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| DIRECTORIES | |  | Research output keywords | | | HIV/AIDS | |
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Adams, W.J., Aliber, M.A., Cross, R.C., Drimie, S.E., Modiselle, D.S., Randela, R., Tlabela, K.R.U. & Zama, S.B. (2002) The impact of HIV/AIDS on land issues in Kwazulu-Natal province South Africa: case studies from Muden, Dondotha, Kwadumisa and Kwanyuswa. (Report commissioned by the Sub-regional Office for Southern and Eastern Africa of the Food and Agricultural Organization of the United Nations (FAO)).
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Agu, V.U. (2010) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: PMTCT country report: Mauritius. (March).
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The HIV/AIDS epidemic in Mauritius is concentrated, characterized by prevalence below 1% among the general population and a higher prevalence of generally above 5% in specific vulnerable groups such as commercial sex workers (CSWs) and injecting drug users (IDUs).
The country is experiencing a rapid increase in incidence due to the high vulnerability of IDU. During recent years, the epidemi...
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Agu, V.U. (2010) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: PMTCT country report: South Africa. (March).
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Using data drawn for various sources, Rehle et al. (in press) summarised the HIV and PMTCT situation in South Africa as follows. In South Africa, HIV prevalence surveillance among pregnant women attending public health clinics has been conducted on an annual basis since 1990 and served as the primary source for monitoring trends of HIV in the country. HIV prevalence data collected from the lat...
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Agu, V.U. (2010) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: HTC country report: Mauritius. (March).
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According to the Republic of Mauritius UNGASS report (2008) , based on 2007 sentinel surveillance data provided by the Ministry of Health and Quality of Life (MOHQL), the total cumulative HIV/AIDS cases for Mauritius amount to 3258, of whom 3107 are residents. Among the residents detected as positive, 2574 are male and 533 female, resulting in a male to female sex ratio of 5:1. Death among resi...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: PMTCT country report: Zambia. (March).
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Zambia is one of the sub-Saharan African countries worst affected by HIV/AIDS pandemic. Estimates of HIV prevalence in 2007 for people aged 15 to 49 are 15.2% (UNICEF) and 14.3% (ZHDS). Estimates from sentinel surveillance data for 15-24 year olds are 6.5% (ZDHS, 2007) and 12.5% (SADC, 20081). Ninety-three percent of the population has access to antenatal care (UNICEF, 2008).
HIV transmissio...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: PMTCT country report: Namibia. (March).
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HIV infection prevalence among young women between 15 and 24, which can be used as a proxy for incidence, has shown a slight decline from 17.9 in 2002 to 15.2 in 2004, to 14.2 percent in 2006, but there is marked variation between sites and years.
The National Policy on HIV/AIDS was approved in March 2007 and Guidelines for the Prevention of Mother to Child Transmission published in July 200...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: PMTCT country report: Lesotho. (March).
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The main aim of this consultancy is to develop regional harmonized minimum standards for policies, protocols and guidelines for PMTCT in the SADC region.
To achieve this, the project team of the Social Aspects of HIV/AIDS Research Alliance (SAHARA) - see appendix 1 - is reviewing and analysing policies, protocols and guidelines for PMTCT in each SADC member state (MS), in collaboration with...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: HTC country report: Namibia. (March).
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The estimated HIV prevalence for adults (15-49) in 2007 was 15.3% (UNICEF, 2008). Estimates based on sentinel surveillance data in 2007 indicated a prevalence of 14.0% for 15-24 year-olds (SADC, 2008).1 NDHS figures indicate that 18 - 25% of the population was tested for HIV. NDHS figures indicate that slightly more females than males were tested (the female figure stands at 28%).
In July 2007...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: HTC country report: South Africa. (March).
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According to the South African UNGASS report for 2006-20071, the international protocol on HIV testing, including rapid tests is used at South African health facilities. During 2006/2007, 1 610 775 men and women were tested at public health facilities. Approximately 578 0002 pregnant women were tested in 2007. The majority (90%) attending VCT services receive their results the same day. Post-te...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: HTC country report: Zambia. (March).
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Voluntary Counselling and Testing Services were established on a larger scale in Zambia in 1999. The programme was initiated in 21 pilot sites evenly distributed in each of the nine provinces of Zambia and the major funding in this pilot phase was provided by the Norwegian Government through NORAD. The Government of the Republic of Zambia provided the required human resources through the establ...
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Agu, V.U. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling and Prevention of Mother-to-Child Transmission of HIV in the SADC region: HTC country report: Lesotho. (March).
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According to the Lesotho Demographic and Health Survey (DHS, 2004), the national average HIV prevalence (age 15-49) for Lesotho is 23.3%, with the highest prevalence in districts closest to Maseru (Lesotho DHS, 2004). There has been a steady increase in uptake of HTC since 2004, in part resulting from the major 'Know Your Status' campaign. By the end of 2008, about 28% of the population knew t...
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Airhihenbuwa, C., Okoror, T., Shefer, T., Brown, D., Iwelunmor, J., Smith, E., Adam, M., Simbayi, L., Zungu, N., Dlakulu, R. & Shisana, O. (2009) Stigma, culture, and HIV and AIDS in the Western Cape, South Africa: an application of the PEN-3 cultural model for community-based research. Journal of Black Psychology. 35(4):407-432.
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HIV- and AIDS-related stigma has been reported to be a major factor contributing to the spread of HIV. In this study, the authors explore the meaning of stigma and its impact on HIV and AIDS in South African families and health care centres. They conducted focus groups and key informant interviews among African and colored populations in Khayelistsha, Gugulethu and Mitchell's Plain in the Wes...
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Airhihenbuwa, C.O., Shisana, O., Zungu, N., BeLue, R., Makofani, D.M., Shefer, T., Smith, E. & Simbayi, L. (2011) Research capacity building: a US-South African partnership. Global Health Promotion. 18(2):27-35.
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Research capacity building engenders assets that allow communities (and, in this case, student fellows) to respond adequately to health issues and problems that are contextual, cultural and historical in nature. In this paper, we present a US-South African partnership that led to research training for 30 postgraduate students at two South African universities. We begin by exploring the nature o...
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Aliber, M. (2007) HIV/AIDS, land reform and land-based livelihoods in three provinces in South Africa: summary of phase 1 findings and preliminary findings from phase 2. (August).
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Aliber, M. & Walker, C. (2006) The impact of HIV/AIDS on land rights: perspectives from Kenya. World development. 34(4):704-727.
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Aliber, M., Tlabela, K., Drimie, S. & Walker, C. (2005) HIV/AIDS, land-based livelihoods, and land reform in South Africa. (Report to the International Food Policy Research Institute and the Department of Land Affairs, South Africa, December).
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Aliber, M., Walker, C., Machera, M., Kamau, P., Omondi, C. & Kanyinga, K. (2004) The impact of HIV/AIDS on land rights: case studies from Kenya. Cape Town: HSRC Publishers.
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This study explores the relationship between HIV/AIDS and land rights in Kenya, with a particular focus on women as socially vulnerable group. Combining participatory research techniques, household surveys, and in-depth person-to-person interviews, the study examines three village case studies in different parts of Kenya, and attempts to distinguish the role of HIV/AIDS in precipitating or agg...
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Andrews, G. (2007) Putting research into policy and practice through partnership building, networking and information dissemination: the role of the SAHARA network. In: Prince, B., Louw, J., Roe, K. & Adams, R. (eds). Exploring the challenges of HIV/AIDS: seminar proceedings. Cape Town: HSRC Press. 2-5.
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Andrews, G., Skinner, D. & Zuma, K. (2006) Epidemiology of health and vulnerability among children orphaned and made vulnerable by HIV/AIDS in sub-Saharan Africa. AIDS care. 18(3):269-276.
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The HIV/AIDS epidemic in sub-Saharan Africa has already orphaned a generation of children, and it is projected that by 2010, 18 million African children under the age of 18 are likely to be orphans from this single cause (UNICEF, 2005, The state of the Worlds Children: Childhood under threat . New York: UNICEF). Results from a Kellogg funded OVC project (Skinner et al., 2004, Definition of orph...
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Avalos, L.A., Mertens, J.R., Ward, C.L., Flisher, A.J., Bresick, G.F. & Weisner, C.M. (2009) Stress, substance use and sexual risk behaviors among primary care patients in Cape Town, South Africa. AIDS and Behavior. Online:
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We assessed the relationship between stress, substance use and sexual risk behaviors in a primary care population in Cape Town, South Africa. A random sample of participants (and over-sampled 18-24-year-olds) from 14 of the 49 clinics in Cape Town's public health sector using stratified random sampling (n = 2,618), was selected. We evaluated current hazardous drug and alcohol use and three doma...
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Baptiste, D.R., Bhana, A., Petersen, I., McKay, M., Voisin, D., Bell, C. & Martinez, D.D. (2006) Community collaborative youth-focused HIV/AIDS prevention in South Africa and Trinidad: preliminary findings. Journal of pediatric psychology. 31:905-916.
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Barsdorf, N., Wassenaar, D. & Richter, L. (2004) Women, science, ethics and HIV vaccine testing in Africa. (Paper presented at the WHO-UNAIDS consultation, Geneva, Switzerland, 26-28 August).
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Bell, C.C., Bhana, A., Petersen, I., McKay, M.M., Gibbons, R., Bannon, W. & Amatya, A. (2008) Building protective factors to offset sexually risky behaviors among black youths: a randomized control trial. Journal of the National Medical Association. 100(8):936-944.
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The objective of this study was to test the effectiveness of the CHAMP among black South Africans in KwaZulu-Natal, South Africa. A randomized control trial was conducted in KwaDedangendlale, South Africa, among youths (ages 9-13) and their families (245 intervention families rearing 281 children and 233 control families rearing 298 children). The CHAMPSA intervention targeted HIV risk behavi...
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Bhana, A., McKay, M.M., Mellins, C., Petersen, I. & Bell, C. (2010) Family-based HIV prevention and intervention services for youth living in poverty-affected contexts: the CHAMP model of collaborative, evidence-informed programme development. Journal of the International AIDS Society. 13(2):Online.
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Family-based interventions with children who are affected by HIV and AIDS are not well established. The Collaborative HIV Prevention and Adolescent Mental Health Program (CHAMP) represents one of the few evidence-based interventions tested in low-income contexts in the US, Caribbean and South Africa. This paper provides a description of the theoretical and empirical bases of the development and...
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Bhana, A. & Petersen, I. (2009) HIV and youth: a behavioural perspective. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 55-68.
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This chapter highlights the critical importance of a continued focus on youth given the large spikes in HIV incidence in this age cohort, and also because youth continue to offer the best opportunities for prevention intervention efforts, as anti-retroviral treatment cannot succeed on its own, and which will begin to make an impact on the scourge of HIV and AIDS.
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Bhana, A. (2006) Addressing HIV/AIDS in drug treatment populations. (Paper presented at the MRC/CDC South Africa workshop: Addressing the link between drugs and HIV in vulnerable populations, Protea Hotel, Cape Town, 2-4 August).
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Bhana, A. & Petersen, I. (2005) CHAMPioning families to fight AIDS. HSRC review. 3(3):10-11.
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The first line of defence against the AIDS pandemic is in the home. The authors present the results of a new strategy to help parents strengthen their families and to reduce the risk for their children.
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Bhana, A., Brookes, H., Makiwane, M. & Naidoo, K. (2005) Evaluation of the impact of the life orientation programme on HIV/AIDS in Gauteng schools: pilot study. (Commissioned by the Gauteng Department of Education, South Africa, January).
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The primary aim of this pilot research was to develop an instrument to evaluate the impact of the Life Orientation Programme (LOP) on sex, sexuality and HIV/AIDS in Gauteng schools at secondary level and if possible at primary level. The main objectives were to:
1. Determine levels of implementation of life orientation and HIV/AIDS awareness activities in schools,
2. Identify and compare sour...
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Bhana, A., Zimmerman, R., Cupp, P. & Sonja-Feist, P. (2005) Preliminary findings of the HIV and Alcohol Prevention Programme (HAPS) in South African township schools. (Paper presented at the 7th International AIDS Impact Conference, Cape Town, South Africa, 4-7 April).
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Bhana, A., Petersen, I., Mason, A., Mahintsho, Z., Bell, C. & McKay, M. (2004) Children and youth at risk: adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa. African journal of AIDS research. 3(1):33-43.
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This paper reports on the adaptation and pilot study of the CHAMP programme (Collaborative HIV/AIDS and Adolescent Mental Health Programme) in South Africa with specific reference to outcome effects among adults. CHAMP was originally developed in the United States and is a developmentally-timed intervention, which aims to prevent HIV infection in youth through promoting resiliency in pre-adoles...
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Bhana, A., Petersen, I., McKay, M. & Bell, C. (2003) Using CHAMP to prevent youth HIV risk in South African townships. (Paper presented at the South African-United States Workshop on Behavioral HIV/STD Prevention and Mental Health Research: Progress and Possibilities, Cape Town, South Africa, October 28-30).
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Bogart, L.M., Kalichman, S.C. & Simbayi, L.C. (2008) Endorsement of a genocidal HIV conspiracy as a barrier to HIV testing in South Africa. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 49(1):115-116.
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Regardless of their origin, genocidal beliefs may be barriers to HIV prevention efforts. In the United States, HIV conspiracies are associated with decreased condom use among African American men. In South Africa, relationships between such beliefs and HIV prevention behaviors have not been tested quantitatively. One critical prevention behavior that may be influenced by genocidal beliefs is...
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Brandt, R., Dawes, A. & Bray, R. (2006) Women coping with AIDS in Africa: contributions of a contextually grounded research methodology. Psychology, health & medicine. 11(4):522 - 527.
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The primary objective of this report is to describe a contextually grounded approach to the investigation of coping and psychological functioning in AIDS-sick mothers. Five AIDS-sick women on antiretroviral therapy who had at least one child under 6 years of age living in their households were interviewed. Among the issues that emerged was the complexity of the women's psychological functioning...
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Brookes, H.J. (2003) Reflexivity as intervention in communities in crisis: participatory research approaches to HIV/AIDS in South Africa. (Paper presented to the American Applied Anthropology Conference. Portland, Oregon: March, 19-23).
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Brookes, H.J. (2003) Social science research and the challenge of AIDS: a reflexive participatory research approach. (Presented at the HSRC Conference. Johannesburg: June 12-13).
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Buhlungu, S., Daniel, J., Southall, R. & Lutchman, J. (eds). (2006) State of the nation: South Africa 2005-2006. Cape Town: HSRC Press.
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State of the Nation: South Africa 2005-06 is the third in the HSRC?s exciting annual volume of essays on aspects of contemporary politics, economics, society and international relations in South Africa. This series has, in a relatively short period, become established as part of the annual South African scholarly calendar. Coverage in the media, international as well as South African, has been ...
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Busch, M.P., Pilcher, C.D., Mastro, T.D., Kaldor, J., Vercauteren, G., Rodriguez, W., Rousseau, C., Rehle, T.M., Welte, A., Averill, M.D. & Garcia Calleja, J.M. (2010) Beyond detuning:10 years of progress and new challenges in the development and application of assays for HIV incidence estimation. AIDS. 24:2763-2771.
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In the ongoing battle against HIV/AIDS, it is critical that we are able to measure and monitor HIV incidence, that is the number of new infections during a period of time, usually expressed as number of infections/person-years of observation or as an annual percentage of the population that acquire infection. Knowledge of HIV incidence is necessary to understand transmission patterns; to provid...
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Buso, N. (2004) Evaluation on non-profit organisations in the Free State Province in the field of HIV/AIDS: first draft report. (Study undertaken for the Free State Youth Commission, June).
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The overall aim of this study was to evaluate the role of non-profit organisations in the Free State in the field of HIV/AIDS with specific emphasis on the youth as beneficiaries. The report outlines the circumstances and conditions in which NPOs in the Free State Province operate and interact with tow government departments, namely the Department of Social Development and Department of Health.
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Buthelezi, T., Mitchell, C., Moletsane, R., De Lange, N., Taylor, M. & Stuart, J. (2007) Youth voices about sex and AIDS: implications for life skills education through the 'Learning Together' project in KwaZulu-Natal, South Africa. International Journal of Inclusive Education. 11(4):445-459.
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The article focuses on youth voices about sex and AIDS, revealing significant discrepancies between the `ideal adult worldview? and the `practical youth worldview? on sexual matters. Drawing on theories of childhood development and student development, the article argues that effective life skills curricula, with a rights-based approach, and maximum youth engagement achieved through participato...
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Carey, K.B., Scott-Sheldon, L.A.J., Carey, M.P., Cain, D., Mlobeli, R., Vermaak, R., Mthembu, J., Simbayi, L.C. & Kalichman, S.C. (2011) Community norms for HIV risk behaviors among men in a South African township. Journal of Behavioral Medicine. 34:32-40.
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We investigated alcohol-related sexual risk behavior from the perspective of social norms theory. Adults (N = 895, 62% men) residing in a South African township completed street-intercept surveys that assessed risk and protective behaviors (e.g., multiple partners, drinking before sex, meeting sex partners in shebeens, condom use) and corresponding norms. Men consistently
overestimated the ac...
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Chandiwana, S.K. (2003) Shared and SAHARA (social aspects of HIV/AIDS research alliance). (Internal presentation at the HSRC seminar series, Pretoria, 14th January.).
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Chao, L., Pauly, M., Szrek, H., Pereira, N.S., Bundred, F., Cross, C. & Gow, J. (2007) Poor health kills small business: illness and microenterprises in South Africa. Health affairs. 26(2):474-482.
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Chikovore, J., Nystrom, L., Lindmark, G. & Ahlberg, B.M. (2009) HIV/AIDS and sexuality: concerns of youths in rural Zimbabwe. African Journal of AIDS Research. 8(4):503-513.
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Concerns regarding HIV and AIDS were elicited from 546 school youths (51% female, age range 9-25 years) in a Zimbabwean rural district, through a self-generated question-writing process. Concerns emerged around how to avoid HIV infection at a time when they were undergoing secondary sexual development, had growing feelings of love, and were even engaging in sexual activity, while they had limit...
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Child, Youth and Family Development Research Programme (2003) Fertility: current South African issues of poverty, HIV/AIDS & youth: seminar proceedings. Cape Town: HSRC Publishers.
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The focus of this volume, based on the 2002 conference Fertility: The Current South African Issues of Poverty, HIV/AIDS, and buth emanating from the partnership between the Department of Social Development, the South African Regional Poverty Network (SARPN) and the HSRC, is to examine the underlying inextricable link between fertility and the socio-economic development. This collaborative volu...
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Chimere-Dan, G.C. & Makiwane, M.B. (2009) The state of youth in South Africa: is the health status of youth improving?. (Commissioned by the Department of Social Development, December).
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This paper examines the health status of South African youth in the past fifteen years using available quantitative data. Specific areas of interest here include youth disability, substance abuse, sexual and reproductive behaviour and HIV and AIDS. We also assess the pattern of health status implied in official statistics on mortality and causes of death among the youth.
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Chirowodza, A., Van Rooyen, H., Richter, L. & Coates, T. (2009) Gendered constructions of HIV risk in rural KwaZulu-Natal, South Africa. (Paper presented at the 4th South African AIDS Conference, Durban, South Africa, 31 March - 4 April).
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Chirowodza, A., Van Rooyen, H., Joseph, P., Sikotoyi, S., Richter, L. & Coates, T. (2009) Using participatory methods and geographic information systems (GIS) to prepare for an HIV community-based trial in Vulindlela, South Africa. Project Accept - HPTW 043. Journal of Community Psychology. 37(1):41-57.
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Recent attempts to integrate geographic information systems (GIS) and participatory techniques, have given rise to terminologies such as participatory GIS and community-integrated GIS. Although GIS was initially developed for physical geographic application, it can be used for the management and analysis of health and health care data. Geographic information systems, combined with participatory...
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Chirowodza, A., McGrath, N., Van Rooyen, H., Richter, L. & Coates, T. (2008) A comparative analysis of quantitative and qualitative HIV stigma data from a community based randomized trial in Kwa-Zulu Natal, South Africa (project Accept HPTN 043). (Poster presented at the XVII International AIDS Conference, Mexico City, 3-8 August).
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Chirowodza, A., Van Rooyen, H. & Richter, L. (2007) Fieldwork processes, challenges and lessons of the recruitment of a qualitative cohort. (Poster presentation at the 3rd South African AIDS Conference, Durban, South Africa, 5-8 July).
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Cilliers, K., Labadarios, D., Schaaf, H.S., Willemse, M., Maritz, J.S., Werely, C.J., Hussey, G. & Donald, P.R. (2010) Pyridoxal-5-phosphate plasma concentrations in children receiving tuberculosis chemotherapy including isoniazid. Acta Paediatrica. 99(5):705-710.
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Aim: Little is known about pyridoxine nutriture of children treated with isoniazid (INH) regimens. This study documents plasma pyridoxal 5'-phosphate (PLP) concentrations in children, HIV-infected and HIV-uninfected, receiving INH regimens.
Methods: Children from the Western Cape of South Africa hospitalized for tuberculosis (TB) management were studied. Plasma PLP concentrations were determ...
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Clayton, J., Setswe, G., Simbayi, L., Stephens, D., Davids, A., Jooste, S. & Dwadwa-Henda, N. (2008) Psychosocial support (PSS) needs of community-based caregivers (CBCs) working with orphans and vulnerable children (OVC) in South Africa. (Presentation published as a abstract in Abstracts for XVII International Conference on AIDS, Mexico City, Mexico, 3-8 August).
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Cleary, S., Silal, S., Birch, S., Carrara, H., Pillay-van Wyk, V., Rehle, T. & Schneider, H. (2011) Equity in the use of antiretroviral treatment in the public health care system in urban South Africa. Health Policy. 99:261-266.
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Objectives: The scaling up of antiretroviral treatment (ART) for HIV-infected adults requires a sizeable investment of resources in the South African public health care system. It is important that these resources are used productively and in ways that reach those in need, irrespective of social status or personal characteristics. In this study we evaluate whether the distribution of ART servic...
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Cloete, A., Simbayi, L., Henda, N. & Kalichman, S. (2011) Pride and prejudice: gay men who are HIV-positive fear 'double discrimination'. HSRC Review. 9(3):8.
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South Africa's Constitutional protections against discrimination for sexual orientation afford countless opportunities to bring men who have sex with men (MSM) out of the shadows and into the reach of public health interventions. Fear of disclosing sexual orientation remains commonplace, with MSM experiencing a sense of vulnerability that they could fall victim to stigmatisation and discriminat...
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Cloete, A. & Simbayi, L.C. (2011) Public health evaluation of the healthy relationships positive prevention programme in four districts of the OR Tambo District in the Eastern Cape, South Africa. (Paper presented at the HSRC Social Sciences Conference, Birchwood Conference Centre, Benoni, 7-8 September).
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Cloete, A., Sanger, N. & Simbayi, L.C. (2010) Are HIV positive women who have sex with women (WSW) an unrecognized and neglected HIV risk group in South Africa?. Journal of AIDS and HIV Research. 2(8):Online.
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South Africa is home to the largest population of people living with HIV/AIDS (PLWHA). Of this population gender non-conforming women like women who have sex with women (WSW) remain undocumented. This study is an attempt to fill this information gap as it describes the demographic, health and sexual behaviours of 72 HIV positive WSW. The data indicate that WSW are not protected from HIV because...
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Cloete, A., Strebel, A., Simbayi, L., Van Wyk, B., Henda, N. & Nqeketo, A. (2010) Challenges faced by people living with HIV/AIDS in Cape Town, South Africa: issues for group risk reduction interventions. AIDS Research and Treatment. July:Online.
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This paper presents the findings of an exploratory study to investigate the challenges faced by people living with HIV/AIDS
(PLWHA) in communities in Cape Town, South Africa. The primary goal of the study was to gather data to inform the adaptation
of a group risk reduction intervention to the South African context. Qualitative methods were used to examine the experiences
of PLWHA. Eight foc...
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Cloete, A., Rispel, L., Reddy, V. & Metcalf, C. (2010) Constructs of identity and HIV risk behaviours among men who have sex with men (MSM) in two South African cities. (Paper presented at the Third Annual International Colloquium: Gender, Sexuality, History and Culture in Africa, University of Lagos, Nigeria, 19-20 June).
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Cloete, A. & Simbayi, L.C. (2010) Moving from "positive prevention" towards "positive health, dignity and prevention". (Paper presented at the NAPWA Policy Congress, Johannesburg, South Africa, 26 August).
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Cloete, A., Rispel, L., Metcalf, C. & Reddy, V. (2009) "Get sick first, test later": HIV testing practices of men who have sex with men (MSM) in the Johannesburg/Ethekwini Men's Study (JEMS). (Poster presented at the AIDS Impact Conference, Gaborone, Botswana, 22-25 September).
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Cloete, A., Simbayi, L.C., Kalichman, S.C., Mthembu, P.P., Mkhonta, R.N. & Ginindza, T. (2009) Measuring AIDS stigmas in people living with HIV/AIDS: the internalized AIDS-related stigma scale. (Paper presented at the 4th South African AIDS Conference, Durban, 31 March - 3 April).
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Cloete, A. (2009) Missing women who have sex with women in national HIV surveys. (Paper presented at the Lesbians and HIV/AIDS: "The silence is political" Symposium, Cape Town, 19-20 October).
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Cloete, A., Strebel, A., Simbayi, L.C., Henda, N., Magome, K. & Van Wyk, B. (2006) Positive prevention: experiences of AIDS-related stigma, disclosure and other daily life stressors of people who are aware that they are living with HIV in Cape Town, South Africa. (Poster presented to the XVI International AIDS Conference, Toronto, Canada, 13-18 August).
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Cloete, A., Jooste, S. & Simbayi, L.C. (2009) A public health evaluation of the implementation of healthy relationships: results from a pilot study. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, 22-25 September).
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Cloete, A., Simbayi, L.C. & Kalichman, S.C. (2006) Stigma and discrimination experiences of HIV positive men who have sex with men (MSM) and heterosexual men in Cape Town, South Africa. (Poster presented to the XVI International AIDS Conference, Toronto, Canada, 13-18 August).
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Cloete, A., Simbayi, L.C. & Kalichman, S.C. (2008) Disclosure decisions and HIV positive men who have sex with men (MSM) in Cape Town, South Africa. (Paper presented at the AIDS Conference, Mexico City, 7 August).
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Objectives: Secrecy and concealment of either sexual orientation or HIV positive status characterizes many gay relationships in the context of homosexuality's taboo nature in many African societies. Both these characteristics have implications on safer sex
behaviour. Therefore research focusing on disclosure of HIV positive status for MSM becomes important in the context of the prevention of t...
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Cloete, A., Simbayi, L.C., Clayford, M., Arnolds, W., Mxoli, M., Strebel, A., Kalichman, S.C., Cherry, C., Crawford, M., Kalichman, M.O. & Shefer, T. (2008) Intervening to reduce gender-based violence does not enhance HIV risk reduction outcomes for South African men: results of a quasi-experimental field trial. (Paper presented at the AIDS Conference, Mexico City, 6 August).
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Background: There is a well documented association between violence against women and HIV transmission. Interventions that integrate HIV prevention with gender-based violence prevention may demonstrate synergistic effects. Aim of study: The current study tested the effects of a community-based HIV/gender-based violence prevention intervention targeted to South African men.
Methods: A quasi-ex...
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Cloete, A., Simbayi, L.C., Kalichman, S.C., Strebel, A. & Henda, N. (2008) Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa. AIDS Care. 20(9):1105-1110.
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Since the primary mode of HIV transmission in sub-Saharan Africa is heterosexual, research focusing on the sexual behaviour of men who have sex with men (MSM) is scant. Currently it is unknown how many people living with HIV in South Africa are MSM and there is even less known about the stigmatisation and discrimination of HIV-positive MSM. The current study examined the stigma and discriminati...
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Cloete, A. (2007) Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa. (Paper presented at the HSRC Research Conference, Birchwood Conference Centre, Benoni, 27-28 September).
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Cloete, A. & Simbayi, L.C. (2006) AIDS advocacy in South Africa. In Youth activism: an international encyclopedia. Sherrod, L.R., Flanagan, C.A., Kassimir, R. & Syvertsen, A.K. (eds). Westport: Greenwood Press. 58-63.
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Coetzee, D., Metcalf, C. & Coetzee, N. (2007) Outbreak investigation. In: Joubert, G. & Ehrlich, R. (eds). Epidemiology: a research manual for South Africa. 2nd ed. Cape Town: Oxford University Press. 229-241.
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Coetzee, Z. & Swartz, L. (2004) Fathers with HIV/AIDS: the struggle for occupation. In Transformation through occupation. Watson, R. & Swartz, L. (eds). London: Whurr Publishers. 119-128.
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Connolly, C., Simbayi, L.C., Shanmugam, R. & Nqeketo, A. (2008) Male circumcision and its relationship to HIV infection in South Africa: results of a national survey in 2002. South African Medical Journal. 98(10):789-794.
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the objective of this article is to investigate the nature of male circumcision and its relationship to HIV infection. Method used: analysis of a sub-sample of 3 025 men aged 15 years and older who participated in the first national population-based survey on HIV/AIDS in 2002. Chi-square tests and Wilcoxon rank sum tests were used to identify factors associated with circumcision and HIV status...
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Connolly, C., Colvin, M., Shisana, O. & Stoker, D. (2004) Epidemiology of HIV in South Africa: results of a national, community-based survey. South African medical journal. 94(9):776-781.
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Cupp, P., Zimmerman, R.S., Bhana, A. & Price, S.F. (2007) School-based alcohol and HIV prevention in South Africa. (Paper presented at the 8th AIDS Impact International Conference on Biopsychosocial Aspects of HIV Infection, Marseille, France, 1-4 July).
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Dageid, W., Sedumedi, S.D. & Duckert, F. (2007) Exploring perceptions and emotional burdens of HIV/AIDS health care workers. (Paper presented at the HSRC Conference, Birchwood Conference Centre, Benoni, July).
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Dana, P., Simbayi, L.C., Rehle, T., Vass, J., Skinner, D., Zuma, K., Mbelle, M.N., Jooste, S., Pillay, V., Dwadwa-Henda, N., Toefy, Y., Ketye, T. & Matevha, A. (2008) Knowledge, attitudes, beliefs and practices related to HIV/AIDS among employees in the private security industry in South Africa. (Paper presented at the AIDS Conference, Mexico City, 3-8 August).
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Background: The aim of the study was to critically assess HIV/AIDS related knowledge, attitudes, beliefs and practices among employees in the private security industry in three provinces in South Africa.
Methods: A second-generation surveillance approach was used where 15 private security companies participated. Fieldworkers approached participants at selected companies and asked them permiss...
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Dana, P., Simbayi, L., Rehle, T., Vass, J., Skinner, D., Mbelle, N., Jooste, S., Pillay-van Wyk, V., Dwadwa-Henda, N., Toefy, Y., Ketye, T. & Matevha, A. (2008) Knowledge, atttiudes, beliefs and practices related to HIV/AIDS among employees in the private security sector in South Africa. (Presentation published as a abstract in Abstracts for XVII International Conference on AIDS, Mexico City, Mexico, 3-8 August).
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Daniel, J., Southall, R. & Lutchman, J. (eds). (2005) State of the nation: South Africa 2004-2005. Cape Town: HSRC Press.
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State of the Nation: South Africa 2004-2005 provides a comprehensive and frank picture of contemporary South Africa. Recalling the format of the South African Review that was edited by Glenn Moss and others in the 1980s, and drawing inspiration from the presidential 'State of the Nation' speeches which have become a feature of our new democracy, these annual State of the Nation collections seek...
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Daniel, J., Habib, A. & Southall, R. (eds). (2003) State of the nation: South Africa 2003-2004. Cape Town: HSRC Press.
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This book draws on a long tradition of critical, analytical scholarship to provide an important contribution to our understanding of South Africa at this moment in history. First in a series by leading South African intellectuals on the state of post-apartheid South Africa, this volume provides: (a) insightful analysis of post-apartheid polity, the state of the state, its political parties and...
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Daniels, D.M. (2007) Horizon scanning in South Africa: health and HIV and AIDS. (Commissioned by the Department for International Development (DFID), United Kingdom, September).
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South Africa has a mature HIV and AIDS epidemic, with 11% of the population being infected. The following trends are evident: females are more vulnerable than males with a prevalence of 33.3% amongst 25-29 year olds; infection rates amongst older females are increasing the "sugar daddy" syndrome puts younger women at greater risk, and the age of sexual debut is getting younger. Prevalence amon...
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Davids, A., Mogale, M., Kekana, Q., Naidoo, Y., Banyini, M., Shikwane, E., Tsoai, L., Setswe, G., Asmal, S., Kollipara, A., Bishop, M., Mbuya-Brown, R., Mallas, E. & Mhlanga, A. (2010) Know your HIV prevention response (KYR) analysis report for component 3: Limpopo provincial report. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Limpopo province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Davids, A., Mogale, M., Kekana, Q., Naidoo, Y., Setswe, G., Asmal, S., Kollipara, A., Bishop, M., Mbuya-Brown, R., Mallas, E., Thekisho, B., Mazibuko, N. & Khumalo, M. (2010) Know your HIV prevention response (KYR) analysis report for component 3: Northern Cape provincial report. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Northen Cape Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Davids, A., Mogale, M., Kekana, Q., Naidoo, Y., Setswe, G., Asmal, S., Kollipara, A., Bishop, M., Mbuya-Brown, R., Mallas, E., Househam, K.C., Ledwaba, J., Arendse, J.J., Newman, S., Dyeshana, M., Pienaar, D., Shaikh, N. & Qotole, M. (2010) Know your HIV prevention response (KYR) analysis report for component 3: Western Cape provincial report. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Western Cape Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Davids, A. & Coetzee, L. (2010) Routine HIV testing (RHT) and its implications for the socio-economic right of access to health care in South Africa. (Poster presented at the XVIII International AIDS Conference, July).
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Davids, A. & Coetzee, L. (2010) Routine HIV testing: what it means for rights to healthcare. HSRC Review. 8(3):26-27.
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Will the impact of routine HIV testing, which forms part of the government?s national HIV counselling and testing campaign, lead to resource constraints at state antiretroviral therapy facilities? And if so, who will decide who receives antiretroviral drugs and who doesn?t? ADLAI DAVIDS and LINDI COETZEE explore these questions.
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Davids, A., Setswe, G., Lewa, N., Majaja, M., Naidoo, Y. & Clayton, J. (2009) Community home-based carers: voicing their needs, voicing their challenges!. (Poster presented at the AIDS Impact Conference, Gaborone, Botswana, 22-25 September).
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Davids, A., Setswe, G., Majaja, M., Naidoo, D., Lewa, N. & Clayton, J. (2009) Community home-based carers: voicing their needs, voicing their challenges!. (Paper presented to the HSRC Conference, Birchwood Conference Centre, Benoni, September).
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Davids, A., Simbayi, L., Ncitakalo, N. & Mehlomakulu, V.E. (2009) Community perceptions and understanding of the risk factors that affect children who are sexually abused. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, 22-25 September).
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Davids, A. (2009) Just between the 2 of us: how communities perceive sexual abuse and the risk of HIV infection. HSRC Review. 7(4):26-27.
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How do communities that should be able to protect children against sexual abuse perceive this crime and the resultant threat to the mental and physical health of their children? Do they just turn a blind eye? And what can be done about it? Alicia Davids presented findings of an HSRC study on community perceptions of the risk factors of children who are sexually abused at the AIDS Impact Confere...
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Davids, A. (2009) Psychosocial needs of community home-based carers in South Africa. International Federation of Red Cross and Red Crescent Societies Newsletter. 11:8-9.
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This article is a summary of a forthcoming report on psychosocial support needs of caregivers in South Africa. We wish to thank fieldworkers who assisted with data collection in all the provinces as well as the community home-based carers who participated
in the survey and focus group discussions, and all stakeholders from organizations such as the Nelson Mandela Children's Fund, Department o...
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Davids, A.E., Mogale, M., Kekana, Q., Tsoai, L., Naidoo, D., Setswe, G., Asmal, S., Kollipara, A., Bishop, M., Mbuya-Brown, R. & Mallas, E. (2010) Know your HIV prevention response (KYR) analysis: report on the review of HIV prevention programmes in the Eastern Cape province. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Eastern Cape Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Dawes, A., Van der Merwe, A. & Brandt, R. (2007) A monitoring dilemma: orphans and children made vulnerable by HIV/AIDS. In: Dawes, A., Bray, R. & Van der Merwe, A. (eds). Monitoring child well-being: a South African rights-based approach. Cape Town: HSRC Press. 359-372.
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Dawes, A. (2005) Study 1: improving the care of HIV+ children in hospital. (Paper presented at the International Child Development Programmes (ICDP), Oslo, Norway, July on behalf of Linda Richter, Celia Hsiao, Tamsen Rochat & Nigel Rollins, Oslo, Norway, 4-7 July).
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Dawes, A. (2004) Integrated early childhood development in the context of HIV/AIDS. (Invited presentation to the UNICEF/WHO Consultative Meeting on Strengthening Adult and Paediatric in Community Home-based Care Programs in Africa, Cape Town, 22-25 November).
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Dawes, A.R.L. (2003) Improving school children's mental health in an era of HIV/AIDS. (Paper presented to the Colloquium: Improving the health of school age children in an era of HIV/AIDS: Linking policies, programmes and strategies for the 21st century, Inkosi Albert Luthuli Hospital, Durban, 16-19 March).
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This paper considers the following:
1. Child mental health and public policy - a situtation of neglect
2. Why should child mental health be a priority public health issue?
3. Child mental health problems in the context of HIV/AIDS
4. What is to be done in the education context?
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Dayal, H. (2008) Unpacking issues of adherence: moving beyond access. (Paper presented at the International Scientific Conference on HIV/AIDS, Abidjan, 6-9 October).
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With HIV/AIDS being recognised as a chronic disease, the success of treatment depends on at least 95% adherence rates. In addition, as efforts are implemented to improve comprehensive access to care, treatment and management of the disease, factors influencing adherence play a crucial role in preventing drug resistance. One of the objectives of an overall study on ARV delivery models in SA was ...
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De Kadt, J., Makusha, T. & Richter, L. (2011) The moral tensions of HIV/AIDS in sub-Saharan Africa. In: Swartz, S. & Taylor, M. (eds). Moral education in sub-Saharan Africa: culture, economics, conflict and AIDS. Oxon: Routledge. 127-136.
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De Kadt, J., Makusha, T. & Richter, L. (2010) Review article: the moral tensions of HIV/AIDS in sub-Saharan Africa. Journal of Moral Education. 39(3):393-401.
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This article reviews four recent (post-2003) books written by authors living and working in Africa which explore the connection between morality and the HIV epidemic. The books are written from differing perspectives, make use of diverse methodological approaches and present varying conclusions and recommendations. While each work provides considerable scope for discussion in and of itself, thi...
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de Klerk, M., Drimie, S., Aliber, M., Mini, S., Mokoena, R., Randela, R., Modiselle, S., Vogel, C., de Swardt, C. & Kirsten, J. (2004) Food security in South Africa: key policy issues for the medium term. (Position paper for the National Treasury, January).
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Deacon, H. & Stephney, I. (2007) HIV/AIDS, stigma and children: a literature review. Cape Town: HSRC Press.
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HIV/AIDS-related stigma has been recognised as a key problem that needs to be addressed in HIV/AIDS interventions with adults. The literature on children and HIV/AIDS is extensive, as is the literature on HIV/AIDS related stigma, but specific research on HIV/AIDS-related stigma and children is relatively sparse. This title provides a review of the available literature in this regard.
This re...
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Deacon, H., Simbayi, L., Prosalendis, S., Stein, J., Stephney, I., Shean, Y., Rule, S., Molefhe, S., Conradie, J., Siema, S. & Mpangase, B. (2006) Breaking the spirit of fear: the nature and extent of HIV and AIDS-related stigma in the Anglican Church of Southern Africa: a quantitative study. (Report prepared by Human Sciences Research Council and Outsourced Insight for the Anglican Provincial AIDS Office, September).
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This report provides an overview of (a) the conceptual and contextual review of the literature on HIVand AIDS-related stigma and (b) the results of a rapid assessment of the nature and extent of stigma in the Anglican Church of the Province of Southern Africa (ACSA). This research should be read as part of a broader project, builiding on a literature review conducted by Parker and Birdsall (200...
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Deacon, H., Stephney, I. & Prosalendis, S. (2005) Understanding HIV/AIDS stigma: a theoretical and methodological analysis. Cape Town: HSRC Press.
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Drawing on a cross-disciplinary, critical review of academic literature on this issue, the authors explore a range of theoretical approaches to conceptualizing stigma. In highlighting the theoretical and methodological approaches that are most relevant in southern Africa, this study has the potential to significantly strengthen the theoretical base for future research in this crucial new area.
