3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item Characteristics of ‘lost to follow up’ patients on antiretroviral treatment (ART) defaulting at Tshwane District Hospital(2011-11-23) Ubogu, Olufunmilayo ItunuAfter 25 years of existence, the Human Immuno-deficiency Virus (HIV) has become a global challenge. Yearly, about 3 million people in the sub Saharan region become infected with the disease each year, while 2 million die of the disease. The young, sexually active and those in the economically active group are mostly affected although other categories are also affected. Over the years efforts have been made to turn HIV infection from a death sentence to a manageable chronic disease through the use of antiretro viral treatment (ART). Despite the fact that this treatment is a life-long commitment with adherence being crucial to its effectiveness, some patients still default. This research study sought to identify the characteristics of HIV positive patients who are lost to follow up after the initiation of antiretroviral treatment over a 2-year period (2007-2008). A tick sheet was used to collect data from all the files of patients lost to follow up and 20 variables were tested. The conclusion reached is that age, sex, distance of residence to the ART site and economic capability contribute to ‘lost to follow-up’.Item Silent communications - embodied between the lines : a study describing nonverbal behaviour patterns within the South African multicultural HIV treatment context.(2009-02-11T07:51:42Z) Smith, Samantha Meghan CoralieThis dissertation aimed to describe nonverbal behaviours in South African multicultural HIV treatment contexts. It also aimed to identify the most appropriate method for nonverbal behaviour data analysis and transcription. The study used a single-case, parallel design, which incorporated three qualitative methodological tools; ethnography, a modified form of conversational analysis and interviews. Data used was from a preexisting videotaped database, belonging to a larger research project. Data consisted of 4 videotaped interactions between doctors and caregivers of children with HIV/Aids at the Red Cross Children’s Hospital. Through the use of polyphonic transcription, five nonverbal domains - eye gaze, body posture, facial expression, gesture and head posture – were analysed. Patterns and trends of these transcripts were crosschecked with data from the existing set as well as with data and findings from this and other research sites. Findings identified correlations between nonverbal behaviour patterns, interpersonal dynamics and communicative transfer. Specific critical moments of collaboration between caregiver and practitioner as well as nonverbal behaviour roles in communicative and interactional dynamics were also identified. Study findings thus posses the potential to; facilitate effective medical interactions, direct future nonverbal behaviour research and guide the development of medical education and policy.