scholarly journals The role of gender in the spread of HIV and AIDS among farmworkers in South Africa

Author(s):  
Ntombifikile E. Klaas ◽  
Gloria Thupayagale-Tshweneagae ◽  
Thuledi P. Makua

Background: Gender inequality and men’s perceived sexual and economic superiority over women are central to human immunodeficiency virus (HIV) infection. The farming community in which the participants in the study live operates along such patriarchal lines, with the men making the important decisions for their families.Aim: To explore and describe the role of gender in the spread of HIV and acquired immunodeficiency syndrome (AIDS) among farmworkers in South Africa.Setting: The study was conducted in the Levubu farms, Vhembe district, Limpopo Province, South Africa.Methods: The researchers adopted a qualitative, explorative and descriptive research design with in-depth semi-structured interviews. Purposive and convenience sampling methods were used to select participants who met the inclusion criteria. Data collected were thematically analysed using Creswell’s data analysis method. Lincoln and Guba’s model to ensure trustworthiness and ethical standards were applied.Results: The findings of the study clearly indicated that powerlessness and lack of decision-making by female farmworkers was common as female farmworkers were dependent on their male partners to make decisions in the workplace as well as decisions regarding sexual matters in a relationship.Conclusion: The main conclusion drawn from the findings were that farmworkers are continuously exposed to exploitation and disempowerment in a variety of ways with very little support from their supervisors, which makes them vulnerable to contracting HIV.

Curationis ◽  
2007 ◽  
Vol 30 (3) ◽  
Author(s):  
M. Davhana-Maselesele ◽  
L.L. Lalendle ◽  
U. Useh

The purpose of this study is to investigate the knowledge, attitudes and practices related to HIV and AIDS among teenagers in rural schools in Vhembe district. This study focused on teenagers’ sources of knowledge about HIV/AIDS; their knowledge of how to avoid contracting HIV/AIDS; their knowledge of the methods of transmission of the disease; their knowledge of condoms and usage levels; and people with whom they are comfortable to talk about HIV/AIDS. This was a quantitative descriptive research design where a random sample of 128 participants between the ages of 14 and 19 years was selected. The participants were in grades 8 to 12. The study recommended that holistic HIV/AIDS preventive programmes which were culture and gender sensitive be developed. Custodians of culture should be involved in dealing with HIV/AIDS. Parents should also play their role in discussing HIV/AIDS with their children in a non-threatening environment.


2021 ◽  
Vol 9 (1) ◽  
pp. 96
Author(s):  
Gracia Satyawestri Pribadi ◽  
A.B. Firman Cahyono

Background: Acquired immunodeficiency syndrome (AIDS) is a health problem in East Java. Opportunistic infections are one of the causes of morbidity and mortality in patients with human immunodeficiency virus (HIV) and AIDS in Indonesia. Purpose: This study aimed to describe the characteristics and opportunistic infections of AIDS patients in East Java Province, 2018. Methods: This study was conducted as observational descriptive research, and a survey was used as the research design. The research location was in East Java Provincial Health Office, and the study was carried out in August 2019. We used secondary data taken from the results of surveillance of AIDS patients in 2018. The sampling method of the study was total sampling, with 1,138 AIDS patients. The variables studied included the patients’ characteristics (sex, age, type of work, and risk factors) as well as the number and types of opportunistic infections. Results: The majority of the AIDS patients in East Java in this sample were male (70.74%), belonged to the adults (26–45 years old) group (62.65%), and worked as employees/laborers (46.08%). In terms of sexual orientation, the majority were heterosexuals (81.81%) or homosexuals (10.63%). The majority of patients experienced one type of opportunistic infection (46.08%), with histoplasmosis (48.77%) and tuberculosis (TB) (42.62%) as the most frequently experienced opportunistic infections. Conclusion: Characteristics that are risk factors for contracting AIDS in East Java include being male, being of adult age, working as an employee/laborer, and being heterosexual. There are also risks of opportunistic infections, particularly histoplasmosis and TB.


Curationis ◽  
2019 ◽  
Vol 42 (1) ◽  
Author(s):  
Azwidihwi R. Tshililo ◽  
Lizzy Mangena-Netshikweta ◽  
Livhuwani H. Nemathaga ◽  
Mary Maluleke

Background: Integration of human immunodeficiency virus and acquired immune deficiency syndrome (HIV and AIDS) services into primary healthcare (PHC) is a key public health approach to achieving universal access to antiretroviral therapy (ART). Despite the government’s efforts of integrating HIV services into PHC, an insufficient number of PHC staff and inadequate infrastructure are challenging when integrating HIV and AIDS services into PHC. This study explored the challenges of PHC nurses regarding the integration of HIV and AIDS services into PHC.Objectives: The aim of the study was to explore the challenges of PHC nurses regarding the integration of HIV and AIDS services into PHC.Method: An exploratory, descriptive and contextual qualitative research design utilising face-to-face semi-structured interviews was conducted with 12 PHC nurses from selected clinics and health centres in the Vhembe district of Limpopo province.Results: Two main themes emerged from data analysis which included challenges related to healthcare recipients and challenges related to healthcare providers.Conclusion: Clear policies on the integration of HIV and AIDS services into PHC should be available and should include strategies to promote HIV testing and counselling, adherence to ART and scheduled appointments, disclosure of HIV status as well as revising the human resource policy to reduce workload.


PEDIATRICS ◽  
1991 ◽  
Vol 87 (6) ◽  
pp. 897-899
Author(s):  
Jose A. Birriel ◽  
Jose A. Adams ◽  
Kunjana Mavunda ◽  
Sue Goldfinger ◽  
Donald Vernon ◽  
...  

