to diagnose HIV is still debatable, however, a combination of HBA1c and fasting blood sugar (FBS) may improve the diagnosis of DM in this population group. In chapter 6, the general conclusions, recommendations and future perspectives of the study are reflected.
- Full Text:
- Authors: Sogbanmu, Olufunso Oladipo
- Date: 2019
- Subjects: HIV infections
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/${Handle} , vital:40495
- Description: Phylogenies may help to characterize transmission pairs, enhance contact tracing and outbreak investigations, track the origin and spread of epidemics over place and time, and to identify patterns of onward Human Immunodeficiency-Virus (HIV) transmission among risk groups. If the pattern and evolution of HIV drug resistance can be mapped, this may influence the development of guidelines in the clinical management of HIV especially with issues relating to prevalence of primary drug resistance and its impact on outcomes of present antiretroviral treatment (ART) regimen in use and the ability to trace and track the development of drug resistant strains. The roll-out of the test and treat Programme for newly diagnosed HIV infected pa-tient, seeks to identify HIV infected individuals early and to prevent morbidity and mortality associated with the late presentation for HIV care. The determination of the magnitude of ‘late presentation’ and or ‘presentation with advanced HIV disease’ can be used in very diverse settings and for many purposes. It provides a unified way to define the problem, thereby targeting appropriate interventions to prevent the detrimental outcomes associated with late presentation to care. The subtle relationship between HIV and diabetes mellitus (DM) may also help in formulating better preventive programs to aid the control of non-communicable diseases such as DM. This cross-sectional study includes a purposive selection of 335 HIV positive patients attending the voluntary counselling and Testing (VCT) and HIV Counselling and Testing (HCT) centres and outpatient departments at Cecilia Makiwane Hospital and the HCT sites at the Buffalo District municipality community health centres, Eastern Cape Province, South Africa. Late or delayed presentation of HIV infection was defined as CD4 cell count beneath 350 cells/μL and/or patients presenting with an AIDS-defining event at the first follow-up regardless of the CD4 cell count. Chapter 1 provides the general introduction had an overview of the introduction to the study, the statement of the research problem, hypothesis, the aim and the objectives. xx Chapter 2 looked in-depth at the HIV, case definition, the latest epidemiology of HIV, the HIV genome, the life cycle of HIV, its diagnosis, the classes of antiretroviral drugs, development of drug resistance. Chapter 3 highlighted the prevalence of Transmitted Drug Resistance (TDR) with focus on the protease gene. RNA was extracted from blood samples of 72 newly diagnosed HIV-1 patients attending some HIV testing and counselling clinics from August 2016 to July 2017. Protease fragments were amplified with specific primers by RT-PCR followed by nested PCR. The amplified products were sequenced using the ABI 360 sequencer, edited with Geneious version 9.1.5 and translated into amino acid with BioEdit software. Drug related resistance mutation (DRMs) analysis was performed on all the protease sequences in accordance with the 2009 WHO list of surveillance drug resistance mutations by submitting the edited sequences to Stanford HIV drug interpretation programme and the international AIDS society-USA guidelines for query of drug resistance associated mutations while phylogenetic analysis was performed using MEGA 6 to allocate all viral sequences into subtypes. In the study, a total of 52/72 (71.1%) reliable HIV-1 protease sequences were obtained in which subtyping and drug resistance mutations were performed. Two (3.8%) major Protease resistance associated mutation (V82A/L and L90M) were observed while another polymorphism like L10F, T74S, Q58E, L10I/V and M46V were also identified. Phylogenetic analyses delineated all the sequences as HIV-1 subtype C. Chapter 4 describes the prevalence and the determinants of late presentation amongst newly diagnosed HIV positive individuals in the Eastern Cape. It indicates the extent of the prevalence of patients presenting to care and at what HIV stage they were assessing health care services since the inception of the ‘test and treat’ strategy. It is a cross-sectional study where a total of 335 newly diagnosed patients were recruited consecutively be-tween August 2016 and July 2017. Late presenter for HIV care was defined in accordance with the European Late Presenter Consensus working group as a patient who reports for care when the CD4 count is below 350 cells/μL and/or when there is an established Aids- xxi defining clinical