ATTITUDES TO ARV ACCESS AND FACTORS UNDERMINING HIV/AIDS PREVENTION. LESSONS FROM THE 2008 TSABONG STIGMA CASE STUDY (BOTSWANA

Authors

  • Simon Kang’ethe Social worker for Skill Share International and attached to the Botswana Network of People Living with HIV/AIDS (BONEPWA) Botswana

DOI:

https://doi.org/10.15270/46-4-151

Abstract

Though the broad research study from which this article is derived was to assess the prevalenceof stigma and discrimination in the Tsabong District, the aim of this article is to assess theattitudes, views, perceptions and thinking of selected Tsabong communities and people livingwith HIV/AIDS on access to ARV drugs and the administrative success against those factorsand challenges that undermine the prevention efforts especially among the people living withHIV/AIDS and who are on ARVs.

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References

BONEPWA. 2008. An exploratory informal research survey investigating the state of

stigma and discrimination in Tsabong. 27th-31st October 2008. A Draft.

BOTUSA. 2007. Needs assessment of female sex workers in major towns, mining towns

and along major roads in Botswana. Final Report, June.

CALDWELL, J., CALDWELL, P.E., ANKRAH, P.E., ANARFI, J., AGYEMAN, D.K.,

AWUSABO-ASARE, K. & ORUBULOYE, I.O. 1993. African families and AIDS: context,

reactions and potential interventions. Health Transition Review, 3:1-16.

CENTRAL STATISTIC OFFICE (CSO). 2005. Botswana HIV/AIDS Impact Survey II

(BAIS II). National AIDS Coordinating Agency (NACA). Gaborone: Government Printers.

CENTRAL STATISTIC OFFICE (CSO). 2008. Preliminary Botswana HIV/AIDS Impact

Survey III (BAIS III). National AIDS Coordinating Agency (NACA). Gaborone: Government

Printers.

GAGE, A.J. 1998. Sexual activity and contraceptive use: the components of the decision

making process. Studies in Family Planning, 29(2):154-166.

GORGEN, R.M., YANSANE, L., MARX, M. & MILLIMOUNOU, D. 1998. Sexual behaviour

and attitudes among unmarried urban youths in Guinea. International Family Planning

Perspectives, 24(2):65-71.

JACQUES, G. & STEGLING, C. 2001. Panacea or Perfidy. Paper presented at the 3rd

International Conference on Social Work in Health and Mental Health, July 1-5, Tampere,

Finland.

KANG’ETHE, S.M. 2004. Issues and challenges of Community Home Based Care in

Africa. University of Botswana. (Unpublished Masters of Social Work research essay)

KANG’ETHE, S.M. 2006a. Contribution of caregivers in community home based care

programmes: the case of Kanye, Botswana. Potchefstroom: University of the North-West.

(PhD Dissertation)

KANG’ETHE, S.M. 2006b. Spirit of “botho ” in care giving arena key to Vision 2016 victory.

Mmegi Newspaper, 28th December, 7.

KANG’ETHE, S.M. 2007a. Beware of narrow agendas. Botswana Guardian Newspaper, 3rd

August, 8-9.

KANG’ETHE, S.M. 2007b. Botswana Hits World Health Organization Targets. Botswana

Guardian Newspaper, 9th March, 7.

KANGETHE, S.M. 2007c. Alcohol abuse undermines our HIV/AIDS Campaign. Botswana

Guardian Newspaper, 13th April, 8.

KANG’ETHE, S.M. 2009a. Inadequate male involvement in health issues. The cause of gender

skewed HIV and AIDS situations in Botswana. In: MAUNDENI, T., OSEI HWEDIE, B.Z.,

MUKAAMAMBO, E. & NTSEANE, P.G. (eds) Male involvement in sexual and

reproductive health. Prevention of violence and HIV/AIDS in Botswana. Cape Town:

Made Plain Communications.

KANG’ETHE, S.M. 2009b. Traditional healers as caregivers to HIV/AIDS clients and other

terminally challenged persons in Kanye community home based care programme, Botswana.

Journal of Social Aspects of HIV/AIDS, 6(2):83-91.

KOMBA-MALEKELA, B. & LILJESTROM, R. 1994. Looking for men. In: TUMBOMASABO,

Z. & LILJESTROM, R. (eds) Chelewa Chelewa. The dilemma of teenage girls.

The Scandinavian Institute of African Studies. Uppsala, Sweden.

LEKOKO, R.N. 2009. A generation in jeopardy. Sexually active women in patriarchal cultural

settings and HIV and AIDS. In: MAUNDENI, T., OSEI HWEDIE, B.Z., MUKAAMAMBO,

E. & NTSEANE, P.G. (eds) Male involvement in sexual and reproductive Health.

Prevention of violence and HIV/AIDS in Botswana. Made Plain Communications, Cape

Town.

LUKE, N. & KURZ, K.M. 2002. Cross-generational and transactional sexual relations in

Sub Saharan Africa. Prevalence of behaviour and implications for negotiating safer sexual

practices. ICRW, PSI.

MacLEAN, P. 1995. Sexual behaviours and attitudes of high school students in the Kingdom of

Swaziland. Journal of Adolescent Research, 10(3):400-420.