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Deghaye, N., Pawninski, R.A. & Desmond, C. (2006) Financial and economic costs of scaling up the provision of HAART to HIV-infected health care workers in KwaZulu-Natal. South African medical journal. 96(2):140-143.
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Desmond, C. & Desmond, C. (2006) HIV/AIDS and the crisis of care for children. In: Richter, L. & Morrell, R. (eds). BABA: men and fatherhood in South Africa. Cape Town: HSRC Press. 226-236.
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Desmond, C. & Kvalsvig, J. (2005) Evaluating replacement childcare arrangements: methods for combining economic and child development outcome analyses. (Commissioned by The Rockefeller Brothers Fund).
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HIV/AIDS has many impacts, among which is the effect of the epidemic on children. Children may themselves be infected, they may be living with, and possibly caring for, ill parents or other family members, and many will lose one or both parents. There are numerous aspects that will be required in a comprehensive response to these impacts, one of which is the provision of care for those who have...
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Desmond, C. (2004) The truth is bad enough, or it should be!. HSRC review. 2(3):7.
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Desmond, C., Richter, L., Makiwane, M. & Amoateng, A. (2003) Child-headed households: dissecting our understanding of who is at risk. ChildrenFIRST. Special Edition:56-58.
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It is an emotive and tragic story, children heading households after the death of their parents, and teenagers taking on adult roles of care and financial support in an effort to cope with the loss of their caregivers. The phenomenon of child-headed households is one of the key social challenges associated with the HIV/AIDS epidemic. However, this article argues that our understanding of what...
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Desmond, C. (2003) The costing of a rural PMTCT pilot site in the Eastern Cape. (Commissioned by Social Aspects of HIV/AIDS (SAHA), Human Sciences Research Council (HSRC)) as part of a Ford Foundation funded project, South Africa).
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Desmond, C.J. & Gow, J. (2002) Sickness, death and poverty - our bequest to orphans. ChildrenFIRST. 4 (40):19-24.
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Desmond, K., Milburn, N., Richter, L., Tomlinson, M., Greco, E., Van Heerden, A., Van Rooyen, H., Comulada, W.S. & Rotheram-Borus, M.J. (2012) Alcohol consumption among HIV-positive pregnant women in KwaZulu-Natal, South Africa: prevalence and correlates. Drug and Alcohol Dependence. 120:113-118.
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HIV-positive pregnant women who drink put their children at risk of both HIV and fetal alcohol spectrum disorders. The province of KwaZulu-Natal (KZN) has the highest prevalence of HIV in South Africa, but has not before been considered an area of high alcohol consumption among women. This paper analyzes a large sample of HIV+ pregnant women in KZN to examine alcohol consumption in that popula...
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Dewing, S., Mathews, C., Cloete, A., Schaay, N., Louw, J. & Simbayi, L. (2011) "It's important to take your medication everyday okay?": an evaluation of counselling for ARV adherence support in the Western Cape. (Poster presented at the MRC Research Day).
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Dewing, S., Mathews, C., Schaay, N., Cloete, A., Louw, J. & Simbayi, L. (2011) Behaviour change counselling for ARV adherence support within primary health care facilities in the Western Cape, South Africa. AIDS and Behavior. October:Online.
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Health care systems have been described as ideal settings for behaviour change counselling interventions. There is little research evaluating the feasibility of implementing such interventions in routine practice in primary care facilities. We implemented an intervention called Options for Health within routine adherence counselling practice in 20 antiretroviral facilities in Cape Town,
South ...
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Dewing, S., Mathews, C., Schaay, N., Cloete, A., Simbayi, L. & Chopra, M. (2010) The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: a case study. AIDS and Behavior. June:Online.
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This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape Town, South Africa. In most cases Options was not delivered with fidelity and less than one-third of intended recipients received it; the counsellor often forgot to do Options, was u...
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Dewing, S., Mathews, C., Schaay, N., Cloete, A. & Simbayi, L. (2010) Translating research into practice: the implementation of options for health: Western Cape. (Poster presented at the 6th PHASA 2010 Conference, 29 November - 1 December).
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Dewing, S., Ramachandran, R., Schaay, N., Cloete, A., Mathews, C., Chopra, M. & Simbayi, L. (2009) The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: results of a pilot study. (Poster presented at the 4th South African AIDS Conference, Durban, 31 March-3 April).
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Dlamini, N., Dlamini, N., Peltzer, K., Mngqundaniso, N., Shangase, M., Buthelezi, D., Petros, G. & Balaba, D. (2004) Traditional healing and STI/HIV/AIDS/TB in South Africa: a participants' manual for tradtional health practitioners, community health workers and nurses. (Commissioned by the Department of Health).
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Dlamini, N., Dlamini, N., Peltzer, K., Mngqundaniso, N., Shangase, M., Buthelezi, D., Petros, G. & Balaba, D. (2004) Traditional healing and STI/HIV/AIDS/TB in South Africa: a trainers' manual for tradtional health practitioners, community health workers and nurses. (Commissioned by the Department of Health).
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Dlamini, P.K., Skinner, D. & Zungu-Dirwayi, N. (2004) Projects funded by the WK Kellogg Foundation on HIV/AIDS in southern Africa: report of the colloquium 26-27 November 2003. Cape Town: HSRC Publishers.
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In November of 2003, the Human Sciences Research Council (HSRC) and the WK Kellogg Foundation (WKKF) hosted a colloquium to present and review the research that the HSRC has conducted with the support of the Foundation in projects across six southern African countries namely, Botswana, Lesotho, Mozambique, South Africa, Swaziland, and Zimbabwe. The two-day event was designed to cover the two f...
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Doggett, E. (2005) Bush and the global gag rule: trick or treat?. HSRC review. 3(1):3-5.
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On 22 January 2001, as one of his first actions in office, President George Bush reinstated the Mexico City policy, more commonly known as the Global Gag Rule. The author explains in this article how the loss of funding for health services has serious implications, not only for reproductive health, but also how this could affect HIV/AIDS services in South Africa.
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Dorkenoo, E., Gumede, T., Maluleka, K. & Shaikh, N. (2003) Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province. (Submitted to the Department of Health, Directorate of Public Health, Gauteng Provincial Government, October).
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The Social Aspects of HIV/AIDS and Health research programme of the Human Sciences Research Council (HSRC) was commissioned by the Gauteng Department of Health to assess the PMTCT programme in 15 pilot sites in Gauteng Province. The objectives of the study were:a) to assess the implementation of the components of the programme in four complexes; b) to analyse the lessons learned at the pilot ...
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Dorkenoo, E., Ditlopo, P., Kamoga, N., Richter, M. & Heywood, M. (2003) A review of HIV/AIDS policy, financing, legislation and programmes: South African case study: Draft. (A study commissioned by the WK Kellogg Foundation through the Center for Applied Social Studies (CASS), University of Zimbabwe).
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HIV/AIDS has become the major cause of disease burden in South Africa, and arguably, the single most important phenomenon that will shape future demographic, health and development trends in the country. South Africa is reported to have the highest HIV infection rate in the world. Given the enormous impact of HIV/AIDS epidemic, intensified efforts are required by both governments and civil soci...
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Dorkenoo, E. (2002) Review of HIV/AIDS policy and the implementation of programmes in South Africa. (In report of colloquium on rural communities and government in partnership to combat the HIV/AIDS pandemic in Southern Africa, 25-27 November, Gaborone, Botswana).
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Dorkenoo, E., Southall, H.A. & Shisana, O. (eds). (2001) Social aspects of HIV/AIDS research alliance (SAHARA). (Report of the Human Sciences research Council consultative meeting, Pretoria, 7th August 2001).
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Drimie, S. & Mullins, D. (2005) Mainstreaming HIV and AIDS into livelihoods and food security programmes: the experience of CARE Malawi. (Paper presented at the International Conference on HIV/AIDS and Food and Nutrition Security, International Food Policy Research Institute, Durban, 14-16 April).
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Drimie, S. (2004) Education and health facilities (including gender and HIV/AIDS). (Paper presented at the NASFAM State of the Farmer Conference, 17-19 August, Lilongwe, Malawi).
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Drimie, S. (2004) Education and health services (including HIV/AIDS and gender). (Final report and recommendations delivered at the State of the Farmer Conference, 17-19 August, Lilongwe).
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Drimie, S. (2004) Food security and HIV/AIDS in southern Africa: case studies and implications for future policy. (Paper prepared for Action Aid, April).
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Drimie, S. (2004) HIV/AIDS and food security: examples of "best practice" from regional NGOs. (Paper presented at the ActionAid Workshop, Centurion, 10-11 August).
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Drimie, S. (2004) HIV/AIDS and food security: preliminary findings for ActionAid. (Paper presented at the ActionAid Workshop on Southern African Food Security and Vulnerability Assessment, 25-27 February 2004, Burger's Park Hotel, Pretoria).
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Drimie, S. (2004) National emergency response council on HIV/AIDS, Mbabane, Swaziland. (Paper presented at the NERCHA Intervention: Ensuring food security for orphans and vulnerable children in Swaziland (Indlunkhulu project), 11 February).
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Drimie, S. (2004) A study to determine the links between HIV/AIDS, current demographic status and livelihoods in rural Swaziland. (Commissioned by the Swaziland Vulnerability Assessment Committee).
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A nationwide survey of rural areas in Swaziland was carried out to analyse the linkages between HIV/AIDS, the demographic trends of the country and how livelihoods and food security status may be changing as a result.
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Drimie, S. (2003) Education and health facilities (including HIV/AIDS and gender). (An issues paper prepared for the NASFAM Policy Platform, August).
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Drimie, S. (2003) Education and health facilities (including HIV/AIDS and gender). (An issues paper prepared for the NASFAM Policy Platform, August).
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Drimie, S. & Mini, S.. (2003) Food security and sustainable development in southern Africa. (Integrated Rural and Regional Development Research Programme, Occasional paper no. 6). Cape Town: HSRC Publishers.
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In the search for a Global Deal at the World Summit on Sustainable Development, which sought to address global economic relationships between the North and the South, a crucial area of debate was food security. Despite impressive developments around food growth in recent decades, resulting in enough food to meet the basic needs of every person in the world, not everyone is food-secure, as exemp...
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Drimie, S. & van Zyl, J. (2003) HIV/AIDS and food security: new challenges and new debates: an input for the UNAIDS Scenario Building Process. (Paper submitted to AIDS in Africa: Scenarios for the future, UNAIDS, Geneva, Switzerland).
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Drimie, S. (2003) HIV/Aids and land: case studies from Kenya, Lesotho and South Africa. Development Southern Africa. 20 (5):647-658.
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The impact of HIV/Aids on land raises complex and sensitive issues for land policies and programmes, particularly if they are intended to underpin rural development and sustainable livelihoods.
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Drimie, S. (2003) HIV/AIDS and new agricultural strategies for sub-Saharan Africa. (Paper presented at the workshop hosted by the Centre for Policy Analysis and the Food and Agricultural Organization of the United Nations on CUREMIS II, Accra, Ghana, 12 13 June).
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Drimie, S. (2003) Third round food security assessment: SADC-FANR VAC: regional synthesis. (Summary information: HIV/AIDS and food security. Report).
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Drimie, S. (2002) HIV/AIDS and land: case studies from Kenya, Lesotho and South Africa. The African Communist. 162:1-8.
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Drimie, S.E. & Lafon, M. (eds). (2003) Food security in southern Africa: causes and responses from the region. (Les Cahiers de l"IFAS, no. 3). Johannesburg: Institut Francais d'Afrique du Sud.
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The food crisis in southern Africa, with its many correlated aspects among which the impact of HIV/AIDS appears particularly compelling, is proving to be, as it unfolds, one of the most serious challenges, if not the most fundamental one the sub-region has been confronted with over a long period of time; it can be argues that the present situation as the population's well being is concerned, be...
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Drimie, S.E. (2003) NASFAM funding proposal for the National AIDS Commission. (Prepared by NASFAM. Programmes and Policy Unit: HIV/AIDS Programme, September).
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Economic development in rural Malawi lies at the core of the National Smallholder Farmers' Association of Malawi (NASFAM). This objective is underpinned by its intention to empower its smallholder farmer members and to improve their incomes. This has an explicit poverty reduction focus that is shared by the Malawi poverty reduction strategy paper (PRSP). The success of both the PRSP and NASF...
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Dwadwa-Henda, N.V., Simbayi, L.C., Strebel, A., Cloete, A. & Lewa, N. (2007) Development of HIV behavioural risk reduction intervention programmes for people living with HIV/AIDS in support groups. (Paper presented at 5th European Congress on Tropical Medicine and International Health, Netherlands, 24-28 May).
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Elford, J., Bucher, H.C., Rawestorne, P., Fogarty, A., Van de Ven, P., Klippax, S., Ekstrand, M., Bharat, S., Ramakrishna, J., Simbayi, L.C. & Kalichman, S.C. (2005) International perspectives. In Positive prevention: reducing HIV transmission among people living with HIV/AIDS. Kalichman, S.C. (ed). New York: Kluwer Academic. 245-277.
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Fomundam, H., Mosala, T., Shisana, O., Peltzer, K., Pakade, T. & Dana, P. (2005) The practicalities of using Nevirapine for PMTCT in under-resourced settings: the case of Qaukeni district in the eastern Cape province, South Africa. Cape Town: HSRC Press.
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This report provides district , provincial and national PMTCT programme managers with information on the challenges of Nevirapine use in rural communities, and a possible solution for women with inadequate access to healthcare facilities.
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Fraser-Hurt, N., Zuma, K., Njuho, P., Chikwava, F., Slaymaker, E., Hosegood, V. & Gorgens, M. (2011) The HIV epidemic in South Africa: what do we know and how has it changed?. (Commissioned by SANAC, April).
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Specifically, the HIV epidemic review aims to:
1) Describe the level of heterogeneity of the South African HIV epidemic and comment on any sub-epidemics that can be delineated within the national epidemic
2) Identify the populations at greatest risk of HIV infection based on analysis of the distribution of new infections
3) Establish the factors driving the HIV epidemic through an analysis ...
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Freeman, M. & Nkomo, N. (2006) Guardianship of orphans and vulnerable children: a survey of current and prospective South African caregivers. AIDS care. 18(4):302-310.
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Increasing numbers of orphaned and vulnerable children resulting from AIDS deaths requires practical placement strategies. While the extended family is regarded as both the most likely and the preferred option by most key planners and organizations, warnings of the limitations of this alternative have been increasing. This study assessed the views of 1400 adults (both current and prospective ca...
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Freeman, M. & Thom, R. (2006) Serious mental illness and HIV/AIDS. South African journal of psychiatry. 12(1):4-8.
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Freeman, M. & Nkomo, N. (2005) Treating the mind of HIV/AIDS sufferers as crucial as treating the body. HSRC review. 3(2):4-5.
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The mental health of people living with HIV/AIDS is increasingly being recognised as having a serious effect on the population. It demands our serious attention and response, writes MELVYN FREEMAN and NKULULEKO NKOMO.
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Freeman, M., Nkomo, N. & Kleintjes, S. (2004) Coping psychologically with being HIV sero-positive: a study of lived experience, supportive and aggravating factors. (Report prepared for the National Department of Health, November).
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Freeman, M., Nkomo, N. & Kleintjes, S. (2004) Guardianship in the time of HIV/AIDS- realities, perceptions and projections: (a mental health viewpoint). (Prepared for National Department of Health, November).
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Freeman, M. (2004) HIV/AIDS in developing countries: heading towards a mental health and consequent social disaster?. South African journal of psychology. 34 (1):139-159.
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The HIV/AIDS pandemic will have massive implications for mental health in sub-saharan Africa. While research in developed countries in quite advanced in this area, and while some of this research is relevant and important in developing countries, understanding and dealing with a disease of relatively low prevalence and which is mostly under control is vastly different from the considerations r...
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Freeman, M. (ed). (2003) Mental health and HIV/AIDS: report on a round-table discussion, March 2003. Cape Town: HSRC Publishers.
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The intersection between mental health and HIV/AIDS is relatively underdeveloped. This report draws on the perspectives and experiences of academics, non-governmental workers and government officials, from both developed and developing countries, who gathered at a meeting in March 2003. The aim of the meeting was to start it develop a better understanding of the complex ways in which HIV/AIDS...
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Freeman, M. (2003) Sum crystal ball gazing: mental health in 2015. In Mental health and HIV/AIDS: report on a round-table discussion March 2003. Cape Town: HSRC Publishers. 39-42.
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Potential longer-term effects of HIV/AIDS and mental health are explores. Possible cumulative mental health effects arising from issues such as AIDS orphans, multiple deaths and stressors for people infected and their families are addresses. Problems with trying to predict mental health impacts are discussed and a broad research strategy proposed.
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Freeman, M.C., Patel, V., Collins, P.Y. & Bertolote, J.M. (2005) Integrating mental health in global initiatives for HIV/AIDS. British journal of psychiatry. 187:1-3.
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Friedman, S.R., Rossi, D. & Phaswana-Mafuya, N. (2009) Globalization and interacting large-scale processes and how they may affect the HIV/AIDS epidemic. In: Pope, C., White, R.T. & Malow, R. (eds). HIV/AIDS: global frontiers in prevention/intervention. New York: Routledge. 491-499.
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Social and economic change at the large-scale level has many impacts on people's lives and on their social interactions (Myer et al. 2003, 2004; Mann et al. 1994). These, in turn, affect how HIV/AIDS and other disease agents do or do not spread. The pathways through which all of this happens help us to understand how to reduce the damage that HIV/AIDS and other diseases do and, likewise, the hi...
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Friedman, S.R., Klippax, S.C., Phaswana-Mafuya, N., Rossi, D. & Newman, C.E. (2006) Emerging future issues in HIV/AIDS social research. AIDS. 20:959-965.
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Peter Piot (Executive Director of UNAIDS) challenged Bangkok International AIDS Conference attendees to think ahead 10 years or more so we will be prepared to meet the challenges that will face us [1]. Over this next decade, many formidable challenges are likely to stem from the interactions of social, ecological, political, and economic change; existing social structures; the changing
HIV epi...
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Friend-du Preez, N. & Peltzer, K. (2009) HIV symptoms and health-related quality of life prior to initiation of HAART in a sample of HIV-positive South Africans. AIDS and Behavior. May:Online.
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This study investigates the relationship between current symptom status (no symptoms vs. symptoms present) and dimensions of health-related quality of life and overall quality of life (QoL) (poor vs. good) of 612 people living with HIV, just prior to initiating highly active antiretroviral therapy at three public hospitals in KwaZulu-Natal, South Africa. The mean number of symptoms reported on ...
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Ganyaza-Twalo, T. (2007) Information for developing support programmes for teachers in HIV prevalent schools: a case study of an HIV positive teacher. (Paper presented at the 3rd SA AIDS Conference, ICC Durban, 5-8 June).
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Ganyaza-Twalo, T. (2006) The development of a support programme for teachers within the context of HIV/AIDS. (Paper presented at the 2006 Social Science Conference, Birchwood Conference Centre, Benoni, 27-29 September,).
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Garnett, G.P., Garcia-Calleja, J.M., Rehle, T. & Gregson, S. (2006) Behavioural data as an adjunct to HIV surveillance data. Sexually transmitted infections. 82(1):57-62.
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Gebrekristos, H.T., Resch, S.C., Zuma, K. & Lurie, M.N. (2005) Estimating the impact of establishing family housing on the annual risk of HIV infection in South African mining communities. Sexually transmitted diseases. 32(6):333-340.
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The objective of this study was to determine the HIV related epidemiologic impact of establishing family-style housing in mining communities in South Africa. Modeling sex acts as independent Bernoulli trials, the estimated impact of converting to family housing arrangements on the annual risk of HIV infection is calculated and the differential effects on migrants and their partners is explore...
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Genberg, B.L., Hlavka, Z., Konda, K.A., Maman, S., Chariyalertsak, S., Chingono, A., Mbwambo, J., Modiba, P., Van Rooyen, H. & Celentano, D.D. (2009) A comparison of HIV/AIDS-related stigma in four countries: negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS. Social Science & Medicine. 68:2279-2287.
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HIV/AIDS-related stigma and discrimination have a substantial impact on people living with HIV/AIDS (PLHA). The objectives of this study were: (1) to determine the associations of two constructs of HIV/AIDS-related stigma and discrimination (negative attitudes towards PLHA and perceived acts of discrimination towards PLHA) with previous history of HIV testing, knowledge of antiretroviral therap...
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Genberg, B.L., Kulich, M., Kawichai, S., Modiba, P., Chingono, A., Kilonzo, G.P., Richter, L., Pettifor, A., Sweat, M. & Celentano, D.D. (2008) HIV risk behaviors in sub-Saharan Africa and northern Thailand: baseline behavioral data from Project Accept. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 49(3):309-319.
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Of 2.5 million new HIV infections worldwide in 2007, most occurred in sub-Saharan Africa and southeast Asia. We present the baseline data on HIV risk behaviors and HIV testing in sub-Saharan Africa and northern Thailand from Project Accept, a community-randomized controlled trial of community mobilization, mobile voluntary counseling and testing (VCT), and posttest support services. A random h...
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Govender, L., Rochat, T., Richter, L. & Rollins, N. (2006) Pediatric nursing in the context of the HIV/AIDS epidemic in resource-poor settings - balancing the "art and the science". Holistic nursing practice. 20(5):247-254.
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Pediatric wards in South Africa are largely occupied by children with AIDS-related illnesses. This study uses qualitative inquiry involving focus groups with nurses into the needs of children, caregivers, and healthcare providers. The findings indicate changes to the nature of nursing practice, knowledge of nursing, and ethics of nursing care.
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Gow, J. & Ewing, D. (2002) Children and HIV/AIDS. In: Gow, J. & Desmond, C.J. (eds). Impacts and interventions: the HIV/AIDS epidemic and the children of South Africa. Pietermaritzburg: University of Natal Press. 3-9.
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Gudo, J.S., Tivane, A., Ester, M., Ernesto, M., Barreto, A. & Mbofana, F. (2002) Review of the HIV/AIDS policy, legislation, financing & implementation of programmes in Mozambique. (Report done for the Kellog Foundatiion).
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The purpose of this study was to conduct a review of the HIV/AIDS policy, legislation, financing and implementation of programmes in Mozambique.
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Guy, R., Gold, J., Calleja, J.M.G., Kim, A.A., Parekh, B., Busch, M., Rehle, T., Hargrove, J., Remis, R.S. & Kaldor, J.M. (2009) Accuracy of serological assays for detection of recent infection with HIV and estimation of population incidence: a systematic review. The Lancet. 9:747-759.
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We systematically reviewed the accuracy of serological tests for recent infections with HIV that have become widely used for measuring population patterns incidence of HIV. Across 13 different assays, sensitivity to detect recent infections ranged from 42-100% (median 89%). Specificity for detecting established infections was between 49?5% and 100% (median 86?8%) and was higher for infections o...
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Hall, E., Altman, M., Nkomo, N., Peltzer, K. & Zuma, K. (2005) Potential attrition in education: the impact of job satisfaction, morale, workload and HIV/AIDS. Cape Town: HSRC Press.
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The decision to change one's job is usually preceded by a process of job evaluation and determining alternative employment opportunities. Dissatisfaction with the workplace can be a strong incentive to seek alternative opportunities. This study focuses on the role played by job satisfaction, morale and HIV/AIDS in educator attrition. The responses of educators who considered leaving their jobs ...
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Hall, E.J. (2004) The challenges HIV/AIDS poses to nurses in their work environment. In HIV/AIDS in the workplace: symposium proceedings. Centre for Health Policy Johannesburg: Centre for Health Policy, School of Public Health, University of the Witwatersrand. 109-119.
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The aim of this paper is to take a closer look at the challenges that HIV/AIDS poses to nurses in South African health facilities, as well as the impact that it may have on future health care provision. It is argued that HIV/AIDS is not the only factor that impacts on nurses in South African health facilities, but that political and economic change, an increase in the demand for health service...
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Hallet, T., Aberle-Grasse, J., Bello, G., Boulos, L., Cayemittes, M., Cheluget, B., Chipeta, J., Dorrington, R., Dube, S., Ekra, A., Garcia-Calleja, J., Garnett, G., Greby, S., Gregson, S., Grove, J., Hader, S., Hanson, J., Hladik, W., Ismail, S., Kassim, S., Kirungi, W., Kouassi, L., Mahomva, A., Marum, L., Maurice, C., Nolan, M., Rehle, T., Stover, J. & Walker, N. (2006) Declines in HIV prevalence can be associated with changing sexual behaviour in Uganda, urban Kenya, Zimbabwe, and urban Haiti. Sexually transmitted infections. 82(1):1-8.
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Harley, K., De Lange, N., Donald, D., Mitchell, C., Moletsane, R., Stuart, J., Theron, L.C., Welch, T. & Wood, L. (2009) Piloting of HIV module in teacher education faculties in the higher education institutions in South Africa. (Commissioned by WYG International, May).
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It is not necessary to refer to the HIV/AIDS infection of some 60 million people world-wide in the past 30 years in order to introduce an account of the project? Piloting of HIV Module in Teacher Education Faculties in the Higher Education Institutions in South Africa (hereafter 'HIV Pilot Project'). It is, however, necessary to note that the HIV Pilot Project was conceptualised and mounted in ...
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Harley, K., De Lange, N., Donald, D., Mitchell, C., Moletsane, R., Stuart, J., Theron, L.C., Welch, T. & Wood, L. (2009) Piloting of HIV module in teacher education faculties in the higher education institutions in South Africa: executive summary. (Commissioned by WYG International, May).
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Hemson, D. & Munthree, C. (2009) Child and mother indicators of progress towards the MDG: a four country comparison. (Paper presented at the 4th Population Association of Southern Africa Conference 2009, 8 July).
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Hemson, D. & Shirley, R. (2008) Starting from school: a new approach to wash: pilot project on inproving WASH messages in situation of HIV-AIDS pandemic. (Poster presented at the AfricaSan Conference +5, 19 February).
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Hoadley, U. (2008) The boundaries of care: education policy interventions for vulnerable children. In: Maile, S. (ed). Education and poverty reduction strategies: issues of policy coherence: colloquium proceedings. Cape Town: HSRC Press. 136-156.
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This chapter interrogates a growing vision of schools as sites of care and support for vulnerable children, especially in the context of HIV/AIDS. The chapter is based on two research activities: a desk review of projects working in the area of schools in the context of HIV/AIDS and poverty; and documentation of a particular project in the Free State province of South Africa. The author also ...
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Hoadley, U. (2007) Boundaries of care: the role of the school in supporting vulnerable children in the context of HIV and AIDS. African Journal of AIDS Research. 6(3):251-259.
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This paper is a response to a growing vision of schools as sites of care and support for vulnerable children in the context of HIV and AIDS. The aim is to interrogate this notion and to raise some key issues in considering the role of schools in the context of the epidemic.
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Hoadley, U. (2006) "Going to scale": the cost-effectiveness of alternative interventions to support vulnerable children and families in the context of poverty and HIV/AIDS. (Report on Conditional Cash Transfer programmes in Mexico and Jamaica, May).
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Hongoro, C., Mturi, A.J. & Kembo, J. (2008) Review of national AIDS councils in Africa: findings from five countries. Sahara J: Journal of Social Aspects of HIV/AIDS. 5(4):192-200.
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National AIDS councils (NACs) were established in many African countries to co-ordinate the multi-sectoral response to HIV/
AIDS. Their main mandate is to provide strategic leadership and co-ordinate activities geared to fight against HIV/AIDS. This study
sought to understand the extent to which NACs have achieved their goals and the challenges they face. Best practices were identified and sh...
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Hsiao, C. & Richter, L. (2005) Video clips capture lessons in caring. ChildrenFIRST. 9(62):10-13.
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More children are admitted to hospital in South Africa with HIV/AIDS-related illness than any other condition. As long as access to treatment is limited, most of them will die. This article describes a project that aims to reduce the distress of children in hospital.
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Human Sciences Research Council (2003) Human resources development review 2003: education, employment and skills in South Africa. Cape Town: HSRC Press.
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The core focus of the Research Programme on Human Resources Development (HRD) at the HSRC is to analyse the pathways of learners from the schooling system into the world of work and further and higher education. The Research Programme's flag-ship project, funded by the Department of Science and Technology, has two components: firstly, the production of a print biennial HRD Review, which will c...
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Human Sciences Research Council (2002) HIV/AIDS in Southern Africa: executive summary. (Prepared for the W.K. Kellogg Foundation).
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This report focuses on the situation on HIV/AIDS in six Southern African countries (Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe). To put forward recommendations to the Kellogg to strengthen its policy in this area and to guide its future directions on HIV/AIDS and rural development.
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Iwelunmor, J., Zungu, N. & Airhihenbuwa, C.O. (2010) Rethinking HIV/AIDS disclosure among women within the context of motherhood in South Africa. American Journal of Public Health. 100(8):1393-1399.
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This qualitative study explored whether motherhood plays a role in influencing decisions to conceal or reveal knowledge of seropositive status among women living with HIV/AIDS in 2 South African communities: Gugulethu and Mitchell's Plain. Using the PEN-3 cultural model, we explored how HIV-positive women disclose their status to their mothers and how HIV-positive mothers
make decisions about ...
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Izumi, K. (ed). (2006) The land and property rights of women and orphans in the context of HIV and AIDS: case studies from Zimbabwe. Cape Town: HSRC Press.
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In Zimbabwe, as in many other parts of Africa, agriculture is the principal source of livelihood for widows and orphans. Within this reality, a groundbreaking study was commissioned to investigate the land and property rights of women and orphans in Zimbabwe in the context of HIV/AIDS. It also examines the coping strategies, in terms of land-related livelihoods, adopted by widows and other vuln...
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Izumi, K. (ed). (2006) Reclaiming our lives: HIV and AIDS, women's land and property rights and livelihoods in southern and East Africa: narratives and responses. Cape Town: HSRC Press.
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Property-grabbing from widows and orphans began long before the HIV and AIDS pandemic. However, the scale of HIV infection rates, stigmatisation, and the social and economic vulnerability of widows and orphans have worsened the situation. Targets of psychological and physical harassment, dispossessed of their property and evicted form their homes, women and children are left destitute.
Too...
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Jacobs, P. & Simbayi, L. (2010) HSRC presentation to the Standing Committee on Appropriations. (Paper presented to the Standing Committee on Appropriations, Parliament, 23 April).
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Jemmott, J.B., Jemmott, L.S., O'Leary, A., Ngwane, Z., Icard, L.D., Bellamy, S.L., Jones, S.F., Landis, J.R., Heeren, G.A., Tyler, J.C. & Makiwane, M.B. (2010) School-based randomized controlled trial of an HIV/STD risk-reduction intervention for South African adolescents. Archives of Pediatrics & Adolescent Medicine. 164(10):923-929.
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The objective of this study was to test the efficacy of a school-based human HIV/STD risk reduction intervention for adolescents in South Africa. A cluster-randomized controlled design with assessments of self-reported sexual behaviour was collected before intervention and 3, 6 and 12 months after invention.
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Johnson, L.F., Hallett, T.B., Rehle, T.M. & Dorrington, R.E. (2012) The effect of changes in condom usage and antiretroviral treatment coverage on human immunodeficiency virus incidence in South Africa: a model-based analysis. Journal of the Royal Society Interface. Online:January.
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This study aims to assess trends in human immunodeficiency virus (HIV) incidence in South Africa, and to assess the extent to which prevention and treatment programmes have reduced HIV incidence. Two models of the South African HIV epidemic, the STI (sexually transmitted infection) HIV Interaction model and the ASSA2003 AIDS and Demographic model, were adapted. Both models were fitted to age-sp...
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Johnson, L.F., Dorrington, R.E., Bradshaw, D., Pillay-Van Wyk, V. & Rehle, T.M. (2009) Sexual behaviour patterns in South Africa and their association with the spread of HIV: insights from a mathematical model. Demographic Research. 21:289-340.
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This paper aims to quantify the effects of different types of sexual risk behaviour on the spread of HIV in South Africa. A mathematical model is developed to simulate changes in numbers of sexual partners, changes in marital status, changes in commercial sex activity, and changes in the frequency of unprotected sex over the life course. This is extended to allow for the transmission of HIV, an...
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Jones, S. & Varga, C.A. (2001) Bloodwise? Knowledge and attitudes pertaining to HIV and blood donation in Durban. Society in transition. 32(1):24-37.
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Due to high seroprevalence in the province, the blood transfusion service in KwaZulu Natal faces a major challenge in ensuring an adequate and safe supply of blood and blood products. AS part of its efforts to address this challenge, the service commissioned a KAP study of HIV and blood donation in the Durban townships of Ulazi and KwaMashu. This article presents some of the data from this st...
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Jooste, S., Simbayi, L., Kalichman, S. & Cain, D. (2010) Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa. (Poster presented at the XVIII International AIDS Conference, July).
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Jooste, S., Simbayi, L., Zuma, K. & Mbelle, N. (2008) Knowledge, attitudes, beliefs and practices related to HIV/AIDS among employees in the legal services industry in South Africa. (Paper presented at the 2008 AIDS Conference, Mexico City, 3-8 August).
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Background: The main aim of the present study was to describe the knowledge, attitudes, beliefs and practices related to HIV/AIDS among employees in the legal services industry in three provinces in South Africa. Methods: A second-generation surveillance approach was used. Fieldworkers approached participants at selected companies and asked them permission to complete a questionnaire and to pr...
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Kalichman, S.C., Cain, D. & Simbayi, L.C. (2010) Behavioral changes associated with testing HIV-positive among sexually transmitted infection clinic patients in Cape Town, South Africa. American Journal of Public Health. 100(4):714-719.
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Objectives. We sought to examine behavioral risks and behavior changes associated with testing HIV-positive among sexually transmitted infection (STI) patients, in order to inform HIV- and STI-prevention interventions. Methods. We performed a cohort study of 29 STI patients who seroconverted from HIV-negative to HIV-positive during 1 year of observation and 77 STI patients who persistently tes...
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Kalichman, S.C., Simbayi, L.C., Cain, D. & Jooste, S. (2009) Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa. Sexual Health. 6(4):300-304.
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Condoms offer the most realistic and available protection against sexually transmissible infections (STIs), including HIV infection. The protective benefits of condoms are, however compromised by breaks and tears. Condom failure was associated with sexual exchange, alcohol and other drug use, and higher rates of unprotected vaginal intercourse. Men with a history of condom failure were signi...
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Kalichman, S.C., Simbayi, L.C., Cain, D. & Jooste, S. (2009) Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa. Sexually Transmitted Infections. 85:411-415.
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Anal intercourse is an efficient mode of HIV transmission and may play a role in the heterosexual HIV epidemics of southern Africa. However, little information is available on the anal sex practices of heterosexual individuals in South Africa. Anal intercourse is reported relatively less frequently than unprotected vaginal intercourse among heterosexual individuals. The low prevalence of anal...
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Kalichman, S.C., Simbayi, L.C. & Cain, D. (2009) HIV transmission risk behaviours among HIV seropositive sexually transmitted infection clinic patients in Cape Town, South Africa. European Journal of Public Health. 20(2):202-206.
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South Africa has one of the fastest growing HIV epidemics in the world and new infections may often result from people who have tested HIV positive. This study examined the sexual practices and risk behaviours of men and women living with HIV/AIDS being treated for a co-occurring sexually transmitted infection (STI). Methods: A sample of men and women receiving services at three South African S...
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Kalichman, S.C., Simbayi, L.C., Cloete, A., Clayford, M., Arnolds, W., Mxoli, M., Smith, G., Cherry, C., Shefer, T., Crawford, M. & Kalichman, M.O. (2009) Integrated gender-based violence and HIV risk reduction intervention for South African men: results of a quasi-experimental field trial. Prevention Science: The Official Journal of the Society for Prevention Research. 10:260-269.
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South Africa is in the midst of one of the world's most devastating HIV/AIDS epidemics and there is a well-documented association between violence against women and HIV transmission. Interventions that target men and integrate HIV prevention with gender-based violence prevention may demonstrate synergistic effects. A quasi-experimental field intervention trial was conducted with two communities...
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Kalichman, S.C., Simbayi, L.C., Cloete, A., Mthembu, P.P., Mkhonta, R.N. & Ginindza, T. (2009) Measuring AIDS stigmas in people living with HIV/AIDS: the internalized AIDS-related stigma scale. AIDS Care. 21(1):87-93.
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AIDS stigmas create significant barriers to HIV prevention, testing, and care and can become internalized by people living with HIV/AIDS. We developed a psychometric scale to measure internalized AIDS-related stigmas among people infected with HIV. Items were adapted from a psychometrically sound test of AIDS-related stigmas in the general population. Six items reflecting self-defacing beliefs ...
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Kalichman, S.C. & Simbayi, L.C. (2009) Positive prevention: HIV risk reduction for people living with HIV/AIDS. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 273-288.
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This chapter discussed the rationale for positive prevention and define its parameters, namely what positive prevention is and what it is not. We also discuss the principles derived from the evidence-based literature that can be used to guide the adaptation of effective positive prevention interventions. Looking ahead to future positive prevention efforts in South Africa, we highlight why pos...
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Kalichman, S.C., Simbayi, L.C., Cloete, A., Cherry, C., Strebel, A., Kalichman, M.O., Shefer, T., Crawford, M., Thabalala, M., Henda, N. & Cain, D. (2008) HIV/AIDS risk reduction and domestic violence prevention intervention for South African men. International Journal of Men's Health. 7(3):255-273.
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South Africa has among the worst HIV/AIDS epidemics in the world, and HIV/AIDS is closely associated with adversarial attitudes toward women and with domestic violence. This article reports the development of a social-cognitive and social-constructionist, gender-based intervention for working with HIV/AIDS patients and preventing domestic violence. Five three-hour group sessions were tailored t...
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Kalichman, S.C., Simbayi, L.C., Vermaak, R., Jooste, S. & Cain, D. (2008) HIV/AIDS risks among men and women who drink at informal alcohol serving establishments (shebeens) in Cape Town, South Africa. Prevention Science: The Official Journal of the Society for Prevention Research. 9(1):55-62.
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HIV/AIDS is devastating southern Africa and the spread of HIV is fueled in some populations by alcohol use. Alcohol serving establishments, such as informal drinking places or shebeens, often serve as high-risk venues for HIV transmission. The current study examined the HIV risks of men (N=91) and women (N=248) recruited from four shebeens in a racially integrating township in Cape Town South ...
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Kalichman, S.C., Simbayi, L.C., Cain, D. & Jooste, S. (2008) Perceived HIV/AIDS prevalence, burden, and risk, Cape Town, South Africa. American Journal of Health Behavior. 32(6):693-700.
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This article examines perceived HIV prevalence and disease burden in high-risk adults in Cape Town, South Africa. A convenience sample of 793 males and 188 female sexually transmitted infection clinic patients completed anonymous surveys. The results indicated that the individuals who saw themselves at greater risk for HIV/AIDS also perceived greater local HIV prevalence. Participants presen...
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Kalichman, S.C., Simbayi, L.C., Vermaak, R., Cain, D., Smith, G., Mthebu, J. & Jooste, S. (2008) Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa. Annals of Behavioral Medicine. 36(3):270-279.
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BACKGROUND: HIV is devastating southern Africa and alcohol use is closely related to HIV transmission risks. PURPOSE: The current study tested the efficacy of a brief single-session HIV-alcohol risk-reduction intervention for men and women who drink at informal alcohol serving establishments (i.e., shebeens) in South Africa. METHODS: A randomized community field trial recruited men (N = 117) an...
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Kalichman, S.C., Simbayi, L., Jooste, S., Vermaak, R. & Cain, D. (2008) Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa. Addictive Behaviors. 33:1630-1633.
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Alcohol is related to HIV risk behaviors in southern Africa and these behaviors are correlated with sensation seeking personality and alcohol outcome expectancies. Here we report for the first time the associations among sensation seeking, substance use, and sexual risks in a prospective study in Africa. Sexually transmitted infection clinic patients in Cape Town South Africa (157 men and 64 wo...
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Kalichman, S.C., Simbayi, L.C., Cain, D. & Jooste, S.E. (2007) Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa. Addictive Behaviors. 32(10):2304-2310.
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This study examined the differential patterns of alcohol outcome expectancies in relation to drinking before sex and having sex partners who drink before sex among men (N = 614) and women (N = 158) sexually transmitted infections clinic patients in Cape Town South Africa. Hierarchical regressions, controlling for age, education, and alcohol use showed that men's sexual enhancement alcohol expe...
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Kalichman, S.C., Simbayi, L.C., Kaufman, M, Cain, D & Jooste, S. (2007) Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings. Prevention science: the official journal of the Society for Prevention Research. 8(2):141-151.
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Alcohol consumption is associated with risks for sexually transmitted infections (STI), including HIV/AIDS. In this paper, we systematically review the literature on alcohol use and sexual risk behavior in southern Africa, the region of the world with the greatest HIV/AIDS burden. Studies show a consistent association between alcohol use and sexual risks for HIV infection. Among people who d...
