Browsing Research articles (ORI) by Subject "HIV/AIDS"
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Ngwenya, B.N.; Kgathi, D.L. (Elsevier Ltd; www.elsevier.com/locate/pce, NaN, 2006)[more][less]
Abstract: This case study investigates access to potable water in HIV/AIDS related home-based care households in five rural communities in Ngamiland, Botswana. Primary data collected from five villages, consisted of two parts. The first survey collected household data on demographic and rural livelihood features and impacts of HIV/AIDS. A total of 129 households were selected using a two-stage stratified random sampling method. In the second survey, a total of 39 family primary and community care givers of continuously ill, bed-ridden or non-bed-ridden HIV/AIDS patients were interviewed. A detailed questionnaire, with closed and open-ended questions, was used to collect household data. In addition to using the questionnaire, data was also collected through participant observation, informal interviews and secondary sources. The study revealed that there are several sources of water for communities in Ngamiland such as off-plot, outdoor (communal) and on-plot outdoor and/or indoor (private) water connections, as well as other sources such as bowsed water, well-points, boreholes and open perennial/ephemeral water from river channels and pans. There was a serious problem unreliable water supply caused by, among other things, the breakdown of diesel-powered water pumps, high frequency of HIV/AIDS related absenteeism, and the failure of timely delivery of diesel fuel. Some villages experienced chronic supply disruptions while others experienced seasonal or occasional water shortages. Strategies for coping with unreliability of water supply included economizing on water, reserve storage, buying water, and collection from river/dug wells or other alternative sources such as rain harvesting tanks in government institutions. The unreliability of water supply resulted in an increase in the use of water of poor quality and other practices of poor hygiene as well as a high opportunity cost of water collection. In such instances, bathing of patients was cut from twice daily to once or not at all. Depending on the severity of HIV/AIDS related symptoms, e.g. diarrhoea, 20-80 additional litres of water could be required daily. The case study demonstrates that, at individual level, access to water is an integral element of the patient's holistic healing process and psychosocial well being. At household and community levels, access to sufficient supplies of potable water when and where it is needed is central to mitigation of HIV/AIDS impacts. Access to water should therefore not be treated strictly as an economic good due to its importance as a basic human need, a social good and indeed a human right. URI: http://hdl.handle.net/10311/172 Files in this item: 2
license.txt (1.998Kb)ngwenya_kgathi_PCE_06.pdf (4.416Mb) -
Ngwenya, B.N.; Mosepele, K. (Elsevier www.elsevier.com/locate/pce, NaN, 2007)[more][less]
Abstract: Generally, rural households pursue all year round natural and non-natural resource-based livelihood systems to diversify these options in order to cope with risks emanating from a range of shocks and stressors. Artisanal fishing in the Delta is not only a major livelihood option but also a source of food security. This paper is based on analysis of primary data collected from a survey of 248 subsistence fishers’ households through simple random sampling in 22 villages in the Delta. The overall objectives of the survey were to assess the general prevalence of HIV/AIDS in the Ngamiland district of Botswana, to investigate potential effects of AIDS-related stressors, particularly chronic illness on artisanal fishing activities, and to assess implications towards food security. Results from this study indicate that HIV prevalence rates for pregnant women attending antenatal clinics in the Delta are approximately 30% and are related to factors such as marriage, education, and employment. Despite this relatively high prevalence percentage, most of the affected households do not have adequate access to HIV/AIDS support facilities. Support services are provided on the basis of population size and/or status of the settlement (i.e. urban, urban village, rural or remote). Therefore, since about 50% of the Delta’s population lives in settlements of less than 500 people, they receive health services indirectly through major population centres whose capacity to deliver timely HIV/AIDS services is limited. This disproportionate access to HIV/AIDS services disadvantages the majority of fishing communities in the Delta, and may affect their ability to fish. Moreover, about 53% of sampled households had cared for a continuously ill person/s (CIP’s) in the last 5 years, out of which approximately 29% felt that this seriously impacted fishing activities. These serious impacts included sale of family assets, depletion of savings, and switching or abandoning fishing activities. Subsequently, household