condition, irrespective of CD4 count. Adjusted and unadjusted logistic regression analysis was used to examine the determinants of late HIV diagnosis. The study showed that 60% of patients were late presenters, with 35% presenting with advanced disease. The major determinants identified were being male and low level of education. This led to recommendations directed at ensuring programmes that targets men in identifying their HIV status and assess care at early stage to prevents the morbidity and mortality associated with delayed presentation. Also, it was recommended that effort should be made to improve access to education and also include HIV related topics into the educational curriculum. Chapter 5 aimed to describe the prevalence and determinants of DM amongst newly diagnosed HIV positive individuals. This is a cross-sectional study which recruited 335 patients between August 2016 and September 2017. Definition for diabetes mellitus was made based on the SEDMSA 2015 guideline of HBA1C of above 6.5%. Adjusted and unadjusted logistic regression analysis was used to examine the determinants of abnormal glycated haemoglobin. Findings showed the prevalence of DM at about 6% amongst newly diagnosed HIV positive individuals. This is similar to findings in other study within the country, but a bit lower than what was obtained in the developed countries. The role of older age (above 40 years) as predisposing factor to development of diabetes in newly diagnosed HIV positive individual was well noted and taken. This ensures that screening for DM should be targeted at elderly HIV positive individuals. The grey area of the appropriate mode of diagnostic test to use to diagnose HIV is still debatable, however, a combination of HBA1c and fasting blood sugar (FBS) may improve the diagnosis of DM in this population group. In chapter 6, the general conclusions, recommendations and future perspectives of the study are reflected.
- Full Text:
Psychosocial challenges faced by people living with hiv/aids at Victoria Hospital, Alice, Nkonkobe Municipality, Eastern Cape
- Authors: Sam, Ntombifikile
- Date: 2019
- Subjects: HIV infections
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10353/16210 , vital:40698
- Description: This study investigated the psychosocial challenges faced by people living with HIV/AIDS at Victoria Hospital, Alice, Nkonkobe municipality in the Eastern Cape. This study explored the views, attitudes and perceptions of people living with HIV/AIDS to understand the psychosocial challenges they underwent. The study aimed at achieving the following specific objectives: (i) To investigate the psychosocial challenges faced by people living with HIV and AIDS at the Victoria Hospital. (ii) To assess the impact of families and communities to people living with HIV/AIDS with respect to the lack of psychosocial support provided to people who are infected with HIV and AIDS at the Victoria Hospital in the Alice Area of the province of the Eastern Cape. (iii) To identify possible psychosocial support systems that could be provided by social service practitioners and by social networks for people living with HIV and AIDS and their families. The study used qualitative research approach where in-depth interviews and a focus group with key informants were used as methods of data collection. The study was premised on the systems theory to give a theoretical orientation into understanding the psychosocial challenges of people living with HIV/AIDS and possible support to be given to them. The sample size was made up of 10 patient participants; eight (8) ii females, two (2) males; and three (3) health practitioners. Non-probability sampling technique was used in the study. Specifically, purposive sampling was used to select the participants because the researcher believed that the participants had knowledge and experiences about HIV/AIDS. The data was analysed qualitatively through a content thematic analysis technique. The study found that there are many psychosocial challenges that are faced by people living with HIV/AIDS such as poverty, social support, rejection, depression and stigma and discrimination. The study recommends that the affected communities should have support groups for people living with HIV/AIDS to empower them and their families. The study also recommends the implementation of community engagements in the form of educating communities about HIV/AIDS and the importance of supporting people living with HIV/AIDS. More emphasis on the right to equality and the right for everyone to be treated with dignity and respect, as stated by Chapter 2 of the Bill of Rights of the South African constitution is highly recommended. Based on the evidence provided through the findings, the researcher is optimistic that all the challenges presented will be taken into consideration in future plans and policies.
