Master Dissertations
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Browsing Master Dissertations by Subject "Acquired Immunodeficiency Syndrome"
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Item Commmunity responsibilities in supporting orphans in Chamwino district, Mvumi misheni ward: a case of Mvumi misheni village(The University of Dodoma, 2013) Msangi, Zaina T.The study on community responsibilities in supporting orphans was conducted at Chamwino District Mvumi misheni village. The study aim generally was to assess the community responsibilities in supporting orphans. It intended specifically to examine the systems used by the community to support orphans, and determine types of support provided to orphans by the community as well as identify the roles of the community in supporting them. It has also used a sample of 90 respondents to represent a total population of 3,527 people. The study used both qualitative and quantitative approach. Moreover, observations and interviews methods were used in data collection. Both Probability and Non probability sampling techniques were used in selecting the study sample. Under probability sampling, simple random and stratified sampling was employed, while under non probability, sampling purposive sampling technique was used. The collected data were analysed using Statistical Package for Social Science Research (SPSS) programme. The findings from the study have indicated that Village Most Vulnerable Children Committee (VMVCC) was the mechanism used to manage the orphans in the study area. However, the government tools were used to identify and record information of the orphans. Moreover, communities were not involved in the process of developing any action plans concerning OVC. Furthermore social protection service was offered more by the community members. Female genital mutilation, abandonment, child labor, and early/forced marriage are the dominant violations existed in the study area. It is recommended that government should apply public private partnership to work together (efficiently and effectively) so as to avoid duplication in serving orphans.Item Promotion of grassroots participation on HIV/AIDS policy formulation in rural Tanzania: a case study of Serengeti district(The University of Dodoma, 2011) Peter, CeciliaThis study is about promotion of grassroots participation on HIV/AIDS policy formulation in rural Tanzania a case of Serengeti district. Grassroots participation has been done in Tanzania but in HIV/AIDS policy formulation particularly it has never been done. The main problem behind the study is lack of participation for ordinary people in the HIV/AIDS policy, especially in rural areas where only few people have knowledge on the National HIV/AIDS elimination strategies. The aim is to assess the level of grassroots participation in HIV/AIDS policy formulation. Questions had to be answered as follows; people’s perception on HIV/AIDS policy; people’s ways of participation in traditional life; people’s participation on HIV/AIDS policy; and on how should people participate in HIV/AIDS policy. The study implied mixed approach with cross sectional design whereby situation and conclusions concerning the study was derived from the respondents themselves. There were few common challenges mentioned by respondents if the whole community is to be involved in policy formulation process mainly costs and time factors, but they suggest that if they can participate in different social and economic activities successfully, what will hinder participation in policy formulation. Finally, the study suggests that grassroots participation should be a culture and that having policy as an instrument is one best thing but, ordinary people’s participation is more important to make it become successful.Item The role of youth friendly health services in intervention of HIV/AID: A case of Kibaigwa township(The University of Dodoma, 2016) Nyanza, MasanjaThe study has examined, 'The Role of Youth Friendly Health Services in Intervention of HIV/AIDS at Kibaigwa Township in Kongwa District'. It is recognized globally that, youth friendly health service is an important component of care including preventive health for young people. With the upsurge of sexual activities among youth and the emergence of HIV/AIDS pandemic, yet young people have remained most vulnerable group to STIs as well as HIV/AIDS infection. A sample of 97 respondents was selected in the study. Data collection employed questionnaires, interviews, focus group discussions, documentary reviews and observation. The tables, figures and frequency were used for data analysis. The theories relating to this study were employed to familiarize the reader. The study revealed that young people are aware of HIV/AIDS, routes of HIV/AIDS infection as well as HIV/AIDS prevention methods, and yet risk behaviors including unprotected sexual intercourse was reported to prevail among the young people. Furthermore the study revealed factors that hold back the operation of youth friendly health service. These include, shortage of clinical staff, lack of dedicated space for young people, lack of confidence among clinical staff, inflexible time of service, language barriers, unavailability of a wide range of services, unaffordable cost of service and lack of educational materials. The study recommends that, Parents should seek greater openness about sexual relationships with young people, while clinical health providers should observe the core values depicted on strategy of youth friendly reproductive health service. Moreover Ministry of health and social welfare should improve the settings surrounding the provision of youth health care as well as to implement strategies that not only focus on biomedical but also on cultural factors underlying barriers to behavior change. Lastly, the study suggests an area of further research for youth friendly health services.Item Socio-Economic Factors Influencing Adherence to Utilization of Antiretroviral Therapy for People Living With HIV/AIDS: A Case Study of Dodoma Municipal and Kongwa District–Tanzania(The University of Dodoma, 2015) Kusunya, EmmanuelThis study aimed to assess the socio-economic factors influencing adherence to utilization of Anti Retroviral Therapy (ART) for People Living with HIV/AIDS in Dodoma Municipality and Kongwa District in Tanzania. Documentary review, questionnaire, interview and Focus Group Discussion were used in collecting data. A total of 140 respondents (99 PLHIVs and 41 key informants) from six health facilities were selected and interviewed as representatives for the purpose of this study. Quantitative data were collected and analyzed by using SPSS software. Research findings indicate three main socio-economic factors influencing adherence to utilization of ART services among People Living with HIV/AIDS (PLHIV/AIDS). These were lack of employment support (66.7 %,) lack of confidentiality (50 %,) patient‟s preference to traditional medicines (30%) and cultural belief (29.3%) The study revealed that majority (91%) of PLHIV/AIDS use ART services. This implies that large number of people they are aware on the importance of early adherence to ARV. Few people did not adhere to ARV because of negligence, busy schedules and poor diet. Social- economic challenges which affect PLHIV in accessing quality ART services include stigmatization, poor diet and fear of being seen by other people during use of ART tablets, transport problems and lack of permanent residence. This study recommends the following as strategies to be undertaken to increase ART adherence; provision of ART education, enrollment of PLHIV clients in community support groups, and referring clients to Income Generating Activities (IGA).