food security is seriously affected because fish provides a significant proportion of food to CIP households where approximately 55% of households get their food from fish products. During food shortages, CIP households resorted to a hierarchy of strategies which included cutting down on meals or reducing meal portions, looking for paid work, gathering wild fruit, asking for food from relatives, selling livestock, and getting social assistance. In conclusion, artisanal fishing is a natural safety net which constitutes an important buffer for households affected by HIV/ AIDS-related stressors in the Okavango Delta. Access to fish helps these households mitigate potentially adverse impacts such as deterioration into chronic poverty. URI: http://hdl.handle.net/10311/572 Files in this item: 1
NGWENYA2007Okavango.pdf (1.602Mb) -
Phorano, O.M.; Nthomang, K.; Ngwenya, B.N. (Botswana Society, NaN, 2005)[more][less]
Abstract: Batswana have been hard-hit by the HIV/AIDS pandemic. The Botswana government has initiated the Community Home-Based Care programme to provide material support for HIV/AIDS patients cared for at home by family members and relatives. This paper identifies and explores emerging home care issues and pays specific attention to potential risks related to poorly managed clinical human and solid waste disposal generated through home-based care of HIV/AIDS patients in Ngamiland and Kweneng Districts in Botswana. Data were collected through focus group discussion with care-givers, discursive interviews with professional service providers, and participant observation. The results of the study indicate that the majority of care givers received material benefits provided through the CHBC programme. However, it was clear that CHBC did not have the capacity to address other critical needs for the proper care of patients in the home. Most households studied are very poor and lack basic facilities such as toilets, basic waste receptacles and regular collection of solid waste. Access to these facilities is important for disposing of both clinical and ordinary human and solid waste from HBC patients. Poor sanitation facilities - especially the improper handling of soiled laundry and inadequate ventilation - increase risks of infection. The study recommends the formation of care-giver support groups to reduce risks associated with poorly managed clinical solid waste disposal generated from home care-giving of HIV/AIDS patients. URI: http://hdl.handle.net/10311/952 Files in this item: 1
Phorano 2005 HIV.pdf (2.631Mb) -
Ngwenya, B.N.; Butale, B.M. (Botswana Society, NaN, 2005)[more][less]
Abstract: Home care involves the transfer of a patient’s medical supervision from a formal institution to a family setting in the context of a community. The aim of this paper is to assess the resource capacity of families to provide immediate home care to HIV/AIDS related chronically or terminally ill member/s in Maun in Ngamiland District. Data for the study was obtained through cross-sectional interviews with 61 care-givers. Ethnographic methods were also used: these included informal interviews with key informants, unobtrusive participant observation, and narratives of individual and family life experiences. Data collection focused on assessing family resource capacity to access three forms of capital, namely social, productive and produced. Issue focus analysis on qualitative data, and descriptive frequencies and cross-tabulations on quantitative data were carried out. Generally, care-givers reported receiving non-material support from multiple sources. These included moral support from close family members, especially their own children, siblings, parents and spouses, and less from parents’ in-law and their extended family. The threshold of care-giving resource demands could either fragment the family unit, on precipitate ‘enclave-like’ or ‘disengaged’ co-existence or passive aggression. On the other hand, caregiving resource demands may enhance mutual obligation and shared responsibility among family members. A high level of tolerability tends to reduce vulnerability and facilitate pooling limited resources in ways that enhance family capacity. Conversely, adversarial intra-family relations compromise the ability of a family to mobilize its resources. About 70% of care-givers were dependent on non-farming activities as their source of livelihood. Care-giving depletes family resources, including the abandonment of income generating activities. About 81% of care-givers said that they could not do anything to recover or reverse the loss. Access to produced capital such as telecommunication infrastructure is important in terms of the dissemination of public education information aimed at helping reduce risks and the prevention of infection. A significant proportion of care-givers had access to a radio (60%) and cell-phone (48%). The paper ends with some policy recommendations. URI: http://hdl.handle.net/10311/953 Files in this item: 1
Ngwenya 2005 AIDS.pdf (3.334Mb)
Now showing items 1-4 of 4