- Full Text:
- Authors: Sam, Ntombifikile
- Date: 2019
- Subjects: HIV infections
- Language: English
- Type: Thesis , Masters , MSW
- Identifier: http://hdl.handle.net/10353/16210 , vital:40698
- Description: This study investigated the psychosocial challenges faced by people living with HIV/AIDS at Victoria Hospital, Alice, Nkonkobe municipality in the Eastern Cape. This study explored the views, attitudes and perceptions of people living with HIV/AIDS to understand the psychosocial challenges they underwent. The study aimed at achieving the following specific objectives: (i) To investigate the psychosocial challenges faced by people living with HIV and AIDS at the Victoria Hospital. (ii) To assess the impact of families and communities to people living with HIV/AIDS with respect to the lack of psychosocial support provided to people who are infected with HIV and AIDS at the Victoria Hospital in the Alice Area of the province of the Eastern Cape. (iii) To identify possible psychosocial support systems that could be provided by social service practitioners and by social networks for people living with HIV and AIDS and their families. The study used qualitative research approach where in-depth interviews and a focus group with key informants were used as methods of data collection. The study was premised on the systems theory to give a theoretical orientation into understanding the psychosocial challenges of people living with HIV/AIDS and possible support to be given to them. The sample size was made up of 10 patient participants; eight (8) ii females, two (2) males; and three (3) health practitioners. Non-probability sampling technique was used in the study. Specifically, purposive sampling was used to select the participants because the researcher believed that the participants had knowledge and experiences about HIV/AIDS. The data was analysed qualitatively through a content thematic analysis technique. The study found that there are many psychosocial challenges that are faced by people living with HIV/AIDS such as poverty, social support, rejection, depression and stigma and discrimination. The study recommends that the affected communities should have support groups for people living with HIV/AIDS to empower them and their families. The study also recommends the implementation of community engagements in the form of educating communities about HIV/AIDS and the importance of supporting people living with HIV/AIDS. More emphasis on the right to equality and the right for everyone to be treated with dignity and respect, as stated by Chapter 2 of the Bill of Rights of the South African constitution is highly recommended. Based on the evidence provided through the findings, the researcher is optimistic that all the challenges presented will be taken into consideration in future plans and policies.
- Full Text:
Management of HIV/AIDS programmes at the workplace: a study of selected organisations in Chris Hani District, Eastern Cape Province
- Authors: Shava, Getrude
- Date: 2013-04
- Subjects: HIV infections
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/24834 , vital:63601
- Description: The aim of the study was to investigate the management of HIV /AIDS programmes at the workplace in four selected organisations in Chris Hani District, Eastern Cape Province of South Africa. Four organisations were studied, two public organisations and two private organisations. With the use of triangulation method, two hundred employees were administered a semi- structured questionnaire while for (four) managers, semi structured in-depth interviews were conducted. The major findings of this study outline that all the four organisations studied have HIV/AIDS programmes and policies for their employees. However, there were no budget allocations for these programmes to be fully implemented for effectiveness. From the data, it can be concluded that HIV/AIDS has a negative impact on organisations‟ production like high training costs, high labour turnover and high absenteeism from work. This has been as a result of managers who did not put their total commitment towards HIV/AIDS management at their workplaces in the same way they have done to other core areas of businesses of their organisations. The study therefore recommends the management of these organisations to demonstrate a clear commitment to the HIV/AIDS management strategies by fully implementing the HIV/AIDS management programmes in their workplaces. It is very crucial for employees to see this commitment in a concrete form through non-discrimination and support for the people living with HIV/AIDS. Clear unambiguous commitment will go far in developing mutual trust between employers and employees and facilitate an atmosphere where people are willing to undergo VCT and to possibly disclose their status. Furthermore, managers are recommended to hire quality service providers to carry out intensive de-stigmatisation processes. This will create a supportive environment and adequately address the fears of employees about HIV/AIDS issues at the workplace. All these recommendations will go a long way in assisting organisations achieve their strategic business objectives and reduce the negative impact of HIV/AIDS at their workplaces. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2013
- Full Text:
- Authors: Shava, Getrude
- Date: 2013-04
- Subjects: HIV infections
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/24834 , vital:63601