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Kalichman, S.C., Simbayi, L.C., Vermaak, R., Cain, D., Jooste, S. & Peltzer, K. (2007) HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 44(5):594-600.
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HIV is ravaging southern Africa, and HIV transmission risk behaviors are facilitated by alcohol use in sexual contexts. There are no known interventions that directly target HIV risk behavior among people who drink and are at risk for HIV in Africa. The purpose was to test a behavioral risk reduction counseling intervention for use in sexually transmitted infection (STI) clinics in southern
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Kalichman, S.C., Ntseane, D., Nthomang, K., Segwabe, M., Phorano, O. & Simbayi, L.C. (2007) Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana. Sexually Transmitted Infections. 83(5):371-375.
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Kalichman, S.C., Simbayi, L.C., Cain, D., Cherry, C., Henda, N. & Cloete, A. (2007) Sexual assault, sexual risks and gender attitudes in a community sample of South African men. AIDS care. 19(1):20-27.
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Sexual assault against women and HIV infection are both prevalent and related social problems in South Africa. The current study examined hostile attitudes toward women, acceptance of violence against women and masculine ideological beliefs in relation to sexual assault history among men in a Cape Town township in South Africa.
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Kalichman, S.C., Simbayi, L.C., Kagee, A., Toefy, Y., Jooste, S., Cain, D. & Cherry, C. (2006) Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities. Social science & medicine. 62:1641-1649.
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The majority of the world's HIV infections occur in communities ravished by poverty. Although HIV/AIDS and poverty are inextricably linked, there are few studies of how poverty-related stressors contribute to HIV risk behavior practices. In this study, surveys were conducted in three South African communities that varied by race and socio-economic conditions: people living in an impoverished Af...
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Kalichman, S.C., Simbayi, L.C., Cain, D, Cherry, C & Jooste, S.E. (2006) Coital bleeding and HIV risks among men and women in Cape Town, South Africa. Sexually transmitted diseases. 33(9):551-557.
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South Africa has one of the world's fastest growing HIV epidemics. Genital bleeding during sexual intercourse may play a role in facilitating HIV transmission in South Africa. The purpose of this study was to examine the prevalence and sources of coital bleeding among men and women living in a Cape Town South Africa township.
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Kalichman, S.C., Simbayi, L.C., Cain, D., Jooste, S., Skinner, D. & Cherry, C. (2006) Generalizing a model of health behaviour change and AIDS stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa. AIDS care. 18(3):178-182.
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We tested the Information/Motivation/Behavioural Skills (IMB) model of AIDS preventive behaviour in South Africa. Prospective path analyses were performed on measures collected from 131 men and 60 women with sexually transmitted infections (STI) in Cape Town. Results showed that IMB constructs collected at baseline predicted risk reduction behaviour 3 months later. Risk reduction intentions w...
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Kalichman, S.C., Simbayi, L.C., Jooste, S., Toefy, Y., Cain, D., Cherry, C. & Kagee, A. (2005) Development of a brief scale to measure AIDS-related stigma in South Africa. AIDS and behavior. 9(2):135-143.
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Kalichman, S.C., Simbayi, L.C., Kaufman, M., Cain, D., Cherry, C., Jooste, S. & Mathiti, V. (2005) Gender attitudes, sexual violence, and HIV/AIDS risks among men and women in Cape Town, South Africa. The journal of sex research. 42(4):299-305.
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Kalichman, S.C. & Simbayi, L.C. (2004) Sexual exposure to blood and increased risks for heterosexual HIV transmission in Cape Town, South Africa. African journal of reproductive health. 8:55-58.
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Kalichman, S.C. & Simbayi, L. (2004) Traditional beliefs about the cause of AIDS and AIDS-related stigma in South Africa. AIDS care. 16(5):572-580.
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Kalichman, S.C. & Simbayi, L C (2003) HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sexually transmitted infections. 79:442-447.
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A cornerstone of HIV prevention in South Africa is voluntary HIV antibody counselling and testing (VCT), but only in five South Africans aware of VCT have been tested. This study examines the relation between HIV testing history, attitudes towards testing and AIDS stigmas.
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Kaufman, M.R., Shefer, T., Crawford, M., Simbayi, L.C. & Kalichman, S.C. (2008) Gender attitudes, sexual power, HIV risk: a model for understanding HIV risk behavior of South African men. AIDS Care. 20(4):434-441.
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The Gender Attitudes-Power-Risk (GAPR) model of HIV risk behavior was tested using survey data collected from among 309 men who were attending STI services in a primary health care clinic in Cape Town, South Africa. Results showed that negative attitudes towards women were significantly positively associated with a high level of HIV risk behavior, and that endorsement of traditional male roles ...
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Keatimilwe, K. & Setswe, K.G. (2005) Integrating HIV & AIDS issues into the environmental assessment of water projects & policies: guideline. (Commissioned by the European Union, December).
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This document is a generic guideline for integrating HIV and AIDS issues into the environmental assessment of water policies and projects and represents one of numerous multi-sectoral responses to HIV and AIDS.
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Kekana, Q., Banyini, M., Jooste, S., Simbayi, L. & Peltzer, K. (2011) Adaptation of an HIV behavioural disinhibition risk reduction intervention for recently circumcised South African men. Gender and Behaviour. 9(1):3479-3494.
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South Africa urgently needs HIV behavioural disinhibition risk reduction interventions for recently circumcised men for use in
clinic and community settings. A theory-based HIV behavioural disinhibition risk reduction counselling intervention has recently
been adapted for use in a South African traditional and medical circumcision setting. The 3 hours behavioural disinhibition risk
reduction...
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Khuluse, S., Van Rooyen, H. & Richter, L. (2007) Processes, challenges and supervision of VCT lay counsellor in a community based intervention trial. (Poster presentation at the 3rd South African AIDS Conference, Durban, South Africa, 5-8 July).
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Khumalo-Sakutukwa, G., Morin, S.F., Fritz, K., Charlebois, E.D., Van Rooyen, H., Chingono, A., Modiba, P., Mrumbi, K., Visrutaratna, S., Singh, B., Sweat, M., Celantano, D.D. & Coates, T.J. (2008) Project Accept (HPTN 043): a community-based intervention to reduce HIV incidence in populations at risk for HIV in sub-Saharan Africa and Thailand. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 49(4):422-431.
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Background: Changing community norms to increase awareness of HIV status and reduce HIV-related stigma has the potential to
reduce the incidence of HIV-1 infection in the developing world. Methods: We developed and implemented a multilevel intervention
providing community-based HIV mobile voluntary counseling and testing, community mobilization, and posttest support services.
Forty-eight co...
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Kiene, S.M., Simbayi, L.C., Abrams, A., Cloete, A., Tennen, H. & Fisher, J.D. (2008) High rates of unprotected sex occurring among HIV-positive individuals in a daily diary study in South Africa: the role of alcohol use. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 49(2):219-226.
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Objectives: The objectives of this study were to assess the prevalence of unprotected sex and to examine the association betweenalcohol consumption before sex and unprotected sex among HIVpositive individuals in Cape Town, South Africa.Methods: For 42 days, daily phone interviews assessed daily sexual behavior and alcohol consumption. Logistic and Poisson generalized estimating equation models ...
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Kim, A.A., McDougal, J.S., Hargrove, J., Rehle, T., Pillay-Van Wyk, V., Puren, A., Ekra, A., Borget-Alloue, M-Y., Adje-Toure, C., Abdullahi, A.S., Odawo, L., Marum, L. & Parekh, B.S. (2010) Evaluating the BED capture enzyme immunoassay to estimate HIV incidence among adults in three countries in sub-Saharan Africa. Aids Research and Human Retroviruses. 26(10):1051-1061.
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Serological assays for estimating HIV-1 incidence are prone to misclassification, limiting the accuracy of the incidence estimate. Adjustment factors have been developed and recommended for estimating assay-based HIV-1 incidence in cross-sectional settings. We evaluated the performance of the recommended adjustment factors for estimating incidence in national HIV surveys in three countries in s...
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Kimuna, S.R. & Makiwane, M. (2007) Older people as resources in South Africa: Mpumalanga households. Journal of aging & social policy. 19(1):97-114.
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Kleintjes, S. & Prince, B. (2005) Conclusion: lessons learnt and next steps. In Gender mainstreaming in HIV/AIDS: seminar proceedings. Kleintjes, S., Prince, B., Cloete, A. & Davids, A. (eds). Cape Town: HSRC Press. 52-59.
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Kleintjes, S., Peltzer, K., Shisana, O., Niang, C., Seager, J., Simbayi, L. & Kaseje, D. (2004) Report and policy brief: 2nd Annual Conference on Social Aspects of HIV/AIDS Research, Cape Town, 9-12 May 2004. Sahara J: Journal of Social Aspects of HIV/AIDS. 1(2):62-77.
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This report and policy brief summarises the overarching principles, key findings and suggested policy options that emerged from rapporteur reports of conference proceedings. Detailed presentations may be viewed at www.sahara.org.za
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Kleutsch, L., Fritz, K. & Van Rooyen, H. (2008) Contextually the debate around the criminalisation of HIV transmission: a narrative analysis of one "victim's" exposure experience. (Paper presented at the University of KwaZulu-Natal, 12th Annual Postgraduate Research Conference, Pietermaritzburg, 13 October).
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Knox, J., Sandfort, T., Yi, H., Reddy, V. & Maimane, S. (2011) Social vulnerability and HIV testing among South African men who have sex with men. International Journal of STD & AIDS. 22:709-713.
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This study examined whether social vulnerability is associated with HIV testing among South African men who have
sex with men (MSM). A community-based survey was conducted with 300 MSM in Pretoria in 2008. The sample was stratified by
age, race and residential status. Social vulnerability was assessed using measures of demographic characteristics, psychosocial
determinants and indicators of ...
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Knox, J., Yi, H., Reddy, V., Maimane, S. & Sandfort, T. (2010) The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa. Psychology, Health & Medicine. 15(6):660-671.
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The objective of this study is to assess (1) whether beliefs about trust and condom use affect sexual risk behaviour, and (2) if beliefs about trust and condom use impact sexual risk behaviour directly or if this relationship is mediated by other determinants. The Information-Motivation-Behavioural Skills model was used as a framework for the mediation analysis. A diverse cohort of three hundre...
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Kruger, J.M. & Richter, L.M. (2003) South African street children at risk for AIDS?. Children, youth and environments. 13 (1):
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Kvalsvig, J.D., Taylor, M., Jinabhai, C.C. & Coovadia, H.M. (2004) Colloquium report: improving the health of school age children in an era of HIV/AIDS in Durban, South Africa. Journal of tropical pediatrics. 50 (4):251-254.
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Kvalsvig, J.D. (2003) Takalani Sesame AIDS impact study draft report. (Commissisoned by the Sout African Broadcasting Corporation (SABC), Johannesburg, South Africa).
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Kvalsvig, J.D. & Richter, L. (2002) The Takalani Sesame AIDS baseline study: knowledge and attitudes of three to five year-old children regarding HIV and AIDS. (Commissioned by the South African Broadcasting Corporation (SABC), Johannesburg, South Africa, December).
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The aim of this study was to investigate children's knowledge and attitudes with respect to HIV and AIDS prior to the introduction of Kami, an HIV positive muppet to the Takalani Sesame Programme.
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Ladzani, R., Peltzer, K., Mlambo, M.G. & Phaweni, K. (2010) Infant feeding practices and associated factors among HIV positive mothers in Gert Sibande District, South Africa. (Poster presented at the XVIII International AIDS Conference, July).
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Ladzani, R., Peltzer, K., Mlambo, M.G. & Phaweni, K. (2010) Infant-feeding practices and associated factors of HIV-positive mothers at Gert Sibande, South Africa. Acta Paediatrica. November:Online.
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To assess knowledge, infant-feeding education and practices, factors that affect choice of infant feeding option, determinants of mixed feeding, psychosocial challenges and attitudes of HIV-positive women with infants between ages 3-6 months who attended
prevention of mother-to-child transmission of HIV services in Gert Sibande district. Methods: A cross-sectional study was conducted with 815 ...
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Ladzani, R. (2009) The impact of HIV and AIDS on food security and nutrition in South Africa. (March).
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Food security and nutrition are an outcome of national incomes, as household food security requires goods and services to be
produced by the national economy. AIDS affects agricultural production and subsequently household food security. HIV-infected persons are limited in generating an income or producing food for their households. Therefore a synergistic relationship exists between HIV infec...
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Lahiff, E., Mariam, D.H., Mfutso-Bengo, J.M., Omololu, F., Baguma, P.K., Tumwesigye, N.M., Peltzer, K., Clarke, M., Rhatigan, J., Ager, A.K., Ijsselmuiden, C. & MacLachlan, M. (2010) Indigo: an international doctorate for health systems research. Policy & Practice: A Development Education Review. 11:99-111.
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This article looks at the International Doctorate in Global Health (Indigo), an innovation programme in 2009 and coordinated by the Centre for Global Health at Trinity College, Dublin, with partners from Africa, Europe and North America. Indigo aims to produce doctoral-level graduates who have the ability to address global health problems using a systems framework, utilizing interdisciplinary ...
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Langa, R.C. & Peltzer, K. (2007) HIV/AIDS information credibility and seeking among South African youth. African journal for physical, health education, recreation and dance (AJPHERD). 13(1):43-58.
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The aim of the study was to examine the credibility of HIV/AIDS sources of information among youth in Limpopo Province, South Africa. The sample consisted of eight focus groups and 98 participants (49 females and 49 males) for a survey. Results indicate that the sources of information frequently cited were radio and television. Television was considered to be the most used HIV/AIDS source of i...
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Leclerc-Madlala, S. (2009) AIDS in Zulu idiom: etiological configurations of women, pollution and modernity. In: Carton, B., Laband, J. & Sithole, J. (eds). Zulu identities: being Zulu, past and present. Durban: University of KwaZulu-Natal Press. 554-565.
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This chapter explores local interpretations of HIV/AIDS in KwaZulu-Natal and draws upon ethnographic spanning over a decade of study on the socio-cultural constructions and meanings of AIDS among isiZulu-speaking people. Primarily based on fieldwork in the peri-urban region of Mariannhill, west of Durban, an attempt is made to illuminate the critical role played by cultural schemes in shaping ...
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Leclerc-Madlala, S., Simbayi, L.C. & Cloete, A. (2009) The sociocultural aspects of HIV/AIDS in South Africa. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 13-26.
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This chapter focuses on some sociocultural aspects of life within the majority black African population of South Africa, most of whom speak languages that are classified within the broad linguistic grouping of Bantu Languages.
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Leclerc-Madlala, S. (2008) Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability. AIDS. 22(4):S17-S25.
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This paper reviews the current state of knowledge on age-disparate sexual relationships in the context of the southern African HIV/AIDS hyperepidemic. Disproportionately high HIV infection rates among young women aged 15-24 years have been attributed to their greater involvement in relationships with older-aged partners. Whereas early studies emphasized economic concerns in the context of pover...
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Leclerc-Madlala, S. & Naidoo, D. (2008) Designing behavioural interventions: from planning to action. (Paper presented at the Capacity Building Workshop, Johannesburg, 24-26 November).
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Leclerc-Madlala, S. (2008) Global struggles, local contexts: prospects for a southern African AIDS feminism. In: Foller, M.J. & Thorn, H. (eds). The politics of AIDS: globalization, the state and civil society. New York: Palgrave Macmillan. 141-155.
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The need to accelerate the global struggle against patriarchy and its system of endorsing male privilege while promoting female vulnerability is perhaps nowhere more clearly evinced than in Southern Africa today. At every stage of the HIV epidemic women in Southern Africa are disproportionably infected and affected by the disease.
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Leclerc-Madlala, S. (2008) Intergenerational/age-disparate sex and young women's vulnerability in southern Africa. (Paper presented at a Technical Meeting on Young Women in HIV Hyper-endemic Countries of Southern Africa, Muldersdrift, 18-19 June).
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Leclerc-Madlala, S. (2008) Refocusing HIV prevention to address real issues. (Paper presented at the Swaziland Partnership Forum on HIV/AIDS, Manzini, 7 May).
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Leclerc-Madlala, S. (2008) Requirements for a psychosocial shift in behaviour towards an AIDS free generation. (Paper presented at the HIV and AIDS Summit, Mooi River, 3-5 June).
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Leclerc-Madlala, S. (2008) Sugar daddies' and HIV: is it really about money, money, money?. HSRC Review. 6(3):11-12.
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Statistics on the HIV pandemic in southern Africa show that young women are much more likely to be HIV-positive than their male counterparts. In some places in Botswana, for example, HIV-rates in girls between the ages of 15 and 19 are nine times more than that of boys of the same age.
Apart from the physiological reasons that make women more susceptible to HIV, scientists often blame sugar...
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Lorentzen, J. (2006) Innovation in resource-based technology clusters: investigating the lateral migration thesis: muti from coal: science and politics of humic substance research in South Africa. (Commissioned by the Department of Science and Technology, February).
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Louw, J., Shisana, O., Peltzer, K. & Zungu-Dirwayi, N. (2009) Examining the impact of HIV & AIDS on South African educators. South African Journal of Education. 29:205-217.
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Our aim in this study was to examine the impact of HIV&AIDS on South African educators. A cross-sectional survey was conducted in public schools combining HIV testing and a face-to-face interview with participants from a nationally representative sample of public educators. The results show that HIV is highly prevalent among South African public educators (12.7%) and the educators who are absen...
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Lurie, M.N., Williams, B.G., Zuma, K., Mkaya-Mwamburi, D., Garnett, G. P., Sturm, A. W., Sweat, M. D., Gittelsohn, J. & Abdool Karim, S.S. (2003) The impact of migration on HIV-1 transmission in South Africa: a study of migrant and nonmigrant men and their partners. Sexually transmitted diseases. 30 (2):149-156.
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Lurie, M.N., Williams, B G., Zuma, K., Mkaya-Mwamburi, D., Garnett, G.P., Sweat, M.D., Gittelsohn, J. & Abdool Karim, S.S. (2003) Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS. 17 (15):2245-2252.
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Maharaj, P. & Roberts, B. (2006) Tripping up: AIDS, pharmaceuticals and intellectual property in South Africa. In Trading women's health and rights?: trade liberalization and reproductive health in developing economies. Crown, C., Braunstein, E. & Malhotra, A. (eds). London: Zed Books. 212-234.
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Majaja, M., Setswe, G., Peltzer, K., Matseke, G. & Phaweni, K. (2010) Perceptions and acceptability of male circumcision (MC) in South Africa: a qualitative study. (Poster presented at the XVIII International AIDS Conference, July).
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Majaja, M., Setswe, G., Peltzer, K., Matseke, G. & Phaweni, K. (2009) Perceptions and acceptability of male circumcision in South Africa: FGDs of the national population study. (Paper presented to the HSRC Conference, Birchwood Conference Centre, Benoni, 17 September).
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Majaja, M., Setswe, G., Davids, A., Clayton, J., Naidoo, Y., Lewa, N. & Simbayi, L. (2009) Psychosocial support (PSS) needs of community home based carers (CHBC) working with orphans and vulnerable children (OVC) and people living with HIV/AIDS (PLWA) in South Africa, case of Red Cross Society. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, 22-25 September).
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Makgoba, P., Mdhluli, L.E., More, S., Lenka, M. & Makgoba, D. (2004) Evaluation on non-profit organisations in the Free State province in the field of HIV/AIDS: first draft report. (Study undertaken for the Free State Youth Commission, June).
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Makgoba, S., Mdhluli, L., More, S., Lenka, M. & Makgoba, D. (2004) Evaluation of non-profit organisations in the Free State province in the field of HIV/AIDS. (Study undertaken for the Free State Youth Commission, July).
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Makiwane, M. & Mokomane, Z. (2010) South Africa youths' higher-risk sexual behaviour: an eco-developmental analysis. African Journal of AIDS Research. 9(1):17-24.
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Despite their high levels of knowledge about HIV and AIDS, young people ages 15-24 years in South Africa remain disproportionately affected by the epidemic. Young people's continued susceptibility to HIV infection has been consistently linked to intractable higher-risk sexual behaviours. This paper uses multivariate techniques and secondary data from two nationally representative surveys to ill...
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Makoae, M. & Mokomane, Z. (2008) Examining women's vulnerability to HIV transmission and the impact of AIDS: the role of peer education/peer support in Lesotho's garment industry. (Commissioned by CARE Lesotho-South Africa Country Office, June).
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The Lesotho study was particularly designed to understand if there were differences between women who were trained in peer education and those who did not participate in the intervention in terms of their empowerment to reduce the risk of HIV infection and behaviour in relation to seeking HIV/AIDS related services. CARE and their partners implemented the Private Sector Coalition
against AIDS i...
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Makoae, M.G. (2011) Food meanings in HIV and AIDS caregiving trajectories: ritual, optimism and anguish among caregivers in Lesotho. Psychology, Health & Medicine. 16(2):190-202.
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The article describes the caregiving responsibility to provide food for chronically ill family members and the meanings attached to food and eating when ill created stress for family caregivers. The results come from a qualitative phenomenological study using in-depth interviews with 21 family caregivers of chronically ill HIV and AIDS patients in one district in Lesotho. Analysis of the interv...
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Makoae, M.G. (2010) HIV/AIDS caregiving without ARVs in Lesotho: food, medicine, body and emotions. Saarbrucken: Lambert Academic Publishing.
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The book chronicles poignant experiences of family members who provided care for HIV and AIDS patients before antiretroviral drugs were available in the public health sector in Lesotho. Central to the caregivers'' experiences is the patients'' bodies that need attention, resist care and project suffering. The issues of confidentiality, the ?minimum package of care?, de-medicalisation of HIV/AID...
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Makoae, M.G. (2009) The phenomenology of bodily care: caregivers' experiences with AIDS patients before antiretroviral therapies in Lesotho. African Journal of AIDS Research. 8(1):17-27.
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This study provides an account of caregivers' experiences with the bodily care of AIDS patients before antiretroviral therapies were available in the public health sector in Lesotho. It describes the mechanisms through which the body may become a stressor in caregiving. The phenomenological method, guided by the notion of epoche, was used to understand caregiving experiences from the perspectiv...
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Makoae, M.G. & Jubber, K. (2008) Confidentiality or continuity?: family caregivers' experiences with care for HIV/AIDS patients in home-based care in Lesotho. Sahara J: Journal of Social Aspects of HIV/AIDS. 5(1):37-48.
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In the context of poor access to antiretroviral therapies in sub-Saharan Africa, the minimum treatment package intended to treat
opportunistic infections common with HIV infection is inadequate but appealing, since it presumes universal coverage of medical
care for patients living with HIV and AIDS. The overall objective of this study was to analyse the challenges which family caregivers
enc...
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Maman, S., Abler, L., Parker, L., Lane, T., Chirowodza, A., Ntogwisangu, J., Srirak, N., Modiba, P., Murima, O. & Fritz, K. (2009) A comparison of HIV stigma and discrimination in five international sites: the influence of care and treatment resources in high prevalence settings. Social Science & Medicine. 68:2271-2278.
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What accounts for differences in HIV stigma across different high prevalence settings? This study was designed to examine HIV stigma and discrimination in five high prevalence settings. Qualitative data were collected as part of the U.S. National Institute of Mental Health (NIMH) Project Accept, a multi-site community randomized trial of community-based HIV voluntary counseling and testing. In-...
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Maman, S., Lane, T., Ntogwisangu, J., Modiba, P., Van Rooyen, H., Timbe, A., Visrutaratna, S. & Fritz, K. (2009) Using participatory mapping to inform a community-randomized trial of HIV counseling and testing. Field Methods. 21(4):368-387.
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Participatory mapping and transect walks were used to inform the research and intervention design and to begin building community relations in preparation for Project Accept, a community-randomized trial sponsored by the National Institute of Mental Health. Project Accept is being conducted at five sites in four countries: Thailand, Zimbabwe, South Africa, and Tanzania. Results from the mapping...
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Managa, L., Pengpid, S. & Peltzer, K. (2007) Intimate partner violence and HIV risk among women in primary health care delivery services in Vhembe district, South Africa. Gender and Behaviour. 5(2):1302-1317.
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The aim of this study is to investigate intimate partner violence and HIV risk among women attending primary care health facilities in Vhembe District, South Africa. The sample included 389 women with a mean age of 28 years randomly selected from four primary care facilities. Results indicate high rates of intimate partner violence and HIV risk. 34% of the women reported a history of having ...
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Martin, H.G. (2003) A comparative analysis of the financing of HIV/AIDS programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe, October 2003. (Research Monograph, Research Programme on the Social Aspects of HIV/AIDS and Health). Cape Town: HSRC Publishers.
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This report compares mechanisms for the financing of HIV/AIDS programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe. The research for this report was done as part of the work of Social Aspects of HIV/AIDS Research Alliance (SAHARA). SAHARA is a flexible network of partners working in the sub-Saharan African region. Initiated by the Social Aspects of HIV/AIDS and Heal...
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Mashamba, T., Peltzer, K., Maluleke, T.X. & Sodi, T. (2011) A controlled study of an HIV/AIDS/STI/TB intervention with faith healers in Vhembe district, South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 8(S):83-89.
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The aim of the study was to develop an HIV and AIDS training manual, and to evaluate the knowledge, attitudes and management of faith healers of Apostolic churches regarding HIV and AIDS, before and after they attended an HIV and AIDS training programme. A quasi-experimental intervention design was used with faith healers affiliated with the United African Apostolic Church (UAAC) in the Thulame...
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Mastro, T.D., Kim, A.A., Hallett, T, Rehle, T., Welte, A., Laeyendecker, O., Oluoch, T. & Garcia-Calleja, J.M. (2010) Estimating HIV incidence in populations using tests for recent infection: issues, challenges and the way forward. Journal of HIV/AIDS Surveillance & Epidemiology. 2(1)*:Online.
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HIV incidence is the rate of new infections in a population over time. HIV incidence is a critical indicator needed to assess the status and trends of the HIV epidemic in populations and guide and assess the impact of prevention interventions.
Methods: Several methods exist for estimating population-level HIV incidence: direct observation of HIV incidence through longitudinal follow-up of pers...
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Mathambo, V. & Gibbs, A. (2009) Extended family childcare arrangements in a context of AIDS: collapse or adaptation?. AIDS Care. 21 (S1):22-27.
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Families are subjected to a number of social, economic, political and demographic challenges. In recent years, the AIDS epidemic has constituted a major challenge for already poor families due to its wide reaching social, economic and health consequences. The devastating consequence of HIV and AIDS is being seen through the prolonged illness and death of family members of prime working age whic...
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Mathambo, V. (2008) We are volunteering: communities' responses to children in need. HSRC Review. 6(4):29-30.
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How communities respond to families and communities affected by HIV and AIDS plays a critical role in averting destitution and crises to cushion children from the worst impacts of the epidemic. However, community initiatives face a number of challenges too.
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Matseke, G. (2011) Predictors of condom use among South African youth aged 15-24 years. (Paper presented at the 2011 HSRC Social Sciences Research Conference, Birchwood Conference Centre, Benoni, 7-8 September).
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Matseke, G., Peltzer, K. & Tabane, C. (2009) Substance use and HIV risk among HIV infected and uninfected Voluntary Counselling and Testing (VCT) clients in Gert Sibande district, South Africa. (Paper presented at the 4th South African AIDS Conference, Durban, 31 March-3 April).
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Matshe, I. & Pimhidzai, O. (2008) Macroeconomic impact of HIV and AIDS on the Zimbabwean economy: a human capital approach. The Botswana Journal of Economics. 5(9):32-45.
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Zimbabwe is one of the countries severely affected by the HIV/AIDS epidemic. The high prevalence of the disease is not only a health problem but has become an economic problem, yet little effort had previously been directed at establishing the exact magnitude of HIV/AIDS' economic impact. Using a human capital approach which measures the value of production lost as a result of HIV/AIDS - relate...
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Mavhu, W., Dauya, E., Bandason, T., Munyati, S., Cowan, F.M., Hart, G., Corbett, E.L. & Chikovore, J. (2010) Chronic cough and its association with TB-HIV co-infection: factors affecting help-seeking behaviour in Harare, Zimbabwe. Tropical Medicine and International Health. April:Online.
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Objective: To qualitatively investigate reasons why individuals who reported chronic cough of 2 weeks or more in a cross-sectional prevalence survey had not accessed community-based outreach or other diagnostic services.
Methods: This study was nested into a cluster randomised trial comparing two methods of providing community-level diagnosis for tuberculosis (TB). Twenty individuals (12 male...
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Mbelle, N. & Setswe, G. (2008) HIV and AIDS strategy 2008-2012. (Commissioned by the Limpopo Department of Education, November).
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McGrath, N., Richter, L. & Newell, M-L. (2011) Design and methods of a longitudinal study investigating the impact of antiretroviral treatment on the partnerships and sexual behaviour of HIV-infected individuals in rural KwaZulu-Natal, South Africa. BMC Public Health. 11:121.
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Diagnosed HIV-infected people form an increasingly large sub-population in South Africa, one that will continue to grow with widely promoted HIV testing and greater availability of antiretroviral therapy (ART). For HIV prevention and support, understanding the impact of long-term ART on family and sexual relationships is a health research priority. This includes improving the availability of lo...
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McLaughlin, C. & Swartz, S. (2011) Can we use young people's knowledge to develop teachers and HIV-related education?. Prospects. 41:429-444.
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Despite recent progress in meeting the goals of the Education for All agenda, certain groups of young people are particularly vulnerable to exclusion and underachievement, including children with HIV/AIDS, children living in poverty, and children
with disabilities. HIV/AIDS has reduced many young people's rights to access education, to live a full and healthy life, and to have a life as a chil...
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Mdladla, P., Marsland, N., van Zyl, J. & Drimie, S. (2003) Towards identifying the vulnerability of HIV/AIDS affected households to food insecurity: the RVAC-UNAIDS experience: challenges and opportunities. (Paper presented to the United Nations Regional Inter-Agency Coordinating and Support Office, "Measuring the impact of HIV/AIDS on food insecurity", 9-11 September, Johannesburg).
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This paper provides an overview of attempts to focus an HIV/AIDS lens on the data generated during the Vulnerability Assessment Committee surveys in August 2002, December 2002 and April to June 2003. The objective was to further the understanding of the impacts of HIV/AIDS on household food insecurity in southern Africa. The final part of the paper includes suggestions for an improved approa...
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Mehlomakulu, V. (2008) Constructions of masculine sexuality, high risk sex and HIV/AIDS amongst young Xhosa men in South Africa. (Paper presented at the AIDS Conference, Mexico City, 3-8 August).
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Metcalf, C., Rispel, L., Cloete, A. & Reddy, V. (2009) "If you talk about a window period of two weeks, it is worse": HIV testing among men who have sex with men (MSM) in Johannesburg and Durban, South Africa. (Poster presentation at the 5th IAS Conference on HIV Pathogenesis, Treatment and Prevention, Cape Town, 19 - 22 July).
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Background: The Johannesburg/eThekwini Men's Study (JEMS) was conducted to provide information on HIV among men who have sex with men (MSM) in Johannesburg and Durban, South Africa, in response to reports that MSM in South Africa are disproportionately at risk of HIV infection. The study also assessed the availability and use of health services for MSM. HIV testing services are widely available...
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Metcalf, C., Rispel, L., Cloete, A. & Reddy, V. (2009) "You become afraid to tell them that you are gay": availability and utilisation of health services by men who have sex with men (MSM) in the Johannesburg/eThekwini men's study. (Poster presentation at the 5th IAS Conference on HIV Pathogenesis, Treatment and Prevention, Cape Town, 19 - 22 July).
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Background: The Johannesburg/eThekwini Men's Study (JEMS) was conducted to provide information on HIV among men who have sex with men (MSM) in two South African cities (Johannesburg and Durban) and to assess the availability of programmes and health services for MSM, in response to the stated commitments of the South African National Strategic Plan on HIV & AIDS and STIs, 2007-2011.
Methods: ...
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Metcalf, C. & Rispel, L. (2009) Exposing a hidden HIV epidemic among men who have sex with men. HSRC Review. 7(2):4-5.
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One of the first studies among men who have sex with men (MSM) found a 'hidden epidemic' of HIV among MSM in South Africa in keeping with findings in other countries with generalised HIV epidemics. The results also suggest that South Africa may be experiencing parallel heterosexual and homosexual HIV epidemics with limited bridging between the two. CAROL METCALF and LAETITIA RISPEL, who presen...
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Mindry, D., Maman, S., Chirowodza, A., Muravha, T., Van Rooyen, H. & Coates, T. (2011) Looking to the future: South African men and women negotiating HIV risk and relationship intimacy. Culture, Health & Sexuality. 13(5):589-602.
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This paper examines the approaches heterosexual men and women in South Africa use to engage their partners in discussions of HIV and risk factors in their relationships. These strategies entail balancing the risks of infection while managing the challenges of maintaining a relationship. In a context in which there is a great deal of insecurity in relationships it is especially challenging to di...
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Mitchell, C., De Lange, N., Stuart, J., Moletsane, R. & Buthelezi, T. (2007) Children's provocative images of stigma, vulnerability and violence in the age of AIDS: re-visualisations of childhood. In: De Lange, N., Mitchell, C. & Stuart, J. (eds). Putting people in the picture: visual methodologies for social change. Rotterdam: Sense Publishers. 59-71.
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This chapter responds to some of the challenges presented by the South African anthropologist, Patty Henderson in relation to the (re)conceptualisations of childhood. Henderson describes a situation that is common in many parts of sub-Saharan Africa where the effects of orphaning due to HIV & AIDS, poverty, social inequalities, unequal distribution of resources in schools and communities are ev...
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Mitchell, C., Moletsane, R. & de Lange, N. (2007) Editorial: inclusive education in South Africa in the era of AIDS: every voice counts. International Journal of Inclusive Education. 11(4):383-386.
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Mlambo, M. & Peltzer, K. (2011) HIV sero-status disclosure and sexual behaviour among HIV positive patients who are on antiretroviral treatment (ART) in Mpumalanga, South Africa. Journal of Human Ecology. 35(1):29-41.
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The aim of this study was to assess with a narrative interview HIV sero-status disclosure and sexual behaviour pattern among 90 purposeful selected antiretroviral treatment (ART) patients in a public hospital in Mpumalanga province, South Africa. Results indicate that participants were either in sero-concordant (21%), sero-discordant (13%) or in relationships with a partner of unknown HIV statu...
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Mngqundaniso, N. & Peltzer, K. (2008) Traditional healers and nurses: a qualitative study on their role on sexually transmitted infections including HIV and AIDS in KwaZulu-Natal, South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 5(4):380-386.
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The aim of this study was to investigate the role of traditional healers in sexually transmitted infections including HIV/AIDS and collaboration between the traditional and biomedical health care systems as seen by nurses and traditional healers. A convenient sample of 15 professional nurses and 15 traditional healers were interviewed using a semi-structured questionnaire. Qualitative analyses ...
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Mngqundaniso, N. (2006) Traditional healers on board to fight HIV/AIDS. HSRC Review. 4(2):3.
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Traditional healers can play an important role in the prevention, care and treatment of HIV infection and AIDS, according to a study commissioned by the KwaZulu-Natal (KZN) Department of Health, writes Nolwandle Mngqundaniso.
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Moetlo, G.J., Pengpid, S. & Peltzer, K. (2011) An evaluation of the implementation of integrated community home-based care services in Vhembe District, South Africa. Indian Journal of Palliative Care. 17(2):137-142.
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The aim of the study is to evaluate the implementation of integrated community home-based care (CHBC) services in Vhembe District, Limpopo Province, South Africa. Materials and Methods: In all, 393 caregivers responded to a questionnaire on various aspects of home-based care and service provider characteristics. Results indicate that in most areas of the Community Homes-based Care (CHBC) serv...
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Mokomane, Z. (2011) Rapid assessment of the champions for an HIV-free generation. (Commissioned by the African Comprehensive HIV/AIDS Partnership, October).
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This report presents the findings of the rapid assessment of the Champions for an HIV-Free Generation Initiative. The assessment was meant to explore the effectiveness of the Initiative over the first three years of its existence, and to provide recommendations to guide future implementation. To achieve these objectives, data was obtained from two main sources in July and August 2011:
* a revi...
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Mokomane, Z. & Makoae, M. (2011) The role of the private sector in HIV and AIDS interventions in developing countries: the case of Lesotho. In: Kasenga, F.H. (ed). Understanding HIV/AIDS management and care: pandemic approaches in the 21st century. Croatia: Intech Open Access. 59-74.
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This chapter assesses the extent to which PSCAAL's activities enhanced HIV and AIDS knowledge and behaviour changes among the female textile workers. The differences between workers who participated in the peer education programme (PEP) and those who did not participate are examined in terms of: (1) knowledge of HIV and AIDS; (2) preventive behaviour measured as uptake of HIV testing and consis...
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Moletsane, R., Mitchell, C., De Lange, N., Stuart, J., Buthelezi, T. & Taylor, M. (2009) What can a woman do with a camera?: turning the female gaze on poverty and HIV and AIDS in rural South Africa. International Journal of Qualitative Studies in Education. 22(3):315-331.
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This article explores the use of participatory video in finding solutions to challenges faced by schools and communities in the contexts of poverty and the AIDS pandemic in one rural community in KwaZulu-Natal, South Africa. Locating the analysis within the study of feminist visual culture and the notion of the female gaze, the article focuses on a close reading of the production of a three mi...
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Moletsane, R., Mitchell, C., Smith, A. & Chisholm, L. (2008) Methodologies for mapping a southern African girlhood in the age of Aids. Rotterdam: Sense Publishers.
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Methodologies for Mapping a southern African Girlhood in the Age of Aids is located within the new and broader area of Girlhood Studies. Girls have long been considered a rich feminist memory-site for examining the genesis of women's sense of self in the developed world. To date, however, only a few scholars have focused on southern African girlhoods. Even fewer focus on methodologies for resea...
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Moletsane, R. & Mitchell, C. (2007) On working with a single photograph. In: De Lange, N., Mitchell, C. & Stuart, J. (eds). Putting people in the picture: visual methodologies for social change. Rotterdam: Sense Publishers. 131-140.
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Drawing on work with children and young people on photo-voice techniques as a creative process and a key feature of 'taking action' in the context of poverty, HIV and AIDS and schooling, this chapter focuses on some of the methodological issues of engaging in close readings of photographs. In so doing it highlights the ways in which one might apply Clifford Geertz's notion of 'going thick and d...
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Moletsane, R., De Lange, N., Mitchell, C., Stuart, J., Buthelezi, T. & Taylor, M. (2007) Photo-voice as an analytical and activist tool in the fight against HIV and AIDS stigmatisation in a rural KwaZulu-Natal school. Journal of Child and Adolescent Mental Health. 19(1):1-10.
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In a project involving learners, parents, teachers and community health care workers the participants identified stigma as a persistent problem and barrier against prevention and care efforts around HIV and AIDS in their schools and communities. This paper focuses on the use of participatory approaches to research and intervention and explores the uses of photo-voice as a means of promoting ch...
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Moletsane, R. (2007) South African girlhood in the age of AIDS: towards girlhood studies. Agenda: Empowering Women for Gender Equity. 72:155-165.
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The article explores the concept girlhood in South Africa and the reasons for the continuing marginalisation and brutalisation of girls in communities, schools and other social spaces in spite of government's adoption of rights-based policies in line with international conventions and human rights policies. The article argues for targeted girlhood studies using girl-methods as one way of unders...
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Morison, T. (2011) Book review: Long, C. 2009. Contradicting maternity: HIV-positive motherhood in South Africa. Johannesburg: Witwatersrand University Press. ISBN 978-1-86814-494-5. Psychology in Society (PINS). 41:62-65.
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Morrell, R., Epstein, D., Unterhalter, E., Bhana, D. & Moletsane, R. (2009) Towards gender equality: South African schools during the HIV and AIDS epidemic. Scottsvillle: University of KwaZulu-Natal Press.
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Since the democratic elections in 1994, there have been concerted efforts to redress race and gender inequalities in South Africa. Learners and teachers have responded in their own ways to change and this nuanced analysis reveals their struggles to realise gender equality by living gender differently. In distinguishing short-term interventions to change behaviour from institutional approaches,...
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Morrow, S. (2004) Book review: de Kok, I. (2002) Terrestial things: poems. Roggebaai: Kwela and Snail Press. 63 p. ISBN 0795701462. African book publishing record (ABPR). xxx (1):24.
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Mosam, A., Carrara, H., Shaik, F., Uldrick, T., Berkman, A., Aboobaker, J. & Coovadia, H.M. (2009) Increasing incidence of Kaposi's sarcoma in black South Africans in KwaZulu-Natal, South Africa (1983-2006). International Journal of STD & AIDS. 20:553-556.
