Factors contributing to non-adherence in HIV positive patients on antiretroviral treatment in primary health care facilities, East London, Eastern Cape
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa , Patient compliance , HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
- Full Text:
- Date Issued: 2018
- Authors: Petse, Siphokazi
- Date: 2018
- Subjects: Antiretroviral therapy -- Eastern Cape -- South Africa , Patient compliance , HIV-positive persons -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: http://hdl.handle.net/10353/9734 , vital:34905
- Description: Aim: South Africa is faced with the major challenge of ensuring and sustaining the quality of services, including preventing and managing side- effects, and improving drug adherence, which are all critical, for the success of a comprehensive HIV programme. The aim of this study was to examine the underlying contributing factors to antiretroviral treatment adherence among HIV positive patients attending primary health care facilities in East London. Methods: This was a descriptive cross-sectional study involving 371 HIV positive patients on antiretroviral treatment in xx primary health care facilities in East London, South Africa. The study utilized a self- designed structured questionnaire with both open- ended and closed ended questions, divided into socio-demographic, socio- economic, level of understanding and knowledge on HIV, quality of care and waiting times. Results: About 64 percent of the participants had a good knowledge of HIV, 25 percent had an average knowledge with few participants having poor knowledge of HIV (11 percent). Majority (92.2 percent) were counselled before starting ARVs treatment. Majority of participants (70.7 percent) do have money for transport to come to the clinic, while 53.1 percent experienced side effects. The majority (70 percent) of the participants were non-adherents. Concerning viral load distribution, 52 percent were undetectable, 26 percent unsuppressed and 22 percent suppressed. Marital status (married) (p=0.005), having no formal education (p=0.035), being Christian (p=0.007), alcohol consumption (p= 0.021) and viral load suppression had significant association with non-adherence to ARV treatment among participants. After adjusting for confounders, only non-Christians and unsuppressed viral loads were the independent predictors of non-adherence. Conclusion: The main contributing factors to ART non-adherence among participants on ARVs were marital status, level of education, religion, and Christians were more adherent to the treatment than non-Christians. Alcohol consumption also contributed to non-adherence and viral load. Adherence counseling should be done on each and every visit to remind the participants on the importance of taking their treatment. These factors need to be addressed to improve adherence to the treatment, decrease the virus in the blood (viral load) and improve their health in general.
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- Date Issued: 2018
The smell hits you first
- Authors: Ndoro, Tariro
- Date: 2016
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:6016 , http://hdl.handle.net/10962/d1021236
- Description: This collection of poems and prose poems is a record of my life, from growing up in the small town of Bindura in Zimbabwe to landing in the small town of Grahamstown in South Africa. It is a story of dislocation: physical, emotional, and political. It is a story about borders and boundaries; although not rich, I was raised among the rich; although not white, I spent a considerable part of my childhood in white spaces. These fragments are told through the voice of my younger self and also retrospectively by my adult self. Two important influences on my style and my struggle to write about my identity have been Woman Hollering Creek by Latino American author Sandra Cisneros and Citizen: An American Lyric by US poet Claudia Rankine.
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- Date Issued: 2016
- Authors: Ndoro, Tariro
- Date: 2016
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:6016 , http://hdl.handle.net/10962/d1021236
- Description: This collection of poems and prose poems is a record of my life, from growing up in the small town of Bindura in Zimbabwe to landing in the small town of Grahamstown in South Africa. It is a story of dislocation: physical, emotional, and political. It is a story about borders and boundaries; although not rich, I was raised among the rich; although not white, I spent a considerable part of my childhood in white spaces. These fragments are told through the voice of my younger self and also retrospectively by my adult self. Two important influences on my style and my struggle to write about my identity have been Woman Hollering Creek by Latino American author Sandra Cisneros and Citizen: An American Lyric by US poet Claudia Rankine.