MATASHA, E., NTEMBELEA, T., PAYAUD, P., SAIDI, W., TODD, J., MUJAYA, B. &

TENDO-WAMBUA, L. 1998. Sexual and reproductive health among primary and secondary

school pupils in Mwanza, Tanzania: need for intervention. AIDS Care, 10(5):571-582.

MINISTRY OF HEALTH (MOH)/ FAMILY HEALTH DIVISION (FHD). 2003. Situation

and response analysis for the urban youth project in Botswana. Draft Summary. Gaborone.

MINISTRY OF HEALTH (MOH)/JHPIEGO. 2009. Situational Analysis of the care and

treatment needs of PLWHA in Botswana. Draft Report. Gaborone.

MOJAPELO, D., DITIRAFALO, T., TAU, M. & DOEHLIE, E. 2001. Client satisfaction and

providers’ perspective of home based care in Kweneng District. Botswana: Gaborone.

(Unpublished Report)

MOSEKI, O. 2007. Women living with HIV/AIDS and their reproductive rights: a human

rights position. The Botswana Review of Ethics, Law and HIV/AIDS, 1(1):3-7.

MOTLHABANE, N.M. & CHIPFAKACHA., G. 1995. KAP survey on STD, HIV and AIDS among

commercial sex workers: the Francistown experience. Journal of the Medical and Dental

Association of Botswana, 25(1):25-30.

NATIONAL AIDS COORDINATING AGENCY (NACA). 2002. Status of the 2002 National

response to the UNGASS declaration of commitment on HIV/AIDS. UNICEF, UNAIDS,

ACHAP, AIDS STD UNIT, Gaborone.

NATIONAL AIDS COORDINATING AGENCY (NACA). 2003. Botswana 2003 Second

Generation HIV/AIDS Surveillance. A Technical Report, December, Gaborone, Botswana.

NATIONAL AIDS COORDINATING AGENCY (NACA). 2005. Botswana Second

Generations HIV/AIDS Surveillance. Technical Report, Gaborone.

NATIONAL AIDS COORDINATING AGENCY (NACA). 2008. Progress report of the

National Response to the UNGASS Declaration of commitment on HIV/AIDS.

ACHAP/UNAIDS.

NATIONAL STRATEGIC FRAMEWORK (NSFII). 2003. Botswana National Strategic

Framework II 2003-2009. Gaborone, Botswana.

NEUMAN, L.W. 2003. Social research methods – quantitative and qualitative approaches.

Boston, M.A.: Allyn & Bacon.

NTSEANE, P.G. 2003. A needs assessment study of sex workers in Botswana: the case of

Tlokweng Village. Gaborone: ACHAP and South-East DMSAC report series.

NYANZI, S.R., POOL, S. & KINSMAN, J. 2000. The negotiation of sexual relationships

among school pupils in South Western Uganda. AIDS Care, 13(1):83-98.

ORUBULOYE, I.O., CALDWELL, J.C. & CALDWELL. P. 1992. Diffusion and focus in

sexual networking: identifying partners and partners’ partners. Studies in Family Planning,

(6):343-351.

OTLHABANYE, M. 2006. No point giving people ARVs on empty stomachs. Agrinews,

(10).

PINKY, M. 2001. The role of traditional healers and doctors, coping mechanism of CHBC

patients and the family, Published Abstract no. 38. on 1st Regional CHBC conference, March,

at Boipuso Hall, Gaborone.

SAFAIDS. 2004/3-4. Sexual health exchange. Exchange worldwide experiences. [Online]

Available: www.sexualexchange.org.

UNAIDS. 2000. Caring for carers. Managing stress in those who care for people with HIV

and AIDS. UNAIDS Case study. May. Geneva. Switzerland.

UNAIDS. 2000a. Collaboration with traditional healers in HIV/AIDS prevention and care

in Sub –Saharan Africa. A literature Review, Geneva, Switzerland.

UNAIDS. 2000b. HIV and AIDS-related stigmatisation, discrimination and denial: forms,

contexts and determinants. UNAIDS Best practice Collection (UNAIDSA/00.16E).

UNAIDS. 2001. Parents providing care to adult sons and daughters with HIV/AIDS in

Thailand. UNAIDS Case Study, November. Geneva, Switzerland.

UNAIDS/WHO. 2005. AIDS epidemic update. December.

UNDP. 2004. Millennium development goals. Status Report, 2004. Gaborone: Government

Printers.

VISION 2016. 1997. Towards prosperity for all. Presidential task group for a long term

vision for Botswana, September. Gaborone: Government Printers.

WILSON & PROJECT SUPPORT GROUP (PSG). 2002. An assessment of sex work along

Botswana’s major population and transport corridors. Gaborone, Botswana.

INTERNET WEBSITE

[Online] Available: http://www.aegis.com/channel/afo40444.html. 2004. Male violence

towards women boosts HIV risk. South African study. [Accessed: 30/04/2004].

Acknowledgement: This article greatly acknowledges Zorani Kraai and Anna Lee, both of

BONEPWA and working under the Forum Syd sponsored programme, for their role in data

gathering exercise in Tsabong in 2008.

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Published

2014-06-13

How to Cite

Kang’ethe, S. (2014). ATTITUDES TO ARV ACCESS AND FACTORS UNDERMINING HIV/AIDS PREVENTION. LESSONS FROM THE 2008 TSABONG STIGMA CASE STUDY (BOTSWANA. Social Work/Maatskaplike Werk, 46(4). https://doi.org/10.15270/46-4-151

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