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The aim of the study was to describe the temporal trends in the incidence of Kaposi's sarcoma (KS) in black South Africans in KwaZulu-Natal (KZN). The study was designed as a retrospective record review. The incidence of Kaposi's sarcoma was estimated using administrative records for patients receiving care for KS through public sector oncology clinics in KZN, 1983-2006. Annual age-standardize...
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Motshabi, L.C., Pengpid, S. & Peltzer, K. (2011) HIV counselling and testing utilisation and attitudes of male inmates in a South African prison. Sahara J: Journal of Social Aspects of HIV/AIDS. 8(3):107-114.
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The Department of Correctional Services Policy on the management of HIV and AIDS for offenders include voluntary counselling and testing (VCT) for HIV as one of the priorities in the rehabilitation of inmates. The aim of this study was to determine factors associated with the utilisation of VCT services in the correctional centres in terms of level of satisfaction, their experiences and expecta...
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Mqimeti, N., Pengpid, S. & Peltzer, K. (2011) Evaluation of voluntary counselling and testing services in a health district, South Africa: service providers' perspectives. Ife PsychologIA. 19(2):151-166.
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The aim of this study was to evaluate the Voluntary Counselling and HIV testing (VCT) services for counsellor effectiveness, availability and accessibility, and the barriers towards implementation of the programme. The sample included 60 VCT counsellors working at hospitals and clinics situated within the Greater Tzaneen sub-district geographical area systematically sampled from the total numbe...
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Mulaudzi, M.V., Pengpid, S. & Peltzer, K. (2011) Nurses' knowledge, attitudes, and coping related to HIV and AIDS in a rural hospital in South Africa. Studies on Ethno-medicine. 5(1):25-32.
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The aim of this study was to determine nurses' knowledge, attitudes, and coping related to HIV and AIDS in a rural hospital in South Africa. A randomly selected sample of 222 nurses was asked to respond to a self-administered questionnaire. Results indicate that the majority (83.8%) of the sample had a medium level of HIV knowledge and had a positive attitude towards caring of HIV/AIDS patient...
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Mwambi, H.G. & Zuma, K. (2007) Mapping and modeling disease risk among mobile populations. In: Apostolopoulos, Y. & Sonmez, S. (eds). Population Mobility and Infectious Disease. New York: Springer. 245-266.
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Mzolo, T. (2008) Bayesian approach in estimating risk determinants of infectious diseases. (Paper presented at the 51st Annual SASA Conference, October).
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HIV/AIDS has had greatest adverse impact on TB. People coinfected with TB and HIV are at high risk of dying from TB. Similarly the relationship between HIV and STIs is complex as they are both sexually transmitted. In South Africa, no coherent analysis of determinants of HIV and TB has been done at a national level and thus this study seeks to mend this gap. Results will therefore provide a bet...
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Naidoo, D. (2010) Book review: Reddy, V., Sandfort, T., Rispel, L. (eds). 2009. From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press. 252 pp. ISBN: 978-0-7969-2276-2. Sahara J: Journal of Social Aspects of HIV/AIDS. 7(2):85-86.
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Naidoo, D., Kekana, Q., Davids, A., Ngwenya, N., Senabe, S. & Gumede, J.M. (2010) Know your HIV prevention response (KYR) analysis report for component 3: KwaZulu-Natal provincial report. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Kwazulu-Natal Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Naidoo, D., Seager, J. & Davids, A. (2009) The perceived relevance of HIV/AIDS prevention and care programmes for reducing vulnerability in communities. (Paper presented at the 5th SAHARA Conference, Gauteng, 30 November - 3 December).
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Background: The South African National Strategic Plan for HIV & AIDS and STI calls for an intensified, comprehensive, multi-sectoral, national response. Many interventions are being implemented but little is known about their perceived relevance or usefulness from a community perspective.
Aim: This study explored community and key informant's perceptions of current HIV and AIDS interventions...
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Naidoo, P., Mwaba, K., Majozi, N. & Loonat, N. (2010) Depression, anxiety & quality of life (QoL) among HIV and AIDS patients attending a public health clinic in South Africa (SA). (Paper presented at the 27th International Congress of Applied Psychology (ICAP), Melbourne, Australia, 11-16 July).
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Naidoo, P., Adams, S., Rinquest-Arends, Z., Omar, N., Dirks, D. & Osman, A. (2010) The relationships between socio-demographic factors, high-risk behaviours & clinical depression in HIV positive individuals in a public health clinic. (Paper presented at the Psychological Society of South Africa Conference, Durban, 4-6 July).
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Naidoo, Y. (2009) Stigma, denial and discrimination in the era of the HIV/AIDS pandemic. (Paper presented to the Ray of Hope Community Forum, 23 June).
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Naidoo, Y. (2008) South African Indians and HIV/AIDS: towards an understanding of HIV transmission dynamics in the Chatsworth community. (Paper presented at the Gender Mainstreaming Workshop, 5 September).
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Naidoo, Y. (2008) South African Indians and HIV/AIDS: towards an understanding of HIV transmission dynamics in the Chatsworth community. (Paper presented at the HIV Prevention Research Unit (HPRU), Medical Research Council (MRC) and the Centre for HIV/AIDS Networking (HIVAN), 30 September).
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Naidu, S. & Vhuromu, M. (2001) Reviewing the Southern African development community. In South African yearbook of international affairs 2001/02. Johannesburg: South African Institute of International Affairs.
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The important question is: Will the current restructuring of SADC institutions foster greater harmony between member states, and bring about meaningful integration, or will it prove to be just another ineffective and costly exercise? Against this backdrop, this article will explore developments over the last 18 months within SADC, particularly in relation to the restructuring process.
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Naidu, S. (2001) Southern Africa: a review of the region. In South African yearbook of international affairs 2001/02. Johannesburg: South African Institute of International Affairs.
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This chapter review significant economic and political events that took place in the Southern African region in the year 2000 and offer a view of the future of the sub-continent.
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Ngcobo, Z., Van Rooyen, H. & Richter, L. (2007) Mobilizing communities for participation in a community based intervention trial in Vulindlela, South Africa. (Poster presentation at the 3rd South African AIDS Conference, Durban, South Africa, 5-8 July).
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Ngema, S., Van Rooyen, R. & Richter, L. (2007) Strategies and barriers to delivery of post test support services in rural KwaZulu Natal. (Poster presentation at the 3rd South African AIDS Conference, Durban, South Africa, 5-8 July).
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Ngubane, T., Van Rooyen, H., Richter, L. & Coates, T. (2008) Innovative mobilization strategies for attracting at risk youth and young adults to participate in community-based voluntary counselling and testing in rural Kwa-Zulu Natal, South Africa (Project Accept - HPTN 043). (Poster presented at the XVII International AIDS Conference, Mexico City, 3-8 August).
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Niang, C.I., Shisana, O., Andrews, G., Kaseje, D., Simbayi, L., Peltzer, K. & Toefy, Y. (2006) New approaches, new activities and new outcomes in international conferences on HIV/AIDS in Africa - report of the 3rd African Conference on the Social Aspects of HIV/AIDS, Dakar, 10-14 October 2005. Sahara J: journal of social aspects of HIV/AIDS. 3(2):424-435.
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Africa's HIV/AIDS situation remains cause for concern.The impact of HIV is considerable and threatens the survival and development of African societies.Although much has been attempted, the results still leave much to be desired. AIDS is an epidemic that needs to be addressed with much creativity and spirit of initiative. It is against this background that the 3rd African conference on the soci...
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Nkomo, N. (2006) Book review: D'Adesky, A. 2004. Moving mountains: the race to treat global AIDS. London: Verso. ISBN 1844670023, 473 p.. Sahara J: journal of social aspects of HIV/AIDS research alliance. 3(1):417-418.
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Onoya, D., Reddy, P., Ruiter, R., Sifunda, S., Wingood, G. & Van den Borne, B. (2011) Psychosocial correlates of condom use consistency among isixhosa-speaking women living with HIV in the western Cape province of South Africa. Journal of Health Psychology. June:Online.
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Many HIV-positive South African women continue to have unprotected sex. The aim of this cross-sectional study was to assess correlates of condom use consistency among Xhosa-speaking HIV-positive women in South Africa. One hundred and twenty women were recruited from five primary care clinics and completed a questionnaire. Regression analyses indicated that assertive negotiation and self efficac...
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Onoya, D., Reddy, P., Sifunda, S., Wingwood, G.M., Van den Borne, B. & Ruiter, R.A.C. (2010) Barriers to recruitment and retention of HIV negative black South African women into behavioural HIV prevention programs. (Poster presented at the 6th PHASA 2010 Conference, 29 November-1 December).
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Onoya, D., Reddy, P., Sifunda, S., Lang, D., Wingwood, G., Van den Borne, B. & Ruiter, R. (2010) Comparing STI risk and sexual behaviour profiles of pregnant versus non-pregnant, HIV negative black South African women. WebmedCentral Public Health. 1(11):Online.
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Background: In South Africa more HIV prevention efforts are focused on HIV positive and particularly pregnant women compared HIV negative and non pregnant woman. The objective of this cross-sectional study was to compare the STI prevalence and sexual behaviours between HIV negative black women who attend HIV VCT services during antenatal care and their non pregnant counterparts.
Methods: A ...
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Orkin, F.M. (2004) Foreword. In State of the nation: South Africa 2004-2005. Daniel, J., Southall, R. & Lutchman, J. (eds). Cape Town: HSRC Press. xi-xii.
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Orkin, M. (2006) Foreword. In State of the nation: South Africa 2005-2006. Buhlungu, S., Daniel, J., Southall, R. & Lutchman, J. (eds). Cape Town: HSRC Press. xi-xii.
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Parker, S. (2010) Risk group or group at risk. Lambert Academic Publishing.
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Young adults are at growing risk of HIV/AIDS and other sexually transmitted diseases in South Africa. This study aimed to ascertain the general prevalence of risk behavior practices among younger members of the high school community in the greater Cape Town area. Behaviors were assessed along 3 areas of risk: alcohol use, narcotic use and sexual contact. The study consisted of 475 grades 8, 9 a...
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Paruk, Z., Petersen, I. & Bhana, A. (2009) Facilitating health-enabling social contexts for youth: qualitative evaluation of a family-based HIV-prevention pilot programme. African Journal of AIDS Research. 8(1):61-68.
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This paper reports on a post-intervention qualitative evaluation of the pilot intervention of the AmaQhawe Family Project, in South Africa, which is a cartoon-based, manualised intervention delivered to multiple family groups over 10 sessions, aimed at preventing HIV in adolescents through strengthening the adult protective shield. Semi-structured interviews with nine women who had participated...
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Paruk, Z., Petersen, I., Bhana, A., Bell, C.C. & McKay, M. (2005) Containment and contagion: how to strengthen families to support youth HIV prevention in South Africa. African journal of AIDS research. 4(1):57-63.
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There has been little research done in South Africa that investigates how families nested within communities can be strengthened to support the prevention of HIV infection in youth. A focused ethnographic case-study approach was employed to better understand how families in a semi-rural area outside Durban, South Africa, could support youth to make healthy life choices, particularly with respec...
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Patel, S.V., Shisana, O., Kim, E., Hakim, A., Brewinsky, M., Kissin, D., Zapata, L., Murrill, C., Nwanyanwu, O., Rehle, T. & Lindegren, M.L. (2010) Filling a gap: HIV pediatric surveillance in resource contrained settings. Journal of HIV/AIDS Surveillance & Epidemiology. 2(1):Online.
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ABSTRACT:
Objectives and Background: While HIV surveillance systems have seen marked improvements in recent years, advances in pediatric surveillance have been limited. HIV prevalence data among children and youth are scarce, hindering prevention, care and treatment programs for these populations.
Methods: This paper provides a review of approaches to pediatric HIV surveillance as discussed i...
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Peltzer, K. (2012) Health behaviour interventions in developing countries, with a focus on HIV, male circumcision and culture in Africa. (Paper presented at the University of Miami, Developmental Center for AIDS Research (I-CFAR), 6 January).
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Peltzer, K. (2012) Health-related quality of life and antiretroviral therapy in KwaZulu-Natal, South Africa. Social Behavior and Personality. 40(2):267-282.
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In studies conducted with African and Asian cohorts researchers have shown the clinical efficacy of antiretroviral therapy (ART) in resource-limited settings. However, studies on the longer term changes in health-related quality of life (HRQoL) with patients receiving ART in these settings are still scarce. The aim in this study was to assess HIV patients' HRQoL, clinical, psychosocial, and soc...
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Peltzer, K. (2011) Adherence to antiretroviral therapy in low socioeconomic status community sample. Journal of Psychology in Africa. 21(2):287-292.
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The study reports on antiretroviral treatment adherence in a KwaZulu-Natal sample with a follow-up period of 20 months. Participants were 498 predominantly Black females living with HIV and AIDS. Four-hundred and ninety-six of the participants (91.6%) were found to be adherent and 42 (8.4%) as non-adherent patients. Self-report data on adherence were collected. The results suggested that adher...
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Peltzer, K., Friend-du Preez, N., Ramlagan, S., Fomundam, H., Anderson, J. & Chanetsa, L. (2011) Antiretrovirals and the use of traditional, complementary and alternative medicine by HIV patients in KwaZulu-Natal, South Africa: a longitudinal study. African Journal of Traditional, Complementary and Alternative Medicines. 8(4):337-345.
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The aim of this prospective study (20 months) was to assess HIV patients' use of Traditional, Complementary and
Alternative Medicine (TCAM) and its effect on ARV adherence at three public hospitals in KwaZulu-Natal, South Africa. Seven
hundred and thirty-five (29.8% male and 70.2% female) patients who consecutively attended three HIV clinics completed
assessments prior to ARV initiation, 519...
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Peltzer, K., Sikwane, E. & Majaja, M. (2011) Factors associated with short-course antiretroviral prophylaxis (dual therapy) adherence for PMTCT in Nkangala district, South Africa. Acta Paediatrica. February:Online.
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Aim: To identify factors that influence adherence to short-course antiretroviral (ARV) prophylaxis by pregnant women and mothers participating in the HIV prevention of mother to child (PMTCT) programme.
Methods: The sample interviewed included 139 HIV-positive antenatal women 5 (mean gestational age 32 weeks; STD = 2.8, range 4-9 months) and 607 postnatal HIV-positive women, with either having...
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Peltzer, K. (2011) Health related quality of life and antiretroviral treatment in patients over a period of 20 months in KwaZulu-Natal, South Africa. (Paper presented at the 43rd Asia-Pacific Academic Consortium for Public Health Conference, Seoul, South Korea, 20-22 October).
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Peltzer, K. (2011) Health related quality of life and antiretroviral treatment in patients over a period of 20 months in KwaZulu-Natal, South Africa. (Paper presented at the 43rd Asia-Pacific Academic Consortium for Public Health Conference, Seoul, South Korea, 20-22 October).
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Peltzer, K., Vallieres, E.F. & Tabane, C. (2011) HIV knowledge, risk perception and risk behaviour among male ex-offenders in Mpumalanga, South Africa. Gender and Behaviour. 9(2):3870-3885.
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The aim of this study is to investigate HIV knowledge, beliefs and HIV risk behaviours among ex-offenders in Mpumalanga Province, South Africa. A sample of 85 male ex-offenders conveniently selected from an ex-offenders organization were interviewed with a structured and open-ended questionnaire. Results indicate good overall HIV knowledge but also significant misconceptions such as 45.9% belie...
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Peltzer, K., Simbayi, L., Banyini, M. & Kekana, Q. (2011) HIV risk reduction intervention among medically circumcised young men in South Africa: a randomized controlled trial. International Journal of Behavioral Medicine. June:Online.
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Medical male circumcision (MMC) is now considered one of the best available evidence-based biomedical HIV prevention interventions. However, there is some concern about risks for behavioural disinhibition, or risk compensation, following MMC. The aim of this study was to test a brief one-session (180 min) group culturally tailored HIV risk reduction counselling intervention among men undergoing...
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Peltzer, K., Simbayi, L., Banyini, M. & Kekana, Q. (2011) HIV risk reduction intervention among traditionally circumcised young men in South Africa: a cluster randomized control trial. Journal of the Association of Nurses in AIDS Care. March:Online.
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The aim of this study was to test a 180-minute group HIV risk-reduction counseling intervention trial with men undergoing traditional circumcision in South Africa to reduce behavioral disinhibition (false security) as a result of the procedure. A cluster randomized controlled trial design was employed using a sample of 160 men, 80 in the experimental group and 80 in the control group. Compariso...
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Peltzer, K. & Davids, A. (2011) Lay counsellors' experiences of delivering HIV counselling services in public health facilities in a Eastern Cape province district of South Africa. Journal of Psychology in Africa. 21(1):63-71.
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The study examined experiences of lay counsellors who provide HIV counselling services to identify potential HIV counselling needs. Qualitative and quantitative interview data were collected from 74 lay counsellors from a sample of Eastern Cape Province district's health facilities (n=74). Results indicated that lay counsellors experienced medium to high job stress, but with relatively high job...
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Peltzer, K. & Ramlagan, S. (2011) Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa. AIDS Care. 23(1):60-68.
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The aim of this study is to examine whether internalized AIDS stigma among HIV patients one year after antiretroviral therapy (ART) initiation is associated with sociodemographic characteristics, health status, social support, quality of life (QoL), and ARV adherence. This is a prospective study of all treatment-naive patients (N=735) recruited from all three public hospitals in Uthukela health...
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Peltzer, K. & Shikwane, M.E. (2011) Prevalence of postnatal depression and associated factors among HIV-positive women in primary care in Nkangala district, South Africa. The Southern African Journal of HIV Medicine. December:24-28.
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The prevalence of postpartum depression in South Africa is high, but there is lack of prevalence data on postnatal depression among HIV-infected women. Aim. The aim of this study was to determine the prevalence of depressed mood and associated factors in postnatal HIV-positive women in primary care facilities in Nkangala district, Mpumalanga, South Africa. Methods. This cross-sectional study ...
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Peltzer, K., Jones, D., Weiss, S.M. & Shikwane, E. (2011) Promoting male involvement to improve PMTCT uptake and reduce antenatal HIV infection: a cluster randomized controlled trial protocol. BMC Public Health. 11:Online.
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Despite the availability of a dual therapy treatment protocol and infant feeding guidelines designed to prevent mother to child transmission (PMTCT) of HIV, of the over 1 million babies born in South Africa each year, only 70% of those born to HIV positive mothers receive dual therapy. Similar to other resource-poor nations facing the integration of PMTCT into routine pregnancy and infant care,...
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Peltzer, K., Shikwane, E. & Matseke, G. (2011) Psychological distress and associated factors among a sample of pregnant women in South Africa. Journal of Psychology in Africa. 21(3):495-500.
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We sought to identify the prevalence of psychological distress and associated factors among pregnant women who were patients at antenatal primary care clinics in a South Africa district. A cross-sectional study using systematic sampling was conducted among 1497 pregnant women (age range=18 to 47 years; mean age=26.6 years, SD=6.1; Black African=98%), with a mean gestational age of 6.5 months (S...
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Peltzer, K., Mlambo, M., Matseke, G., Shikwane, E., Louw, J. & Kekana, Q. (2011) Report on PMTCT comprehensive community intervention package including male involvement, infant follow-up, peer support, partner violence and infant feeding in Nkangala district, Mpumalanga province. (Commissioned by the US Centers for Disease Control and Prevention (CDC), December).
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With around 2.7 million people becoming infected with HIV in 2010, there are now an estimated 34 million people around the world who are living with HIV, including millions who have developed AIDS (UNAIDS, 2011). Studies have shown that there is much that
can be done to reduce AIDS impact beginning with the transmission of HIV (UNAIDS, 2011). In 2010, around 390,000 children under the age of 1...
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Peltzer, K., Simbayi, L., Banyini, M. & Kekana, Q. (2011) Safe snipping: medical vs traditional circumcision: changing risky sexual habits. HSRC Review. 9(3):18-19.
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It is now indisputable that male circumcision performed in a medical facility protects against HIV. But there is also evidence that the protective benefits of male circumcision are undermined by 'risk compensation', or a lack of restraint when it comes to sexual behaviour. KARL PELTZER, LEICKNESS SIMBAYI, MERCY BANYINI and QUEEN KEKANA undertook two studies - among the first of their kind - to ...
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Peltzer, K. (2011) Sexual dissatisfaction and associated factors in a sample of patients on antiretroviral treatment in KwaZulu-Natal, South Africa. South African Journal of Psychiatry. 17(3):2-7.
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Sexual expression affects physical, mental and social well-being. There is a lack of understanding on sexual dissatisfaction among patients on antiretroviral treatment in Africa. Using systematic sampling, HIV-positive patients were selected from outpatient departments from three hospitals before commencing antiretroviral therapy (ART), followed up for 20 months (N=495) and interviewed with a q...
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Peltzer, K. (2011) Spirituality and religion in antiretroviral therapy (ART) in KwaZulu-Natal, South Africa: a longitudinal study. Journal of Psychology in Africa. 21(3):361-370.
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This study assesses the effects of spirituality and religion in health outcomes of patients on ART in KwaZulu-Natal, South Africa. Participants were 735 patients who attended three HIV clinics for ART over a period of 20 months as follows: 519 after 6 months on antiretroviral therapy (ART), 557 after 12 and 499 after 20 months on ART. They completed the Duke Religion Index each visit. Factors a...
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Peltzer, K., Friend-du Preez, N., Ramlagan, S. & Anderson, J. (2010) Antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa. BMC Public Health. 10 (1):111.
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Background: Successful antiretroviral treatment is dependent on sustaining high rates of adherence. In the southern African context, only a handful of studies (both quantitative and qualitative) have looked at the determinants including a health
behaviour theory of adherence to antiretroviral therapy. The aim of this study is to assess factors including the information, motivation and behaviou...
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Peltzer, K. (2010) Culture, male circumcision and HIV in Africa. (Paper presented at the AGEM Ethnomedicine Conference, Heidelberg, 22-24 October).
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Peltzer, K., Mlambo, M., Phaswana-Mafuya, N. & Ladzani, R. (2010) Determinants of adherence to a single-dose nevirapine regimen for the Prevention of Mother-to-Child HIV Transmission in Gert Sibande district in South Africa. Acta Paediatrica. 99:699-704.
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Aim: To identify factors that influence adherence to antiretroviral (ARV) prophylaxis by HIV positive mothers participating in the HIV prevention of mother to child (PMTCT) programme.
Methods: Post-delivery 815 HIV-infected mothers aged 18 years and above with babies aged 3-6 months were interviewed in Gert Sibande District, Mpumalanga province, South Africa.
Results: Eighty five percent of t...
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Peltzer, K., Mzolo, T., Mbelle, N., Tsoai, L., Lewa, N. & Ncitakalo, N. (2010) Dual protection, contraceptive use, HIV status and risk among a national sample of South African women. Gender and Behaviour. 8(1):2833-2845.
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The aim of this study was to investigate dual protection, contraceptive use, HIV status risk among a national sample of South African women. The final sample included only female participants (N=4675) who reported to have had sexual intercourse in the past 12 months aged 15 to 49 years. Results indicate that almost one thirds (31.7%) of the participants indicate that they were protected from bo...
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Peltzer, K. (2010) Early sexual debut and associated factors among in-school adolescents in eight African countries. (Paper presented at the XXth Congress of the International Association for Cross-Cultural Psychology (IACCP), Melbourne, 7-10 July).
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Peltzer, K., Kanta, X. & Banyini, M. (2010) Evaluation of a safer male circumcision training programme for Ndebele traditional surgeons and nurses in Gauteng, South Africa: using direct observation of circumcision procedures. African Journal of Traditional, Complementary and Alternative Medicines. 7(2):153-159.
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The aim of this study was to assess the safety of traditional male circumcision practices among Ndebele traditional surgeons following a five days training by direct observation of circumcision procedures. The sample included eight Ndebele traditional surgeons and traditional nurses and 86 initiates (abakhwetwa) from two districts in Gauteng province in South Africa. A structured observations t...
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Peltzer, K. & Mlambo, G. (2010) Factors determining HIV viral testing of infants in the context of Mother-to-Child Transmission. Acta Paediatrica. 99:590-596.
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The aim of this study was to investigate factors determining HIV viral testing of infants in the context of Prevention of Mother-to-Child Transmission of HIV (PMTCT). Methods: Post-delivery HIV infected mothers 18 years and above with babies aged
3-6 months were interviewed on HIV viral testing of infants and factors associated with it. Results: Among 311 HIV infected women 61.7% had their i...
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Peltzer, K., Mlambo, G. & Phaweni, K. (2010) Factors determining prenatal HIV testing for prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa. AIDS and Behavior. 14:1115-1123.
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This study assessed factors associated with participation in HIV counseling and testing and reported reasons for not taking part in Voluntary HIV Counseling and Testing among 930 pregnant women attending clinics for antenatal care in South Africa. Results indicate that from 930 clients interviewed 87% had agreed to participate in individual pre-test HIV counseling and 81.2% had
received their ...
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Peltzer, K. (2010) Health behaviour interventions in developing countries. (Paper presented at ICAP, Melbourne).
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Peltzer, K. & Pengpid, S. (2010) Health behaviour interventions: what works in low/middle income countries. (Paper presented at the Monash University: School of Public Health and Preventive Medicine, 25 June).
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Peltzer, K., Phaswana-Mafuya, N. & Ladzani, R. (2010) Implementation of the national programme for prevention of mother-to-child transmission of HIV: a rapid assessment in Cacadu district, South Africa. African Journal of AIDS Research. 9(1):95-106.
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To conduct a rapid assessment of the prevention-of-mother-to-child-transmission-of-HIV (PMTCT) programme in two of the three local service areas in Cacadu district, Eastern Cape Province, South Africa, we designed an exploratory study using a mixed-methods approach. Quantitative and qualitative data on PMTCT programme implementation were collected in 2008 through a structured assessment at the ...
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Peltzer, K., Ladzani, R., Mlambo, M.G., Majaja, M., Phaweni, K., Matseke, G., Shikwane, E. & Rozani, A. (2010) Implementing a rural programme of Prevention of Mother-to-Child Transmission of HIV in Nkangala, South Africa: a baseline evaluation. (Report for PMTCT, Mpumalanga, July).
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HIV related health problems have robbed about 2 million lives. About 1.9 million of the 2.7 million new infections that have documented occurred in sub-Saharan Africa (UNAIDS, 2008). Women and children bear a disproportionate share of the burden, and in many settings continue to experience high rates of new HIV infections and of HIV-related illness and death. In 2008 alone, an estimated 430 000...
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Peltzer, K. & Simbayi, L. (2010) Integrating HIV prevention, treatment, care and support into education sector, South Africa. (Invited paper presented at UNAIDS Inter-agency Task Team (IATT) on Education Symposium: Working on HIV and AIDS in education: systems and workplace reponses for and by education sector workers, Brussels, Belgium, 2 December).
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Peltzer, K., Tabane, C., Matseke, G. & Simbayi, L. (2010) Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa. (Paper presented at the 27th International Congress of Applied Psychology (ICAP), Melbourne, 11-16 July).
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Peltzer, K. & Ramlagan, S. (2010) Safer sexual behaviours after 1 year of antiretroviral treatment in KwaZulu-Natal, South Africa: a prospective cohort study. Sexual Health. 7:135-141.
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Abstract. Background: As antiretroviral treatment (ART) becomes more widely available in low and middle income countries, the relationship between treatment and sexual risk behaviour in these countries has also become more important. Methods: This is a prospective study of all treatment-naive patients (n = 735) recruited from all three public hospitals in Uthukela health district in KwaZulu-Nat...
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Peltzer, K., Phaswana-Mafuya, N., Mzolo, T., Tabane, C. & Zuma, K. (2010) Sexual behaviour, HIV status, and HIV risk among older South Africans. Studies on Ethno-medicine. 4(3):163-172.
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The aim of this study was to conduct a secondary analysis on sexual behaviour, HIV status and HIV risk and co-morbidity among older South Africans using the South African 2005 HIV prevalence and behaviour survey. A multistage probability nationally representative sample involving 3795 male and female respondents, aged 50 years or older was selected. About 41.1% had been
sexually active in the ...
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Peltzer, K., Friend-du Preez, N., Ramlagan, S., Fomundam, H. & Anderson, J. (2010) Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 7(2):125-137.
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Adherence to antiretroviral medication in the treatment of HIV is critical, both to maximize efficacy and to minimize the emergence of drug resistance. The aim of this prospective study in three public hospitals in KwaZulu-Natal, South Africa, is to assess the use of Traditional Complementary and Alternative Medicine (TCAM) by HIV patients and its effect on antiretroviral (ARV) adherence 6 mont...
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Peltzer, K., Friend-du Preez, N., Ramlagan, S. & Anderson, J. (2010) The who & why of antiretroviral treatment adherence. HSRC Review. 8(2):14-15.
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Successful antiretroviral (ARV) treatment depends on whether patients take their medication consistently and over a long period. This means taking the correct dosage, on time and in the correct way - either with or without food. KARL PELTZER et al. looked at which patients unfailingly take their medication and why.
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Peltzer, K., Promtussananon, S. & Mashego, T-A.B. (2010) Youth sexuality in the context of HIV/AIDS in South Africa. In: Libshitz, M. (ed). Domestic violence and its reverberations. New York: Nova Science Publishers. 113-197.
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The vast majority of non-biomedical research on HIV/AIDS has been behavioural research, usually by survey methods, counting people's sex acts, partners, preferences, places times and reasons for sex, and assessing levels of risk for HIV infection, revealing the dominance of seeing sex largely as behaviours. The notion of behaviours denudes sex of all meaning and pleasure. It neglects how mean...
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Peltzer, K., Promtussananon, S. & Mashego, T-A.B. (2010) Youth sexuality in the context of HIV/AIDS in South Africa. In: Kendow, L.B. (ed). AIDS vaccines, HIV receptors, and AIDS research. New York: Nova Science Publishers. 153-239.
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Peltzer, K., Matseke, G., Mzolo, T. & Majaja, M. (2009) Determinants of knowledge of HIV status in South Africa: results from a population-based HIV survey. BMC Public Health. 9:174.
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Background: Over 30% of women and men in the South African national HIV household of 2005 indicated that they had previously been tested for HIV (of which 91% were aware of their test results). This paper seeks to describe the associations between socio-demographic, behavioural and social characteristics and knowledge of HIV status among a nationally representative population in South Africa.
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Peltzer, K., Simbayi, L., Kalichman, S., Jooste, S., Cloete, A. & Mbelle, N. (2009) Drug use and HIV risk behaviour in three urban South African communities. Journal of Social Sciences. 18(2):143-149.
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The present study assesses drug usage and HIV risk using a modified version of the Drug Abuse Screening Test, Short Form (DAST-10) for substances other than alcohol among a sample of urban South African dwellers. Results indicate that the prevalence of (more than once) illicit drug use was 25% for cannabis, followed by methamphetamine (Tik) (7.3%), mandrax (5.4%), pills from the street (3.3%) ...
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Peltzer, K., Kanta, X. & Banyini, M. (2009) Evaluation of a safer male circumcision training programme for Ndebele traditional surgeons and nurses in Gauteng, South Africa.
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The aim of this study was to assess the safety of traditional male circumcision practices among Ndebele traditional surgeons following a five days training by direct observation of circumcision procedures. The sample included eight Ndebele traditional surgeons and traditional nurses and 86 initiates (abakhwetwa) from two districts in Gauteng province in South Africa.
A structured observations ...
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Peltzer, K., Chao, L.-W. & Dana, P. (2009) Family planning among HIV positive and negative prevention of mother to child transmission (PMTCT) clients in a resource poor setting in South Africa. AIDS and Behavior. 13:973-979.
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The purpose of this study was to investigate family planning needs, knowledge of HIV transmission and HIV disclosure in a cohort sample that had undergone PMTCT in a resource poor setting. Five public clinics implementing PMTCT from Qaukeni Local Service Area, O.R. Tambo District in the Eastern Cape. The sample at postnatal care consisted of 758 women with known HIV
status. From 116 HIV positi...
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Peltzer, K., Phaswana-Mafuya, N. & Petros, S.G. (2009) Hazardous alcohol use among persons living with Human Immunodeficiency Virus infection in the Eastern Cape, South Africa. Journal of Psychology in Africa. 19(2):247-252.
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The study assessed the prevalence of hazardous alcohol use among people living with HIV (PLHIV) and its correlates with socio-economic characteristics, disease variables and ART adherence in South Africa. The sample included 607 PLHIV (males = 475, females =132; age range =18-61), sampled by all districts in the Eastern Cape. Participants were recruited through a health facility in the communit...
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Peltzer, K., Phaswana-Mafuya, N., Ladzani, R., Davids, A., Mlambo, G., Phaweni, K., Dana, P. & Ndabula, M. (2009) Implementing a rural programme of Prevention of Mother-to-Child Transmission of HIV in Kouga LSA, South Africa: a pre-post evaluation: final report: Kouga LSA PMTCT programme implementation. (Commissioned by the Eastern Cape Department of Health Management, August).
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Baseline assessment of missed opportunities for PMTCT was conducted in the Kouga LSA in 2007 to gather information on the status of PMTCT programme implementation prior to initiating programme strengthening activities. Identified gaps in the PMTCT programme were staff shortage, lack of guidelines, stock outs, no monitoring and evaluation system, lack of training and poor data collection methods...
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Peltzer, K., Banyini, M., Simbayi, L. & Kalichman, S. (2009) Knowledge, attitudes and beliefs about male circumcision and HIV by traditional and medical providers of male circumcision and traditionally and medically circumcised men in Mpumalanga, South Africa. Gender and Behaviour. 7(2):2394-2429.
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The aims of this study in Mpumalanga, South Africa, are to assess (1) the current behavioural risk reduction messages and HIV/AIDS education provided by medical and traditional providers of male circumcision to men undergoing medical and traditional circumcision and (2) the risk-related behavioural beliefs regarding circumcision, HIV/AIDS risks, condoms and gender attitudes among men who have u...
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Peltzer, K., Tabane, C., Matseke, G. & Simbayi, L. (2009) Lay counsellor-based risk reduction intervention with HIV negative diagnosed patients at HIV counselling and testing sites in a rural South African setting. Journal of Psychology in Africa. 19(4):541-548.
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The study evaluated the feasibility, fidelity, and effectiveness of a human immunodeficiency virus (HIV) prevention
intervention delivered to HIV-uninfected patients by lay counsellors during routine HIV counselling and testing (HCT)
service in Mpumalanga, South Africa. Participants were 543 HIV negative diagnosed persons (males =383, females =163,
age range=18 - 68). They were assessed at b...
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Peltzer, K. & Phaswana-Mafuya, R. (2009) Programme to improve implementation of the Prevention of Mother to Child Transmission of HIV in Gert Sibande district in Mpumalanga, South Africa: baseline assessment: preliminary report. (March).
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Peltzer, K., Phaswana-Mafuya, N., Ladzani, R., Davids, A., Mlambo, G., Phaweni, K., Dana, P. & Ndabula, M. (2009) Programme to improve implementation of the Prevention of Mother to Child Transmission of HIV in Gert Sibande district in Mpumalanga, South Africa: baseline report: Gert Sibande PMTCT programme implementation. (September).
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Background: A baseline assessment of the PMTCT programme was conducted in the Gert Sibande district of Mpumalanga province in 2008-9 to gather information on the status of PMTCT programme implementation at all Gert Sibande health facilities prior to initiating programme strengthening activities. Identified gaps in the PMTCT programme were staff shortage, lack of guidelines, stock outs, no monit...
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Peltzer, K., Wabiri, N., Seager, J. & Setswe, G. (2009) Regional minimum standards for guidance on Prevention of Mother to Child Transmission (PMTCT) in the SADC region. (Commissioned by SADC Secretariat, July).
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The main aim of this project was to develop regional harmonized minimum standards for policies, protocols and guidelines for prevention of mother to child transmission (PMTCT) of HIV and AIDS in the Southern African Development (SADC) region. This is consistent with Article 10 of the SADC Protocol on Health, which calls for the harmonization of policies on disease prevention and
control. Sever...
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Peltzer, K., Wabiri, N., Seager, J. & Setswe, G. (2009) Regional minimum standards for harmonised approaches to Prevention of Mother to Child Transmission (PMTCT) in the SADC region. (Commissioned by SADC Secretariat, August).
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One of the main aims of the Southern African Development Community (SADC) is regional economic and political integration. However, as the region progresses towards the achievement of this objective, it is challenged by the adverse effects of HIV and AIDS on social, political and economic development. The region leads the world in terms of HIV infections, the majority of Member States have adul...
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Peltzer, K., Matseke, G. & Metcalf, C. (2009) Review of HIV counselling and testing studies in South Africa.
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Several authors have emphasised the importance of the quality of counselling (to client-centered counselling standards) (Holtgrave & McGuire, 2007), in particular for HIV positive individuals good-quality counselling and particularly intensive counselling for couples together when one is positive, seems likely to result in behaviour change (Shelton, 2008). On the other hand, Chersich and Temmer...
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Peltzer, K., Ramlagan, S., Friend-du Preez, N. & Fomundam, H. (2009) Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa. (Paper presented at the 3rd Interest Workshop, Lusaka, Zambia, 26-29 May).
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Peltzer, K. (2009) Utilization and practice of traditional/complementary/alternative medicine (TM/CAM) in South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 6(2):175-185.
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The aim of this study was to conduct a systematic review of published and unpublished research investigating the prevalence of traditional, complementary and alternative medicine (TMCAM) use in the general population. Results found that use of a traditional and/or faith healer seemed to have decreased over the past 13 years (from a range of 3.6 - 12.7% to 0.1%). The prevalence of traditional ma...
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Peltzer, K. (2008) Application of information and communication technology (ICT) in combating human immuno-deficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) in South Africa. African Journal for Physical, Health Education, Recreation and Dance (AJPHERD). 14(2):143-162.
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This paper reviews Information and Communication Technology (ICT) and its applications to Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) in South Africa. It consists of ICT and HIV and AIDS, ICT policy and strategy, conventional ICT applications (print, telephone, television, video, and multimedia programmes), modern ICT applications (internet
portal, mobile ...
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Peltzer, K., Nqeketo, A., Petros, G. & Kanta, X. (2008) Attitudes of preinitiates towards traditional male circumcision in the context of HIV in the Eastern Cape, South Africa. Social Behavior and Personality. 36(8):1023-1034.
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The aim of this study was to assess attitudes of preinitiates towards traditional Male Circumcision (MC) in the context of HIV. The sample included 350 Xhosa preinitiates recruited from 3 different recruitment sites during the preparation prior to MC in the Eastern
Cape province. Results indicated that: 10% were to be circumcised before their sexual debut and reported a great deal of sexual ri...
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Peltzer, K., Mosala, T., Dana, P. & Fomundam, H. (2008) Follow-up survey of women who have undergone a prevention of mother-to-child transmission program in a resource-poor setting in South Africa. Journal of the Association of Nurses in AIDS Care. 19(6):450-460.
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The aim of this study was to investigate the implementation of a prevention of mother-to-child transmission (PMTCT) program and to evaluate the uptake and adherence to single-dose nevirapine in a cohort sample that had undergone PMTCT in five public clinics in a resource-poor setting, Quakeni Local Service Area, O.R. Tambo District in the Eastern Cape, South Africa. Results indicated that 116 w...
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Peltzer, K. & Phaswana-Mafuya, N. (2008) Health-related quality of life in a sample of HIV-infected South Africans. (Paper presented at a International Conference on Health Promotion and Quality of Health Services in Bangkok, 20 November).
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Peltzer, K. & Phaswana-Mafuya, N. (2008) Health-related quality of life in a sample of HIV-infected South Africans. African Journal of AIDS Research. 7(2):209-218.
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(PLHIV) in South Africa. The sample included 607 PLHIV from all districts of the Eastern Cape Province, recruited either through a health facility, from the community through key informants, or through support groups. At the time of the study, 66% of the respondents reported having been given an AIDS diagnosis (advanced stage of HIV disease), 48% were on antiretroviral therapy (ART), and 35% we...
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Peltzer, K. & Phaswana-Mafuya, N. (2008) Levels of ability and functioning of persons living with HIV and AIDS using the WHO DAS II in a South African context. Journal of Social Development in Africa. 23(2):33-53.
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The study aimed to explore the relationships between socio-demographic variables and the domains of ability and functioning of the World Health Organisation Disability Assessment Schedule. The sample was made up of 607 persons living with HIV (PLHIV) in the Eastern Cape of South Africa. Convenience sampling was used to identify participants. The results indicated that 66% classified themselv...
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Peltzer, K., Phaswana-Mafuya, N., Ladzani, R., Ndabula, M., Davids, A., Dana, P., Metcalf, C. & Treger, L. (2008) Optimising the implementation of the Prevention of Mother to Child Transmission (PMTCT) of HIV programme in Camdeboo Local Service Area (LSA) of the Eastern Cape, South Africa: report on rapid baseline assessment. (July).