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- Date Issued: 2016
My grandmother breaks her hip
- Authors: Bamjee, Saaleha
- Date: 2014
- Subjects: Creative writing (Higher education) -- Research -- South Africa , Creative writing -- Poetry , South African poetry (English) -- Study and teaching (Higher) , South African poetry (English) -- 21st century , English language -- Writing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:5998 , http://hdl.handle.net/10962/d1020881
- Description: A collection of narrative and confessional poems. The poems are mostly short, cinematic, physical, imagistic: moments in time. They explore the poet’s own life, body, memories, and family relationships, and the tensions between power, duty, love and faith. Several poems concern the navigation of meaning and belonging in a time when international urban culture often clashes with tradition.
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- Date Issued: 2014
- Authors: Bamjee, Saaleha
- Date: 2014
- Subjects: Creative writing (Higher education) -- Research -- South Africa , Creative writing -- Poetry , South African poetry (English) -- Study and teaching (Higher) , South African poetry (English) -- 21st century , English language -- Writing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:5998 , http://hdl.handle.net/10962/d1020881
- Description: A collection of narrative and confessional poems. The poems are mostly short, cinematic, physical, imagistic: moments in time. They explore the poet’s own life, body, memories, and family relationships, and the tensions between power, duty, love and faith. Several poems concern the navigation of meaning and belonging in a time when international urban culture often clashes with tradition.
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- Date Issued: 2014
Cultural background and Bender Visual Motor Gestalt test performance : comparison of the performance of Xhosa and white South African adolescents using the Pascal-Suttell scoring system
- Authors: Horn, Stuart George
- Date: 2013-09-09
- Subjects: Bender-Gestalt Test Teenagers -- Psychological testing -- South Africa Xhosa (African people) -- Psychology Black people -- Psychological testing -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3194 , http://hdl.handle.net/10962/d1008564
- Description: The quality of the Bender-Gestalt performance of 22, normal, white South African male adolescents and 22, normal, Xhosa male adolescents, aged between 17 and 22 years, was investigated. The Pascal-Suttell scoring system was used. The mean score of the white adolescents was significantly below that of the Xhosa adolescents. It was found that while the mean score of the Xhosa adolescents was within one standard deviation of Pascal and Suttell's normative 'high school' mean, the mean score of the white adolescents was below that of the normative mean and not within one standard deviation of the mean. The results lend support to the findings that Bender performance is related to cultural background. It is suggested that the Pascal-Suttell tables may be in need of revision. The advisability of standardising tables, which are culture specific, for clinical use· in the Southern African context, is indicated. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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- Authors: Horn, Stuart George
- Date: 2013-09-09
- Subjects: Bender-Gestalt Test Teenagers -- Psychological testing -- South Africa Xhosa (African people) -- Psychology Black people -- Psychological testing -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3194 , http://hdl.handle.net/10962/d1008564
- Description: The quality of the Bender-Gestalt performance of 22, normal, white South African male adolescents and 22, normal, Xhosa male adolescents, aged between 17 and 22 years, was investigated. The Pascal-Suttell scoring system was used. The mean score of the white adolescents was significantly below that of the Xhosa adolescents. It was found that while the mean score of the Xhosa adolescents was within one standard deviation of Pascal and Suttell's normative 'high school' mean, the mean score of the white adolescents was below that of the normative mean and not within one standard deviation of the mean. The results lend support to the findings that Bender performance is related to cultural background. It is suggested that the Pascal-Suttell tables may be in need of revision. The advisability of standardising tables, which are culture specific, for clinical use· in the Southern African context, is indicated. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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The occurrence of Nosema apis (Zander), Acarapis woodi (Rennie), and the Cape problem bee in the summer rainfall region of South Africa
- Authors: Swart, Dawid Johannes
- Date: 2004