Flexible fiberoptic bronchoscopy with bronchoalveolar lavage was performed in 16 pediatric patients with the acquired immunodeficiency syndrome (AIDS) and deterioration in pulmonary function suggestive of opportunistic infection. In 62% of the patients Pneumocystis carinii was identified. Culture results showed a pure growth of Pseudomonas aeruginosa for one patient in addition to the Pneumocystis carinii. Bronchoscopy with lavage was well tolerated, with few complications even among patients with significant tachypnea and hypoxia. Because of its relative safety and effectiveness, this procedure should be considered the first invasive measurement used for evaluation of parenchymal lung disease in this population of patients.


Author(s):  
Agung Nurrahman ◽  
Gatiningsih Gatiningsih ◽  
Muhammad Tri Syaputra

This research focuses on how leadership has a major role in addressing environmental issues, especially through the garbage bank program as a form of case study. Furthermore, the problems that occur in the midst of society are often rely solely on political will or political desire to solve them. The research is to know and learn Lurah's (head of village) leadership in the management of waste banks specifically. This research is qualitative descriptive research. Data collection techniques through structured interviews, documentation and observations. Researchers conducted an analysis using leadership theory from Yukl, where the theory discusses leadership comprehensively. Researchers only focus on five parts of the concept that are considered relevant, namely: visionary, guidance, affiliative, democratic and communicative concepts. The results of this study based on these dimensions are good enough Lurah (head of village) leadership. But there are several things that are considered able to optimize the running of the program through the role of Lurah (Head of village) leadership, namely: first, involving active knots and community leaders such as MUI, academics to support scientific aspects, and professionals in the field of practical management. Keywords: Leadership, Head of Village, Environmental Issues, Waste Management, Waste Bank  


2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Thelmah X. Maluleke

This study entailed a quantitative, cross-sectional survey amongst young people in four villages of the Vhembe district of the Limpopo province. The purpose of the research was to determine the sexual health risk behaviour indicators prevalent amongst young people that could contribute to the spread of HIV and AIDS in this district. The objectives of this study were (1) to identify sexual risk behaviour, (2) to establish the prevalence of substance use before sexual intercourse, (3) to determine the prevalence of coerced sexual intercourse and (4) to determine the prevalence of forced sexual intercourse amongst young people in the Vhembe district.Purposive sampling was used to select the four villages that participated in the study and simple,random sampling was used to select the respondents. A total of 400 respondents participated in the study, 227 of which were female and 173 were male. The following sexual risk behaviour indicators were identified (1) early sexual debut, (2) teenage pregnancy and (3) early marriage. It was found that young people expose themselves to sexual intercourse without condoms, and that they are likely to have sexual intercourse without a condom in return for reward, and to have sexual intercourse with a famous person. Approximately 20% of the sexually active respondents had used substances before sexual intercourse. Alcohol and marijuana (‘dagga’) were most commonly used amongst those respondents taking substances before sexual intercourse, and these were used predominantly in coerced and forced sexual intercourse.OpsommingDie studie was ’n kwantitatiewe, deursnee-opname wat onder jongmense in vier dorpies in die Vhembe-distrik van die Limpopo-provinsie uitgevoer is. Die doel van die navorsing was om vas te stel watter aanwysers van risikogedrag ten opsigte van seksuele gesondheid onder die jongmense voorkom wat moontlik tot die verspreiding van MIV en vigs in hierdie distrik bydra. Die doelstellings van hierdie studie was om (1) seksuele risikogedrag te identifiseer, (2) die voorkoms van middelgebruik voor seksuele omgang te bepaal, (3) die voorkoms van gedwonge seksuele omgang en (4) die voorkoms van geforseerde seksuele omgang onder jongmense in die Vhembedistrik te bepaal.Doelgerigte steekproefneming is gebruik om die vier dorpies wat aan die studie deelgeneem het, te selekteer en eenvoudige ewekansige steekproefneming is gebruik om die respondente te selekteer.’n Totaal van 400 respondente het aan die studie deelgeneem, waarvan 227 vroulik en 173 manlik was. Die volgende aanwysers van seksuele risikogedrag is geïdentifiseer (1) vroeë seksuele debuut,(2) tienerswangerskap en (3) vroeë huwelik. Daar is gevind dat jongmense hulself aan seksuele omgang sonder kondome blootstel, en dat hulle waarskynlik seksuele omgang sonder ’n kondoom sal hê in ruil vir vergoeding en seksuele omgang met ’n bekende persoon sal hê. Ongeveer 20% van die seksueel aktiewe respondente het middels voor seksuele omgang gebruik. Alkohol en marijuana(‘dagga’) was die algemeenste middels onder diegene wat middels voor seksuele omgang gebruikhet, en dit is meestal in gedwonge en geforseerde seksuele omgang gebruik.


1995 ◽  
Vol 37 (3) ◽  
pp. 261-265 ◽  
Author(s):  
Silvio Alencar Marques ◽  
Luciene de Oliveira Conterno ◽  
Luciana P. Sgarbi ◽  
Aurea Maria P.C. Villagra ◽  
Vania P.G. Sabongi ◽  
...  

We report the clinical findings and evolution of seven patients (five men and two women), the majority of them intravenous drug users, with paracoccidioidomycosis associated to acquired immunodeficiency syndrome (AIDS). In four of the patients the paracoccidioidomycosis was restricted to the lung and in the three others was generalized with cutaneous involvement. Only two of them had lived recently in rural area, an indication of the possible reactivation of latent focal infection in the other five patients. The recognition of the role of cell-mediated immunity in host defense against Paracoccidioides brasiliensis leds to the prediction of a growing occurrence of the paracoccidioidomycosis-AIDS association in areas that are endemic for these diseases.


Sign in / Sign up

Export Citation Format

Share Document