1,721,008 research outputs found
Perceived HIV stigma and life stisfaction among persons living with HIV infection in five African countries: A longitudinal study
No full textPhronesis: beyond the research ethics committee. A crucial decision-making skill for health researchers during community research
No full textHealth researchers conducting research in the community are often faced with unanticipated ethical issues that arise in
the course of their research and that go beyond the scope of ethical approval by the research ethics committee. Eight
expert researchers were selected through extreme intensity purposive sampling, because they are representative of
unusual manifestations of the phenomenon related to their research in the community. They were selected to take part
in a semi-structured focus group discussion on whether practical wisdom (phronesis) is used as a decision-making skill to
solve unanticipated ethical issues during research in the community. Although the researchers were not familiar with the
concept phronesis, it became obvious that it formed an integral part of their everyday existence and decision making during
intervention research. They could balance research ethics with practical considerations. The capacity of practical wisdom
as a crucial decision-making skill should be assimilated into a researcher’s everyday reality, and also into the process of
mentoring young researchers to become phronimos. Researchers should be taught this skill to handle unanticipated ethical
issue
A community ''Hub'' network intervention for HIV stigma reduction: a case study
No full textWe describe the implementation of a community “hub” network intervention to reduce HIV stigma in the Tlokwe Municipality, North West Province, South Africa. A holistic case study design was used, focusing on community members with no differentiation by HIV status. Participants were recruited through accessibility sampling. Data analyses used open coding and document analysis. Findings showed that the HIV stigma-reduction community hub network intervention successfully activated mobilizers to initiate change; lessened the stigma experience for people living with HIV; and addressed HIV stigma in a whole community using a combination of strategies including individual and interpersonal levels, social networks, and the public. Further research is recommended to replicate and enhance the intervention. In particular, the hub network system should be extended, the intervention period should be longer, there should be a stronger support system for mobilizers, and the multiple strategy approach should be continued on individual and social level
Experiences of people living with HIV and people living close to them of a comprehensive HIV stigma reduction community intervention in an urban and a rural setting
Get PDFHIV stigma remains high globally. Although there is a selection of HIV stigma reduction interventions discussed in the literature,
there is a paucity of research about the effectiveness of these interventions. This study aimed at gaining a deeper understanding of the experiences of people living with HIV (PLWH) and people living close to them from six designated groups during and after having undergone a comprehensive HIV stigma reduction community intervention in both an urban and a rural setting. Attention was focused on their expressed experiences of the workshop and projects executed. A qualitative interpretive
description approach was used. PLWH as participants were selected through purposive voluntary sampling and through
snowball sampling for the people living close to them. Recruitment was from both urban and rural settings in the North West
Province, South Africa. Data collection was via in-depth interviews with 23 PLWH and 60 people living close to them from
specific designated groups. The data were thematically analysed through manual open coding. The results from the urban and
rural settings were pooled, as there were no noteworthy differences in the themes between them. The results indicated that there was an increase in knowledge in all the groups, as well as experiences of enhanced relationships and of being equipped with leadership skills in order to go out into the community and being part of HIV stigma reduction actions. The intervention in its
comprehensive nature was found to have been successful and promising for future use in reducing HIV stigma
Policy makers' perceptions and attitutdes regarding incorporation of traditional healers into the national health care delivery system
No full texthttps://doi.org/10.4102/curationis.v31i4.104
Health behaviour change of people living with HIV after a comprehensive community-based HIV stigma reduction intervention in North-West Province in South Africa
Get PDFAll over the world, health behaviour is considered a complex, far reaching and powerful phenomenon. People’s lives are influenced
by their own or others’ health behaviour on a daily basis. Whether it has to do with smoking, drinking, pollution, global warming or
HIV management, it touches lives and it challenges personal and community responses. Health behaviour, and health behaviour
change, probably holds the key to many a person’s immediate or prolonged life or death outcomes. The same can be said about
communities, culture groups and nations. This SANPAD-funded study focused on research questions relating to health
behaviour change for people living with HIV (PLWH) in the North-West Province in South Africa. It investigated whether a
comprehensive community-based HIV stigma reduction intervention caused health behaviour change in PLWH. An
quantitative single system research design with one pre- and four repetitive post-tests utilizing purposive sampling was used to
test change-over-time in the health behaviour of 18 PLWH. The results of the study indicated statistical and/or practical
significant change-over-time. The intervention not only addressed the health behaviour of PLWH, but also their HIV stigma