- Subjects: Nosema apis , Bee culture , Honeybee -- South Africa , Honeybee -- Diseases , Honeybee -- Parasites , Mites
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5914 , http://hdl.handle.net/10962/d1015980
- Description: The occurrence of Nosema disease, tracheal mites and the “pseudo-parasitic” behaviour of Cape honeybee workers when placed amongst African honeybees – known as the Cape Bee Problem – were studied over a 18 month period. Three surveys, approximately 6 months apart were done. The aims of this study were to establish the distribution and severity of the diseases and compare the disease with the presence of the Cape Bee Problem. Before this survey commenced European Foul Brood disease, Sacbrood (virus), Nosema, Brood nosema, and Tracheal mite have sporadically been reported in the summer rainfall region of South Africa. In the first survey 1005 colonies in 61 apiaries were surveyed, 803 colonies in 57 apiaries in the second, and 458 colonies in 41 apiaries in the third. Samples for disease and parasite analysis were taken at 4 colonies per apiary. Ten colonies per apiary were inspected for Cape Problem Bees, and samples of workers were collected and dissected at each of these colonies. Even with the addition of apiaries to 'fill-up' lost colonies during the second survey, 63% of all colonies were lost by the third survey. There was only a small difference in colony loss between sedentary and migratory beekeepers of 22% compared to 27%. Nosema was more prevalent amongst commercial beekeepers and increased in migratory operations during the survey period. The percentage of colonies infected increased during the survey period from 23% to 32% to 34%. The placement of colonies in Eucalyptus plantations may boost infection. Trachea mites seem to have spread quite rapidly in South Africa since its discovery. This parasitic mite was present in all regions, although in low numbers in three most northern regions. Sedentary colonies had higher levels of infestation than migratory colonies. The number of colonies infested diminished over the survey period, which may be a result of general colony loss. The Cape Problem Bee was less of a problem than anticipated. Colonies succumbed to Cape Problem Bees in all regions. When beekeepers reported high levels of infestation in their bee stocks the colonies would be dead within six months. In apiaries with low infestation the die-out was slower.
- Full Text:
- Date Issued: 2004
- Authors: Swart, Dawid Johannes
- Date: 2004
- Subjects: Nosema apis , Bee culture , Honeybee -- South Africa , Honeybee -- Diseases , Honeybee -- Parasites , Mites
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5914 , http://hdl.handle.net/10962/d1015980
- Description: The occurrence of Nosema disease, tracheal mites and the “pseudo-parasitic” behaviour of Cape honeybee workers when placed amongst African honeybees – known as the Cape Bee Problem – were studied over a 18 month period. Three surveys, approximately 6 months apart were done. The aims of this study were to establish the distribution and severity of the diseases and compare the disease with the presence of the Cape Bee Problem. Before this survey commenced European Foul Brood disease, Sacbrood (virus), Nosema, Brood nosema, and Tracheal mite have sporadically been reported in the summer rainfall region of South Africa. In the first survey 1005 colonies in 61 apiaries were surveyed, 803 colonies in 57 apiaries in the second, and 458 colonies in 41 apiaries in the third. Samples for disease and parasite analysis were taken at 4 colonies per apiary. Ten colonies per apiary were inspected for Cape Problem Bees, and samples of workers were collected and dissected at each of these colonies. Even with the addition of apiaries to 'fill-up' lost colonies during the second survey, 63% of all colonies were lost by the third survey. There was only a small difference in colony loss between sedentary and migratory beekeepers of 22% compared to 27%. Nosema was more prevalent amongst commercial beekeepers and increased in migratory operations during the survey period. The percentage of colonies infected increased during the survey period from 23% to 32% to 34%. The placement of colonies in Eucalyptus plantations may boost infection. Trachea mites seem to have spread quite rapidly in South Africa since its discovery. This parasitic mite was present in all regions, although in low numbers in three most northern regions. Sedentary colonies had higher levels of infestation than migratory colonies. The number of colonies infested diminished over the survey period, which may be a result of general colony loss. The Cape Problem Bee was less of a problem than anticipated. Colonies succumbed to Cape Problem Bees in all regions. When beekeepers reported high levels of infestation in their bee stocks the colonies would be dead within six months. In apiaries with low infestation the die-out was slower.