- Description: The aim of the study was to investigate the management of HIV /AIDS programmes at the workplace in four selected organisations in Chris Hani District, Eastern Cape Province of South Africa. Four organisations were studied, two public organisations and two private organisations. With the use of triangulation method, two hundred employees were administered a semi- structured questionnaire while for (four) managers, semi structured in-depth interviews were conducted. The major findings of this study outline that all the four organisations studied have HIV/AIDS programmes and policies for their employees. However, there were no budget allocations for these programmes to be fully implemented for effectiveness. From the data, it can be concluded that HIV/AIDS has a negative impact on organisations‟ production like high training costs, high labour turnover and high absenteeism from work. This has been as a result of managers who did not put their total commitment towards HIV/AIDS management at their workplaces in the same way they have done to other core areas of businesses of their organisations. The study therefore recommends the management of these organisations to demonstrate a clear commitment to the HIV/AIDS management strategies by fully implementing the HIV/AIDS management programmes in their workplaces. It is very crucial for employees to see this commitment in a concrete form through non-discrimination and support for the people living with HIV/AIDS. Clear unambiguous commitment will go far in developing mutual trust between employers and employees and facilitate an atmosphere where people are willing to undergo VCT and to possibly disclose their status. Furthermore, managers are recommended to hire quality service providers to carry out intensive de-stigmatisation processes. This will create a supportive environment and adequately address the fears of employees about HIV/AIDS issues at the workplace. All these recommendations will go a long way in assisting organisations achieve their strategic business objectives and reduce the negative impact of HIV/AIDS at their workplaces. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2013
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Understanding the sexual risk behaviours of people living with different mental illnesses and their vulnerability to HIV infection
- Authors: Ndlovu, Deogracious
- Date: 2013
- Subjects: Health -- Social aspects , HIV infections
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/25037 , vital:63899
- Description: This study was primarily carried out in order to assess the sexual risk behaviours of people living with mental illnesses as well as their vulnerability to HIV infection. It sets out the basic realities of the interaction between mental illness and HIV/AIDS and its impact on individuals and communities. This study explores the implications for health policy and practice, and suggests how to provide better support and assistance in the empowerment of people living with mental illness as far as HIV and AIDS is concerned, including community support. It was also the aim of this study to look into the factors that expose this group of people to HIV infection as well as to understand the link between HIV/AIDS and mental illness. It also tested the inclusion of people with mental disabilities in HIV and AIDS prevention and education programmes. The research was conducted on the basis of a qualitative research design. A semi-structured interview schedule was used in broad based interviews to gather information from caregivers or guardians of people with mental disabilities as well as the professionals in the mental health sector. The results of the research revealed that people who are living with mental illnesses are a vulnerable group as regards HIV infection. It also conveys that this group of people presents with sexual risk behaviours, which increase their vulnerability to HIV and AIDS. In addition, there are many barriers against the inclusion of this group of people in HIV and AIDS prevention and education programmes and, as a result, they are often excluded from participating in such programmes. Importantly, the findings of this study acknowledge that there is a two-fold relationship between mental illness and HIV/AIDS. It indicates that mental illnesses are still regarded as mysterious in the community and there is much stigma and discrimination towards the mentally ill, increasing their vulnerability to HIV infection. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2013
- Full Text:
- Authors: Ndlovu, Deogracious
- Date: 2013
- Subjects: Health -- Social aspects , HIV infections
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/25037 , vital:63899
- Description: This study was primarily carried out in order to assess the sexual risk behaviours of people living with mental illnesses as well as their vulnerability to HIV infection. It sets out the basic realities of the interaction between mental illness and HIV/AIDS and its impact on individuals and communities. This study explores the implications for health policy and practice, and suggests how to provide better support and assistance in the empowerment of people living with mental illness as far as HIV and AIDS is concerned, including community support. It was also the aim of this study to look into the factors that expose this group of people to HIV infection as well as to understand the link between HIV/AIDS and mental illness. It also tested the inclusion of people with mental disabilities in HIV and AIDS prevention and education programmes. The research was conducted on the basis of a qualitative research design. A semi-structured interview schedule was used in broad based interviews to gather information from caregivers or guardians of people with mental disabilities as well as the professionals in the mental health sector. The results of the research revealed that people who are living with mental illnesses are a vulnerable group as regards HIV infection. It also conveys that this group of people presents with sexual risk behaviours, which increase their vulnerability to HIV and AIDS. In addition, there are many barriers against the inclusion of this group of people in HIV and AIDS prevention and education programmes and, as a result, they are often excluded from participating in such programmes. Importantly, the findings of this study acknowledge that there is a two-fold relationship between mental illness and HIV/AIDS. It indicates that mental illnesses are still regarded as mysterious in the community and there is much stigma and discrimination towards the mentally ill, increasing their vulnerability to HIV infection. , Thesis (MSoc) -- Faculty of Social Sciences and Humanities, 2013