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Peltzer, K., Phaswana-Mafuya, N., Ladzani, R., Ndabula, M., Davids, A., Dana, P., Metcalf, C. & Treger, L. (2008) Optimising the implementation of the Prevention of Mother to Child Transmission (PMTCT) of HIV programme in Makana Local Service Area (LSA) of the Eastern Cape, South Africa: report on rapid baseline assessment. (August).
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A rapid assessment of the PMTCT programme in the 21 PMTCT sites in the Makana sub-district was done. This report highlights the baseline assessment findings.
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Peltzer, K. & Mngqundaniso, N. (2008) Patients consulting traditional health practitioners in the context of HIV/AIDS in urban areas in KwaZulu-Natal, South Africa. African Journal of Traditional, Complementary and Alternative Medicines. 5(4):370-379.
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the practice of THPs after they had been trained on Human Immunodeficiency Virus (HIV)/ Sexually Transmitted Infections (STI) prevention and care. The sample included 222 patients interviewed when exiting a THP?s practice (n=17) in purposefully chosen two urban sites in KwaZulu-Natal. Results indicate that at post training evaluation the majority of the THPs were involved in HIV/STI management ...
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Peltzer, K., Ramlagan, S., Shisana, O., Connolly, C. & Zuma, K. (2008) The public education sector and HIV/AIDS. In: Ndinga-Muvumba, A. & Pharoah, R. (eds). HIV/AIDS and society in South Africa. Scottsville: University of KwaZulu-Natal Press. 103-123.
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There has been growing attention to the issue of HIV/AIDS and its potential impact on education. A number of research projects have provided a very gloomy picture. The relationship between AIDS and the education sector is circular - as the epidemic worsens, the education sector is damaged, which in turn is likely to increase the incidence of HIV transmission. There are numerous ways in which...
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Peltzer, K. & Phaswana-Mafuya, N. (2008) The symptom experience of people living with HIV and AIDS in the Eastern Cape, South Africa. BMC Health Services Research. 8:271.
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Background: Symptom management for persons living with HIV (PLHIV) or AIDS is an important part of care management. Limited information about symptom prevalence exists about HIV infected persons in South Africa, in particular in the context of antiretroviral treatment (ART). The aim of this study was to assess HIV symptoms and demographic, social and disease variables of people living with HIV ...
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Peltzer, K., Nqeketo, A., Petros, G. & Kanta, X. (2008) Traditional male circumcision intervention report. (Commissioned by USAID, March).
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This intervention report is divided into six parts dealing with the following issues:
1. Attitudes of pre-initiates towards traditional male circumcision in the context of HIV in the Eastern Cape, South Africa
2. Evaluation of a safer male circumcision training programme for traditional surgeons and nurses in the Eastern Cape, South Africa
3. Circumcision during manhood initiation rituals i...
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Peltzer, K., Friend-du Preez, N., Ramlagan, S. & Fomundam, H. (2008) Use of traditional complementary and alternative medicine for HIV patients in KwaZulu-Natal, South Africa. BMC Public Health. 8(1):255.
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Background: Traditional medicine use has been reported is common among individuals with moderate and advanced HIV disease. The aim of this cross-sectional study was to assess the use of Traditional Complementary and Alternative Medicine (TCAM) for HIV patients prior to initiating antiretroviral therapy in three public hospitals in KwaZulu-Natal, South Africa. Methods: Using systematic sampling...
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Peltzer, K., Mosala, T., Shisana, O., Nqeketo, A. & Mngqundaniso, N. (2007) Barriers to prevention of HIV transmission from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa. African Journal of Reproductive Health. 11(1):57-66.
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The aim of this study was to investigate knowledge of PMTCT and to describe potential barriers that might affect acceptability of interventions for PMTCT in a resource poor setting in South Africa. The sample included 1534 pregnant women recruited a first antenatal care visit from 5 clinics implementing PMTCT (61%) and from 5 communities around the 5 clinics (39%). In addition, the mothers or...
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Peltzer, K. (2007) Evaluation of HIV/AIDS intervention prevention messages on a rural sample on South Africa's youth knowledge, attitudes, beliefs and behaviours over a period of 15 months. (Poster presentation to 2007 Vancouver HIV messages evaluation).
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Peltzer, K., Mngqundaniso, N. & Petros, G. (2006) A controlled study of an HIV/AIDS/STI/TB intervention with traditional healers in KwaZulu-Natal, South Africa. AIDS and behavior. 10(6):683-690.
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Traditional healers play an important role in southern Africa culture and health care including the HIV epidemic. Here we report among the first controlled studies of an HIV/AIDS, sexually transmitted infections (STI) and tuberculosis (TB) intervention for traditional healers in South Africa. At baseline 233 traditional healers were assessed in four selected communities in the KwaZulu-Natal pro...
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Peltzer, K., Mosala, T., Dana, P., Mngqundaniso, N. & Nqeketo, A. (2006) Follow-up survey of women who have undergone PMTCT in a resource poor setting.
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Peltzer, K., Mngqundaniso, N. & Petros, G. (2006) HIV/AIDS/STI/TB knowledge, beliefs and practices of traditional healers in KwaZulu-Natal, South Africa. AIDS care. 18(6):608-613.
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In a cross sectional study 233 traditional healers were interviewed in three selected communities in KwaZulu-Natal. The aim of this study was to investigate the HIV/AIDS/STI/TB knowledge, beliefs and practices of traditional healers in South Africa.
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Peltzer, K., Mosala, T., Shisana, O., Nqeketo, A. & Mngqundaniso, N. (2006) Prevention of HIV from mother to child (PMTCT) in a resource poor setting in the Eastern Cape, South Africa: baseline survey of pregnant women.
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Peltzer, K. (2006) Sexuality among adolescents in rural and urban South Africa. South African review of sociology. 37(2):189-199.
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The aim of this article is to better understand the sexuality and social change of adolescents in the context of HIV/AIDS in South Africa. By better linking HIV prevention to research on human sexuality and social change it should prove possible to advance the effectiveness of HIV/AIDS prevention efforts.
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Peltzer, K. & Pengpid, S. (2006) Sexuality of 16- to 17- year-old South Africans in the contexts of HIV/AIDS. Social behavior and personality. 34(3):239-256.
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The aim of this study was to better understand the sexuality of youth in the context of HIV/AIDS in South Africa. Participants (400 male and 400 female 16- and 17- year-olds) 400 were from rural and 400 from urban areas, and almost all were of African descent. Results indicate that two-thirds of the girls and more than half of the boys had had sexual intercourse and had petted. Almost half of t...
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Peltzer, K. & Henda, N. (2006) Traditional birth attendants, HIV/AIDS and safe delivery in the Eastern Cape, South Africa - evaluation of a training programme. The South African journal of obstetrics and gynaecology. 12(3):140-145.
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Traditional birth attendants (TBAs) are still frequently utilised in rural areas in South Africa, even when mothers have access to formal health care facilities. Studies reveal that utilisation of TBAs can be beneficial in some contexts, with support and supervision from the Western health sector. Aim. To evaluate a training programme for TBAs on HIV/AIDS and safe delivery. The study used a p...
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Peltzer, K., Skinner, D., Mfecane, S., Shisana, O., Nqeketo, A. & Mosala, T. (2005) Factors influencing the utilisation of prevention of mother-to-child-transmission (PMTCT) services by pregnant women in the eastern Cape, South Africa. Health SA Gesondheid. 10(1):26-40.
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Peltzer, K. & Promtussananon, S. (2005) HIV/AIDS knowledge and sexual behavior among junior secondary school students in South Africa. Journal of social sciences. 1(1):1-8.
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Peltzer, K., Mngqundaniso, N. & Petros, G. (2005) HIV/AIDS/STI/TB knowledge, attitudes and practices among lay health workers and nurses in KwaZulu-Natal, South Africa. Africa journal of nursing and midwifery. 7(2):17-34.
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Peltzer, K. (2005) Sexuality of black South African university students in the context of HIV/AIDS. Journal of psychology in Africa. 15(1):17-24.
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Peltzer, K. & Henda, N. (2005) Traditional birth attendance, HIV/AIDS and safe delivery in the Eastern Cape, South Africa: evaluation of a training.
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The aim of this study was to evaluate a training programme for TBAs on HIV/AIDS and safe delivery. The sample included 50 previously untrained TBAs, with the less than 10 assisted deliveries in a year, in rural South Africa. Results indicate that TBAs had a fair knowledge on risk signs during pregnancy and on HIV/AIDS which still significantly increased after the training. While 76% of TBAs fel...
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Peltzer, K., Nzewi, E. & Mohan, K. (2004) Attitudes towards HIV-antibody testing and people with AIDS among university students in India, South Africa and United States. Indian Journal of Medical Sciences. 58 (3):47-60.
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Stigmatizing attitudes toward persons with AIDS (PWAs) may reduce people's willingness to have themselves tested for Human Immunodeficiency Virus (HIV), thereby increasing the risk of transmission. The aim of this study is to examine attitudes towards HIV testing and determinants of attitudes towards PWAs. The findings reveal important factors related to HIV testing and suggest strategies for...
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Peltzer, K. & Seoka, P. (2004) Evaluation of HIV/AIDS prevention intervention messages on a rural sample of South African youth's knowledge, attitudes, beliefs and behaviours over a period of 15 months. Journal of child and adolescent mental health. 16(2):93-102.
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The aim of this study is to evaluate HIV/AIDS prevention intervention messages in a large rural youth population (15-24 years) in
South Africa over a period of 15 months. A representative community sample of 421 youth at time one and 416 at time two participated in the study using a three-stage cluster sampling method for a household survey. Results show that over a period of 15
months sexual...
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Peltzer, K. & Promtussananon, S. (2003) Black South African children's understanding of health and illness: colds, chicken pox, broken arms and AIDS. Child: care, health & development. 29 (5):385-393.
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This study examines the understanding of both health and illnesses (colds, broken arms, chicken pox, AIDS) in the same black South African children. Differences across age in children's expressed understanding of health and illnesses were found. The 9-year- olds were more likely to give objective signs of chicken pox and AIDS than the 5- year-olds. They also knew more about objective symptom...
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Peltzer, K., Oladimeji, B.Y. & Morakinyo, O. (2003) Factors affecting behaviours that address HIV risk among Nigerian university students. Ife Psychologia. 11(2):1-8.
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The aim of the study was to identify factors affecting HIV risk reduction among university students in Nigeria. HIV prevention programmes should include addressing the perceived prevention barriers particularly with condom use, students engaging early in their life in sexual intercourse and male students.
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Peltzer, K. (2003) HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population. South African journal of psychology. 33 (4):250-260.
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The aim of this study was to evaluate data ion behavioural indicators in relation to HIV/AIDS/STD prevention and occurrence in a rural adult population in South Africa.
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Peltzer, K. & Promtussananon, S. (2003) Perceived vulnerability to AIDS among rural black South African children: a pilot study. Journal of child and adolescent mental health. 15 (2):65-72.
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The aim of the study was to examine black primary school age children's perceptions of vulnerability to AIDS in rural South Africa. There were important age- and gender-related differ3ences regarding vulnerability and fears about AIDS, which have relevant implications for AIDS education addressing developmentally appropriate concerns.
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Peltzer, K. & Pengpid, S. (2008) Sexual abuse, violence and HIV risk among adolescents in South Africa. Gender and Behaviour. 6(1):1462-1278.
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The aim of the study is to investigate sexual abuse, violence and HIV risk among a sample of South African adolescents. The sample included 400 male and 400 female 16 or 17 year-olds; 400 were from rural and 400 from urban areas, and almost all from African descent. Participants were chosen by multi-stage cluster and quota sampling. Results indicate high rates of sexual and physical violence,...
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Peltzer, K.F. & Vass, J.R. (2003) The effects of HIV/Aids on the development of the South African Society and Business Society. (Client report: SIDA, July 2003).
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Peterman, T.A., Tian, L.H., Warner, L., Satterwhite, C.L., Metcalf, C.A., Malotte, K.C., Paul, S.M., Douglas, J.M. & Respect -2 Study Group, (2009) Condom use in the year following a sexually transmitted disease clinic visit. International Journal of STD & AIDS. 20:9-13.
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Consistent condom use can prevent sexually transmitted infections (STIs), but few studies have measured how the
prevalence of consistent use changes over time. We measured the prevalence and correlates of consistent condom use over the
course of a year. We did a secondary analysis of data from an HIV prevention trial in three sexually transmitted disease clinics. We
assessed condom use durin...
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Petersen, I. & Bhana, A. (2010) Decentralising mental healthcare. HSRC Review. 8(1):17.
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South Africans suffer from mental trauma because of their experiences under apartheid and their continuing struggles with poverty and HIV and AIDS. There is a serious need for mental healthcare. INGE PETERSEN and ARVIN BHANA look at policy that has focused on decentralising and integrating mental health services into district primary healthcare, but say more focused investment is necessary.
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Petersen, I., Bhana, A., Myeza, N., Alicea, S., John, S., Holst, H., McKay, M. & Mellins, C. (2010) Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa: a qualitative investigation. AIDS Care. 22(8):970-978.
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Introduction. While the roll-out of antiretroviral therapy in South Africa should lead to a reduction in mother to child transmission, mortality and orphaning, it will also be accompanied by a large number of children entering adolescence and adulthood with a chronic infectious disease. Adolescence is a particularly vulnerable period for HIV-infected people in relation to mental health problems...
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Petersen, I., Mason, A., Bhana, A., Bell, C.C. & Mckay, M. (2006) Mediating social representations using a cartoon narrative in the context of HIV/AIDS: the AmaQhawe family project in South Africa. Journal of health psychology. 11(2):197-208.
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Using findings from the formative evaluation of the adaptation of the Collaborative HIV/AIDS Adolescent Mental Health Programme (CHAMP) family based intervention in South Africa, known as the `AmaQhawe Family Project', the potential role of `micro-media' using a cartoon narrative for promoting health-enhancing behaviour change is explored. In particular, the cartoon narrative was found to be a ...
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Petersen, I., Bhagwanjee, A.M., Bhana, A. & Mahintsho, Z. (2004) The development and evaluation of a manualised participatory HIV/AIDS risk reduction programme (sex and risk) for tertiary level learners: a pilot study. (Paper presented at the XV International AIDS Conference, Nagkok, Thailand, 11-16 July).
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Petersen, I., Bhagwanjee, A., Bhana, A. & Mahintsho, Z. (2004) The development and evaluation of a manualised participatory HIV/AIDS risk reduction programme (Sex and Risk) for tertiary level learners: a pilot study. African journal of AIDS research. 3(1):93-100.
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This paper reports on a pilot study of the development and evaluation (using outcome and process measures) of a manualised participatory risk reduction programme, aimed at reducing high-risk sexual behaviour amongst tertiary level learners, called 'Sex and Risk' (S&R), at the University of Durban-Westville 1 in South Africa. The programme was grounded in a focused ethnographic study of the risk...
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Petersen, I., Bhana, A., Kvalsvig, J., Allen, S. & Swartz, L.P. (2004) HIV/AIDS, tuberculosis and parasites. In Psychology: an introduction. Swartz, L., De la Rey, C. & Duncan, N. (eds). Oxford: Oxford University Press. 449-464.
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Petersen, I., Bhagwanjee, A., Roche, S., Bhana, A. & Joseph, S. (2002) Sex & risk: facilitator's manual: an HIV/AIDS risk reduction programme for tertiary level students. Durban: University of Durban-Westville.
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Petersen, I., Roche, S, Bhagwanjee, A., Bhana, A. & Joseph, S. (2002) Sex & risk: student's workbook an HIV/AIDS risk reduction programme for tertiary level students. Durban: University of Durban-Westville.
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Petros, G., Airhihenbuwa, C.O., Simbayi, L., Ramlagan, S. & Brown, B. (2006) HIV/AIDS and 'othering' in South Africa: the blame goes on. Culture, health & sexuality. 8(1):67-77.
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Phakathi, Z., Van Rooyen, H., Fritz, K. & Richter, L. (2011) The influence of antiretroviral treatment on willingness to test: a qualitative study in rural KwaZulu-Natal, South Africa. African Journal of AIDS Research. 10:173-180.
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Previous quantitative studies suggest a mutually reinforcing relationship between HIV counselling and testing (HCT) and antiretroviral treatment (ART). HCT is the entry into ART, and access to ART appears to increase HIV-testing uptake in settings with historically low uptake. Adopting a qualitative approach, this study examined the influence of ART on willingness to test for HIV, in a rural co...
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Phakathi, Z., Van Rooyen, H., McGrath, N. & Hosegood, V. (2010) In sickness and in health. HSRC Review. 8(4):28-29.
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It seems to be common sense that in relationships, the health of one partner is linked to the health of the other. But couples struggle to get access to reproductive health and HIV/AIDS services together, ZIPHO PHAKATHI, HEIDI VAN ROOYEN, NUALA MCGRATH and VICKY HOSEGOOD found during a pilot study conducted in Vulindlela, KwaZulu-Natal.
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Phaswana-Mafuya, M.N. & Peltzer, K. (2006) Perceived HIV/AIDS impact among higher education institutions in the Eastern Cape. South African journal of higher education. 20(1):147-160.
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A descriptive questionnaire-based study was undertaken among higher education institutions in the Eastern Cape Province. The objectives of the study were to establish costs and trends in costs associated with HIV/AIDS morbidity and mortality, and to assess perceived HIV/AIDS impact on job performance and coping with performance problems. To this end, a systematic random sample of 137 head of de...
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Phaswana-Mafuya, M.N. (2005) HIV/AIDS situational analysis among tertiary institutions in the Eastern Cape. South African journal of higher education. 19(6):1141-1159.
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An exploratory-descriptive study was conducted to assess the prevailing HIV/AIDS situation among 14 tertiary institutions in the Eastern Cape. The study involved a purposive sample of 182 institutional representatives with whom 14 group interviews were conducted. The situational analysis was organised into sections dealing with SWOT analysis, risk analysis, management strategies, prevention ac...
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Phaswana-Mafuya, N., Peltzer, K., Ladzani, R., Mlambo, G., Davids, A., Phaweni, K., Dana, P. & Ndabula, M. (2011) Pre- and post-intervention assessment of a PMTCT-programme-strenghtening initiative in a rural area of the Eastern Cape, South Africa. African Journal of AIDS Research. 10(1):83-93.
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The research assesses prevention-of-mother-to-child-transmission-of-HIV (PMTCT) services following implementation of programme-strengthening activities in a municipality in the Eastern Cape Province, South Africa. A pre-intervention and post-intervention design was used to conduct facility assessments and client exit interviews at baseline and after 28 months. For the facility assessments, unst...
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Phaswana-Mafuya, N. (2010) HIV/AIDS in the African region and the SAHARA initiative. (Paper presented at the University of Bayreuth, Germany, 15 July).
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Phaswana-Mafuya, N. (2010) Memorandum of understanding: HSRC (SAHARA) & NMMU. (Paper presented at the MOU signing ceremony on 9 June).
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Phaswana-Mafuya, N., Seager, J., Peltzer, K., Jooste, S. & Mkhonto, S. (2010) Social determinants of HIV in the Eastern Cape. (Commissioned by the Eastern Cape Socio-Economic Consultative Council, March).
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This report was prepared for the Eastern Cape Socio Economic Consultative Council to review the Social Determinants of HIV/AIDS in the Eastern Cape with the aim of proposing programmes and research agenda for the scale up of effective HIV prevention. The report is based on a rapid review of available and accessible literature, both published and unpublished ('grey literature'), of HIV/AIDS stu...
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Phaswana-Mafuya, N., Seager, J., Peltzer, K., Jooste, S. & Mkhonto, S. (2010) Social determinants of HIV in the Eastern Cape. (Paper presented at the Eastern Cape AIDS Council Conference on the Political Economy of HIV & AIDS, East London 7-9 March).
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Phaswana-Mafuya, N. (2010) Why HIV/AIDS research partnerships really matter. (Paper presented at the Opening Ceremony of the Second National HIV/AIDS/STIs and Other Related Infectious Diseases (NHASORC II) Research Conference, 18 May).
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Phaswana-Mafuya, N. & Kayongo, D. (2009) Barriers to implementation of PMTCT program in the Eastern Cape of South Africa. Current Politics and Economics of Africa. 1(2):161-182.
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Phaswana-Mafuya, N., Peltzer, K. & Davids, A. (2009) Baseline patient satisfaction survey in 266 clinics located in three health districts of the Eastern Cape: Amathole, OR Tambo and Chris Hani. (Commissioned by the Eastern Cape Department of Health, April).
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Background: The Eastern Cape Department of Health commissioned the Human Sciences Research Council (HSRC) to conduct Patient Satisfaction survey in order to assess patient perceptions, expectations and satisfaction with services.
Aim: To conduct patient satisfaction survey in 275 clinics located in 3 health districts i.e. Amathole Health District (87), Chris Hani (108) and O.R. Tambo (80 cli...
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Phaswana-Mafuya, N., Peltzer, K. & Petros, S.G. (2009) Disability grant for people living with HIV/AIDS in the Eastern Cape of South Africa. Social Work in Health Care. 48(5):533-550.
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A cross-sectional explorative descriptive qualitative/quantitative study was conducted in the Eastern Cape of South Africa. The
qualitative component involved 38 HIV/AIDS stakeholders who were interviewed telephonically using a semi-structured interview
schedule. The quantitative component comprised 607 People Living With HIV/AIDS (PLWHA) who were interviewed using a
structured questionnaire...
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Phaswana-Mafuya, N. & Peltzer, K. (2009) HIV prevention intervention among employees in a tertiary institution in the Eastern Cape of South Africa. Current Politics and Economics of Africa. 1(2):141-160.
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Phaswana-Mafuya, N. (2009) HIV/AIDS socio-economic impact mitigation. (Paper presented at the Rwanda HIV/AIDS Conference, 1-2 October).
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Phaswana-Mafuya, N., Peltzer, K. & Davids, A. (2009) Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting. Journal of Psychology in Africa. 19(3):379-386.
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The aim of this study is to investigate intimate partner violence and HIV risk among antenatal care attendees at primary health care facilities in a South African setting.
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Phaswana-Mafuya, N. (2009) MCP as a driver of HIV epidemic. (Paper presented at the 5th SAHARA Conference, Midrand, 1-3 December).
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Phaswana-Mafuya, N. (2009) MCP as a driver of HIV epidemic. (Paper presented at the MCP (Multiple Concurrent Sexual Partnerships) workshop at the SAHARA Conference, Johannesburg, 30 November to 3 December).
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Phaswana-Mafuya, N., Peltzer, K., Ladzani, R., Davids, A., Mlambo, G., Phaweni, K., Dana, P. & Ndabula, M. (2009) Pre-post assessment of PMTCT in Kouga LSA. (Paper presented at the SAHARA Conference, Johannesburg, 30 November to 3 December).
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Phaswana-Mafuya, N. (2009) SAHARA update presentation to continental advisory board. (Paper presented at the 5th SAHARA Conference, Midrand, 1-3 December).
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Phaswana-Mafuya, N. & Kayongo, D. (2008) Barriers to implementation of PMTCT program in the Eastern Cape of South Africa. (Poster presentation at the 2008 World Aids Conference, Mexico City, Mexico, 3-8 August).
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Phaswana-Mafuya, N. & Peltzer, K. (2008) Disability grant for people living with HIV/AIDS in the Eastern Cape of South Africa. (Poster presented at the PHASA, Cape Town, 2-4 June).
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Phaswana-Mafuya, N. (2008) Do HIV+ mothers receive support from their families?. (Poster presented at the 2008 NIMH Annual International Scientific Conference on the Role of Families in Preventing and Adapting to HIV/AIDS, Providence, Rhode Island, 6-8 October).
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Family is a significant and often indispensable component of the societal capacity to cope with social, economic and other stressors, such as the HIV/AIDS epidemic. Thus, family support is a critical component of the success of most HIV prevention programs, including PMTCT. This study sought to explore whether HIV+ mothers on the PMTCT program were receiving support from their families.
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Phaswana-Mafuya, N. & Ramalepe, M. (2008) Experience of abuse among women in a rural subdistrict of Limpopo province, South Africa. Acta Criminologica. 21(2):46-55.
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An exploratory study was conducted to determine the experience of abuse among women in a rural subdistrict of Limpopo Province, South Africa. Women visiting local clinics were screened for signs of abuse and those who indicated that they had any form of abuse were asked whether they would like to participate in the study. Thirty five women participated. Five trained research assistants condu...
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Phaswana-Mafuya, N. & Kayongo, D. (2008) Experiences of prevention of mother to child transmission services by HIV+ mothers in the Eastern Cape of South Africa. African Journal for Physical, Health Education, Recreation and Dance (AJPHERD). 14(1):63-87.
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This paper reports experiences of the Prevention of Mother to Child Transmission (PMTCT) programme by Human Immuno Deficiency Virus (HIV+) mothers in the Eastern Cape of South Africa. A focus group study was carried out among a convenient sample of 109 HIV+ mothers who were on the PMTCT programme in four health facilities offering the programme. Ten focus group
interviews were conducted with t...
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Phaswana-Mafuya, N. & Peltzer, K.F. (2008) Impact of disability grant for people living with HIV/AIDS in the Eastern Cape of South Africa. (Poster presentation at the 2008 World Aids Conference, Mexico City, Mexico, 3-8 August).
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Phaswana-Mafuya, N. (2008) Obstacles in executing preventions plans for HIV birth infections. HSRC Review. 6(3):37-38.
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Good programmes to prevent the transmission of HIV from mother-to-child during birth (PMTCT programmes) exist, but what prevents the proper implementation of these programmes in the Eastern Cape? Nancy Phaswana-Mafuya, a director in the Social Aspects of HIV/AIDS and Health research programme, presented a study at the Conference that shows that these obstacles are systemic, starting at provinci...
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Phaswana-Mafuya, N. & Kayongo, D. (2007) Experiences of PMTCT services by HIV+ mothers in the Eastern Cape of South Africa. (Paper presented at the 19th IUHPE Conference, Vancouver, Canada, 10-15 June).
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Phaswana-Mafuya, N. & Peltzer, K. (2007) HIV/AIDS workplace policies in Eastern Cape tertiary institutions. South African journal of higher education. 21(2):308-320.
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Phaswana-Mafuya, N., Peltzer, K., Petros, G., Mpiko, S. & Mohlala, G. (2007) Impact of disability grant on people living with HIV/AIDS in the Eastern Cape of South Africa. (Commissioned by the Eastern Cape AIDS Council).
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This study provides evidence-based information on the DG in order to ultimately make recommendations for appropriateness of policy.
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Phaswana-Mafuya, N. & Kayongo, D. (2007) PMTCT services in a rural district municipality of the Eastern Cape, South Africa. (Paper presented at the 19th IUHPE Conference, Vancouver, Canada, 10-15 June).
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Phaswana-Mafuya, N. & Peltzer, K. (2006) HIV/AIDS knowledge, risk perception, stigma and support among staff in tertiary institutions in the Eastern Cape, South Africa. African journal for physical, health education, recreation and dance (AJPHERD). 12(4):403-425.
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A questionnaire-based descriptive study was conducted with a proportionate sample of 872 academic and support staff in eight randomly selected ETDP SETA member tertiary institutions in the Eastern Cape, South Africa. The aim of the study was to examine
HIV/AIDS knowledge, risk behaviour, risk perception, stigma and support. The sample included 390 (44.7%) men and 482 (55.3%)
women, with a me...
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Phaswana-Mafuya, N. & Peltzer, K. (2005) HIV knowledge, risk perception, and risk behaviours among technikon staff in the Eastern Cape, South Africa. African journal for physical, health education, recreation and dance (AJPHERD). 11(1):132-148.
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Phaswana-Mafuya, N. & Gasche, J. (2005) Management of HIV/AIDS among small to medium hospitality businesses in Buffalo City, Eastern Cape, South Africa. African journal for physical, health education, recreation and dance (AJPHERD). 11(3):228-248.
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Phaswana-Mafuya, N. & Peltzer, K. (2005) Perceived HIV/AIDS impact among staff in tertiary institutions in the Eastern Cape, South Africa. Sahara J: Journal of Social Aspects of HIV/AIDS. 2(2):277-285.
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The objective of this study was to explore perceived HIV/AIDS impact on duties at work, staff morale, job satisfaction and workload among a proportionate sample of employees in eight randomly selected tertiary institutions. The results showed that HIV/AIDS impacts negatively on duties at work, lowers staff morale and increases staff workload.
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Phaswana-Mafuya, R.N. (2010) Keynote address: the health of our teachers. (Paper presented at a symposium on HIV/AIDS ten years on: What key lessons have we learnt as researchers?, 13 September).
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Phaweni, K., Peltzer, K., Mlambo, G. & Phaswana-Mafuya, N. (2010) Factors influencing pregnancy desires among HIV positive women in Gert Sibande district in Mpumalanga, South Africa. Gender and Behaviour. 8(2):2960-2975.
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Fertility issues for HIV-positive women are becoming increasingly important. The study investigated the pregnancy desires of HIV positive women of Gert Sibande District in Mpumalanga, South Africa. The objective of the study is to present findings on factors influencing pregnancy desires amongst HIV positive women that have participated in Prevention of Mother to Child Transmission of HIV progr...
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Phurutse, M.C. (2005) Factors affecting teaching and learning in South African public schools. Cape Town: HSRC Press.
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Analysing the extent and severity of HIV/AIDS among educators without looking at the broader context within which schools operate, provides only a partial understanding of the immense challenges facing the education sector in South Africa. This study examines material issues affecting the quality of teaching and learning in our schools, both within and external to the classroom environment. The...
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Pillay, V., Rehle, T., Simbayi, L., Skinner, D., Vass, J., Zuma, K., Jooste, S., Mbelle, N., Ketye, T., Dana, P., Dwadwa-Henda, N., Toefy, Y. & Matevha, A. (2008) A comparison of HIV prevalence and incidence estimates between the private security sector and the general public of South Africa. (Presentation published as a abstract in Abstracts for XVII International Conference on AIDS, Mexico City, Mexico, 3-8 August).
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Pillay, V. (2007) Awareness of HIV status among South Africans. (Paper presented at the 3rd AIDS Conference, Durban).
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Pillay, V. & Swingler, G.H. (2006) Associations with HIV status in children with diarrhoea in Cape Town, South Africa. The Southern African Journal of Epidemiology and Infection. 21(2):45-47.
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Diarrhea and HIV are two of the biggest public health problems in children in Africa. Various patient characteristics namely, socio-demographic/-economic, clinical health-seeking behaviour, and feeding practices were compared in children with diarrhoea who were HIV-infected, HIV-exposed or HIV-negative.
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Piwowar-Manning, E., Fiamma, A., Laeyendecker, O., Kulich, M., Donnell, D., Szekeres, G., Robins-Morris, L., Mullis, C.E., Vallari, A., Hackett, J., Mastro, T.D., Gray, G., Richter, L., Alexandre, M.W., Chariyalertsak, S., Chingono, A., Sweat, M., Coates, T. & Eshleman, S.H. (2011) HIV surveillance in a large, community-based study: results from the pilot study of Project Accept (HIV prevention trials network 043). BMC Infectious Diseases. 11:251-.
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This study provides information on the accuracy of HIV surveillance testing performed in the context of a clinical trial, where testing was performed in local laboratories in Thailand, Tanzania, Zimbabwe and South Africa. In-country testing based on two HIV rapid tests correctly identified the HIV infection status for 99.5% of study participants; most participants with discordant HIV rapid test...
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Prince, B., Louw, J.S., Roe, K. & Adams, R. (eds). (2007) Exploring the challenges of HIV/AIDS: seminar proceedings. Cape Town: HSRC Press.
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This book contains the presentations and discussions delivered with partners by the Social Aspects of HIV/AIDS Research Alliance (SAHARA) Network of the HSRC at the two satellite sessions of the 16th International AIDS Conference, held in Toronto, Canada. Both sessions engaged with the urgent theme of the conference: 'Time to deliver'. The first section of the book, entitled "Managing the compl...
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Prince, B., Pugh, S. & Kleintjes, S. (eds). (2007) Skills-building for gender mainstreaming in HIV/AIDS: research and practice: seminar proceedings. Cape Town: HSRC Press.
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The impact of gender in fuelling HIV/AIDS has become a fundamental aspect of addressing the pandemic. It is clear that gender plays a pivotal role in how women and men respond to counselling, testing, treatment, care and prevention programmes.
This report contains the presentations delivered at the gender and HIV/AIDS-themed sessions held during the 3rd African Conference of the Social Aspec...
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Prince, B., Kleintjes, S., Cloete, A. & Davids, A. (2005) Introduction. In Gender mainstreaming in HIV/AIDS: seminar proceedings. Kleintjes, S., Prince, B., Cloete, A. & Davids, A. (eds). Cape Town: HSRC Press. 1-12.
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Pthouse-Morgan, K. & Reddy, V. (2010) Lipstick & HIV/AIDS prevention. HSRC Review. 8(4):26-27.
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Globally, experts agree that gender equality is critical to effective HIV prevention. However, despite some pockets of success, efforts to advance gender equality in the context of HIV prevention have been hindered by a range of factors. Then enters a cosmetics house, and a unique project gets on the road. KATHLEEN PITHOUSE-MORGAN and VASU REDDY et al. tell us more.
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Rama, S., Boyce, G. & Ramdeen, M. (2007) Not a penny more, always a penny less: barriers to the distribution of funds to OVC through existing funding channels.
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Ramlagan, S., Peltzer, K., Phaswana-Mafuya, N. & Aquilera, J.F. (2010) Support group needs for people living with HIV and AIDS (PLWHA) in communities around Durban, South Africa. Journal of Psychology in Africa. 20(1):127-131.
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The study constructed a participant centred perspective of what members of a support group for people living with HIV and AIDS (PLWHA) desired from their group meetings. The study sample (n = 34) was from three support groups of PLWHA in a province of South Africa (males = 7, female = 27, mean age = 34.2, S = 6.8). Participants completed a brief survey and participated in focus group discussion...
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Reagon, F. (2009) Using knowledge management to fast-track the cure for AIDS. Openspace. 2(5):58-62.
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This article suggests that the problem for knowledge in the HIV and AIDS environment is not so much as under-provision, as unequal access and the lack of exchange, synthesis and application of knowledge. It argues that knowledge in the HIV and AIDS environment is a global public good and should be made available in open access. The article considers various knowledge management interventions t...
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Reddy, V. (2010) The "queer" politics of homo(sexuality) and matters of identity: tentative notes in the context of HIV/AIDS. In: Aggleton, P. & Parker, R. (eds). Routledge handbook of sexuality, health and rights. London: Routledge. 433-443.
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This chapter outlines a theoretical formulation of sexuality in relation to politics, health, rights and identity in South Africa. Making the argument that the personal is political, the chapter provides a sustained argument motivating why struggles for erotic justice in South Africa are deeply connected to meanings and ideas about sex, sexuality, gender justice and activism. Central to this ...
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Reddy, V., Munthree, C. & Wiebesiek, L. (2010) Rural women, HIV and human rights abuses in South Africa: a critical review. Agenda: Empowering Women for Gender Equity. 84:26-36.
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A theme that reflects rural women's experiences is appropriately captured in an Amnesty International (AI) report titled "I am at
the lowest end of all": Rural women living with HIV face human rights abuses in South Africa (2008). The study reported in the
publication, undertaken in two provinces, namely Mpumalanga and KwaZulu-Natal, examines patterns of human rights abuses
of women who are ...
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Reddy, V., Sandfort, T. & Rispel, L. (eds). (2009) From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press.
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This book presents a unique and innovative effort to examine what we know about homosexual transmission of HIV and AIDS in South Africa. It reverses the trend whereby categories of same sex sexual practice are almost always excluded from research of HIV and AIDS, as well as from care and intervention programmes. The varied contributors (academics, activists and programme planners) draw attentio...
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Reddy, V., Sandfort, T. & Rispel, L. (2009) Introduction. In: Reddy, V., Sandfort, T. & Rispel, L. (eds). From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press. xi-xxxiii.
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Reddy, V. & Sandfort, T. (2008) Regional MSM research initiatives: UNAIDS/UNDP research project. (Paper presented in Dakar, Senegal, 1 December).
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Reddy, V. & Sandfort, T. (2008) Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic. Feminist Africa. 11:29-54.
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This article outlines some views on researching MSM (men who have sex with men) in South Africa based, in part, on insights gleaned from a recent working conference on gender, same-sex sexuality and HIV/AIDS in South Africa. The core concern is understanding what research processes should consider in future MSM research in relation to community knowledge, community
participation and the desig...
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Rehle, T., Simbayi, L., Leclerc-Madlala, S., Shisana, O., Zungu, N., Seager, J. & Peltzer, K. (2009) HIV/AIDS and society. (Report prepared for the South African Presidency).
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Sub-Saharan Africa remains the most affected region in the global AIDS epidemic. More than two out of three (68%) adults and nearly 90% of children infected with HIV live in this region, and more than three in four (76%) AIDS deaths in 2007 occurred there. It is estimated that 1.7 million people were newly infected with HIV in 2007, bringing to 22.5 million the total number of people living wit...
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Rehle, T. & Shisana, O. (2009) National population-based HIV surveys - the method of choice for measuring the HIV epidemic. South African Medical Journal. 99(9):633-637.
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National population-based surveys that include HIV testing are considered to be the 'gold standard' to measure HIV prevalence at a country level, since such surveys include men, non-pregnant women and children, and hence a much wider proportion of the population than do antenatal surveys.Three national HIV household surveys have been conducted in South Africa, the first in 2002, then in 2005 an...
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Rehle, T. (2008) Choice of indicators. (Paper presented at the M&E Workshop for AIDS Program Managers, Cape Town, 10-11 January).
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Rehle, T. (2008) HIV transmission dynamics. (Paper presented at the M&E Workshop for AIDS Program Managers, Cape Town, 10-11 January).
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Rehle, T. (2008) Measuring the impact of HIV prevention programs - advances in HIV surveillance. (Paper presented at the 2nd Botswana International HIV Conference, Gaborone, 17-20 September).
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Rehle, T. (2007) The 2008 National HIV survey: objectives and methodology. (Paper presented to the SABSSM III Review Panel Meeting held at the Nelson Mandela Foundation, Johannesburg, 21 November).
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Rehle, T. (2007) Measuring HIV incidence: epidemiological methods laboratory-based method. (Paper presented at the HIV Incidence Consultation Meeting, 2 August).
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Rehle, T. (2007) Measuring national HIV incidence. (Paper presented to ASSA AIDS Committee meeting held at Metropolitan Life, Cape Town, 7 December).
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Rehle, T., Shisana, O. & Pillay, V. (2007) National HIV incidence estimates: an analysis of current transmission dynamics in South Africa. (Paper presented at the 8th International Conference on Biopsychosocial Aspects of HIV infection, Marseilles).
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Rehle, T., Dorrington, R., Shisana, O., Pillay, V. & Puren, A. (2007) National HIV incidence estimates: direct measures compared with mathematical modeling. (Paper presented at the 3rd South African AIDS Conference, Durban, 5-8 June).
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Rehle, T., Shisana, O., Pillay, V., Zuma, K., Puren, A. & Parker, W. (2007) National HIV incidence measures - new insights into the South African epidemic. South African medical journal. 97(3):194-199.
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Currently South Africa does not have national HIV incidence data based on laboratory testing of blood specimens. The 2005 South African National household survey was analysed to generate national incidence estimates stratifies by age, sex, race, province and locality type, to compare the HIV incidence and HIV prevalence profiles by sex, and to examine the relationship between HIV prevalence, H...
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Rehle, T., Shisana, O. & Pillay, V. (2006) HIV transmission dynamics in South African youth aged 15 to 24 years. (Paper presented at the 16th International AIDS Conference, Toronto).
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Rehle, T., Puren, A., Zuma, K., Pillay, V., Dana, P. & Shisana, O. (2006) National HIV prevalence and BED HIV incidence estimates: South Africa 2005. (Paper presented at the 13th Conference on Retroviruses and Opportunistic Infections, CROI, Denver).
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Rehle, T., Shisana, O., Glencross, D. & Colvin, M. (2005) HIV-positive educators in South African public schools: predictions for prophylaxis and antiretroviral therapy. Cape Town: HSRC Press.
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While it has long been suspected that HIV prevalence among educators is high, there has been no scientific study to assess this. Responding to the need for empirical evidence, the Education Labour Relations Council (ELRC) commissioned the Human Sciences Research Council-led consortium to conduct this nation-wide research assessing the prevalence of HIV/AIDS, as well as issues such as the health...
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Rehle, T.M., Hallett, T.B., Shisana, O., Pillay-van Wyk, V., Zuma, K., Carrara, H. & Jooste, S. (2010) A decline in new HIV infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008. PLoS One. 5(6):Online.
