Curationis - Volume 32, Issue 4, 2009
Volume 32, Issue 4, 2009
Measurement of the effectiveness of an HIV/AIDS intervention programme on knowledge, attitudes, and behaviour of the South African Police Service employees : research articleAuthor L. CherianSource: Curationis 32, pp 4 –18 (2009)More Less
This study investigated if there was any change in the HIV/AIDS knowledge, attitudes, and behaviour of the South African Police Service's (SAPS) employees of Limpopo province after attending the HIV/AIDS intervention programme. From a population of (N=108) employees, those who attended the HIV/AIDS awareness workshop participated as experimental group (n=51) while those who attended the suicide prevention and disability workshop as control group (n=57). Random sampling method was used to select the above sample. Both workshops were conducted at various places in Limpopo Province. Pre-tests were administered before the workshops while the post-tests were administered after the workshops. The results were analysed using 2 (Group: Experimental versus Control Group) x 2 (Time: Pre-test versus Post-test, a repeated measure) Analyses of Variances (ANOVA). The findings showed that there was a significant change in HIV/AIDS knowledge after employees have attended the HIV/AIDS awareness workshop. There was however no significant change in attitude and behavior after the HIV/AIDS awareness programme. The study recommends that a one day workshop is not enough to change attitude and behavior. It also recommends that a follow up in the form of delayed post-test is required to investigate if the behavior of the members who promised to change positively had actually changed as behavior changes cannot manifest in a one day workshop. This can also serve as a suggestion for further research.
Reviewing gender and cultural factors associated with HIV/AIDS among university students in the South African context : research articleSource: Curationis 32, pp 19 –28 (2009)More Less
South Africa is in the midst of a catastrophic AIDS epidemic. HIV prevalence statistics in most countries indicate that up to 60% of all new infections occur among 15 to 24 year olds, whilst this group also boasts the highest incidence of sexually transmitted infections (STIs). Statistical findings among South African students predict a 10% increase in the HIV infection rate, highlighting the inability of universities to cope with societies' demands for academically trained workers which, in the near future, will have a detrimental effect on the economy of South Africa. From the literature it is evident that HIV/AIDS is more than a health issue, it is an inter-sectoral challenge to any society. This paper explored the interplay of gender and cultural factors on South African students' sexual behaviour by inter alia discussing the following factors that might put students at risk for HIV infection: male dominance vs. female submissiveness; age of first sexual encounter; gender-based violence; contraception; circumcision; financial status; myths and 'othering'; demonstrating the need for effective strategies, policies and programmes to protect young people, especially females from sexual abuse/rape and its consequences, including HIV. The literature review revealed that South African students, despite adequate HIV/AIDS knowledge, demonstrated high rates of sexual practices that place them at risk for HIV infection, i.e. unprotected sex, multiple partners and 'sugar-daddy practices'. The paper concludes with a discussion on recommendations for future HIV prevention/intervention programmes, highlighting the fact that it acquires an inclusive approach. Such interventions should move beyond the individual level to be effective and target gender-based inequalities, human rights violations, including sexual violence and rape, as well as stigma and poverty reduction, both at community and tertiary educational level.
Source: Curationis 32, pp 29 –39 (2009)More Less
The central phenomenon of interest to the authors was the experiences of Batswana women who have been diagnosed with both HIV/AIDS and cervical cancer. They wanted to know how these women and their families coped with the burden of the two 'fatal' diseases. This interest was brought about by the current surge in cervical cancer cases in the country, and the relationship between the two diseases. There is scant literature on the experiences of women with the dual diagnosis of HIV/AIDS and cervical cancer.
The purpose of the study was to explore the experiences of Batswana women who are diagnosed with both HIV/AIDS and cervical cancer. The research question was 'What are the experiences of Batswana women diagnosed with both HIV/AIDS and cervical cancer?' A phenomenological descriptive qualitative research design was therefore appropriate to answer the research question.
