Survey of HIV/AIDS Clients in Botswana: Reactions to Supportive Counselling

A survey of HIV/AIDS clients in Botswana, Africa, all of whom were receiving supportive counselling, was conducted. A total of 328 volunteer clients from randomly selected sites completed the survey related to client perceptions of counselling helpfulness, outlook on life, satisfaction with goal setting in counselling, experience of social stigma, and acceptance by family and others. Overall, clients were very positive concerning the benefits received from counselling, their relationship with their counsellor, the goal setting process, their family/friends support system and their present quality of life. The majority of clients did, however, indicate some level of feeling stigmatized by being HIV-positive. Additional major findings indicated that clients with family incomes of less than 10 K pula per year (around US$1 k) were less positive about their counselling and related experiences than were those with higher levels of family income, with the exception of social stigma where lower family income was associated with less perceived social stigma. Clients reporting counselling sessions lasting more than 15 min were generally more positive in their reactions to counselling and related experiences than were clients reporting sessions typically lasting 15 min or less. A discussion of the findings, along with recommendations for areas needing further study and attention, is provided.     

对同性恋者的歧视加重非洲艾滋病危机

令人震惊的陈述——医护工作者羞辱HIV呈阳性的同性恋患者：“他死了，我想，他的死部分是由于走投无路。”     

Using adult education principles for HIV/AIDS awareness intervention strategies in Botswana

This paper reports on a mainly qualitative study into company strategies for HIV/AIDS information, education and communication (IEC) strategies in the Botswana workplace. The authors argue that HIV/AIDS awareness and prevention strategies in Botswana need a new approach. The research proposal hypothesized that IEC strategies need to take account of adult education theory that promotes the active involvement of learners in developing their own curriculum. It also proposed that an Africa‐centric gender perspective should be incorporated into future IEC materials. That is, the particular cultural position of women and their vulnerability to HIV/AIDS infection in Botswana needs to be theorized as an issue of power. Integrated with this issue is the argument that it is not always appropriate to try to persuade women to take the initiative in preventing infection when culturally they have no power to do so. The paper therefore critiques some of the adult education and feminist arguments for empowerment that do not take account of existing male power positions within the Botswana social framework. Using new educational material that derived from the research findings the authors argue for a dual strategy towards behavioural change; one that takes account of the current health crisis, but also one which uses a radical pedagogical approach that engages with ‘where people are at’.     

Educational attainment and HIV/AIDS prevalence: A cross-country study

Using data for a large cross-country sample, a reasonable model is estimated to judge the effect of adult educational attainment on prevalence of HIV. Three main points are noted. First, there is an indication of a significantly negative effect of educational attainment on HIV prevalence. Second, magnitude of the impact appears sizable. Third, a simple test suggests that the model does not have any major specification problem. Three additional aspects may also be interesting. First, the impact of per capita income is negative but statistically weak. Second, the effect of health expenditures lacks significance and does not carry the expected sign. Third, the proportion of population that is Muslim has a significantly negative association with HIV prevalence, perhaps reflecting the widely-shared view that male circumcision lowers acquisition of the disease.     

The impact of HIV/AIDS on primary education in Botswana: educating children as agents of change

HIV/AIDS can no longer be regarded solely as a public health issue as its impact extends well into all spheres of life, sectors of society and levels of the education system. This paper argues that not only is it paramount to draw on children's understanding of the impact of AIDS on their lives, but it is equally important to draw on their solutions in order to foster their agency. Using the ‘draw and write’ methods, this research explores children's perception of the impact of HIV/AIDS and their understanding of the capabilities needed in order for them to become active change agents. The findings indicate that short-term intervention programmes are insufficient in curbing the HIV trends and in mitigating its impact. The authors argue that there is now a paramount need to re-evaluate the role and goal of education to allow it to serve as a prophylaxis for HIV/AIDS.     

HIV/AIDS-Anxiety among Adolescent Students in Botswana

This research investigated the incidence of HIV/AIDS anxiety among students in Botswana. The sample comprised 240 randomly selected students from six schools in three districts in Botswana, with data collected via a questionnaire. Percentages and Chi-square were used to analyze the extent to which the students were anxious about HIV/AIDS and if there was a significant gender difference in this regard. Findings showed that the students were anxious on several fronts about HIV/AIDS; specifically that they and their relations might contract the virus and that they might lose family members. There was gender difference in terms of anxiety about the possibility that relations might become infected. The role of the counsellor in reducing HIV/AIDS anxiety among students in communities living with HIV/AIDS is discussed.     