experiences, HIV signs and symptoms and their quality of life in the context of being HIV positive. The recommendations
include popularization of the comprehensive community-based HIV stigma reduction intervention and extending it to include a
second intervention to strengthen health behaviour and quality of life for PLWH in the community at large
Views of Christian fathers of their role as mentors in the transmission of values within the family context
Get PDFThere is a crisis in society with respect to peoples' values. Families are living in an era of moral anxiety and not only South Africa but also the rest of the world is suffering from a value-dilemma. Homes, schools and institutions have problems with the behaviour and values of children. This study explored and described the views about Christian fathers of their role as mentor in the transmission of values within the family context. voluntary sampling. Data was collected by means of semi-structured interviews with the designated group in the broader Tlokwe Municipality. Field notes were taken after each interview. Data analysis was conducted using open coding as well as using an independent co-coder. The results indicated that Christian fathers view their role as vital and relevant in the current situation of families. The six main themes that emerged from the semi-structured interviews with the fathers were their personal experiences of mentorship while growing up, the expectations of the father as mentor in the lives of children, the importance of values, the importance of mentorship, the problematic factors preventing mentoring and the transmission of values and the role of the father should be emphasized in the home
Changeover-time in psychosocial wellbeing of people living with HIV and people living close to them after an HIV stigma reduction and wellness enhancement community intervention
No full textHIV stigma continues to affect the psychosocial wellbeing of people living with HIV (PLWH) and people living close to them (PLC). Literature unequivocally holds the view that HIV stigma and psychosocial wellbeing interact with and have an impact on each other. This study, which is part of a larger research project funded by the South Africa Netherlands research Programme on Alternatives in Development (SANPAD), responds to the lack of interventions mitigating the impactful interaction of HIV stigma and psychosocial wellbeing and tests one such intervention. The research objectives were to test the changeover-time in the psychosocial wellbeing of PLWH and PLC in an urban and a rural setting, following a comprehensive community-based HIV stigma reduction and wellness enhancement intervention. An experimental quantitative single system research design with a pre- and four repetitive post-tests was used, conducting purposive voluntary sampling for PLWH (n = 18) and snowball sampling for PLC (n = 60). The average age of participants was 34 years old. The five measuring instruments used for both groups were the mental health continuum short-form scale, the patient health questionnaire, the satisfaction with life scale, the coping self-efficacy scale and the spirituality wellbeing scale. No significant differences were found between the urban–rural settings and data were pooled for analysis. The findings show that initial psychosocial wellbeing changes after the intervention were better sustained (over time) by the PLC than by the PLWH and seemed to be strengthened by interpersonal interaction. Recommendations included that the intervention should be re-utilised and that its tenets, content and activities be retained. A second intervention three to six months after the first should be included to achieve more sustainability and to add focused activities for the enhancement of psychosocial wellbeing. PLWH and PLC are to be encouraged to engage with innovative community mechanisms to make psychosocial wellbeing a way of life in the community at larg
A model for the incorporation of the traditional healers into the national health care delivery system of South Africa System of South Africa
Get PDFIn South Africa the patient uses both the traditional healers and biomedical personnel’s services out of need for the best healing therapy to fulfil his/ her health needs. Failure of one to yield the expected results leads to the use of the other. This shunting back and forth prompted the researcher to undertake research and formulated a model demonstrating how the traditional healers can be incorporated into the National Health Care Delivery System of South Africa. The research used both qualitative and theory generating designs to attain the set objective. Firstly, a qualitative research design used semi-structured interviews to investigate the perceptions and attitudes of biomedical personnel, traditional healers, patients and policy makers, regarding the process of incorporation. A non-probable purposive voluntary sample was used, selection was done according to a set criteria. Data was analysed and the results of phase one as well as initial literature review were used to construct a conceptual framework for the model. Secondly, a theory generating design was employed using the three phases of Dickoff, James and Wiedenbach (1968:435) to formulate a model which was systematically, logically and consistently conceptualized. In evaluation of this model a predetermined criteria was used. The results showed that the constructed model demonstrated the government formulating policy to legalize traditional healing and affording the traditional healers legal authority to be official partners to the biomedical personnel and avail the quality health care services that fulfils the patients health needs using the primary health care approach
Experiences of HIV/AIDS stigma of persons living with HIV/AIDS and nurses involved in their care from five african countries
No full texthttp://search.sabinet.co.za/WebZ/Authorize?sessionid=0&next=ej/ej_content_ajnm.html&bad=error/authofail.htm
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