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Background: Three national HIV household surveys were conducted in South Africa, in 2002, 2005 and 2008. A novelty of
the 2008 survey was the addition of serological testing to ascertain antiretroviral treatment (ART) use.
Methods and Principal Findings: We used a validated mathematical method to estimate the rate of new HIV infections (HIV
incidence) in South Africa using nationally represe...
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Rehle, T.M. (2008) Practical application of HIV incidence testing: South Africa 2005 and 2008. (Paper presented at the WHO HIV Incidence Assay Working Group, Mexico City, 2-3 August).
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Rehle, T.M. (2008) Second generation HIV surveillance. (Paper presented at the M&E Workshop for AIDS Programme Managers, Cape Town, 10-11 January).
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Rehle, T.M. (2008) Setting the tone - biomedical advances. (Paper presented at the Reflections on IAC 2008, Cape Town, 29 September).
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Rehle, T.M., Setswe, G., Pillay, V., Metcalf, C., Jooste, S., Rispel, L. & Sekhobo, J.P. (2007) Assessing the impact of HIV and AIDS prevention and care programmes in South Africa. (Commissioned by the Department of Science and Technology).
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Rehle, T.M. & Shisana, O. (2003) Epidemiological and demographic HIV/AIDS projections: South Africa. African journal of AIDS research. 2(1):1-8.
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The Epidemic Projection Package (EPP) recently developed by the UNAIDS Reference Group on Estimates, Models and Projections and the Spectrum model program developed by the Futures Group were used to model the South African HIV epidemic, project future trends in HIV/AIDS and estimate the demographic impact of AIDS. The national HIV prevalence surveys among pregnant women from 1990-2001 and the f...
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Rehle, T.M.G. (2008) Strategies for national HIV incidence surveillance. (Paper presented at the International Conference on Emerging Infectious Diseases (ICEID), 17 March).
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Richter, L., Beyrer, C., Kippax, S. & Heidari, S. (2010) Editorial: visioning services for children affected by HIV and AIDS through a family lens. Journal of the International AIDS Society. 13(2):Online.
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The HIV epidemic continues to place a great burden on children, from loss of parents and income to severe disruptions of their homes and families. Underpinned by the understanding that a healthy family constitutes the foundation for a child's wellbeing, the importance of family-centred care and services for children is increasingly recognized. It is not enough to merely provide antiretrovirals:...
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Richter, L. (2010) Families at the heart of the matter: children affected by HIV/AIDS. HSRC Review. 8(3):10-11.
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AIDS is fundamentally a family disease: infections run through families, families carry the burdens of infection, and growing evidence suggests that family-centred approaches to prevention and treatment are particularly effective. It is therefore not enough to merely provide antiretroviral drugs to mothers and children. It is critical that treatment and care for children are integrated into the...
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Richter, L. (2010) Inside the thriving industry of AIDS orphan tourism. HSRC Review. 8(2):6-8.
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The global perception that sub-Saharan Africa is experiencing a burgeoning 'AIDS orphan crisis', coupled with growing trends in volunteer tourism as reported in Time of 26 July (Vacationing like Brangelina), has produced a potentially high-risk situation for already vulnerable young children in the region, asserts LINDA RICHTER.
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Richter, L. (2010) Introduction: an introduction to family-centred services for children affected by HIV and AIDS. Journal of the International AIDS Society. 13(2):Online.
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Family-centred services in the context of HIV/AIDS acknowledge a broad view of a "family system" and ideally include comprehensive treatment and care, community agencies and coordinated case management. The importance of family-centred care for children affected by HIV/AIDS has been recognized for some time. There is a clear confluence of changing social realities and the needs of children in f...
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Richter, L. (2010) Social cash transfers to support children and families affected by HIV/AIDS. Vulnerable Children and Youth Studies. 5(2)(S1):81-91.
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In response to the critical need of affected children and families, the compelling evidence for their benefits, and the receptive environment on the part of governments and donors, several local and international organizations are piloting cash transfers programmes as a mechanism to mitigate the impact of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) on affec...
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Richter, L. & Sherr, L. (2009) Family ties: reconstructing the care of vulnerable children: the 'orphan' label doesn't help. HSRC Review. 7(4):28-29.
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It is our shared human and global duty to protect the rights of vulnerable people affected by HIV and AIDS, yet when it comes to children we seem to have taken protection too far - we seem to overlook the needs of their families and caregivers who are also in great need of assistance, said Linda Richter and Lorraine Sherr at the AIDS Impact Conference in Botswana in September.
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Richter, L., Chandan, U. & Rochat, T. (2009) Improving hospital care for young children in the context of HIV/AIDS and poverty. Journal of Child Health Care. 13(3):198-211.
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Paediatric wards in South African government hospitals are occupied predominantly by children with HIV and AIDS-related illnesses. Although access to anti-retroviral treatment for adults is being scaled up, it is likely to be many years before South Africa achieves anywhere near universal access for children. Currently, most children living with HIV or AIDS are identified only when they become ...
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Richter, L., Stein, A., Cluver, L. & De Kadt, J. (2009) Infants and young children affected by HIV/AIDS. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 69-88.
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The gains made in international advocacy for children and families affected by HIV and AIDS still need to be achieved in South Africa. The gains made in advocacy also still need to be matched by knowledge, funding and the implementation and scale up of prevention, treatment and care for children affected by HIV and AIDS.
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Richter, L. & Aber, L. (2008) "Going to scale". (Paper presented at the International Conditional Cash Transfer Conference, Rockefeller Conference Centre, Bellagio, 6-10 July).
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Richter, L., Somai, H., Zuma, T. & Ramsoomar, L. (2008) Children's perspectives on death and dying in southern Africa in the context of the HIV/AIDS epidemic. The Forum. 34(1):7-8.
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Sub-Saharan Africa bears the brunt of the HIV/AIDS epidemic. There are an estimated 25 million people living with HIV and AIDS in the region and AIDS is the leading cause of premature mortality. Given the scale of the epidemic, all children in high prevalence countries experience the impact of HIV/AIDS - either directly or indirectly - through changes in their families, communties, schools, h...
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Richter, L. (2008) Editorial: strenghtening families for the care and protection of children affected by HIV and AIDS. Journal of Child and Adolescent Mental Health. 20(2):vii-viii.
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Richter, L., Aber, L., Dawes, A., Allen, L. & Streak, J. (2008) Going to scale: a randomised community trial to determine the cost-effectiveness of alternative interventions to support highly vulnerable children and families in the context of HIV, AIDS and poverty. (Paper presented at the International Social Security Conference - Comprehensive Social Security for Poverty Reduction and Sustainable Livelihoods in Africa: Achievements and Challenges, Cape Town, 10-14 March).
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Richter, L. (2008) No small issue: children and families: universal action now. (Plenary presentation at the XVIIth International AIDS Conference, "Universal Action Now", Mexico City, 6 August).
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This plenary presentation argues that children and families have been severely neglected in our responses to HIV and AIDS. It makes the case that responses should be large-scale, integrated and national, characterized by social justice enabled by basic income security and by universal access to essential services such as health, education and social welfare.
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Richter, L. (2008) No small issue: new action agenda for children affected by HIV/AIDS. HSRC Review. 6(3):30-31.
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In the first plenary address ever to be devoted to the wellbeing of children affected by HIV and AIDS in the 23-year history of the 17th International AIDS Conference (AIDS 2008), Professor Linda Richter, executive director of the HSRC's Child, Youth, Family and Social Development programme, presented a paper, entitled No Small Issue: Children and Families. She was one of only two South African...
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Richter, L. Aids orphan caregivers: silent angels. Sunday Tribune. 12. (7 May 2006)
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Richter, L. & Rama, S. (2006) Desk and stakeholder review: children affected by HIV/AIDS. (Commissioned by Save the Children Sweden).
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Richter, L. (2006) The role of the health sector in strengthening systems to support children's healthy development in communities affected by HIV/AIDS: a review. Geneva: World Health Organization.
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The evidence and practice experience in providing what has come to be called psychosocial programming and support for children infected with and affected by HIV, and their caregivers. A great deal of attention is currently focused on psychosocial support programmes for children living in communities affected by HIV/AIDS. Psychosocial support programmes include a range of interventions such as a...
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Richter, L., Foster, G. & Sherr, L. (2006) Where the heart is: meeting the psychosocial needs of young children in the context of HIV/AIDS. The Hague, The Netherlands: Bernard van Leer Foundation.
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An output of a series of workshops on psychosocial support held in 2004-2005 by the Bernard van Leer Foundation and the Coalition on Children Affected by AIDS. Authors Linda Richter, Geoff Foster and Lorraine Sherr discuss the issues surrounding psychosocial care and support for children made vulnerable by the HIV/AIDS pandemic and make recommendations for future priorities and programming dire...
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Richter, L. & Hundeide, K. (2005) Care environments for infants and young children affected by HIV/AIDS: final report. (Commissioned by South Africa-Norway Programme for Research Co-operation, February).
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The 20-month programme of research collaboration between the Norwegian and South African investigators aim to:
1. Conduct detailed observations of children's activities, care experiences and interactions with caregivers in a
variety of modal environments in which children affected by HIV/AIDS receive care, selected from among rural
and urban homes, foster families and institutional environm...
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Richter, L. (2005) Going to scale: family- and school-based support for children affected by HIV/AIDS. (Paper delivered at Pretoria, 27-28 June).
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Developing programs that significantly improve the lives of individual children and families affected by HIV/AIDS is relatively easy with enough resources, organizational capacity, and compassion. Vulnerable individuals and households can be identified, health services can be provided, school expenses of orphans can be paid, food can be distributed, and supportive counselling can be provided. S...
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Richter, L. (2005) Just a little smile. (Documentary was produced in support of a project examining the plight of South Africa's most vulnerable young children, particularly those affected by poverty and HIV/AIDS).
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Documentary was produced in support of a project examining the plight of South Africa's most vulnerable young children, particularly those affected by poverty and HIV/AIDS.
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Richter, L., Foster, G. & Sherr, L. (2005) Meeting the psychosocial needs of children in the context of HIV/AIDS. (Commissioned by the Bernard van Leer Foundation, December).
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Issues surrounding psychosocial well being and the impact of HIV/AIDS on children are multifaceted. The paper draws attention to their complexity by comparing different policy, programme and analytic standpoints, drawn largely from sub-Saharan Africa. The focus of the paper is on younger children, specifically up to the age of eight years. Comparisons are provided, and issues are aposed against...
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Richter, L., Mbonambi, M., Boyce, G. & Rama, S. (2005) Mid-term review: the regional psychosocial support initiative for children affected by AIDS. (Commissioned by Regional Psychosocial Support Initiative for Children affected by AIDS (REPPSI), March).
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The mid-term review was not undertaken to determine if ?REPSSI works? or if REPSSI programs are ?effective?. Rather, the team from the Child Youth and Family Development (CYFD) program at the Human Sciences Research Council (HSRC) in South Africa undertook the commission as a strategic opportunity to make suggestions to strengthen REPSSI?s efforts to fulfill its mandate. REPSSI has experienced ...
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Richter, L. & Foster, G. (2005) Strengthening systems to support children's healthy development in communities affected by HIV/AIDS. (Commissioned by the Department of Child and Adolescent Health and Development, World Health Organization, Geneva, October).
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The terms of reference for the assignment mandated a review of the scientific evidence and programmatic experience in providing psychosocial support to children infected with and affected by HIV, and their caregivers. A great deal of attention is currently focused on psychosocial support for children living in communities affected by HIV/AIDS. Psychosocial support includes a range of intervent...
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Richter, L. Children affected by HIV/AIDS: what happened in Bangkok?. Hivan Network. (2004) Available: www.hivan.org.za
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Richter, L., Manegold, J. & Pather, R. (2004) Family and community interventions for children affected by AIDS. Cape Town: HSRC Publishers.
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The report forms part of a project funded by the WK Kellogg Foundation to implement a strategy for the care of orphans and vulnerable children in Botswana, South Africa and Zimbabwe. It reviews the available scientific and programmatic information on interventions aimed at children, families, households and communities. Specifically, the reports considers:
1. home-based child-centred develop...
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Richter, L. (2004) The impact of HIV/AIDS on the development of children. In A generation at risk? HIV/AIDS, vulnerable children and security in southern Africa. (Institute for security studies monograph; no. 109). Pharoah, R. (ed). Pretoria: Institute for security studies. 9-31.
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This paper considers the psychosocial impact of HIV/AIDS' particularly the loss of caregiver support and the resultant stress on caregiving systems' on children's development and adjustment. First, the paper reviews in general terms the expected effects on children in the domains of economic and food security, psychosocial care, education, health, family composition and stability of care. The ...
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Richter, L. (2004) The impact of the HIV/AIDS epidemic on infants and children in South Africa. (Paper presented at the World Association of Infant Mental Health, Melbourne, Australia, 25-27 July).
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Richter, L. Evidence-based interventions for orphans and vulnerable children. (Paper presented at the OVC Best Practices Multi-Country Consultative Workshop, Mutare, Zimbabwe, 18-20 August).
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Richter, L.M. & Norman, A. (2010) AIDS orphan tourism: a threat to young children in residential care. Vulnerable Children and Youth Studies. 5(3):217-229.
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The dominant global perception that sub-Saharan Africa is experiencing an 'AIDS orphan crisis', coupled with growing trends in international voluntourism, has fostered a potentially high-risk situation for already vulnerable young children in the region. This article reviews the current discourse on what is being called a crisis of care for children, as well as literature on out-of-home/family ...
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Richter, L.M. & Sherr, L. (2009) Editorial: strenghtening families: a key recommendation of the Joint Learning Initiative on Children and AIDS (JLICA). AIDS Care. 21(S1):1-2.
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Richter, L.M., Sherr, L., Adato, M., Belsey, M., Chandan, U., Desmond, C., Drimie, S., Hanour-Knipe, M., Hosegood, V., Kimou, J., Madhavan, S., Mathambo, V. & Wakhweya, A. (2009) Strengthening families to support children affected by HIV and AIDS. AIDS Care. 21(S1):3-12.
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This paper provides an overview of the arguments for the central role of families, defined very broadly, and we emphasise the importance of efforts to strengthen families to support children affected by HIV and AIDS. We draw on work conducted in the Joint Learning Initiative on Children and Aids Learning Group 1: Strengthening Families, as well as published data and empirical literature to prov...
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Richter, L.M. & Desmond, C. (2008) Targeting AIDS orphans and child-headed households?: a perspective from national surveys in South Africa, 1995-2005. AIDS Care. 20(9):1019-1028.
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In the HIV and AIDS sphere, children remain on the margins with respect to advocacy, prevention, treatment and care. Moreover, concern is generally limited to specific categories of children, most especially children living with HIV, orphaned children and child-headed households. Excluded from view are the very large numbers of children affected by generalized HIV/AIDS epidemics, now in advance...
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Richter, L.M. & Rama, S. (2006) Building resilience: a rights-based approach to children and HIV/AIDS in Africa. (Commissioned by Save the Children Sweden, May).
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Many children in Sub-Saharan Africa, in addition to those who receive most media attention (i.e. orphans, child heads-of-household, and children living with HIV/AIDS), are affected by HIV/AIDS, poverty, and social instability. They include already vulnerable children, especially children with disabilities and children living outside of family care, as well as children living with chronically il...
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Richter, L.M. (2003) The impact of HIV/AIDS on the development of children. HIV/AIDS, vulnerability and children: What does it mean for Southern Africa's security?. (Institute for Security Studies, Pretoria, 4 April).
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Richter, L.M., Van Rooyen, H., Solomon, V., Griesel, D. & Durrheim, K. (2001) Putting HIV/AIDS counselling in South Africa in its place. Society in transition. 32(1):148-154.
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HIV/AIDS counselling services within South Africa are surveyed within the context of a general review of the HIV/AIDS policy response. Data indicate hat South Africa is under served by counselling and testing facilities, cortically so in Mpumalanga, North West Province and the Eastern Cape. Government provides the majority of counselling and testing services, primarily through health services...
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Richter, L.M. (2001) Slipping through the safety net. ChildrenFIRST. Aug/Sept 2001:30-33.
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Rispel, L. & Metcalf, C. (2009) Are South African HIV policies and programmes meeting the needs of same-sex practising individuals?. In: Reddy, V., Sandfort, T. & Rispel, L. (eds). From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press.
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This chapter provides an assessment of how well existing HIV policies and programmes meet the need of same-sex practising individuals and is based primarily on a review of relevant literature. For the purposes of this chapter, same-sex practising individuals include lesbians, and /or women who have sexual relations with women, gay men and/or MSN; bisexuals; and transgendered individuals.
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Rispel, L., Metcalf, C., Cloete, A., Reddy, V., Townsend, L. & Zembe, Y. (2009) Eish but the whites are scarce!: JEMS research challenges. (Paper presented at the SA AIDS 2009 MSM Satellite Conference, 30 March).
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Rispel, L., Cloete, A., Metcalf, C. & Moody, K. (2009) Exploring coping strategies and life choices made by HIV-discordant couples in long-term relationships: insights from South Africa, Tanzania and the Ukraine: full report. (Funded by the World Health Organisation, via the Global Network of People Living with HIV/AIDS (GNP+), June).
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Globally, HIV prevention and treatment programmes have tended to focus on individuals and HIV prevention programmes have focused mostly on HIV-negative individuals. In recent years, an increasing number of HIV prevention programmes have been established that target HIV-positive individuals to prevent them from becoming re-infected with additional HIV strains, and to prevent HIV transmission to ...
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Rispel, L., Cloete, A., Metcalf, C. & Moody, K. (2009) Exploring coping strategies and life choices made by HIV-discordant couples in long-term relationships: insights from South Africa, Tanzania and the Ukraine. (Paper presented at the 4th SA AIDS conference, Durban, South Africa, 31 March - 3 April).
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Rispel, L., Metcalf, C., Cloete, A., Reddy, V., Townsend, L. & Zembe, Y. (2009) A hidden HIV epidemic among men who have sex with men (MSM)?: preliminary findings from the Johannesburg/eThekwini Men's Study (JEMS). (Paper presented at the 4th SA AIDS Conference, Durban, 31 March to 3 April).
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Rispel, L., Metcalf, C., Cloete, A. & Reddy, V. (2009) HIV, transactional sex & experiences of sexual coercion among men who have sex with men (MSM) in the Johannesburg/eThekwini Men's Study (JEMS). (Paper presented to the Public Health Association of South Africa (PHASA), Durban, KwaZulu-Natal, 30 November to 2 December).
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Rispel, L., Metcalf, C., Cloete, A., Reddy, V., Townsend, L. & Zembe, Y. (2009) The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report. (Commissioned by the United Kingdom Department for International Development (DFID), February).
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Because of the highly confidential status of this report no abstract is available.
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Rispel, L., Peltzer, K., Nkomo, N. & Molomo, B. (2008) Evaluating the impact of an HIV& AIDS Community Training Partnership Programme (CTPP) in five diamond mining communities in South Africa. (Paper presented at the XVII International AIDS Conference, Mexico City, 3-8 August).
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In February 2007, Soul City and De Beers requested a qualitative evaluation of the process and impact that the programme has had in the five mining areas, in order to inform future programmes and/or activities. Specifically the objectives of the evaluation were to determine:
1. The impact of the training programme on the trainers in the community
2. Community trainers' activities and the ...
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Rispel, L., Cloete, A., Metcalf, C. & Moody, K. (2008) Exploring coping strategies and life choices made by HIV-discordant couples in long-term relationships. (Paper presented at the Wits Faculty Research Conference, University of the Witwatersrand, Johannesburg, 18 August 2008).
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Rispel, L., Metcalf, C., Cloete, A., Townsend, L. & Zembe, Y. (2008) Methodological and ethical challenges in conducting behavioural and HIV surveillance among men who have sex with men (MSM) in South Africa: lessons learned and future pointers. (Paper presented on 31 October).
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Rispel, L., Metcalf, C., Cloete, A., Townsend, L. & Zembe, Y. (2008) Methodological and ethical challenges in conducting behavioural and HIV surveillance among men who have sex with men (MSM) in South Africa. (Paper presented at NICD epi-discussion forum, 9 September).
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Rispel, L., Peltzer, K., Phaswana-Mafuya, N., Dana, P., Metcalf, C. & Treger, L. (2008) Optimising the implementation of the prevention of mother to child transmission (PMTCT) of HIV programme in Kouga Local Service Area (LSA) of the Eastern Cape, South Africa: final report. (The baseline assessment was funded by a President's Emergency Plan for AIDS Relief (PEPFAR) grant received via the US Centre for Disease Control and Prevention, March).
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The baseline assessment was done prior to the implementation of the technical support programme to optimise and strengthen the prevention of mother to child transmission (PMTCT) programme at existing sites in Kouga Local Service Area (LSA) of the Eastern Cape, South Africa. The assessment consisted of three components:
1. formal health sector
2. traditional health sector
3. community com...
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Rispel, L., Molomo, B. & Dumela, S. (2008) South African case study on social exclusion. Cape Town: HSRC Press.
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Social exclusion is a dynamic, multi-dimensional phenomenon. Driven by unequal power relationships, it works to exclude groups of people in particular contexts from engaging fully in community or social life. Many of South Africa's post-apartheid policies and programmes have been directed at correcting historical injustices responsible for social exclusion, yet inequalities remain rampant.
B...
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Rispel, L., Peltzer, K., Nkomo, N. & Molomo, B. (2007) Evaluation of the process and impact of the Soul City/De Beers HIV/AIDS community training partnership programme. (Commissioned by the Soul City Institute for Health and Development Communications, October).
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In 2005, an estimated 5.5 million people were living with HIV in South Africa. The HIV&AIDS epidemic affects almost every facet of life, including the economy and workforce. The De Beers Diamond Mines HIV/AIDS Workplace Programme was launched in 2000, initially targeting employees and their immediate families, but the programme has since been extended to a few selected, targeted communities su...
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Rispel, L., Molomo, B. & Dumela, S. (2007) South African case study on social exclusion. (Commissioned by Social Exclusion Knowledge Network (SEKN), established as part of the WHO Commission on the Social Determinants of Health (CSDH), November).
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Rispel, L., Letlape, L. & Metcalf, C. (2006) Education sector responses to HIV and AIDS: learning from good practices in Africa.
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Rispel, L.C., Cloete, A., Metcalf, C.A., Moody, K. & Caswell, G. (2011) 'It [HIV] is part of the relationship': exploring communication among HIVserodiscordant couples in South Africa and Tanzania. Culture, Health & Sexuality. November:Online.
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In many sub-Saharan African countries, a high proportion of people living with HIV are in long-term serodiscordant relationships. This paper explores how HIV serodiscordance shapes communication among couples in long-term HIV-serodiscordant relationships. A total of 36 couples were purposively recruited through healthcare providers and civil society organisations in South Africa (26) and Tanzan...
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Rispel, L.C., Metcalf, C.A., Cloete, A., Reddy, V. & Lombard, C. (2011) HIV prevalence and risk practices among men who have sex with men in two South African cities. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 57(1):69-76.
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Background: In South Africa, information on HIV among men who have sex with men (MSM) is limited, and HIV prevention programs for men MSM are not widely available, despite global evidence that MSM are at substantial risk for HIV infection.
The Johannesburg/eThekwini Men's Study was conducted during 2008 to provide information on HIV among MSM in Johannesburg and Durban.
Methods: MSM aged 18 y...
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Rispel, L.C., Metcalf, C.A., Moody, K., Cloete, A. & Caswell, G. (2011) Sexual relations and childbearing decisions of HIV-discordant couples: an exploratory study in South Africa and Tanzania. Reproductive Health Matters. 19(37):184-193.
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This article reports on the influence of HIV on sexual relations and childbearing decisions of 36 HIV-discordant couples, 26 in South Africa and 10 in Tanzania, recruited into an exploratory study through hospital antiretroviral treatment clinics and civil society organisations working with people living with HIV. Self-administered questionnaires were used to obtain social and demographic infor...
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Rispel, L.C., Metcalf, C.A., Cloete, A., Moorman, J. & Reddy, V. (2011) You became afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities. Journal of Public Health Policy. 32(S1):S137-S151.
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We describe the utilization of health services by men who have sex with men (MSM) in South African cities, their perceptions of available health services, and their service preferences. We triangulated data from 32 key informant interviews (KIIs), 18 focus group discussions (FGDs) with MSM in four cities, and a survey of 285 MSM in two cities, recruited through respondentdriven
sampling in 200...
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Rispel, L.C., Peltzer, K., Nkomo, N. & Molomo, B. (2010) Evaluating an HIV and AIDS community training partnership program in five diamond mining communities in South Africa*. Evaluation and Program Planning. 33:394-402.
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In 2006, De Beers Consolidated Diamond Mines in South Africa entered into a partnership, with the Soul City Institute for Health and Development Communications to implement an HIV and AIDS Community Training Partnership Program (CTPP), initially in five diamond mining areas in three provinces of South Africa. The aim of CTPP was to improve HIV knowledge and to contribute to positive behavior ch...
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Rispel, L.C., Peltzer, K., Phaswana-Mafuya, N., Metcalf, C.A. & Treger, L. (2009) Assessing missed opportunities for the prevention of mother-to-child HIV transmission in an Eastern Cape local service area. South African Medical Journal. 99(3):174-179.
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Background. Prevention of new HIV infections is a critical imperative for South Africa; the prevention of mother-to-child transmission (PMTCT) is one of the most efficacious HIV prevention interventions. Objective. Assessment of a PMTCT programme to determine
missed opportunities. Setting. The Kouga local service area (LSA), bordering Nelson Mandela Bay Municipality (Port Elizabeth) in the Ea...
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Rispel, L.C. & Metcalf, C.A. (2009) Breaking the silence: South African HIV policies and the needs of men who have sex with men. Reproductive Health Matters. 17(33):133-142.
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Although the HIV epidemic among men who have sex with men (MSM) in South Africa preceded the onset of the generalised HIV epidemic by several years, current policies and programmes focus on heterosexual transmission and mother-to-child transmission. We used an adaptation of the UNAIDS Country Harmonised Alignment Tool (CHAT) to assess whether existing HIV policies and programmes in South Africa...
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Roberts, B., Struwig, J. & Rule, S. (2010) Facing the nation: South Africa's most important challenges. HSRC Review. 8(4):7-9.
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In this article BEN ROBERTS, JARE STRUWIG and STEPHEN RULE examine the relative ranking by the South African public of challenges facing our society, the extent to which these priorities have been changing in recent years, as well as differences among subpopulations.
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Rochat, T., Richter, L. & Shisana, O. (2008) Editorial: 'what now, what next': reflecting on the vulnerability of children and youth in the context of human immunodeficiency virus and acquired immunodeficiency syndrome. Vulnerable Children and Youth Studies. 3(2):85-91.
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Rochat, T., Mitchell, C. & Richter, L. (2008) The psychological, social and development needs of babies and young children and their caregivers living with HIV and AIDS. (Commissioned by the National Department of Health (Maternal, Child and Women's Health and Nutrition Cluster) and supported by UNICEF).
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The early years of a child's life are critical. Over the last few decades, science has significantly enhanced what we know about the needs of infants, toddlers and young children, underscoring the fact that experiences and relationships in the earliest years of life play a critical role in a child's ability to grow up healthy and ready to learn. Research shows that it is during the first three ...
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Rochat, T. & Hough, A. (2007) Enhancing resilience in children affected by HIV and AIDS: children's views and experiences of resilience enhancing family and community practices. (Commissioned by Children in Distress Network (CINDI) and Irish AID, July).
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Rochat, T.J., Richter, L.M., Doll, H.A., Buthelezi, N.P, Tomkins, A. & Stein, A. (2006) Depression among pregnant rural South African women undergoing HIV testing. Journal of the American Medical Association. 295(12):1376-1378.
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Rates of human immunodeficiency virus (HIV) infection in southern Africa are high, with up to 45% of pregnant women being HIV-positive.1 Depression is associated with lowered adherence to antiretroviral medication2 and poor use of antenatal care.3 It frequently persists into the postnatal period, raising the risk of adverse child outcomes.3 Because little is known about the rates of depression ...
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Rohleder, P., Swartz, L., Schneider, M., Groce, N. & Eide, A.H. (2010) HIV/AIDS and disability organisations in South Africa. AIDS Care. 22(2):221-227.
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Despite the seriousness of the HIV epidemic globally, and in South Africa in particular, little is known about how HIV/AIDS affects disabled people. One important and little explored area is the role that organisations that represent disabled people or that work on behalf of disabled people, are playing in addressing the HIV/AIDS epidemic among the disabled people they represent or serve. Thi...
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Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). (2009) HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer.
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The editors present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class and politics. Including largely overlooked populat...
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Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (2009) Introduction and overview. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 1-9.
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Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic. The urgent lessons in this book apply both glob...
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Rollins, N., Mzolo, S., Moodley, T., Esterhuizen, T. & Van Rooyen, H. (2009) Universal HIV testing of infants at immunization clinics: an acceptable and feasible approach for early infant diagnosis in high HIV prevalence settings. AIDS. 23(14):1851-1857.
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Objective: To determine the acceptability and feasibility of universal HIV testing of 6-week-old infants attending immunization clinics to achieve early diagnosis of HIV and referral for HIV treatment and care services. Design: An observational cohort with intervention. Methods: Routine HIV testing of infants was offered to all mothers bringing infants for immunizations at three clinics in Kw...
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Rotheram-Borus, M-J., Richter, L., Van Rooyen, H., Van Heerden, A., Tomlinson, M., Stein, A., Rochat, T., De Kadt, J., Mtungwa, N., Mkhize, L., Ndlovu, L., Ntombela, L., Comulada, W.S., Desmond, K.A., Greco, E. & , (2011) Project Masihambisane: a cluster randomised controlled trial with peer mentors to improve outcomes for pregnant mothers living with HIV. Trials. 12(2):Online.
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Background: Pregnant women living with HIV (WLH) face daily challenges maintaining their own and their babies' health and mental health. Standard Prevention of Maternal to Child Transmission (PMTCT) programs are not designed to address these challenges.
Methods/Design: As part of a cluster randomized controlled trial, WLH are invited to attend four antenatal and four postnatal small group se...
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Sandfort, T., Reddy, V. & Rispel, L. (2009) Taking research and prevention forward. In: Reddy, V., Sandfort, T. & Rispel, L. (eds). From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press. 228-241.
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In this conclusion the authors briefly summarise what is known about same-sex sexuality in the South African HIV/AIDS epidemic. Based on the perspectives contained in the various chapters, they outline what the next steps should be and address ethical aspects and issues of relevance.
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Sandfort, T.G.M., Nel, J., Rich, E., Reddy, V. & Yi, H. (2008) HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey. Sexually Transmitted Infections. 84:425-429.
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Objective: To investigate the characteristics of South African men who have sex with men (MSM) who (1) have been tested for HIV and (2) are HIV positive. Methods: Data were collected from 1045 MSM in community surveys using questionnaires that were
administered either face-to-face, by mail or on the internet. The mean age of the men was 29.9 years. The race distribution was 35.3% black, 17.0%...
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Sandhei, M. & Richter, L. (2003) What does it take to care?. ChildrenFIRST. 47:36-39.
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The authors suggests in this article that the stories of AIDS orphans can be very complicated and ask what it will take for an effective response to children affected by HIV/AIDS.
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Schaaf, H.S., Willemse, M., Cilliers, K., Labadarios, D., Maritz, J.S., Hussey, G.D., McIlleron, H., Smith, P. & Donald, P.R. (2009) Rifampin pharmacokinetics in children, with and without human immunodefiency virus infection, hospitalized for the management of severe forms of tuberculosis. BMC Medicine. 7:Online.
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BackgroundRifampin is a key drug in antituberculosis chemotherapy because it rapidly kills the majority of bacilli in tuberculosis lesions, prevents relapse and thus enables 6-month short-course chemotherapy. Little is known about the pharmacokinetics of rifampin in children. The objective of this study was to evaluate the pharmacokinetics of rifampin in children with tuberculosis, both human i...
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Seager, J. (2010) MDG goal 6: combat HIV/AIDS, malaria and other diseases. (Paper presented at the Provincial MDG Methodology Workshop, STATS SA, Somerset West, 10 March).
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Seager, J. & Ganyaza-Twalo, T. (2007) Interactions between poverty and HIV/AIDS at the household level. (Paper presented at the 4th SAHARA Conference, Kisumu, Kenya, 2 May).
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Seager, J., Ganyaza-Twalo, T. & Tamasane, T. (2005) Development of a conceptual framework to help understand the interactions between poverty and HIV/AIDS at the household level. (Paper presented at the International Union for the Scientific Study of Population Seminar, Cape Town, 12-14 December).
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Seager, J.R. & Ganyaza-Twalo, T. (2007) A conceptual framework to help understand interactions between poverty & HIV/AIDS. (Paper presented at the 4th SAHARA Conference, Kisumu, Kenya, 2 May).
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Sethosa, E. & Peltzer, K. (2005) Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa. Curationis. 28(1):29-41.
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The aim of this study was to evaluate HIV counselling and testing, self-disclosure, social support and sexual behaviour change among HIV reactive patients among a rural sample of HIV reactive patients in South Africa. The sample consisted at the post-test counselling exit interview of 55 participants (41 women and 14 men) who tested HIV-positive conveniently selected from a rural hospital and a...
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Setswe, G (2008) Overview of SAHA: the Social Aspects of HIV/AIDS and Health. (Paper presented to the SAHARA Lekgotla, 22 September).
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Setswe, G. (2010) Developing an HIV/AIDS policy: content, process, challenges and implementation. (Paper presented at the PDM 2010, University of Stellenbosch, 12 January).
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Setswe, G. (2010) Epidemiology and surveillance of the HIV/AIDS epidemic. (Paper presented at the PDM Summer School 2010, University of Stellenbosch, January).
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Setswe, G. & Wabiri, N. (2010) Evaluating evidence of HIV prevention interventions that work. (Poster presented at the XVIII International AIDS Conference, July).
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Setswe, G. (2010) HIV/AIDS prevention strategies. (Paper presented at the PDM 2010, University of Stellenbosch, January).
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Setswe, G., Tsoai, L., Zuma, K., Makonko, E. & Malope, N. (2010) Impact evaluation of the TCE interventions in South Africa. (Paper presented to the HSRC, Forum 310, 29 April).
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Setswe, G., Davids, A., Majaja, M., Banyini, M., Shikwane, E., Ntimba, N., Asmal, S., Kollipara, A. & Bishop, M. (2010) Know your HIV prevention response (KYR) analysis: report on the review of HIV prevention policies and programmes in the Mpumalanga province. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Mpumalanga Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Setswe, G., Davids, A.E., Tsoai, L., Kopa, N.M., Mpitso, T., Asmal, S., Kollipara, A. & Bishop, M. (2010) Know your HIV prevention response (KYR) analysis: report on the review of HIV prevention policies and programmes in the Free State province. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Free State province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Setswe, G., Davids, A., Tabane, C., Floyd, E., Akpan, F., Phala, A., Asmal, S., Kollipara, A. & Bishop, M. (2010) Know your HIV prevention response (KYR) analysis: report on the review of HIV prevention policies and programmes in the Gauteng province. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the Gauteng Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Setswe, G., Davids, A., Tabane, C., Matseke, G., Makonko, E., Kollipara, A., Bishop, M., Asmal, S., Mokoka, C., Molamu, S. & Mekgwe, M. (2010) Know your HIV prevention response (KYR) analysis: report on the review of HIV prevention policies and programmes in the North West province. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in the North West Province. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Setswe, G., Davids, A., Majaja, M., Kekana, Q., Tsoai, L., Naidoo, Y., Kollipara, A., Bishop, M., Asmal, S., Mbuya-Brown, R. & Mallas, E. (2010) Know your HIV prevention response (KYR) analysis: report on the review of HIV prevention policies and programmes in South Africa. (Commissioned by the World Bank, November).
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This report summarises all relevant information about component 3 of the KYR analysis in South Africa. The report outlines the objectives, scope of work, types of data collected, data collection and analysis processes, data collection tools, and also summarises the roles and responsibilities of the HSRC as the service provider.
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Setswe, G., Zuma, K., Tsoai, L., Makonko, E. & Malope, N. (2010) Report on impact evaluation of the Total Control of the Epidemic (TCE) programme in South Africa. (Commissioned by Humana People to People, South Africa, March).
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Humana People to People in South Africa (HPP-SA) is a section 21 non-profit company registered in 1995 in order to respond to the socio-economic needs of the underprivileged South Africans. Internationally, Humana People to People South Africa (HPP-SA) is a
member of the Federation of Humana People to People found in 28 countries around the world and running over 180 projects in the areas of c...
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Setswe, G. (2010) Social and sensitive aspects of HIV prevention and male circumcision. (Paper presented at BMGF Male Circumcision Workshop, Sandton, 22 January).
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Setswe, G. (2009) Acceleration of HIV prevention in the African region: towards an operational research agenda for the scale up of effective interventions. (Paper presented at the WHO-AFRO Expert Meeting on HIV Prevention, 28-29 April).
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Setswe, G. (2009) Assessment report for reviews of HTC policies, guidelines and standards in SADC. (Paper presented at the SADC Consensus Building Workshop, SADC Secretariat, Elephant Hills Hotel, Victoria Falls, Zimbabwe, 27-29 May).
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Setswe, G. (2009) Best practice workplace HIV/AIDS programmes in Africa: description of the top 20 case studies. (Paper presented at the 2009 Swedish Workplace HIV/AIDS Programme (SWHAP) Annual Conference, Johannesburg, 16 October).
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Setswe, G. (2009) Developing an HIV/AIDS policy: content, process, challenges and implementation. (Paper presented at the PDM2008, University of Stellenbosch, 13 January).
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Setswe, G., Wabiri, N., Seager, J. & Peltzer, K. (2009) The development of harmonized minimum standards for guidance on HIV testing and counselling (HTC) in the SADC region: assessment report on HTC policy reviews. (Commissioned by SADC Secretariat, July).
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Introduction: Southern Africa is the epicentre of the HIV and AIDS epidemic and has accounted for almost one-third (32%) of all new HIV infections and AIDS deaths globally in 2007, with national adult HIV prevalence exceeding 15% in seven Member States in 2007. Among the interventions which play a pivotal role both in treatment and prevention, HIV testing and counselling (HTC)
stands out as pa...
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Setswe, G. (2009) Epidemiology, surveillance and determinants of the global, African and southern African HIV/AIDS/STI epidemics. (Paper presented at the PDM Summer School 2009, University of Stellenbosch).
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Setswe, G., Johannes, M., Kgoroeadira, M., Matuludi, P. & Diane, R. (2009) Evaluation of an intervention to encourage abstinence and faithfulness among youth (ABY) in South Africa. (Paper presented at the Durban AIDS Conference, 31 March-3 April).
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Setswe, G. & Davids, A. (2009) Evaluation study of the psycho-social needs of volunteer community home-based carers (CHBC). (Paper presented to the SARCS PSS Research Report Launch, Port Elizabeth, 5 December).
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Setswe, G., Davids, A. & SAHA/HSRC PSS Project Team, (2009) Evaluation study of the psycho-social needs of volunteer community home-based carers (CHBC). (Paper presented to the South African Red Cross Society in Pretoria, 18 June).
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Setswe, G. (2009) Harmonized minimum standards for guidance on HIV testing and counselling (HTC) in the SADC region. (Paper presented at the SADC Consensus Building Workshop, SADC Secretariat, Elephant Hills Hotel, Victoria Falls, Zimbabwe, 27-29 May).
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Setswe, G. (2009) The HIV and AIDS epidemic in South Africa: where are we?. (Paper presented to the Academy for Educational Development (AED), 8 July).
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Setswe, G., Simbayi, L., Rehle, T., Zuma, K., Van Zyl, J. & Kekana, Q. (2009) HIV incidence, prevalence and behavioural risk survey among Gauteng provincial government employees. (Paper presented to the Gauteng Department of Health, 2 March).
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Setswe, G. (2009) HIV prevention: where is the evidence of interventions that work?. (Paper presented at the NGO Community Forum, 29 October).
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Setswe, G. (2009) HIV prevention: where is the evidence of interventions that work?. (Paper presented at the 5th SAHARA Conference, Midrand, 1 December).
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Setswe, G. (2009) HIV/AIDS & STI National Strategic Plan (NSP) for South Africa, 2007-2011. (Paper presented at SANAC Sports & Entertainment Sector Summit, 11 September).
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Setswe, G. (2009) HIV/AIDS as a human security challenge in the security services: case study of SASSETA. (Paper presented at the Security Sector Reform (SSR) Course, 7 October).
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Setswe, G. (2009) Interventions and strategies for changing HIV-related behaviours. (Paper presented at the SBI Workshop, SAHARA Conference, 30 November).
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Setswe, G. (2009) Mainstreaming of HIV/AIDS in the curriculum. (Paper presented at the CSET Symposium at UNISA, 2 November).
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Setswe, G. (2009) Models of HIV counseling and testing in SADC. (Paper presented at the HIV Counselling and Testing Workshop, Durban, 26 March).