Accomplishing lessons in postcolonial classrooms: comparative perspectives from Botswana and Brunei Darussalam

Drawing on observations and audio‐recordings of classroom language use in two postcolonial societies, the Republic of Botswana in Africa and the Sultanate of Brunei Darussalam in south‐east Asia, this study seeks to explore how teachers and pupils face the challenge of accomplishing teaching and learning using a language which is not their own. In both Botswana and Brunei Darussalam, English is the official language of instruction for some subjects from mid‐primary school level. Unlike many comparative studies which concentrate on the macro or national level, the focus of this study is the micro‐level of classroom interaction. The study shows that there are both similarities and differences across the two contexts in the ways teachers and pupils engage with language(s) through a range of monolingual and bilingual strategies. In comparing the discourses of primary‐level classrooms in Botswana and Brunei Darussalam, the study demonstrates the tensions in the language policies and practices in the two postcolonial countries. The pressure of globalisation has resulted in the privileging of imported over indigenous languages and the study shows the pragmatic responses of the classroom participants in the two contexts.     

What Older Adults Know about HIV/AIDS: Lessons from an HIV/AIDS Education Program

Despite being one of the fastest growing segments of the HIV/AIDS caseload, persons age 50 and older have been largely neglected in terms of HIV/AIDS education. This study describes a project involving HIV-related health education for persons ≥50 in an urban area of Ohio. Data from 50 persons age ≥50 were collected. Pre-and postsurveys were used in the completion of repeated measures ANOVA, and focus groups provided qualitative data. Despite a paucity of available educational materials addressing HIV/AIDS, older adults are willing to participate in sessions about HIV/AIDS. Findings suggest the need for alternative approaches to providing HIV/AIDS education.     

Education for sustainable development in Africa: a critique of regional agendas

Asia Pacific Education Review - Education is often perceived in policy agendas as playing a transformative role in realising sustainable development and the SDGs on the continent. The assumption is...     

Cognitive and Educational Interventions for Orphans and Vulnerable Children Affected by HIV/AIDS: A Meta-Analysis

Orphans and vulnerable children affected by HIV/AIDS (HIV OVC) are at risk for cognitive difficulties and lack of access to education. Interventions addressing cognitive or educational outcomes for HIV OVC worldwide were examined through systematic searches conducted from October 2016 to 2019. We examined the summative effectiveness of interventions and the specific effects of participant age and intervention length. Interventions targeting cognitive outcomes had a small, significant effect, with no effect of moderating variables. Interventions targeting educational outcomes had significant effects. Educational interventions over 1 year were effective, but effects of intervention length were not significant. Overall, this review provides support for the effectiveness of interventions targeting cognitive and educational outcomes for OVC and highlights the need for more research on such interventions.     

Classroom teacher effectiveness research: a conceptual critique

Teacher effectiveness research now informs the rationale of much Australian education policy aimed at redressing student under‐achievement. The approach draws a ‘straight line’ between teacher practice and student outcomes, ‘controlling’ for and ultimately dismissive of other possible influences. The paper calls into question this conception of teaching–learning relations, particularly the extent to which teaching practice can be reasonably quantified and improvements in students' academic achievement can be solely attributed to and/or sole responsibility placed on the pedagogic strategies employed by teachers. Drawing on the theoretical resources of Foucault and Bourdieu, the paper argues further that teacher effectiveness research is flawed in both means and ends. It concludes that in its ranking of student and teacher performance, such research actually works against the purposes of education; specifically, authentic teaching and learning.     

Towards a unified theory for HIV/AIDS counselling

The paper explores the introduction of an unified theory for HIV/AIDS counselling. To date the provision of HIV/AIDS counselling has been largely based upon the behavioural theory of counselling. This theory has been adopted by WHO/GPA and its main aims have been the prevention of HIV infection and the psychosocial support for those already infected. It is argued that future counselling interventions should be redirected from a disease-centred approach to a person centred approach. This redirection can be facilitated by the adoption of the self concept as the central measure for evaluating change. It is argued that various ideas should be selected from the behavioural, psychoanalytical and humanistic theories of counselling. These ideas should be amalgamated into a unified theory which provides the theoretical foundation upon which a comprehensive counselling intervention can be based.     

Reliability and validity in qualitative research within education in Africa

This article discusses the problems of validity and reliability in qualitative research within education and relates this discussion to Africa. A main concern is the posing of the right research questions. The article attempts to bring into focus the voice of Africans, showing that the African researcher knows his/her environment better than any expatriate and will be more likely to ask the right questions provided that s/he is allowed to ask them and is not forced to work with questions of concern to Western donors, and provided that s/he trusts her/his own experiences and uses those to form concepts instead of merely transferring concepts formed in the West and based on experiences in the northern hemisphere. It argues for the need of secondary research to reanalyze from an Afro-centric viewpoint many of the accounts written by Western travellers and anthropologists. It further argues for the use of an autobiographical approach to secure data of high ecological validity. Validity is looked at as a more important concept than reliability and a mixing of qualitative and quantitative methods argued for.

