Approaches used by NGOs in managing HIV/AIDS programmes in the Eastern Cape
- Authors: Budaza, Silakhe
- Date: 2020
- Subjects: Non-governmental organizations -- South Africa , Disease management -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/50457 , vital:42169
- Description: The purpose of this research study was to explore the interventions NGOs used in addressing the prevalence of HIV/AIDS along with an exploration of the management and causal factors behind project failures and success. Five districts in the province of the Eastern Cape, South Africa were used in the study. The study had three objectives- the first being to identify the various approaches used to manage HIV/AIDS by NGOs; the second was to consider the influence HIV/AIDS policies on the health sector NGOs and finally the third objective of the study was to explore the monitoring and evaluation mechanism set in place to track progress, or lack of, in HIV/AIDS programs. The research design followed a qualitative methodology and data was gathered from ten participants through semi-structured interviews and supported by a document analysis of existing HIV and AIDS policies from both a national and provincial level which were qualitative. The findings showed that a lack of adequate or delayed funding affected the overall performance of NGOs as well as approaches such as home-based care and educational support programs. In addition, the negative stigma associated with HIV/AIDS has been a looming issue since 2004 which continues to undermine efforts of NGOs in their means to manage HIV/AIDS. The consequences of stigma from the findings are treatment adherence issues and little to no attendance of HIV/AIDS programs provided by the respective NGOs. Effective planning and management along with capacitated staff and volunteers increased the positive outcome of HIV/AIDS programs and services offered by the NGOs. From the study findings, it is recommended that the planning of HIV/AIDS approaches should consider resource planning to avoid abandoning projects midway due to a lack of resources. The management and monitoring of NGOs within the health sector, dealing with epidemics such as HIV/AIDS need to build on flexibility in implementation and have effective risk assessments in place as a contingency, so that corrective action is taken. Resource mobilization and fundraising ought to be diversified so that there is a committed and varied pool of funds to enable the execution of HIV/AIDS services and programs. The government and other stakeholders should build on local capacity to implement these various programs and also build financial, social and organizational sustainability.
- Full Text:
- Date Issued: 2020
- Authors: Budaza, Silakhe
- Date: 2020
- Subjects: Non-governmental organizations -- South Africa , Disease management -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/50457 , vital:42169
- Description: The purpose of this research study was to explore the interventions NGOs used in addressing the prevalence of HIV/AIDS along with an exploration of the management and causal factors behind project failures and success. Five districts in the province of the Eastern Cape, South Africa were used in the study. The study had three objectives- the first being to identify the various approaches used to manage HIV/AIDS by NGOs; the second was to consider the influence HIV/AIDS policies on the health sector NGOs and finally the third objective of the study was to explore the monitoring and evaluation mechanism set in place to track progress, or lack of, in HIV/AIDS programs. The research design followed a qualitative methodology and data was gathered from ten participants through semi-structured interviews and supported by a document analysis of existing HIV and AIDS policies from both a national and provincial level which were qualitative. The findings showed that a lack of adequate or delayed funding affected the overall performance of NGOs as well as approaches such as home-based care and educational support programs. In addition, the negative stigma associated with HIV/AIDS has been a looming issue since 2004 which continues to undermine efforts of NGOs in their means to manage HIV/AIDS. The consequences of stigma from the findings are treatment adherence issues and little to no attendance of HIV/AIDS programs provided by the respective NGOs. Effective planning and management along with capacitated staff and volunteers increased the positive outcome of HIV/AIDS programs and services offered by the NGOs. From the study findings, it is recommended that the planning of HIV/AIDS approaches should consider resource planning to avoid abandoning projects midway due to a lack of resources. The management and monitoring of NGOs within the health sector, dealing with epidemics such as HIV/AIDS need to build on flexibility in implementation and have effective risk assessments in place as a contingency, so that corrective action is taken. Resource mobilization and fundraising ought to be diversified so that there is a committed and varied pool of funds to enable the execution of HIV/AIDS services and programs. The government and other stakeholders should build on local capacity to implement these various programs and also build financial, social and organizational sustainability.