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Setswe, G. & Malope, N. (2009) Monitoring the social and other impacts of HIV and AIDS in South Africa: indicators reflecting mortality. (Paper presented to the HSRC Conference, Birchwood Conference Centre, Benoni, 16 September).
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Setswe, G. & Malope, N. (2009) Monitoring the social and other impacts of HIV and AIDS in South Africa: indicators reflecting mortality. (Paper presented at the 5th SAHARA Conference, Midrand, 1 December).
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The purpose of this study was to monitor the social and other impacts of HIV and AIDS in South Africa by reviewing selected indicators reflecting mortality.
The methods used for reviewing, the selected indicators included a systematic search for the most recent data, reviewing the indicators using the most recent data and updating and defining indicators through validation interviews, wher...
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Setswe, G., Wabiri, N., Seager, J. & Peltzer, K. (2009) Regional minimum standards for guidance on HIV testing and counselling (HTC) in the SADC region. (Commissioned by SADC Secretariat, July).
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The main aim of this project was to develop regional harmonized minimum standards for policies, protocols and guidelines for HIV testing and counselling (HTC) in the SADC region. This is consistent with Article 10 of the SADC Protocol on Health, which calls for the harmonization of policies on disease prevention and control. Several approaches were followed in developing these minimum standard...
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Setswe, G., Davids, A., Majaja, M., Naidoo, D., Lewa, N., Simbayi, L., Dwadwa-Henda, N. & Tshebetshebe, D. (2009) Report: evaluation of the psycho-social needs of community home-based carers 2009. (March).
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South Africa has the largest number of people living with HIV/AIDS in the world. Poverty, poor access to basic amenities and health care, limited information, and limited capacity in communities all exacerbate vulnerability to HIV. As more households in South Africa become affected by HIV/AIDS, there is a growing need for assistance with care and support. Households are increasingly faced wit...
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Setswe, G. (2009) Review of behavioural interventions and strategies for changing HIV-related behaviours. (Paper presented at the SBI Workshop, 29 March).
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Setswe, G. (2009) Role of parents in supporting youth who participate in abstinence and be faithful (AB) interventions in South Africa. (Poster presentation at the Durban AIDS Conference, 31 March-3 April).
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Setswe, G., Johannes, M. & Kgoroeadira, M. (2009) Role of parents in supporting youth who participate in abstinence and be faithful (AB) interventions in South Africa. Gender and Behaviour. 7(1):2212-2230.
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Most programs intended to prevent or reduce HIV/AIDS have focused on "safer sex" and the use of condoms, both in South Africa and many other countries affected by the HIV/AIDS epidemic. The use of condoms and other contraceptives have also been central to many campaigns to reduce unwanted pregnancies, particularly among teenage girls. However, some parents, conservatives and religious critics o...
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Setswe, G. (2009) Strategies for acceleration of HIV prevention interventions that work. (Paper presented at the SANAC Civil Society Meeting, 7 July).
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Setswe, G. (2009) TB and HIV/AIDS epidemics in South Africa: an overview. (Paper presented at the PDM2009 Summer School, Stellenbosch University, 13 January).
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Setswe, G. (2009) Uganda: case study of successful behavioural change for HIV decline. (Paper presented at the Capacity Building Workshop, SAHARA Conference, Gallagher Estate, Johannesburg, 30 November).
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Setswe, G. (2009) Update on male circumcision policy process in South Africa. (Paper presented at the SANAC Civil Society Meeting, 7 July).
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Setswe, G. (2008) Behavior change theories and models. (Paper presented at the SBI Workshop, 24 November).
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Setswe, G. (2008) Book review: Foster, G., Levi, C., and Williamson, J. (eds.) 2005. A generation at risk: the global impact of HIV/AIDS on orphans and vulnerable children. Cambridge: Cambridge University Press, ISBN 978-0-521-652643. Sahara J: Journal of Social Aspects of HIV/AIDS. 5(3):158.
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Setswe, G. (2008) The business case for addressing HIV and AIDS. (Paper presented to the MBA Class, University of KwaZulu-Natal, 19 July).
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Setswe, G. (2008) Education makes a difference. (Keynote address at a graduation ceremony at the University of Limpopo, Medunsa Sports Complex, 30 May).
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Setswe, G. (2008) Effective HIV & AIDS prevention strategies. (Paper presented to the Class of the Postgraduate Diploma in HIV/AIDS Management (PDM) of the University of Stellenbosch, Satellite broadcast, UNISA, 5 July).
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Setswe, G. (2008) HIV & AIDS research challenges in sub-Saharan Africa. (Paper presented at the Winter School 2008, University of Limpopo, School of Public Health, 1 July).
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Setswe, G. (2008) HIV prevention sessions at the XVII International AIDS Conference. (Paper presented at the AIDS Consortium Seminar, Museum Africa, Johannesburg, 29 September).
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Setswe, G. & Skinner, D. (eds). (2008) Interventions for orphans and vulnerable children at four project sites in South Africa. Cape Town: HSRC Press.
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This report describes interventions for orphans and vulnerable children (OVC) at four sites in South Africa. The project sites are the Rustenburg and Orkney areas in the North West province, and the Kopanong and Matjhabeng municipalities in the Free State. The report highlights the knowledge, attitudes, practices, prevention, care and support issues concerning HIV/AIDS among the people located ...
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Setswe, G., Simbayi, L., Clayton, J., Stephens, D., Davids, A., Jooste, S. & Dwadwa-Henda, N. (2008) Methods for evaluation of psychosocial support (PSS) needs of community based caregivers (CBCs) working with orphans and vulnerable children (OVC) and PLWHA in South Africa. (Presentation published as a abstract in Abstracts for XVII International Conference on AIDS, Mexico City, Mexico, 3-8 August).
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Setswe, G. & Zungu, L. (2008) Needle prick injuries as a risk factor for hospital-acquired infection among nurses in a Gauteng hospital. (Paper presented at the Infection Prevention & Control Conference, International Convention Centre, Durban, 22 August).
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Setswe, G., Friedman, I., Magezi, V., Nkomo, N., Nyuswa, M. & Majola, N. (2008) Problems faced by men in the Umkhanyakude district of KwaZulu-Natal, their causes and strategies for dealing with them. (Presentation published as a abstract in Abstracts for XVII International Conference on AIDS, Mexico City, Mexico, 3-8 August).
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Setswe, G. (2008) SAHARA Southern Africa report. (Paper presented at the SAHARA Lekgotla, 22 September).
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Setswe, G. (2008) Social and behavioural HIV prevention sessions at the XVII International AIDS conference. (Paper presented at a report back session at the HSRC, 29 September).
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Setswe, G. (2008) The state of the HIV and AIDS epidemic in Africa: strategies to communicate findings to influence policies and programmes. (Paper presented at the HIV 9 Conference, Southern Sun Hotel, 14 May).
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Setswe, G. (2008) Theoretical basis for behavioural interventions and strategies to change HIV-related behaviours. (Paper presented at SBI Workshop, 24 November).
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Setswe, G. (2008) Why is MCP important in HIV prevention?. (Paper presented at the UNAIDS Consultation on MCP Campaigns and Communications Towards a Coordinated Regional Response, Soul City, 17 September).
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Setswe, G. (2007) Abstinence and faithfulness programmes for prevention of HIV/AIDS among young people: what are the current debates?. South African Family Practice. 49(8):5-10.
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Questions have been raised on whether abstinence and faithfulness programs work, particularly for young people. Research is needed for evidence-based documentation of the effectiveness or otherwise of abstinence and faithfulness programmes in young people. The review looks at the relevant studies already available, classification of these studies and the review of data and analysis of findings.
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Setswe, G. (2007) Challenges 25 years into the pandemic. Leadership in HIV/AIDS. 15:12-14.
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As we approach the third decade of the AIDS pandemic, HIV is still considered a new and complex disease for which there is no cure. As such, it presentes unique challenges for research.
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Setswe, G., Peltzer, K., Banyini, M., Skinner, D., Seager, J., Maile, S., Sedumedi, S. & Gomis, D. (2007) Report and policy brief from the 4th Africa Conference on social aspects of HIV/AIDS research: innovations in access to prevention, treatment and care in HIV/AIDS, Kisumu, Kenya, 29 April-3 May 2007. Sahara J: Journal of Social Aspects of HIV/AIDS. 4(2):640-651.
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This report and policy brief summarises the key findings and suggested policy options that emerged from rapporteur reports of conference proceedings about the following themes:
1. Orphans and vulnerable children
2. Treatment
3. Prevention
4. Gender and male involvement
5. Male circumcision
6. People living with HIV/AIDS
7. Food and nutrition
8. Socio-economics
9. Politics/Policy
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Setswe, G. & Nkomo, N. (2007) Report on experiences in the Amandlamadoda (menpower) sexual and reproductive project in Umkhanyakude, KwaZulu-Natal. (Commissioned by the AIDS Foundation South Africa, October).
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This report documents the experiences of participants and staff in the Amandlamadoda project in Umkhanyakude district. Three methods used to collect data for documenting the experiences of participants and staff in the project. These included the review of key project documents, three focus group discussions with men in the community and executive committee members in Umkhanyakude and four key ...
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Setswe, G., Masango, N., Mushi, K., Skinner, D., Matevha, A. & Seodi, P. (2006) Interventions for orphans and vulnerable children (OVC) at Tapologo HIV/AIDS project in Rustenburg, North West province. (Commissioned by the Nelson Mandela Children's Fund).
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Setswe, G. (2006) A quarter of a century into the epidemic: challenges in HIV and AIDS research. HSRC review. 4(3):10-11.
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As we approach the third decade of the AIDS epidemic, HIV is still considered a new and complex disease for which there is no cure. As such, it presents unique challenges for research. In this article, GEOFFREY SETSWE reviews the status of HIV and AIDS research, and asks whether AIDS is over-researched.
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Setswe, G. (2006) Review, update and definition of indicators to monitor the social impacts and other aspects of HIV and AIDS in South Africa. (Commissioned by the Department of Social Development, South Africa, November).
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Setswe, G. (2006) Systemic reviews of behavioural interventions for reducing the risk of HIV and AIDS: are we getting the evidence?. Sahara J: journal of social aspects of HIV/AIDS. 3(2):477-481.
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Social interventions aim to change risk behaviours or decrease incidence rates of HIV, and also include explicit and direct attempts to change peer or community norms related to HIV risk. These interventions, while they may use individual or small group approaches, emphasize peer influence and community-level approaches, such as engaging key opinion leaders like educators, and mobilizing the co...
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Setswe, K.G. & Zuma, K. (2011) Abstinence among SA youth: is there buy-in?. HSRC Review. 9(1):13-14.
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The goals of the five-year Abstinence and Be Faithful Among Youth (ABY) project were to bolster abstinence, faithfulness and the avoidance of unhealthy sexual behaviour among youths. KEITSHEPILE GEOFFREY SETSWE and KHANGELANI ZUMA conducted a quantitative baseline evaluation of the ABY project in five South African cities, with data collected from 1 620 respondents just before the ABY intervent...
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Setswe, K.G. & Zuma, K. (2010) Young South Africans' views on, and perceptions of, abstinence and faithfulness. Health SA Gesondheid. 15(1):Online.
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The goals of the Abstinence and Be Faithful Among Youth (ABY) project were to enhance local responses among the youth in South Africa to prevent HIV infection through encouraging abstinence, faithfulness and avoidance of unhealthy sexual behaviour among youths over a five-year period. A quantitative baseline evaluation of the ABY project was conducted in five cities in South Africa. Data were c...
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Setswe, K.G. (2009) Best practice workplace HIV/AIDS programmes in South Africa: a review of case studies and lessons learned. African Journal of Primary Health Care & Family Medicine. 1(1):Online.
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A group of experts attending a tripartite interregional meeting on best practices in HIV/AIDS workplace policies and programmes organised by the International Labour Organisation. The ten criteria that were used for reviewing best practice workplace HIV/AIDSprogrammes in South Africa include acceptability, accessibility, ethical soundness, perceived impact, effort to deal with HIV/AIDS in the w...
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Setswe, K.G. (2008) Progress report on declaration of commitment on HIV and AIDS: reporting period: January 2006-December 2007. (Prepared for United Nations General Assembly Special Session on HIV and AIDS).
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Setswe, K.G. (2005) An assessment of the capacity needs of the public service in South Africa with regard to the implementation of HIV and AIDS workplace programmes. (Commissioned by the Department of Public Service and Administration, November).
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The main burden in dealing with the impact of the HIV and AIDS on the public service falls on the Department of Public Service and Administration (DPSA). In order for the public service to be successful, the impact of the pandemic on its own employees will have to be managed. There is a need for increased capacity to deal with the different aspects of the HIV and AIDS epidemic in the public ser...
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Shabalala, N., Strebel, A., Shefer, T., Simbayi, L C, Wilson, T., Ratele, K., Andipatin, M. & Potgieter, C. (2002) Evaluation of the quality of care for sexually transmitted infections in primary health care centres in South Africa. South African journal of psychology. 32(4):33-40.
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Shangase, M., Pengpid, S., Peltzer, K., Henda, N., Mosala, T., Dlamini, N., Dlamini, N. & Fomundam, H. (2006) Traditional birth attendants and HIV/AIDS in South Africa: a trainer's manual. (Commissioned by the Department of Health).
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Traditional birth attendants have the potential for improving maternal and newborn health at community level. The role of Traditional birth attendants in caring for pregnant women and conducting deliveries is acknowledged, but generally TBAs are not trained to deal with complications. A paradigm shift from the risk approach to focus on emergency obstetric care (every pregnancy carries a risk) h...
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Shangase, M., Pengpid, S., Peltzer, K., Hemda, N., Mosala, T., Dlamini, N., Dlamini, N. & Fomundam, H. (2005) Traditional birth attendants and HIV/AIDS in South Africa: a participant's manual. (Commissioned by the Department of Health).
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Shefer, T., Crawford, M., Strebel, A., Simbayi, L.C., Dwadwa-Henda, N., Cloete, A., Kaufman, M.R. & Kalichman, S.C. (2008) Gender, power and resistance to change among two communities in the Western Cape, South Africa. Feminism & Psychology. 18(2):157-182.
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This study investigates how women and men in the Western Cape, South Africa, construct their gender identities and roles. As part of the development of an HIV prevention intervention for men, key informant interviews and focus group discussions were conducted. Several themes regarding the construction of gender were identified. First, participants reported that traditional gender relations o...
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Sherr, L., Varrall, R., Mueller, J., Richter, L., Wakhweya, A., Adato, M., Belsey, M., Chandan, U., Drimie, S., Haour-Knipe, M., Hosegood, V., Kimou, J., Madhavan, S., Mathambo, V. & Desmond, C. (2008) A systematic review on the meaning of the concept 'AIDS orphan': confusion over definitions and implications for care. AIDS Care. 20(5):527-536.
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Global publications on the international AIDS epidemic report on the existence of an ever-increasing number of orphans and vulnerable children. It has been suggested that by the end of this decade there will be in excess of 25 million AIDS orphans globally, an issue which will require understanding and organisation of long-term medical, psychological and social support. This study provides a sy...
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Shisana, O., Rice, K., Zungu, N. & Zuma, K. (2010) Gender and poverty in South Africa in the era of HIV/AIDS: a quantitative study. Journal of Women's Health. 19(1):39-46.
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BACKGROUND: Recent research identifies gender inequality as a driver of the HIV/AIDS epidemic. The feminization of poverty is also increasingly apparent, as is the disproportionate vulnerability of members of female-headed households. We sought to examine the relationships among sex, gender, age, HIV status, and socioeconomic characteristics, focusing on heads and nonheads of households. METHOD...
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Shisana, O., Simbayi, L.C., Rehle, T., Zungu, N.P., Zuma, K., Ngogo, N., Jooste, S., Pillay-van Wyk, V., Parker, W., Pezi, S., Davids, A., Nwanyanwu, O., Dinh, T.H. & SABSSM III Implementation Team, (2010) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: the health of our children. Cape Town: HSRC Press.
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Understanding the general health status of children aged 18 years and below in relation to the HIV epidemic is paramount in South Africa - a country that has both the highest number of adults and children living with HIV/AIDS in the world.
In this cardinal report, research findings from a population-based household survey are presented on the general health status of infants, children, and a...
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Shisana, O., Zungu, N. & Pezi, S. (2009) Poverty and HIV and AIDS. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 89-104.
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The worsening economic situation is likely to continue to impact negatively on health and development, especially in countries that are already severely affected by HIV and AIDS. In the context of this background it is important to view the link between HIV and AIDS and poverty in order to further understand the relationship between the two.
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Shisana, O., Rehle, T., Simbayi, L.C., Zuma, K., Jooste, S., Pillay-Van Wyk, V., Mbelle, N., Van Zyl, J., Parker, W., Zungu, N.P., Pezi, S. & SABSSM III Implementation Team, (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. Cape Town: HSRC Press.
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South Africa's first national, household sero-prevalence survey of HIV and AIDS was conducted in 2002. A second survey was completed in 2005 and this, the third, in 2008.
This report provides an analysis of trends across the three surveys and begins to map the ways in which the shape of the pandemic in South Africa has changed since 2002. Indicators for assessing mid-term progress made in i...
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Shisana, O., Connolly, C., Rehle, T.M., Mehtar, S. & Dana, P. (2008) HIV risk exposure among South African children in public health facilities. AIDS Care. 20(7):755-763.
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The study investigates the risk exposure to HIV infection among South African children aged 2-9 years served by public health services. Together with their biological mothers, 3471 children and were recruited from inpatient and outpatient children in the Free State Province. Blood samples were taken by professional nurses and a history taken of exposure factors associated with HIV transmission....
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Shisana, O. & Louw, J. (2007) 'Missing the women': exploring key challenges in policy responses to HIV/AIDS. In: Prince, B., Louw, J., Roe, K. & Adams, R. (eds). Exploring the challenges of HIV/AIDS: seminar proceedings. Cape Town: HSRC Press. 29-53.
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Shisana, O. (2007) Building innovative partnership for HIV/AIDS: "walk the talk". (Paper presented at the 4th Sahara Conference: Building Innovative Partnerships, 16 February).
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African governments have made commitments to manage HIV/AIDS effectively. They have made these commitments in the African continent and abroad, at times even pledging to achieve specific measurable targets. This makes it possible to verify achievements of targets. However, to succeed they need to work closely with all sectors of society, ensuring that the brightest minds, most energetic people ...
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Shisana, O. (2007) Missing the women: policy responses to HIV/AIDS. In: Financing gender equality: commonwealth perspectives 2007. Cambridge: Nexus Strategic Partnerships. 61-63.
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This article attempts to identify women who are consistently "missing" in HIV/AIDS research and points to ways that could ensure that women's voices do not go unheard and that their perceptions and experience inform policy and programmes.
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Shisana, O. (2007) Overview. In: Prince, B., Louw, J., Roe, K. & Adams, R. (eds). Exploring the challenges of HIV/AIDS: seminar proceedings. Cape Town: HSRC Press. viii-xii.
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Shisana, O. & Louw, J. (2006) Translating research into policy: the case of orphans and vulnerable children in South Africa. Sahara J: journal of social aspects of HIV/AIDS. 3(2):450-456.
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Policies are often developed without taking into account social science research findings and recommendations, despite the plethora of such research studies.This is largely because researchers and policy makers often work in isolation, yet if they worked synergistically they could have a significant impact on implementing interventions known to work to improve the lives of populations. Several ...
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Shisana, O., Simbayi, L.C., Magome, K., Skinner, D., Mkabela, B., Mtero-Munyati, S., Mundondo, J., Tsheko, G.N., Matlaku, T. & Southern Africa OVC Care Interventions Project Research Team, (2006) The use of implementation research networks on orphans and vulnerable children to encourage research-driven policies: the case of Botswana, South Africa and Zimbabwe. Vulnerable children and youth studies. 1(3):230-245.
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There is a growing need for applied social sciences research to provide scientific evidence for use in both policy and programme development in the health sector to match the strides made in clinical medicine over the past few decades. This article presents an account of the development, implementation and progress as well as lessons learnt to date from a 5-year programme for the care of orphan...
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Shisana, O., Mehtar, S., Mosala, T., Zungu-Dirwayi, N., Rehle, T., Dana, P., Colvin, M., Parker, W., Connolly, C., Dunbar, R. & Gxamza, F. (2005) HIV risk exposure among young children: a study of 2-9 year olds served by public health facilities in the Free State, South Africa. Cape Town: HSRC Press.
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South Africa has, until now, focused its HIV prevention efforts on youth and adults, and now needs to expand its focus to include children. Much is already known about vertical transmission, which is the dominant mode of HIV transmission among children. However, little investigation has been done into the potential for horizontal transmission of HIV on the population below reproductive age.
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Shisana, O. (2005) Shared breastfeeding contributes to HIV-transmission, study shows. HSRC review. 3(2):14-15.
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A study to investigate why some children are HIV-positive and their mothers HIV-negative came up with some unexpected findings. The results were presented by OLIVE SHISANA, co-principal investigator, at the AIDS Impact Conference in Cape Town in April.
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Shisana, O., Rehle, T., Simbayi, L.C., Parker, W., Zuma, K., Bhana, A., Connoly, C., Jooste, S. & Piillay, V. (2005) South African national HIV prevalence, HIV incidence, behaviour and communication survey, 2005. Cape Town: HSRC Press.
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The Nelson Mandela Foundation (NMF) commissioned the first national, household sero-prevalence survey of HIV/AIDS in 2002. That study had significant impact nationally, in the sub-region and internationally. The report received widespread attention, has been used to build the capacity of other Southern African Development Community (SADC) countries in implementing similar studies, and has impac...
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Shisana, O. & Davids, A. (2004) Correcting gender inequalities is central to controlling HIV/AIDS. Bulletin of the World Health Organization. 82(11):812.
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Shisana, O., Zungu-Dirwayi, N, Toefy, Y., Simbayi, L C, Malik, S. & Zuma, K. (2004) Marital status and risk of HIV infection in South Africa. South African medical journal. 94(7):537-543.
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The relationship between marital status and HIV is complex. The risk depends on various demographic factors and sex behaviour practices. Increased prevention strategies that take socio-cultural context into account are needed for married people.
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Shisana, O., Zungu-Dirwayi, N. & Shisana, W. (2003) AIDS: A threat to human security. In Global health challenges for human security. Chen, L., Leaning, J. & Narasimhan, V. (eds). Cambridge: Harvard University Press. 141-158.
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In this chapter it is argued that a health issue constituted a security threat. The authors argue that that AIDS like other epidemics such as bubonic plague, smallpox and influenza, has the potential to annihilate human populations, destroy communities, and stifle economic growth, especially in heavily affected countries. Thus, it constitutes a clear threat not only to national security or th...
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Shisana, O. (2003) The current situation of HIV/AIDS in South Africa. In Mental health and HIV/AIDS: report on a round-table discussion March 2003. Freeman, M. (ed). Cape Town: HSRC Publishers. 1-9.
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This presentation summarizes some of the main findings of the Nelson Mandela/HSRC study in HIV/AIDS with a particular emphasis in HIV prevalence. This study is the first systematically sampled national community-based survey of prevalence in South Africa.
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Shisana, O. & Zungu-Dirwayi, N. (2003) Government's changing reponses to HIV/AIDS. Development Update: The (real) State of the Nation: South Africa After 1990. 4 (3):165-187.
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In this chapter we review the changing responses of the governments of South Africa, during and after apartheid. The focus is on the post-apartheid government, and particularly the debates and disputes which have shaped the management of the epidemic of this country.
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Shisana, O., Zungu-Dirwayi, N. & Chauveau, J. (2003) HIV/AIDS in South Africa: entitlement and rights to health-implications of the 2002 household survey. (Paper presented at the "Remaking law in Africa: transnationalism, persons and rights": annual international conference, May 21-22, Centre for African Studies, University of Edinburgh).
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Shisana, O., Hall, E., Maluleke, K.R., Stoker, D.J., Schwabe, C., Colvin, M., Chauveau, J., Botha, C., Gumede, T., Fomundam, H., Shaikh, N., Rehle, T., Udjo, E. & Grisselquist, D. (2003) The impact of HIV/AIDS on the health sector: national survey of health personnel, ambulatory and hospitalised patients and health facilities, 2002. Cape Town: HSRC Publishers.
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South Africa is estimated to have the largest number of people living with HIV/AIDS in the world. The Nelson Mandela/HSRC study of HIV/AIDS (2002) reported an estimated HIV prevalence of 4.5 million persons aged two years and older. The epidemic results in high morbidity and mortality. Given the overall impact of HIV/AIDS on South African society, and the need to make policies on the management...
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Shisana, O. (2002) Impact of HIV/AIDS on SADC countries: recommendations to funders. (Paper presented at the "Looking beyond prevention and treatment" conference, 14-16 January, New York).
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Shisana, O. & Simbayi, L C (eds). (2002) Nelson Mandela/HSRC study of HIV/AIDS: South African national HIV prevalence, behavioural risks and mass media: household survey 2002. Cape Town: Human Sciences Research Council.
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This is a watershed cultural and demographic survey, commissioned by former President Nelson Mandela, and it came up with some surprising results! This study sampled a thorough cross-section of 9 963 South Africans from all walks of life. It shows 11 per cent are HIV+, 15.2 per cent of them aged between 15 and 49. Contrary to previous estimates, provinces with large urban informal settlements h...
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Shisana, O., Simbayi, L. & Dorkenoo, E. (2002) South Africa's first national population-based HIV/AIDS behavioural risks, sero-status and media impact survey (SABSSM) research project: third quarterly progress report. (Paper prepared for the NMCF/NMF/HSRC Reference Group Meeting held on 23rd July).
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This report covers the third quarter of the SABSSM starting fro the beginning of April 2002 until the end of the first week of July 2002. As was the case with the second quarterly report, no background information will be provided this time as this report should be read in conjunction with both previous quarterly reports. Instead, it will focus mostly on the progress that has been made on bot...
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Shisana, O., Simbayi, L C, Dorkenoo, E., Ditlopo, P.T.N. & Toefy, M.Y. (2001) South Africa's first national population-based HIV/AIDS behavioural risks, sero-status and media impact survey (SABSSM) research project: first quarterly progress report. (Report for the Nelson Mandela Foundation and the Nelson Mandela Children's Fund and the Human Sciences Research Council).
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Simbayi, L. & Cloete, A. (2011) Reducing internalized stigma in generalized epidemics. (Paper presented at the Mind, Body, HAART (Mental Health & HIV symposium), Cape Town, 11-12 August).
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Simbayi, L. (2009) The challenges of MCP prevention in South Africa. (Paper presented to a roundtable discussion on Sex, soaps and sensationalism!: Multiple and Concurrent Partnerships in the Popular Media, Goethe-Institut, Johannesburg, 4 March).
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Simbayi, L. (2009) Key findings from the 2005 HSRC's HIV/AIDS survey: implications for prevention. (Paper presented at the CDC/PEPFAR Prevention Partners Meeting held at Birchwood Conference Centre, Benoni, 23-25 February).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented to the Assessment and Management of the Mental Health Consequences of Trauma in South Africa: a research perspective, Breakwater Lodge, V&A Waterfront, 26-27 June).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at UCT Business School at the Breakwater Lodge, 8 July).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at the Villa Via, Gordons Bay, 24 June).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, September).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey: formative phase: focus group discussions - 2008. (Paper presented to the HSRC Conference, Birchwood Conference Centre, Benoni, September).
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Simbayi, L. (2009) The use of the second-generation HIV surveillance approach in understanding the HIV epidemic in the military: lessons from the other employment sectors. (Paper presented at the Conference on HIV/AIDS and the African Military: Towards a common and comprehensive approach held at the Jinja Nile Resort Hotel in Jinja, Uganda on 11-13 March).
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Simbayi, L. & Kalichman, S.C. (2008) Positive prevention: targeting PLWHA for HIV prevention. (Paper presented to the Second Botswana International HIV Conference organized by the Botswana HIV Clinicians, Southern Africa HIV Clinicians Society, at the Grand Palm Hotel in Gabarone, Botswana on 17-20 September).
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Simbayi, L. (2008) Social aspects of male circumcision as a biomedical strategy for HIV prevention. (Paper presented to SANAC's Male Circumcision Workshop, Birchwood Hotel and OR Tambo Conference Centre, Boksburg, 8 October).
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Simbayi, L., Shisana, O., Chauveau, J. & Ramlagan, S. (2003) Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa. Antiviral therapy. 8 (1):223-224.
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Simbayi, L.C. (2011) Alcohol and HIV: epidemiology in Africa & research updates. (Paper presented at the PEPFAR Southern & Eastern Africa Meeting on Alcohol and HIV Prevention, Windhoek, Namibia, 12-14 April).
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Simbayi, L.C. (2011) Prevalence and incidence of HIV and its impact on the social and economic development of South Africa. (Paper presented at the seminar: Project: "Go Africa.. Go Germany", Tropicana Hotel, Durban, 23 March).
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Simbayi, L.C. (2010) HIV prevalence survey 2008 (and Educators Study 2005): implications for the Department of Basic Education?. (Paper presented to the National Department of Basic Education's Seminar Series held at Sol Plaatjie House in Pretoria, 15 June).
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Simbayi, L.C. (2010) HIV prevention: where is the evidence of interventions that work?. (Paper presented at the National Provincial Workshop on Medical Male Circumcision, Johannesburg, 30-31 March).
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Simbayi, L.C. (2010) HIV prevention: where is the evidence of interventions that work?. (Paper presented to the Second National HIV/AIDS, STI and other Related Infectious Diseases Research Conference (NHASORC II) at the Gaborone International Convention Centre in Gaborone, Botswana, 19-21 May).
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Simbayi, L.C. (2010) Phaphama interventions to reduce both alcohol use and HIV/STI risks. (Paper presented to the UNESCO's Interdisciplinary Working Group on Culture & HIV/AIDS, Maputo, 20 May).
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Simbayi, L.C. (2010) Prevalence of orphans and vulnerable children and child-headed households in South Africa in 2008. (Paper presented to the satellite session on "The position of children infected and affected by HIV/AIDS in southern Africa " held at the XVIII International AIDS Conference, 18 July).
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Simbayi, L.C. & Cloete, A. (2010) Update on research on positive prevention interventions in South Africa. (Paper presented at the Positive Prevention Roundtable, Southern Sun, OR Tambo International Airport, Johannesburg, 12 August).
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Simbayi, L.C. (2009) Behaviour changes in sexual behavioural practices among South African youth. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, September).
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Simbayi, L.C. (2009) Combination prevention in South Africa: some case studies. (Presentation to the 4th Meeting of the UNAIDS Prevention Reference Group Meeting held at the Royal Plaza Hotel in Montreux, Switzerland, 3 December).
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Simbayi, L.C. (2009) Current research work on positive prevention in South Africa: an update and way forward. (Paper presented at the SANAC Research Sector's Satellite Session, SA AIDS Conference, Durban, 31 March - 3 April).
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Simbayi, L.C. (2009) Monitoring of the performance in government responses to national, regional, continental and global HIV/AIDS commitments: experiences and lessons learned from SADC countries. (Paper presented to the AAI Satellite Session at the SA AIDS Conference, Durban, 31 March - 3 April).
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Simbayi, L.C. (2009) The Social Aspects of HIV/AIDS and Health (SAHA) research programme. (Paper presented to DST on 18 June).
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Simbayi, L.C. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at the DramAIDE (Drama Aids Education), University of KZN, National Conference, Birchwood Conference Centre, 31 August - 4 September).
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Simbayi, L.C., Kalichman, S.C., Strebel, A-M., Cloete, A. & Henda, N. (2008) ARV treatment as a possible positive prevention strategy: empirical evidence obtained from a study conducted among PLWHA in Cape Town, South Africa. (Paper presented at the International AIDS Conference, Mexico City, 4 August).
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Simbayi, L.C., Kalichman, S.C., Jooste, S., Cain, D., Magubane, P., Nibe, X., Vermaak, R., Kekana, Q. & Bidla, P. (2008) A brief HIV risk reduction intervention for male and female patients with a sexually transmitted infection who use alcohol in primary health care clinic in Cape Town, South Africa. (Paper presented at the International AIDS Conference, Mexico City, 7 August).
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Simbayi, L.C. (2008) The epidemiology of HIV/AIDS in three countries in southern Africa: some key findings from population-based surveys. (Paper presented to the Symposium of the UNU-Cornell Africa Series entitled: "The Social and Economic Dimensions of HIV/AIDS in Africa", held at the United Nations Headquarters in New York on 9 September).
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Simbayi, L.C. (2008) Getting research into policy and practice: some case studies on HIV/AIDS from the HSRC. (Paper presented to the Colloquium on HIV/AIDS in Africa: Getting Research Evidence into Policy and Practice (GRIPP), at Kopanong Hotel & Conference Centre in Benoni, Gauteng, 27 March).
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Simbayi, L.C. (2008) HIV clinical trials: ethics, human rights and social challenges. (Paper presented at the Technical Task Team Meeting on HIV/AIDS Clinical Trials, held in Gaborone, 2-3 September).
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Simbayi, L.C. (2008) HIV stigma and psychotherapy. (Keynote address to the 5th African Conference on Psychotherapy 18-20 June).
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Simbayi, L.C. (2008) Phaphama (brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol). (Paper presented at the HSRC Capacity Building Workshop: Developing, Implementing and Evaluating Behavioural Interventions for Reducing the Risk or Transmission of HIV/AIDS, Airport Grand, Johannesburg, 24-26 November).
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Simbayi, L.C. (2008) Phaphama Community Alcohol (A community-based prevention intervention for South Africans with alcohol associated HIV risks). (Paper presented at the HSRC Capacity Building Workshop: Developing, Implementing and Evaluating Behavioural Interventions for Reducing the Risk or Transmission of HIV/AIDS, Airport Grand, Johannesburg, 24-26 November).
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Simbayi, L.C. & Cloete, A. (2008) Positive prevention: process of adapting healthy relationships to African context. (Paper presented at a Skills Building Workshop Presentation on Process of adapting HR to African context, Mexico, 6 August).
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Simbayi, L.C. (2008) Positive prevention: targeting PLWHA for HIV prevention. (Paper presented at the HSRC Capacity Building Workshop: Developing, Implementing and Evaluating Behavioural Interventions for Reducing the Risk or Transmission of HIV/AIDS, Airport Grand, Johannesburg, 24-26 November).
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Simbayi, L.C. (2008) State of the epidemic: progress and challenges in prevention among youth: part 1 - epidemiology of HIV among youth in South Africa. (Paper presented to the LoveLife Strategic Planning Roundtable, Sandton, Johannesburg, 30-31 October).
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Simbayi, L.C. (2007) Behavioural change interventions including positive prevention for reducing the risk of HIV infection in South Africa. (Paper presented at the NSP Civil Society Conference, held at the Emperor's Palace in Ekurhuleni on 26-27 November).
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Simbayi, L.C. (2007) Book review: Abdool Karim, S.S. & Abdool Karim, Q (2005) HIV/AIDS in South Africa, Cape Town: Cambridge University Press. ISBN 0-521-61629-8. AIDS care. 19(1):146-147.
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HIV/AIDS in South Africa is a comprehensive volume which includes contributions by 40 authors who are among some of the leading researchers in their various respective fields of study in South Africa.
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Simbayi, L.C. (2007) Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town.
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Simbayi, L.C., Kalichman, S.C., Strebel, A., Cloete, A., Henda, N. & Mqeketo, A. (2007) Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa. Sexually transmitted infections. 83:29-34.
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The HIV epidemic continues to amplify in southern Africa and there is a growing need for HIV prevention interventions among people who have tested HIV positive.
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Simbayi, L.C. (2007) The HSRC's model for surveillance of HIV prevalence, HIV incidence and key behavioural indicators. (Presentation to the Southern African Development Community (SADC) Leadership Conference held at the Victoria Falls, Zimbabwe, 21 November).
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Simbayi, L.C., Rehle, T., Vass, J., Skinner, D., Zuma, K., Mbelle, M.N., Jooste, S., Pillay, V., Dwadwa-Henda, N., Toefy, Y., Dana, P., Ketye, T. & Matevha, A. (2007) The impact of and responses to HIV/AIDS in the private security and legal services industry in South Africa. Cape Town: HSRC Press.
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The generalised nature of the HIV/AIDS epidemic in South Africa means that it impacts unevenly on businesses. Companies respond in varied ways, and with varied means, to the challenges posed by the epidemic. Assessment of the impacts of HIV/AIDS, and of the responses of companies to it, are critical to help mitigate the impact of the epidemic on productivity, labour costs, and the supply of ski...
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Simbayi, L.C. (2007) Impact of HIV/AIDS on children in South Africa: the case of orphans and vulnerable children. (Presentation to a panel discussion on: "What are the challenges to children and adolescents" development and well-being in South Africa, at Cape Town Book Fair '07 held at the International Convention Centre, 16-19 June).
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Simbayi, L.C., Kalichman, S., Strebel, A., Cloete, A., Henda, N. & Mqeketo, A. (2007) Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social Science & Medicine. 64(9):1823-1831.
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AIDS stigmas interfere with HIV prevention, diagnosis, and treatment and can become internalized by people living with HIV/AIDS. However, the effects of internalized AIDS stigmas have not been investigated in Africa, home to two-thirds of the more than 40 million people living with AIDS in the world. The current study examined the prevalence of discrimination experiences and internalized stigma...
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Simbayi, L.C. (2007) Key issues on reproductive health, poverty, gender, youth, and HIV emerging from the 2005 SABSSM national household surveillance study. (Presentation to the Population Council's Strategic Planning Meeting, held at the Premier Cape Hotel Cape Manor, Sea Point, Cape Town, 29 November).
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Simbayi, L.C. (2007) Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa. (Paper presented at the 4th IAS Conference on HIV Pathenogeneis, Treatment and Prevention, Sydney, Australia, 22-25 July).
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Simbayi, L.C. (2007) Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa. (Paper presented to the UCT School of Public Health & Family Medicine Noon Meeting, UCT Medical School).
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Simbayi, L.C. (2007) Morbidity, social support, depression and HIV risk behaviour among PLWHA on ARV treatment in Cape Town, South Africa. (Paper presented at the HSRC Research Conference, Birchwood Conference Centre, Benoni, 27-28 September).
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Simbayi, L.C., Kaseje, D. & Niang, C.I. (2007) Overview and regional progress of current SAHARA projects in sub-Saharan Africa. In: Prince, B., Louw, J., Roe, K. & Adams, R. (eds). Exploring the challenges of HIV/AIDS: seminar proceedings. Cape Town: HSRC Press. 6-17.
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Simbayi, L.C. (2007) Positive prevention: reducing HIV transmission among PLWHA. (Paper presented at the Emperors Palace, Ekurhuleni, 10-11 May).
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Simbayi, L.C. (2007) The prevalence and nature of circumcision among adult men and its relationship to HIV infection in South Africa: results from a national survey in 2002.
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Simbayi, L.C. (2007) The relationship between poverty and HIV/AIDS: some empirical evidence. (Paper presented at the ICT School of Public Health and Family Medicine, UCT Medical School, 8 March).
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Simbayi, L.C. (2007) The South African Human Sciences Research Council's (HSRC) and its Social Aspects of HIV/AIDS and Health (SAHA) research Programme. (Paper presented to the School of Public Health and Policy at Morgan State University in Baltimore, Maryland, USA, 3 December).
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Simbayi, L.C., Jooste, S., Mwaba, K., Managa, A., Zuma, K. & Mbelle, N.M. (2006) Behaviourial risks and HIV sero-status household survey in the Klerksdorp district of South Africa: a baseline study. Cape Town: HSRC Press.
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Simbayi, L.C. & Rehle, T.M. (2006) HIV/AIDS impact assessment study project: first trimester report March - July 2006. (Prepared for Safety and Security Sector Education and Training Authority (SASSETA), August).
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In October 2005 SASSETA put out a tender to undertake a critical assessment of HIV/AIDS in the Private Security and Legal Services industries, in terms of the prevalence rate of HIV, business impact, and the responses of businesses to the epidemic thus far. Furthermore, the study seeks to establish both sufficient and reliable empirical data about the current status quo, which will then be the...
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Simbayi, L.C., Kalichman, S.C., Jooste, S., Mathiti, V., Cain, D. & Cherry, C. (2006) HIV/AIDS risks among South African men who report sexually assaulting women. American journal of health behavior. 30(2):158-166.
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To examine HIV risks among South African men who report having been sexually assaultive. METHODS: Men (N = 412) in Cape Town completed anonymous surveys. RESULTS: Twenty-three percent reported a history of sexual assault. Men who had been sexually assaultive were younger, reported more sex partners, were more likely to have a history of genital ulcers, and more likely to have exchanged money fo...
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Simbayi, L.C., Kalichman, S.C., Cain, D., Cherry, C., Henda, N. & Cloete, A. (2006) Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa. Journal of substance use. 11(4):291-300.