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Evaluation of the role of support groups in the lives of HIV positive people at Nontyatyambo and Empilweni Gompo Community Health Centres in East London, Eastern Cape
- Mkhencele, Nontando Precious
- Authors: Mkhencele, Nontando Precious
- Date: 2011
- Subjects: HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11894 , http://hdl.handle.net/10353/d1001094 , HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: South Africa has the highest number of people living with HIV/AIDS in the world. The estimated 5,7 million South Africans that are living with HIV need comprehensive and holistic care. Psychosocial support is a vital aspect of care for HIV positive people. Support groups have been identified as a basic form of psychosocial support. The aim of this study was to evaluate the role of support groups in the lives of HIV positive people in East London, Eastern Cape. A qualitative study design was implemented using focus group interviews to explore the role of HIV support groups. The research questions were designed to elicit responses pertaining to the needs, expectations and experiences of HIV positive support group attendees. Activities conducted in support groups as well as the attitude of support group members towards recruiting other HIV positive people to join the group were also explored. Findings revealed that the benefits of attending a support group included emotional and psychological support, sense of belonging to a “family”, assistance with disclosure issues, gaining information about HIV and treatment as well as material benefits such as food parcels and job opportunities. The greatest need of support group attendees was assistance in obtaining a Social Support or Disability Grant. A few negative experiences were reported which included: unfulfilled promises by people outside of the group, unfair allocation of grants and food parcels, as well as negative group dynamics at times. Support group members agreed that even though there were few negative experiences, the benefits clearly outweighed the negative experiences. Most participants agreed that they would recommend the support group to other HIV positive people so that they could also enjoy the stated benefits. In summary, the study concluded that support groups are very helpful in the lives of HIV positive people.
- Full Text:
- Authors: Mkhencele, Nontando Precious
- Date: 2011
- Subjects: HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSc (Nursing Science)
- Identifier: vital:11894 , http://hdl.handle.net/10353/d1001094 , HIV-positive persons , Self-help groups -- South Africa -- Eastern Cape , HIV infections , AIDS (Disease) -- South Africa -- Eastern Cape
- Description: South Africa has the highest number of people living with HIV/AIDS in the world. The estimated 5,7 million South Africans that are living with HIV need comprehensive and holistic care. Psychosocial support is a vital aspect of care for HIV positive people. Support groups have been identified as a basic form of psychosocial support. The aim of this study was to evaluate the role of support groups in the lives of HIV positive people in East London, Eastern Cape. A qualitative study design was implemented using focus group interviews to explore the role of HIV support groups. The research questions were designed to elicit responses pertaining to the needs, expectations and experiences of HIV positive support group attendees. Activities conducted in support groups as well as the attitude of support group members towards recruiting other HIV positive people to join the group were also explored. Findings revealed that the benefits of attending a support group included emotional and psychological support, sense of belonging to a “family”, assistance with disclosure issues, gaining information about HIV and treatment as well as material benefits such as food parcels and job opportunities. The greatest need of support group attendees was assistance in obtaining a Social Support or Disability Grant. A few negative experiences were reported which included: unfulfilled promises by people outside of the group, unfair allocation of grants and food parcels, as well as negative group dynamics at times. Support group members agreed that even though there were few negative experiences, the benefits clearly outweighed the negative experiences. Most participants agreed that they would recommend the support group to other HIV positive people so that they could also enjoy the stated benefits. In summary, the study concluded that support groups are very helpful in the lives of HIV positive people.
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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.
- Full Text:
- 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.
- Full Text:
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