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Zusammenfassung Dieser Artikel befaßt sich mit Problemen der Gültigkeit und zuverlässigkeit der Qualitativen Forschung innerhalb der Bildung in Bezug auf Afrika. Ein Hauptanliegen ist die richtige Fragestellung hinsichtlich der Forschung. Der Artikel versucht die Stimme der Afrikaner in den Vordergrund zu stellen und zeigt damit, daß afrikanische ForscherInnen ihr Umfeld besser als irgendein Außenstehender kennen und somit mit größerer Wahrscheinlichkeit die richtigen Fragen stellen. Dies setzt voraus, daß sie die richtigen Fragen stellen dürfen und nicht gezwungen sind, für westliche Geldgeber richtig erscheinende Fragen zu stellen. Eine weitere Voraussetzung ist, daß sie ihren eigenen Erfahrungen trauen können und sie für die Ausarbeitung von Konzepten nutzen, anstatt im Westen erstellte und auf Erfahrung in der nördlichen Hemisphäre basierende Konzepte weiterzugeben. Der Artikel befürwortet die Notwendigkeit einer zweiten Untersuchung, um vom afrikanischen Standpunkt aus die zahlreichen Berichte neu zu analysieren, die von westlichen Reisenden und Anthropologen geschrieben wurden. Weiterhin wird für die Sicherstellung von Daten hochwertiger ökologischer Gültigkeit die Anwendung eines autobiographischen Ansatzes empfohlen. Gültigkeit wird gegenüber der Zuverlässigkeit als wichtigeres Konzept angesehen und sowohl qualitative als auch quantitative Methoden gemeinsam befürwortet.

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Resumen Este artículo se ocupa de los problemas de la validez y fiabilidad del estudio cualitativo dentro de la educación y relaciona esta discusión con Africa. Uno de los temas principales es el planteamiento de los interrogantes de investigación correctos. El artículo pone su énfasis central en la voz de los africanos, mostrando que el/la investigador/a africano/a conoce mejor su entorno que cualquier otro extranjero o expatriado, y que es más probable que formule las preguntas correctas, siempre que esté autorizado/a a hacerlo y que no se vea obligado/a a trabajar con asuntos que conciernen a los donantes occidentales, y siempre que él o ella confíe en sus propias costumbres y experiencias para formar los conceptos, en lugar de transferir meramente conceptos formados en el mundo occidental y basados en experiencias del hemisferio norte. Aboga por la necesidad de la investigación secundaria a efectos de analizar desde un punto de vista afrocéntrico muchos de los informes escritos por viajeros y antropólogos occidentales. Además, sostiene la aplicación de un enfoque autobiográfico para asegurar datos de alto valor ecológico. El trabajo considera que la validez es un concepto más importante que la fiabilidad, y aboga por la mezcla de métodos cualitativos y cuantitativos.

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Résumé Cet article aborde les problèmes soulevés par la validité et la fiabilité de la recherche qualitative en éducation et remplace la question dans le contexte du continent africain. Un point important concerne la juste formulation des questions qui feront l'objet de recherches. L'auteur tente de faire entendre l'opinion africaine en exposant que le personnel de recherche africain connaît mieux son environnement que toute personne expatriée et qu'il sera plus susceptible de poser les questions appropriées, à la condition qu'on lui permette de les poser et qu'il ne soit pas obligé de travailler sur des questions qui importent aux commanditaires occidentaux, à la condition aussi qu'il se fie à ses propres expériences et les mette á profit pour former des concepts, au lieu de se borner à transférer ceux établis par l'Occident, et qui se fondent sur des expériences vécues dans l'hémisphère nord. Il démontre donc la nécessité d'une recherche secondaire pour procéder à une nouvelle analyse d'un point de vue africain de nombre de récits écrits par des voyageurs ou anthropologues occidentaux. Il plaide également pour le choix d'une approache autobiographique pour protèger des données d'une importante validité écologique. La validité est posée comme concept plus important que celui de la fiabilité, et il est conseillé d'appliquer conjointement des méthodes qualitatives et quantitatives.

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A constructivist approach to HIV/AIDS education for women within the Maritime Provinces of Canada

The primary objective of this research was to increase understanding of how women in the Maritime Provinces of Canada learn about the HIV/AIDS epidemic. This research utilised a qualitative approach with specific methods including interviews, joint interviews and focus groups. Overall 44 women participated in this research. The data was analysed using a thematic approach. The main findings of this research are that (1) women in the Maritime Provinces of Canada may have incomplete information about HIV/AIDS and sexual health due to limited experience with the HIV/AIDS epidemic; (2) violence greatly affects the lives of women in this region; and (3) informal learning is the most important factor that determines what Maritime women know about HIV/AIDS. A primary recommendation from this research is that when working with adult women to increase their understanding of HIV/AIDS it is helpful to work within a constructivist framework in order to develop a deeper understanding of the magnitude and potential outcomes of the HIV/AIDS epidemic.