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The current study examined the use of methamphetamine (Meth) in relation to HIV risks in a South African community sample. Design and setting: Street intercept methods were used to collect surveys of substance use and sexual behavior from 441 men and 521 women living in a racially mixed township in Cape Town South Africa. Findings: Results showed that 78 (18%) men and 63 (12%) women had used Me...
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Simbayi, L.C., Mwaba, K. & Kalichman, S.C. (2006) Perceptions of the combination of HIV/AIDS and alcohol as a risk factor among STI clinic attenders in South Africa: implications for HIV prevention. Social Behavior and Personality. 34(5):535-544.
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With the emergence of HIV/AIDS as a global health threat, there has been increasing interest among researchers in understanding sexual risk-taking behavior. The finding of a strong link between sexually transmitted infections (STIs) and HIV suggests that individuals with STIs may be at greatest risk for HIV infection. This study sought to gain insight regarding STI clinic attenders? perceptions...
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Simbayi, L.C., Kalichman, S.C., Jooste, S., Cherry, C., Mfecane, S. & Cain, D. (2005) Risk factors for HIV-AIDS among youth in Cape Town, South Africa. AIDS and behavior. 9(1):53-61.
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South Africa is in the midst of a devastating HIV-AIDS epidemic and most new HIV infections occur among young adults and adolescents. The current study examined risk behaviors and HIV risk factors among young people living in a Black South African township. Using community-based outreach methods of street intercept and facility-based surveying, 113 men and 115 women age 25 and younger responded...
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Simbayi, L.C., Skinner, D., Letlape, L. & Zuma, K. (2005) Workplace policies in public education: a review focusing on HIV/AIDS. Cape Town: HSRC Press.
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Policy governs many aspects of the professional lives of educators. It is also central to their and the sector's response to crises such as the HIV/AIDS epidemic. As such policy can contribute directly to curtailing the attrition of educators, by encouraging and providing protection against threats such as HIV/AIDS, and by creating a positive and supportive working environment. This study exami...
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Simbayi, L.C., Kalichman, S.C., Jooste, S., Mathiti, V., Cain, D. & Cherry, C. (2004) Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa. Journal of studies on alcohol. 65:434-442.
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Simbayi, L.C., Chauveau, J. & Shisana, O. (2004) Behavioural responses of South African youth to the HIV/AIDS epidemic: a nationwide survey. AIDS care. 16(5):605-618.
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Sithole, B., Mbhele, L., Van Rooyen, H., Khumalo-Sakutukwa, G. & Richter, L. (2009) Only skin deep: limitations of public health understanding of male circumcision in South Africa. South African Medical Journal. 99(9):647.
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The recent randomised controlled trials in South Africa, Uganda and Kenya which showed the dramatic impact of adult male circumcision (MC) on HIV transmission have dominated HIV/AIDS public health discourse over the past few years. Several authors in the October 2008 SAMJ cautioned against widespread implementation of MC as a prevention intervention. More evidence on the acceptability and effec...
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Sithole, T., Ngubane, T., Chirowodza, A. & Van Rooyen, H. (2008) Working with community based mobilisers (CBMs) to promote community-based voluntary counseling and testing in rural KwaZulu-Natal, South Africa. (Paper presented at the University of KwaZulu-Natal, 12th Annual Postgraduate Research Conference, Pietermaritzburg, South Africa, 13 October).
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Skinner, D., Tsheko, N., Mtero-Munyati, S., Segwabe, M., Chibatamoto, P., Mfecane, S., Chandiwane, B., Nkomo, N., Tlou, S. & Chitiyo, G. (2006) Towards a definition of orphaned and vulnerable children. AIDS and behavior. 10(6):619-626.
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The HIV epidemic presents challenges including orphans and a large mass of children rendered vulnerable by the epidemic and other societal forces. Focus on orphaned and vulnerable children (OVC) is important, but needs accurate definition. Twelve focus group interviews of service providers, leaders in these communities, OVC and their caretakers were conducted at six project sites across Botswan...
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Skinner, D., Tsheko, N., Mtero-Munyati, S., Segwabe, M., Chibatamoto, P., Mfecane, S., Chandiwana, B., Nkomo, N., Tlou, S. & Chitiyo, G. (2004) Defining orphaned and vulnerable children. (Social Aspects of HIV/AIDS and Health Research Programme, Occasional paper no. 2). Cape Town: HSRC Publishers.
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This research forms part of a broader project aimed at development and evaluation of interventions for orphaned and vulnerable children. The paper aims to provide a definitional framework and an understanding of orphans and vulnerability.
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Skinner, D. & Mfecane, S. (2004) Stigma, discrimination and the implications for people living with HIV/AIDS in South Africa. Journal of social aspects of HIV/AIDS. 1(3):157-164.
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Sperber, E., McKay, M.M., Bell, C.C., Petersen, I., Bhana, A. & Paikoff, R. (2008) Adapting and disseminating a community-collaborative, evidence-based HIV/AIDS prevention programme: lessons from the history of CHAMP. Vulnerable Children and Youth Studies. 3(2):150-158.
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In recent years, calls for the scaling-up, or more broad dissemination of evidence-based HIV prevention programmes, have increased. This paper responds to the call for increasing applicable knowledge about programme dissemination by reviewing the history of a major evidence-based human immunodeficiency virus (HIV) prevention and mental health promotion programme that has been adapted successfu...
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Stein, A., Krebs, G., Richter, L., Tomkins, A., Roschat, T. & Bennish, M.L. (2005) Babies of a pandemic: infant development and maternal HIV. Archives of disease of childhood. 90:116-118.
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Strebel, A., Cloete, A., Simbayi, L., Ntseane, D., Nthomang, K., Segwabe, M. & Phorano, O. (2009) Four-country report on formative research into the development of a HIV behavioural risk reduction intervention for PLWHA: Botswana, Lesotho, South Africa and Swaziland. (August).
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This research project was part of a multi-country study which was conducted in eight sub-Saharan African countries including four in the Southern African Development Community (SADC) region, namely South Africa, Botswana, Lesotho and Swaziland
from 2005 to 2007. The main goal of the overall project was to develop and/or adapt behavioural and supportive interventions to assist people living wit...
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Strebel, A., Crawford, M., Shefer, T., Cloete, A., Henda, N., Kaufman, M., Simbayi, L., Magome, K. & Kalichman, S. (2006) Social constructions of gender roles, gender-based violence and HIV/AIDS in two communities of the Western Cape, South Africa. Sahara J: Journal of Social Aspects of HIV/AIDS. 3(3):516-528.
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The links between gender roles, gender-based violence and HIV/aids risks are complex and culturally specific. In this qualitative study we investigated women in men in two black communalities in the Western Cape, South Africa, constructed their gender identities and roles, how they understood gender-based violence, and what they believed about the links between gender relations and HIV risk. ...
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Strebel, A. (2004) The development, implementation and evaluation of interventions for the care of orphans and vulnerable children in Botswana, South Africa and Zimbabwe: A literature review of evidence-based interventions for home-based child-centred development. (Social Aspects of HIV/AIDS and Health Research Paper, Occasional Paper 1). Cape Town: HSRC Publishers.
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This review of literature provides an overview of evidence-based interventions for orphans and vulnerable children (OVC) that focus on providing home-based services. Examples of projects in Botswana, South Africa and Zimbabwe are detailed and common principles of best practice that emerge from an assessment of these projects are highlighted.
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Strode, A., Van Rooyen, H., Heywood, M. & Abdool-Karim, Q. (2005) Scaling up HIV testing in resource-constrained settings: debates on the role of VCT and routine 'opt-in or opt-out' HIV testing. The southern African journal of HIV medicine. 20:45-49.
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Swartz, L., Schneider, M. & Rohleder, P. (2006) HIV/AIDS and disability: new challenges. In Disability and social change: a South African agenda. Watermeyer, B., Swartz, L., Lorenzo, T., Schneider, M. & Priestley, M. (eds). Cape Town: HSRC Press. 108-115.
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Swartz, L., Brandt, R., Dawes, A., Bray, R., Mthembu-Salter, L. & Tomlinson, M. (2005) An exploratory study of the impact of primary caregiver HIV infection on caregiving and child developmental outcome in the era of Haart: piloting the methodology. (Report for the Organization for Social Science Research in Eastern and Southern Africa (OSSREA): HIV/AIDS Challenge for Africa research programme, May).
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The study's primary objective is to pilot the methodology for research into the effects of primary caregivers? HIV infection on child-care and child development in households. Five HIV positive women on antiretroviral therapy, who were the primary caregiver of an HIV negative child less than six years old, were administered a questionnaire and semi structured interview. The children underwent a...
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Swartz, L., Kafaar, Z., Smit, J., Bhana, A., Gray, G., Lesch, A., Lindegger, G., Milford, C., Richter, L., Seedat, S., Skhosana, N. & Stein, D.J. (2005) Social and behavioral aspects of child and adolescent participation in HIV vaccine trials. Journal of the international association of physicians in AIDS care. 4(4):89-92.
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Recent data indicate that the worldwide rate of HIV infection in adolescents is steadily increasing. Internationally, more than
7000 youths between 15 and 24 years of age are infected with HIV daily, resulting in more than 2.5 million new infections annually.
Almost two thirds (1.7 million) of these new infections occur in Africa. Estimates in 2000 showed that the number of South Africans bet...
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Swartz, L.P. & Dick, J. (2002) Managing chronic diseases in less developed countries: healthy teamworking and patient partnership are just as important as adequate funding. British medical journal. 325:914-915.
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Swartz, S., Van der Heijden, I., Runciman, T., Makoae, M., Rozani, A., Dube, N., Makiwane, M. & Bhana, A. (2010) 'Think for yourself - Think for tomorrow': Exploring the impact of peer-led HIV intervention and psychosocial support groups for vulnerable youth in South Africa. (Report prepared for the Harvard School of Public Health and the Centre for the Support of Peer Education).
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This report, building on Swartz, Van Der Heijden, Makoae et al. (2009), offers a contribution towards understanding three important phenomena in South Africa: the widespread effect of HIV/AIDS, the ongoing needs of orphaned and vulnerable children (OVC1) living in poverty and made extraordinarily vulnerable by the AIDS pandemic, and the promise of peer education to contribute towards meeting th...
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Swartz, S., Van der Heijden, I., Makoae, M., Richter, L., Rozani, A., Runciman, T. & Ndimande, N. (2009) 'With a little help from my friends': exploring the impact of peer-led HIV intervention and psychosocial support groups for orphaned and vulnerable children in South Africa. (Report produced for the Harvard Centre for the Support of Peer Education, 31 March).
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This study operates at the nexus of three important contemporary phenomena: the widespread HIV/AIDS pandemic in South Africa; the psychosocial needs of impoverished children made vulnerable by HIV/AIDS; and peer education, a technology that is increasingly being used to deliver HIV/AIDS prevention. The following review will explore each of these aspects in order to deepen
understanding of the ...
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Sweat, M., Morin, S., Celentano, D., Mulawa, M., Singh, B., Mbwambo, J., Kawichai, S., Chingono, A., Khumalo-Sakutukwa, G., Gray, G., Richter, L., Kulich, M., Sadowski, A., Coates, T. & Project Accept Study Team, (2011) Community-based intervention to increase HIV testing and case detection in people aged 16-32 years in Tanzania, Zimbabwe, and Thailand (NIMH Project Accept, HPTN 043): a randomised study. The Lancet. 11:525-532.
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In developing countries, most people infected with HIV do not know their infection status. We aimed to assess whether HIV testing could be increased by combination of community mobilisation, mobile communitybased voluntary counselling and testing (VCT), and support after testing. Project Accept is underway in ten communities in Tanzania, eight in Zimbabwe, and 14 in Thailand.
Communities at ea...
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Tabane, C. & Delport, C.S.L. (2010) Cultural practices (e.g. polygamy) prevent the spread of HIV and AIDS amongst the Batswana people in Botswana. (Paper presented at the 2010 HSRC Seminar Series, 26 March).
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Tabane, C., Peltzer, K. & Phaweni, K. (2010) Perceptions, attitudes and risky behaviours associated with blood borne and sexually transmitted infections (BSTI) among male ex-offenders in South Africa. (Paper presented at the National Institute of Public Health, Abidjan, Cote d' Ivoire, 16-17 February).
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Tabane, C., Peltzer, K., Matseke, G. & Simbayi, L. (2010) Voluntary Counselling and Testing (VCT) site-based brief HIV behavioural risk reduction counselling for HIV negative and HIV positive clients at HIV counselling and testing sites in Mpumalanga, South Africa. (Paper presented at the National Institute of Public Health, Abidjan, Cote d' Ivoire, 16-17 February).
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Tabane, C., Phaswana-Mafuya, N., Davids, A.S. & Mbelle, N. (2009) 'Die mense sal dit nog aanvaar': perceptions of teenage pregnancy in South Africa. (Paper presented at the HSRC Social Sciences Research Conference, Birchwood Conference Centre, Benoni, 16 -17 September).
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Tabane, C. & Delport, C.S.L. (2009) Cultural practices preventing the spread of HIV and AIDS amongst the Batswana people in Botswana. (Paper presented at the 5th SAHARA Conference, Gallagher Estate, Midrand, 30 November - 3 December).
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Tabane, C. & Delport, C.S.L. (2009) The influence of cultural practices in relation to the transmission of HIV/AIDS. (Paper presented at the 4th South African AIDS Conference, Durban, 31 March-3 April).
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Tabane, C. & Delport, C.S.L. (2009) Knowledge and myths regarding HIV/AIDS in Botswana. (Paper presented at the 2009 HSRC Social Sciences Research Conference, Birchwood Conference Centre, Benoni, 16 -17 September).
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Tabane, C. & Delport, C.S.L. (2009) Knowledge and myths regarding HIV/AIDS in Botswana. (Poster presented at the 5th SAHARA Conference, Gauteng, 30 November - 3 December).
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Tajudeen, L.O., Pengpid, S. & Peltzer, K. (2011) HIV knowledge, attitudes, and sexual behaviour among tourism workers in Gauteng province, South Africa. Journal of Human Ecology. 36(2):103-110.
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The aim of this study was to determine tourism workers' knowledge, attitudes, and sexual behaviour related to HIV and AIDS. A survey was administered to tourism workers (n=338) from all the hotels and resorts randomly sampled in Gauteng Province, South Africa. Results indicate a medium level of HIV transmission knowledge and high HIV risk behaviour (lack of condom use, casual and multiple sexua...
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Tamasane, T. & Head, J. (2010) The quality of material care provided by grandparents of their orphaned grandchildren in the context of HIV/AIDS and poverty: a study of Kopanong municipality, Free State. Sahara J: Journal of Social Aspects of HIV/AIDS. 7(2):76-84.
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A pervasive argument in the literature on AIDS orphans in South Africa is that grandparents, who often care for their orphaned grandchildren, lack the material means to provide adequate care. This study investigated that claim in an area of ubiquitous poverty and very high unemployment. It is based on the analysis of data obtained from two surveys carried out by the HSRC in the semi-rural munic...
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Tamasane, T. (2009) Investigation of the quality of care of orphans provided by grandparents in semi-rural communities of South Africa. (Paper presented to the South African Sociological Association's Conference, University of Witwatersrand, 28 June until 2 July).
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Tamasane, T. & Seager, J. (2004) Rapid appraisal of the community capacity empowerment programme and leadership development for results: components of the enhancing an integrated response to HIV, AIDS and poverty programme. (Commissioned by the UNDP, Pretoria, October).
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Tarakeshwar, N., Kalichman, S.C., Simbayi, L.C. & Sikkema, K.J. (2008) HIV prevention needs: primary prevention and prevention for people living with HIV/AIDS. In: Celentano, D.D. & Beyrer, C. (eds). Public health aspects of HIV/AIDS in low and middle income countries. New York: Springer. 19-40.
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Chapter one of this volume provides an overview of the global scenario of HIV and AIDS. Available data suggests that the number of HIV infections has varied globally since 2000, with HIV rates in some countries such as Kenya and Malawi declining, while other countries such as Uganda and Thailand report setbacks in their previously declining rates of HIV infection. Moreover, HIV/AIDS seems to be...
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Taylor, M. & Kvalsvig, J.D. (eds). (2003) Report on colloquium on improving the health of school age children in an era of HIV/AIDS: linking policies, programmes & strategies for the 21st century. (July).
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Where previously apartheid limited the prospects of the majority of young people, the main risk today is HIV infection, and it is essential for youth to protect themselves and to reduce the incidence of HIV infection. Amongst many other concerns, the rampant HIV epidemic necessitates the protection of children and young people against the disease itself, and the effects of the family and socie...
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Thupayagale-Tshweneagae, G. & Mokomane, Z. (2012) Discrimination against South African adolescents orphaned by AIDS. Journal of Psychosocial Nursing & Mental Health Services. 50(1):26-31.
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This article describes the discrimination against adolescents orphaned by AIDS. A qualitative phenomenological approach using reflective diaries was used to extract how this population is discriminated on. Fifteen adolescents ages 14 to 18 living in an urban area in South Africa participated in the study. Data were collected as part of a larger study in which a peer-based mental health interven...
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Thupayagale-Tshweneagae, G. & Mokomane, Z. (2011) Inclusiveness: a mental health strategy for preventing future mental health problems among adolescents orphaned by AIDS. Journal of Psychiatirc and Mental Health Nursing. November:Online.
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The purpose of this paper is to raise an argument that inclusiveness will lessen the pain of losing a parent among adolescents orphaned by AIDS and as a result, prevent future mental health problems that may occur because of inappropriate grieving and maladaptive coping strategies. Participation of adolescents orphaned by AIDS in decisions pertaining to their parents' illnesses and funeral arra...
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Thurman, T.R., Brown, L., Richter, L., Maharaj, P. & Magnani, R. (2006) Sexual risk behaviour among South African adolescents: is orphan status a factor?. AIDS and Behavior. 10(6):627-635.
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Tian, L.H., Peterman, T.A., Tao, G., Brooks, L.C., Metcalf, C., Malotte, C.K., Paul, S.M., Douglas, J.M. & Respect-2 Study Group, (2008) Heterosexual anal sex activity in the year after an STD clinic visit. Sexually Transmitted Diseases. 35(11):905-909.
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Objectives: To describe heterosexual anal sex activity during a year and to identify factors associated with heterosexual anal sex and condom use during anal sex. Methods: Secondary analysis of data from a trial conducted in 3 public sexually transmitted disease (STD) clinics. Patients described sexual behaviors every 3-months for the year. Logistic regression models with generalized estimating...
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Tlabela, K., van Zyl, J., Nkau, J. & Modiselle, S. (2004) Views and attitudes of members of the Mamelodi community regarding the care and support of orphans: findings of a survey and a series of in-depth interviews. (Conducted on behalf of the SOS Children's Village, January).
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Institutional care was one of the more important ways which care and support was provided to orphaned children for a considerable period of time. That was in addition to placing orphans in the care of foster homes or finding parents willing to adopt them. During the past decade, the impact of the HIV/AIDS epidemic has made its mark on our society in a number of ways and this epidemic is also ...
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Tladi, L.S. (2006) Poverty and HIV/AIDS in South Africa: an empirical contribution. Sahara J: journal of social aspects of HIV/AIDS. 3(1):369-381.
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This study sets out to establish and explain the empirical link between HIV/AIDS and poverty using data collected by the 1998 South African Demographic and Health Survey (SADHS).Analysis is restricted to women of reproductive age (15 - 49 years).The results indicate an increased risk of HIV infection among the poor, due to poverty-related characteristics of low education and low knowledge of th...
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Townsend, L. & Dawes, A. (2007) Intentions to care for children orphaned by HIV/AIDS: a test of the theory of planned behavior. Journal of Applied Social Psychology. 37(4):822-843.
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Townsend, L. & Dawes, A. (2004) Willingness to care for children orphaned by HIV/AIDS: a study of foster and adoptive parents. African journal of AIDS research. 3 (1):69-80.
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There is substantial evidence to indicate that South Africa is facing the prospect of a large number of children, now and in the
future, who will be orphaned as a result of the HIV/AIDS pandemic. Following the incapacitation and/or death of their parents, many
of these children will be cared for by the safety net provided by members of their extended families. However, there is evidence to
s...
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Tsheko, G.N., Odorile, L.W., Bainame, K., Segwabe, M., Nair, P.S. & Ntshebe, O. (2007) Household survey of behavioural risks and HIV sero-status in two districts in Botswana: a baseline study. Cape Town: HSRC Press.
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This report presents the findings of the Behavioural Risks and HIV Sero-Status Survey (BSS) for the Central Serowe Sub-district and Kweneng District in Botswana. The purpose of the survey was to determine the knowledge, attitudes, sexual behaviours, practices, prevention, care and support issues concerning HIV/AIDS among the population in the Central Serowe Sub-district and Kweneng District. Sp...
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Udjo, E.O. (2008) A re-look at recent statistics on mortality in the context of HIV/AIDS with particular reference to South Africa. Current HIV Research. 6(2):143-151.
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Since the outbreak of the HIV epidemic in the 1980s, various organisations and researchers have produced statistics on HIV/AIDS including HIV prevalence, incidence, number of AIDS cases, AIDS-related mortality as well as life expectancy at birth in the context of HIV/AIDS. Until recently HIV-prevalence statistics as well as models projecting the impact of HIV/AIDS utilised HIV-prevalence statis...
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Udjo, E.O. (2005) An evaluation of age-sex distributions of South Africa's population within the context of HIV/AIDS.
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Udjo, E.O. (2005) An examination of recent census and survey data on mortality within the context of HIV/AIDS. In The demography of South Africa. Zuberi, T., Sibanda, A. & Udjo, E.O. (eds). London: M.E. Sharpe. 90-119.
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Udjo, E.O. (2004) Do antenatal data exaggerate the demographic and epidemiological impact of HIV/AIDS on South Africa's population?. (Paper presented at the 5th Joint Population Conference of the Demographic Association of southern Africa, Durban, 6-8 October).
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Van den Heever, A. (2003) Modelling the sector impact of HIV/AIDS in South Africa. HSRC, USAID, AusAID and DFID. (For the Joint Centre for Economic and Political Studies.).
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Van den Heever, A.M. (2003) Evaluation of the sectoral impact of HIV/AIDS in South Africa: a methodological review. (Report for the USAID, AusAID, Department for International Development (DFID and the Joint Center for Political and Economic Studies, June).
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Van der Heijden, I. & Swartz, S. (2010) Bereavement, silence and culture within a peer-led HIV/AIDS-prevention strategy for vulnerable children in South Africa. African Journal of AIDS Research. 9(1):41-50.
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In addressing the psychosocial effects of the HIV and AIDS pandemic among vulnerable children, the issue of bereavement appears inadequately addressed. Amid the global discourse on children orphaned and made vulnerable by HIV and AIDS, this paper explores how cultural contexts and social environments in South Africa shape children's experience of grief. The argument draws on a number of qualita...
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Van Heerden, A. (2009) I am pregnant and HIV positive. HSRC Review. 7(4):10.
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Project Masihambisane, Zulu for 'let's walk together', is an effectiveness trial aimed at supplementing the government-based prevention of mother-to-child transmission of HIV (PMTCT) programme with clinic-based 'mentor mothers'. Alister van Heerden sketches the pilot project.
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Van Rooyen, H., Durrheim, K. & Lindegger, G. (2011) Advice-giving difficulties in voluntary counselling and testing: a distinctly moral activity. AIDS Care. 23(3):281-286.
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Advice-giving in voluntary counselling and testing (VCT) is demanding as it involves the discussion of difficult topics such as the morality of sexual risk and behaviour. We conducted a detailed exploration of how the giving and receiving of advice is managed in VCT, and how this is achieved against the backdrop of the competing public health and counselling imperatives that shape VCT practice....
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Van Rooyen, H., Richter, L., Coates, T.J. & Boettiger, M. (2009) Approaches to HIV counselling and testing: strengths and weaknesses, and challenges for the way forward. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 165-182.
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South Africa has the highest rates of HIV infection of any country in the world. Once an individual has been tested for HIV, prevention can be reinforced and referral made to available treatment, care and support services. A potential added benefit is that increasing the number of people who know their HIV status through expanded access to HIV counselling and testing may also result in a decr...
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Van Rooyen, H. (2007) Moving beyond debate to implementation. (Paper presented at the 3rd South African AIDS Conference, ICC Durban: 5-8 June).
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Van Rooyen, H., Chirowodza, A., Sikotoyi, S., Joseph, P. & Richter, L. (2006) Moving voluntary counselling and testing to the people. HSRC review. 4(1):11-13.
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Social scientists are constantly trying to find new and pioneering ways to change sexual behaviour in the unrelenting battle against HIV. One proven method is to increase the uptake of voluntary counselling and testing (VCT). This is what Project Accept will try to achieve, writes Heidi van Rooyen, Admire Chirowodza, Sindisiwe Sikotoyi, Phillip Joseph and Linda Richter.
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Van Wyk, B., Kleintjes, S., Ramlagan, S. & Peltzer, K. (2007) Rapid appraisal of substance abuse and HIV awareness messages in poster communication to disadvantaged youth in South Africa. African Journal for Physical, Health Education, Recreation and Dance (AJPHERD). 13(3):341-356.
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In this study the authors explore the responses of youth from selected disadvantaged urban communities in Gauteng province, South Africa, to a poster dealing with the topic of substance abuse and HIV/AIDS. The study involved focus group discussions with 73, 10-18 year olds chosen by quota sampling from a high school, primary school, secure youth care centre and two homes for safety. The parti...
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van Zyl, J.A. (2003) Proposed indicators to monitor the social impact and other aspects of HIV/AIDS in South Africa.. (Report prepared for Department of Social Development).
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van Zyl, J.A. & Wentzel, M.E. (2003) The views of selected Government Departments on the need and use of HIV/AIDS indicators and potential impact of HIV/AIDS on their function. (Report prepared for Department of Social Development).
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Varga, C. (2003) Introduction. In Fertility: the current South African issues of poverty, HIV/AIDS & Youth: seminar proceedings. Child, Youth and Family Development Research Programme Cape Town: HSRC Publishers. 1-6.
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Never have fertility issues been of greater importance in South Africa, Fertility is linked to socio-economic development, and reflects the health and well-being of a population.
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Varga, C.A. (2001) Coping with HIV/AIDS in Durban's commercial sex industry. AIDS care. 13(3):355-369.
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This Paper describes coping mechanisms used by commercial sex works and their partners in confronting the threat of HIV/AIDS. Data are part of a study exploring sexuality and HIV-related issues among members of the Durban commercial sex industry. Participants were 100 female sex workers, 25 male trucker driver clients and ten male personal partners. The implications of these coping strategie...
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Varga, C.A. (2001) The forgotten fifty percent: a review of sexual and reproductive health research and programs focused on boys and young men in Sub-Saharan Africa. African journal of reproductive health. 5(3):175-195.
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This paper reviews existing literature on sexual and reproductive health research and programming among boys and young men in sub-Saharan Africa. While there is growing body literature on adolescent and young adult women, much less is known about male sexual and reproductive health and its potential connection to well being, and in particular the risk of contracting and spreading HIV/AIDS infe...
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Vass, J. (2008) The impact of HIV/AIDS. In: Kraak, A. & Press, K. (eds). Human resources development review 2008: education, employment and skills in South Africa. Cape Town: HSRC Press. 90-110.
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This chapter provides a general update on the findings presented in the previous Human Resources development review (HSRC 2003). It reviews the state of current HIV/IADS research, and considers the impact of HIV/AIDS on labour supply in terms of education, skills and training. It includes a review of HIV/AIDS responses in terms of HIV mitigation efforts, care and treatment. Finally, the chap...
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Vass, J. & Phakathi, S. (2006) Managing HIV in the workplace: learning from SMEs. Cape Town: HSRC Press.
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Awards for excellent performance in mitigating the impact of HIV/AIDS on the workplace are often handed out to large, well-resourced companies in South Africa. On the other hand, small- and medium-sized companies are often castigated for their relatively poor performance and capacity in such efforts. This study provides an in-depth analysis of the opportunities and constraints faced by six smal...
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Vass, J. (2005) The determinants and impact of HIV/AIDS on the labour market in South Africa. (Final synthesis report for the Department of Trade and Industry, August).
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Vass, J. (2005) The development and dynamics of HIV/AIDS committees in the South African workplace.
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The purpose of this study is to assess the role, status and scope of HIV/AIDS committees in creating new opportunities to extend social protective rights to South African employees. The findings are derived from case studies documenting the experiences of five small and medium-sized companies in implementing HIV/policies and programmes. HIV/Aids programmes are generally implemented under the ...
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Vass, J. & Phakathi, S. (2005) Evaluation of the CHIETA HIV/AIDS project: final report. (Commissioned by Chemical Industries Education and Training Authority (CHIETA) NSF, March).
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This report provided a background to the study, the conceptual framework for evaluation, the methodology, and a description of the HIV/AIDS project. It also presents the main research findings and present lessons learnt; an assessment of the main project outcomes and recommendations, as well as an annexure section including the research instruments developed in the study.
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Vass, J. (2005) The impact of HIV/AIDS on the labour market in South Africa. (Report to the SIDA Labour Market Review, October).
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Vass, J. (2005) A Review of labour markets in South Africa: the impact of HIV/AIDS on the labour market. (Commissioned by SIDA, October).
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Vass, J., Phakathi, S. & Sephiri, T. (2004) Scoping HIV risk and vulnerability in SMES: a case study approach. (Commissioned by the Department of Labour).
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Vass, J. (2003) The relationship between sectoral characteristics and HIV risk factors and vulnerability. Labour markets and social frontiers. 4:1-8.
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Research to date indicates that the impact of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/Aids) on economic sectors and individual companies is mediated by a complex interplay between specific demographic profiles and other
socio-economic factors including skills and income profiles, especially given historical inequities and segmentation in the labour market. This p...
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Vass, J.R. (2008) The role of HIV/AIDS committees in effective workplace governance of HIV/AIDS in South African small and medium-sized enterprises (SMEs). Sahara J: Journal of Social Aspects of HIV/AIDS. 5(1):2-10.
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The primary purpose of this study was to assess the role, status and scope of workplace HIV/AIDS committees as a means of
effective workplace governance of the HIV/AIDS impact, and their role in extending social protective HIV/AIDS-related rights to
employees. In-depth qualitative case studies were conducted in five South African small and medium-sized enterprises (SMEs) that
were actively i...
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Vass, J.R. (2007) Socio-economic status and HIV risk in the South African workforce: a literature review.
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The purpose of this literature review is to extend the current levels of knowledge and understanding of the determinants of HIV risk and HIV status in the South African workforce, as well as key concerns and gaps.
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Vass, J.R. (2004) Policy versus reality: a preliminary assessment of the South African code of good practice on HIV/AIDS and key aspects of employment. In: Centre for Health Policy HIV/AIDS in the workplace: symposium proceedings. Johannesburg: Centre for Health Policy, School of Public Health, University of the Witwatersrand. 308-325.
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study explored the role and effectiveness of a specific policy response by the Department of Labour, the Code of Good Practice on Key Aspects of HIV/AIDS and Employment 2000, to address and mitigate the adverse impact of HIV/AIDS in the workplace. As a qualitative study, it reflected upon the experiences of intermediaries (AIDS management service providers and trade union IV/AIDS coordinators),...
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Vass, J.R. (2004) A review of international best practices in the management and mitigation of HIV/Aids in the world of work. (Client report: Department of Labour, February 2004).
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Vass, J.R. (2003) The determinants and economic impact of HIV/Aids on the labour market in South Africa. (Client report: Department of Labour, December 2003).
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Vass, J.R. (2003) Impact of HIV/Aids on the labour force: exploring vulnerabilities. CODESRIA bulletin. 2, 3 & 4:62-65.
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This paper explores the impact of HIV/Aids on vulnerability in the labour market, and in the labour force specifically.
Research to date has concentrated on the social-behavioural and macro-economic impact of HIV/Aids on the development
agenda of the hardest-hit countries, especially in sub-Saharan Africa. Understandably, most of the analysis is geared at
establishing the scale and nature of...
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Vass, J.R. (2003) A review of the South African automobile assembly and component manufacturing Sector in the context of HIV/Aids. (Client report: Joint Center for Political and Economic Studies, AusAID, DFID and USAID, August 2003).
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Vass, J.R. (2002) The relationship between labour market dynamics and HIV/AIDS prevalence: a literature review. (This research was jointly sponsored by AusAID, DFID, USAID, Pretoria. Joint Center for Political and Economic Studies).
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The aim of this literature review is to analyse the contribution of current research and literature to an understanding of the relationship between labour market dynamics and HIV/AIDS prevalence.
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Vermaak, R., Simbayi, L.C., Kalichman, S.C., Cain, D. & Jooste, S. (2008) Alcohol expectancies and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa. (Paper presented at the International AIDS Conference, Mexico City, 4 August).
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Objectives: This study examined the differential patterns of alcohol outcome expectancies in relation to drinking before sex and having sex partners who drink before sex.
Methods: A sample of 614 men and 158 women sexually transmitted infections clinic patients in Cape Town South Africa participated in a survey as part of another study.
Results: Hierarchical regressions, controlling for a...
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Walker, C., Aliber, M. & Nkosi, B. (2007) Women's property rights, HIV/AIDS and domestic violence: South Africa country report. (Commissioned by International Center for Research on Women (ICRW), July).
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Walker, C. (2005) Book review: Nattrass, N. (2003) The moral economy of AIDS in South Africa. Cambridge: Cambridge University Press. 244 p. ISBN 0521548640. Journal of southern African studies. 31(1):234-235.
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Ward, C.L., Mertens, J.R., Flisher, A.J., Bresick, G.F., Sterling, S.A., Distiller, G.B. & Weinsner, C.M. (2005) Substance abuse and HIV risk behaviours amongst primary health care service users in Cape Town. South African psychiatry review. 8(4):160-165.
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Objective: To document prevalence of, and association between, substance use and HIV risk behaviours among primary care patients. Method: Cross-sectional survey. Four primary care clinics in Cape Town. We selected clinics using stratified sampling, and systematically selected 131 patients from attendance logs. We assessed substance use with the Alcohol, Smoking and Substance Involvement Screeni...
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Wassenaar, D.R., Barsdorf, N.W. & Richter, L.M. (2005) Gender and HIV vaccine trials: ethics and social science issues. Harvard health policy review. 6(1):124-130.
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Wong, L.H., Van Rooyen, H., Modiba, P., Richter, L., Gray, G., McIntyre, J.A., Schetter, C.D. & Coates, T. (2009) Test and tell: correlates and consequences of testing and disclosure of HIV status in South Africa (HPTN 043 Project Accept). JAIDS - Journal of Acquired Immune Deficiency Syndromes. 50(2):215-222.
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Background: As the numbers of HIV-positive diagnoses rise in South Africa, it is important to understand the determinants and
consequences of HIV disclosure. Methods: Cross-sectional survey from random community samples of men and women in urban and rural South Africa (n = 217 HIV-positive individuals, 89% female). Results: Two thirds of all known HIV-infected adults in these
communities ha...
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Wright, C. & Seager, J. (2011) Annual review of DFID strengthening South Africa's Revitalised Response to AIDS and HIV (SARRAH) programme. (Commissioned by the Department for International Development (DFID), South Africa, June).
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This is the report of the first annual review of the SARRAH Programme. This internal review was conducted under the overall guidance of Bob Fryatt and Hilary Nkulu of DFID, with the field work, analysis and report drafting being conducted by Charles Wright of Coffey International Development and John Seager of the Human Sciences Research Council South Africa. The fieldwork was conducted between...
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Young, S.D., Hlavka, Z., Modiba, P., Gray, G., Van Rooyen, H., Richter, L., Szekeres, G. & Coates, T. (2010) HIV-related stigma, social norms, and HIV testing in Soweto and Vulindlela, South Africa: National Institutes of Mental Health Project Accept (HPTN 043). JAIDS - Journal of Acquired Immune Deficiency Syndromes. 55(5):620-624.
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Objective: HIV testing is necessary to curb the increasing epidemic. However, HIV-related stigma and perceptions of low likelihood of societal HIV testing may reduce testing rates. This study aimed to explore this association in South Africa, where HIV rates are
extraordinarily high. Methods: Data were taken from the Soweto and Vulindlela, South African sites of Project Accept, a multinational...
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Zingel, J., Mdhluli, L. & Pienaar, D. (2004) South Africa in-country review report. (Commissioned by DFID, November).
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Zuma, K., Setswe, G., Ketye, T., Mzolo, T., Rehle, T. & Mbelle, N. (2010) Age at sexual debut: a determinant of multiple partnership among South African youth. African Journal of Reproductive Health. 14(2):47-54.
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Age at sexual debut is an important determinant of HIV infection. The paper investigates the effects of age at sexual debut on sexual behaviour among South African youth. Among 2 875 respondents who ever had sexual intercourse, 39% had early sexual debut (sexual debut at age 16 years and below). Males (44.6%) were significantly more likely than females (35.1%) to report early sexual debut (odds...
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Zuma, K., Lurie, M. & Jorgensen, M. (2007) Analysis of interval-censored data from circular migrant and non-migrant sexual partnerships using the EM algorithm. Statistics in medicine. 26:309-319.
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In epidemiological studies where subjects are seen periodically on follow-up visits, interval-censored data occur naturally. The exact time the change of state (such as HIV seroconversion) occurs is not known exactly, only that it occurred sometime within a specic time interval. Methods of estimation for intervalcensored data are readily available when data are independent. However, methods fo...
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Zuma, K. & Lurie, M.N. (2005) Application and comparison of methods for analysing correlated interval-censored data from sexual partnerships. Journal of data science. 3:241-256.
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In epidemiological studies where subjects are seen periodically on follow-up visits, interval-censored data occur naturally. The exact time the change of state (such as HIV seroconversion) occurs is not known exactly, only that it occurred sometime within a specific time interval. This paper considers estimation of parameters when HIV infection times are intervalcensored and correlated. It is a...
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Zuma, K., Lurie, M.N., Williams, B.G., Mkaya-Mwamburi, D., Garnett, G.P. & Sturm, A.W. (2005) Risk factors of sexually transmitted infections among migrant and non-migrant sexual partnerships from rural South Africa. Epidemiology and infection. 133(3):421-428.
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In October 1998, cohorts of circular migrant men and their non-migrant sexual partners, and non-migrant men and their non-migrant sexual partners from rural South Africa were recruited and followed-up every 4 months until October 2001. At each visit, information on sociodemographic, sexual behaviour, sexually transmitted infections (STIs) and HIV was collected. In total, 553 individuals aged be...
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Zuma, K., Gouws, E., Williams, B. & Lurie, M. (2003) Risk factors for HIV infection among women in Carletonville, South Africa: migration, demography and sexually transmitted diseases. International journal of STD & AIDS. 14:814-817.
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Zungu, L.I., Abu, U.O., Ogunbanjo, G.O. & Setswe, G.K. (2009) Utilisation of the national antiretroviral therapy guidelines among health care professionals working in Abuja treatment centres, Nigeria. African Journal of Primary Health Care & Family Medicine. 1(1):Online.
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Access to and utilisations of the National Antiretroviral Treatment Guidelines (NATG) are valuable factors for effective programme implementation. The objective of this study was to treatment centres in Abuja, Nigeria. A quantitative cross-sectional descriptive survey was conducted in 2007 using purposively sampled health care professionals. Questionnaires were self-administered to participants...
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Zungu, L.I., Sengane, M.L. & Setswe, K.G. (2008) Knowledge and experiences of Needle Prick Injuries (NPI) among nursing students at a university in Gauteng, South Africa. South African Family Practice. 50(5):66-66c.
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Background: Healthcare workers and students on training who are directly involved in treating and nursing patients face a great risk of acquiring blood-borne infections from the workplace. Needle prick injuries (NPI) are the commonest route by which such infections are transmitted from patients to healthcare providers. Nursing students on training are no exception, as they get exposed to accide...
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Zungu-Dirwayi, N., Shisana, O., Louw, J. & Dana, P. (2007) Social determinants for HIV prevalence among South African educators. AIDS Care. 19(10):1296-1303.
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HIV prevalence among women in South Africa continues to be high despite the availability of a comprehensive plan for the control of HIV/AIDS and a plethora of prevention programmes. Any explanation for the ongoing high HIV prevalence continues to be elusive. The objective of this study was to understand the relationship between HIV, gender, race and socioeconomic status among South African publ...
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Zungu-Dirwayi, N., Shisana, O., Udjo, E., Mosala, T. & Seager, J. (eds). (2004) An audit of HIV/AIDS policies in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe. Cape Town: HSRC Publishers.
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Prior to this report, little scientific documentation existed on HIV/AIDS policies, legislation, financing and programme implementation in SADC countries. This study reviews the HIV/AIDS policy and related issues in six southern African countries and provides recommendations on how best to strengthen policy in these areas.
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