Semi-structured interviews and field notes were used to collect data. One-to-one interviews were conducted with six women diagnosed with the two diseases. Both convenience and purposive sampling techniques were used in selection of participants.
The seven procedural steps proposed by Collaizi (1978) were utilized in data analysis as the study was based on the phenomenology approach. The findings revealed that HIV/AIDS and cervical cancer are chronic illnesses that can instill chronic emotional pain. Reactions to diagnosis with these diseases include pain, fear or intense sadness. Coping with these conditions can be facilitated by different strategies such as acceptance, having hope, support from others and positive thinking. Support can come from children, family members, informal or formal groups and health service providers.
Experiences of HIV/AIDS home-based caregivers in Vhembe district of the Limpopo Province : research articleSource: Curationis 32, pp 40 –47 (2009)More Less
The purpose of this study was to explore and describe the experiences of HIV and AIDS home-based caregivers in the Vhembe district of Limpopo Province. A qualitative research design which was exploratory, descriptive and contextual was executed with a sample of purposively selected participants who provided home-based care to people living with HIV and AIDS in the Vhembe district of Limpopo Province. Data saturation occurred after in-depth interviews with fifteen participants. In-depth individual interviews and field notes were also used during data collection.
The findings reveal that HIV/AIDS home-based caregivers express pain and despair when caring for HIV/AIDS patients. The theme was supported by the following categories and subcategories: problems related to stigma when caring for patients at their homes; stress, burnout, frustration and feelings of helplessness when caring for patients. Recommendations that are described focus on building a working relationship between the home-based caregivers, community and the family.
Perceptions of community members towards youth abusing alcohol in the Capricorn District of the Limpopo Province, South Africa : research articleSource: Curationis 32, pp 48 –54 (2009)More Less
Alcohol abuse is a problem in South Africa and it has negative effects on the wellbeing of individuals, families, friends, work associates and neighbors. Alcohol produces both psychological and physical dependence. Gillies (1999:112) indicated that alcoholism usually interferes with the ability to socialize, work and may lead to much other destructive behaviour. It was further stated that people who are addicted to alcohol often have a low self-esteem, immaturity, are easily frustrated, and have difficulty in solving personal problems. This study investigated the perceptions of community members towards youth abusing alcohol and identified, among others, anti-social behavior, poor interpersonal relationships, family disorganization, poor integration with family members and physical damage as the major concerns. An attempt was also made to develop strategies that can be used to overcome the problems of alcohol abuse by youth.
Design and Method : A qualitative, exploratory, descriptive and contextual research design was followed in this study for the participants to describe their perceptions regarding the phenomenon in question (Brink, 2006:113). Data were collected through individual unstructured interviews in one village of the Capricorn District of the Limpopo Province. The researchers employed the principles of Guba and Lincoln (1993) cited in De Vos (1998:331) relating to trustworthiness and adhered to the ethical standards as set by the Democratic Nurses Association of South Africa (DENOSA, 1998:2.3.2).
Findings : Five themes and seven categories emerged from the data analysis, using Tech's open coding approach (1990), as outlined in De Vos (1998:343), namely, antisocial behaviour, poor interpersonal behaviour, physical damage, poor progress in life processes and effects of alcohol on the body. To address the problem of alcohol abuse by youth in one village (the study area) of the Capricorn District in the Limpopo Province and other villages the study recommends that educational and recreational facilities and the formation of youth structures should be established.
Source: Curationis 32, pp 55 –60 (2009)More Less
A non-experimental, descriptive and quantitative survey was conducted to explore orthopaedic patients' perceptions about the pre-operative information received when undergoing elective surgery in two hospitals in the KwaZulu-Natal Province. The findings indicate that most patients perceived the pre-operative information to be useful in their preparation for surgery. Aspects that were not addressed during pre-operative information sessions included post-operative nutrition, pain medication, ambulation, deep breathing and coughing exercises. The recommendations include that all these aspects should be addressed in future pre-operative education sessions. Further research should be conducted for enhancing the pre-operative information provided to patients scheduled to undergo elective orthopaedic surgery.