- Full Text:
- Date Issued: 2004
Art and power : an investigation into the effect politics, the church and economics have had on the content of a work of art and the development of art in general
- Authors: Heydenrych, Albert B
- Date: 1977
- Subjects: Art and religion , Politics in art , Art and industry , Art and state
- Language: English
- Type: Thesis , Masters , MFA
- Identifier: vital:2499 , http://hdl.handle.net/10962/d1013390
- Full Text:
- Date Issued: 1977
- Authors: Heydenrych, Albert B
- Date: 1977
- Subjects: Art and religion , Politics in art , Art and industry , Art and state
- Language: English
- Type: Thesis , Masters , MFA
- Identifier: vital:2499 , http://hdl.handle.net/10962/d1013390
- Full Text:
- Date Issued: 1977
Substantive fairness in dismissals for operational requirements cases
- Authors: Camagu, Asanda Pumeza
- Subjects: Employees -- Dismissal of -- Law and legislation -- South Africa , Labor discipline -- Law and legislation -- South Africa , Unfair labor practices -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: vital:10214 , http://hdl.handle.net/10948/d1008114 , Employees -- Dismissal of -- Law and legislation -- South Africa , Labor discipline -- Law and legislation -- South Africa , Unfair labor practices -- South Africa
- Description: Part II of the International Labour Organisation Convention 158 recognises operational requirements of an organisation as a ground for dismissal. Section 213 of the Labour Relations Act describes operational requirements reasons as requirements based on the economic, technological, structural or related needs of an employer. The employer‟s needs in case of operational requirement dismissal must be separated from the other reasons for dismissal, such as misconduct and incapacity. Operational requirements dismissals are governed by section 189 of the LRA. The LRA draws a distinction between small and large scale dismissals and regulates them separately. Section 189 control small scale dismissals, while section 189A pertains to large scale dismissals For substantive fairness of a dismissal for operational requirements, the employer must prove that the said reason is one based on operational requirements of the business. The employer must be able to prove that the reason for the dismissal falls within the statutory definition of operational requirements. Employers are not allowed to use retrenchment to dismiss employees who they believe to have performed unsatisfactorily. This means that employers are not entitled to retrench for ulterior reasons, than those of operational requirements.The Labour Court has held that an employer may not under any situation retrench an employee on a fixed-term contract if the termination takes place before the contract of the employee ends, unless the contract of employment makes provision for termination at an earlier date. Retrenchment in this situation will amount to a breach of contract. Another point of interest in dismissals for operational requirements is that the Labour Relations Act states that it is not unlawful to dismiss a striking employee for reasons based on the employer‟s operational requirements. In relation to the selection criteria to be used during these dismissals, the Labour Relations Act again states that if an agreement cannot be reached between the consulting parties, then the employer must use criteria that are fair and objective.
- Full Text:
- Authors: Camagu, Asanda Pumeza
- Subjects: Employees -- Dismissal of -- Law and legislation -- South Africa , Labor discipline -- Law and legislation -- South Africa , Unfair labor practices -- South Africa
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: vital:10214 , http://hdl.handle.net/10948/d1008114 , Employees -- Dismissal of -- Law and legislation -- South Africa , Labor discipline -- Law and legislation -- South Africa , Unfair labor practices -- South Africa
- Description: Part II of the International Labour Organisation Convention 158 recognises operational requirements of an organisation as a ground for dismissal. Section 213 of the Labour Relations Act describes operational requirements reasons as requirements based on the economic, technological, structural or related needs of an employer. The employer‟s needs in case of operational requirement dismissal must be separated from the other reasons for dismissal, such as misconduct and incapacity. Operational requirements dismissals are governed by section 189 of the LRA. The LRA draws a distinction between small and large scale dismissals and regulates them separately. Section 189 control small scale dismissals, while section 189A pertains to large scale dismissals For substantive fairness of a dismissal for operational requirements, the employer must prove that the said reason is one based on operational requirements of the business. The employer must be able to prove that the reason for the dismissal falls within the statutory definition of operational requirements. Employers are not allowed to use retrenchment to dismiss employees who they believe to have performed unsatisfactorily. This means that employers are not entitled to retrench for ulterior reasons, than those of operational requirements.The Labour Court has held that an employer may not under any situation retrench an employee on a fixed-term contract if the termination takes place before the contract of the employee ends, unless the contract of employment makes provision for termination at an earlier date. Retrenchment in this situation will amount to a breach of contract. Another point of interest in dismissals for operational requirements is that the Labour Relations Act states that it is not unlawful to dismiss a striking employee for reasons based on the employer‟s operational requirements. In relation to the selection criteria to be used during these dismissals, the Labour Relations Act again states that if an agreement cannot be reached between the consulting parties, then the employer must use criteria that are fair and objective.
- Full Text:
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