- Full Text:
- Date Issued: 2020
Constructions of United States government development funding in response to the global gag rule
- Molobela, Reabetswe Lee-Anne
- Authors: Molobela, Reabetswe Lee-Anne
- Date: 2020
- Subjects: Pro-choice movement -- South Africa , Abortion -- Law and legislation -- South Africa , Abortion -- Moral and ethical aspects -- South Africa , Abortion -- Psychological aspects , Reproductive rights -- South Africa , Economic assistance, American -- South Africa , Non-governmental organizations -- South Africa , Discourse analysis , Social constructionism , Global Gag Rule
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/148295 , vital:38727
- Description: Despite South Africa’s progressive abortion law, barriers to safe abortion are numerous and exist at both the macro and micro level. Barriers include abortion stigma, discrimination, strong moral judgements against abortion within society and conscientious objection among health care workers. Furthermore, women’s lack of knowledge regarding the legal status of abortion and the voluminous illegal advertisements of back street abortions undermines the legislation and promotes unsafe abortions. Sexual and reproductive health rights (SRHR) non-governmental organizations (NGOs) have served as a link between service and people by providing information about safe abortion to women, especially in rural areas and have received funding from various platforms including United States government. However, the United States government has established the global gag rule which forbids foreign non-governmental organizations receiving United States government funding from using United States government and non-United States funds for abortion related activities. The global gag rule has been reinstated and extended by the current United States president. As such the global gag rule is expected to have an adverse effect on sexual and reproductive health rights in South Africa and on Sexual and reproductive health rights non-governmental organizations. The aim of the study is to highlight the constructions and responses to the global gag rule by sexual and reproductive health rights non-government organization workers in the South African context. This study used semi-structured individual interviews to collect data through purposive and snowball sampling of 10 South African Sexual and reproductive health rights non-governmental organizations workers. The study is situated within the social constructionist framework with emphasis on Fairclough’s three aspects of the constructive effects of discourse as an analytic tool in conjunction with Braun and Clarke’s social constructionist thematic analysis. The results of the study reflect on participants’ construction of United States government as imposing conservative agendas and taking regressive steps towards Sexual and reproductive health rights, which have in turn invoked indirect and direct resistance from non-governmental organizations. Additionally, NGO workers have constructed subject positions that highlight the vulnerability of non-governmental organizations dependency on United States government 1funding as it destabilizes and fragments civil society organization while it compromises the effectiveness of non-governmental organizations in serving the needs of intended communities. United States government is also constructed as strengthening abortion stigma and strengthening barriers to safe abortion that already exist in the country.
- Full Text:
- Date Issued: 2020
- Authors: Molobela, Reabetswe Lee-Anne
- Date: 2020
- Subjects: Pro-choice movement -- South Africa , Abortion -- Law and legislation -- South Africa , Abortion -- Moral and ethical aspects -- South Africa , Abortion -- Psychological aspects , Reproductive rights -- South Africa , Economic assistance, American -- South Africa , Non-governmental organizations -- South Africa , Discourse analysis , Social constructionism , Global Gag Rule
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/148295 , vital:38727
- Description: Despite South Africa’s progressive abortion law, barriers to safe abortion are numerous and exist at both the macro and micro level. Barriers include abortion stigma, discrimination, strong moral judgements against abortion within society and conscientious objection among health care workers. Furthermore, women’s lack of knowledge regarding the legal status of abortion and the voluminous illegal advertisements of back street abortions undermines the legislation and promotes unsafe abortions. Sexual and reproductive health rights (SRHR) non-governmental organizations (NGOs) have served as a link between service and people by providing information about safe abortion to women, especially in rural areas and have received funding from various platforms including United States government. However, the United States government has established the global gag rule which forbids foreign non-governmental organizations receiving United States government funding from using United States government and non-United States funds for abortion related activities. The global gag rule has been reinstated and extended by the current United States president. As such the global gag rule is expected to have an adverse effect on sexual and reproductive health rights in South Africa and on Sexual and reproductive health rights non-governmental organizations. The aim of the study is to highlight the constructions and responses to the global gag rule by sexual and reproductive health rights non-government organization workers in the South African context. This study used semi-structured individual interviews to collect data through purposive and snowball sampling of 10 South African Sexual and reproductive health rights non-governmental organizations workers. The study is situated within the social constructionist framework with emphasis on Fairclough’s three aspects of the constructive effects of discourse as an analytic tool in conjunction with Braun and Clarke’s social constructionist thematic analysis. The results of the study reflect on participants’ construction of United States government as imposing conservative agendas and taking regressive steps towards Sexual and reproductive health rights, which have in turn invoked indirect and direct resistance from non-governmental organizations. Additionally, NGO workers have constructed subject positions that highlight the vulnerability of non-governmental organizations dependency on United States government 1funding as it destabilizes and fragments civil society organization while it compromises the effectiveness of non-governmental organizations in serving the needs of intended communities. United States government is also constructed as strengthening abortion stigma and strengthening barriers to safe abortion that already exist in the country.
- Full Text:
- Date Issued: 2020
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