Milt verwyder | Health24
Posted by: Gerde | 2011/09/22
My dogter 27 se milt is verwyder na ''n motorongeluk (10jr gelede) moet ons enige voorsorg tref en moet sy ''n armplaatjie dra
die milt help om rooi bloed selle te maak. Dit is die moeite werd om seker te maak haar immune stelsel is goed en sy krt nie anemia nie. Sy hoef nie 'n plaatjie te dra nie. Vatuva, Sircca Nelao Nangula (2008-03)
Thesis (MPhil) -- Stellenbosch University, 2008.
used in HIV and Aids mainstreaming strategy in combating HIV and Aids in the Public Service
Quantitative data was collected from questionnaires while the interview technique was used to
collect qualitative data. A purposive sampling method was used to select 28 focal persons in the
Public Service of Namibia for the questionnaires and out of 28 focal persons; seven were
randomly selected for the interviews.
Among findings in the study, seven of the respondents were nominated by their respective
offices, ministries and agencies to serve as focal persons; five as chairpersons and focal persons
at the same time. Out of 22 respondents, eighteen attained tertiary educational qualifications
while four attained secondary educational qualifications only. Eleven of the respondents were
nominated to serve; two applied; three volunteered to serve; and six were either acting or were
not officially nominated to serve in HIV and Aids positions. In addition to their official
positions, thirteen focal persons were assigned additional duties or activities relating to the
coordination of HIV and AIDS mainstreaming programme, making it more difficult to carry out
such activities. The study also found that eleven of the respondents had good support and
commitment from their management; however nine indicated that they had no specific budget
line for combating HIV and Aids in their offices, ministries and agencies.
The study concludes that attributes such as the level of educational qualifications, knowledge and
experience in HIV and Aids matter. However job grading, type of appointment and
unavailability of time to coordinate HIV and Aids mainstreaming programmes are weakening the
strategy. Furthermore, the study concluded that external attributes to focal persons such as
access to educational opportunities, high grading of chairpersons of ministerial HIV and Aids
committees, availability of terms of reference, management interest in HIV and Aids
programmes, focal persons’ access to management, physical facilities and HIV and Aids related
information can be of great help the focal persons in coordinating HIV and Aids programmes
effectively. Moreover, the study concluded that poor management involvement in HIV and Aids
programmes and poor involvement of focal persons in budget formulation, focal persons’
inaccessibility to financial resources are threatening the use of focal persons in the Public Service
of Namibia. The study recommends that gender balance amongst HIV and Aids focal persons in
the Public Service of Namibia should be considered in all offices, ministries and agencies.
Adequate funding of HIV and Aids programmes, ongoing commitment from leadership,
upgrading of the position of focal persons were also recommended to ensure effective
coordination of the mainstreaming strategy.
AFRIKAANSE OPSOMMING: Die hoofdoel van die studie was om die huidige situasie te ontleed met betrekking tot die
sterkpunte, swakpunte, geleenthede en bedreigings rakende die gebruik van fokuspersone, as
strategiese middel om MIV en Vigs in die Openbare Dienste van Namibië te bekamp.
Inhoudsdata was bekom deur vooraf voltooide vraelyste terwyl kwaliteitsinligting deur
onderhoudsvoering ingesamel is. ‘n Doelbewuste toets-metode is gebruik waarin agt-en-twintig
fokuspersone in die Openbare Dienste van Namibië vir die vooropgestelde vraelyste gekies is en
hieruit is sewe gekies vir inderhoude.
Van die bevindinge was dat sewe van die gekose respondente nominasies deur hul plaaslike
kantore, ministeries en agentskappe gedoen is waarvan vyf persone as beide voorsitters en
fokuspersone moes optree. Van die gekose twee-en-twintig respondente was agttien in besit van
tersiëre kwalifikasies en vier het slegs sekondêre opleiding gehad. Elf van die respondente was
genomineer om te dien, twee om aan te bied, drie om vrywillige diens te lewer en ses was óf
deeltyds óf nie amptelik genomineer om op die MIV en Vigs komitee te dien. Behalwe hul
amptelike posisies, is van dertien van hierdie persone verwag om bykomende diens en aktiwiteite
ten opsigte van die ko-ordinasie van die MIV en Vigs hoofstroom programme te behartig wat dit
moeiliker gemaak het om sodanige aktiwiteite uit te voer. Die studie het ook gevind dat elf van
die respondente bystand van hul beheerliggame gehad het hoewel nege aangedui het dat hulle nie
spesifieke finansiële bystand gekry het om MIV en Vigs in hul kantore, ministeries en
agentskappe te bekamp nie.
Die studie het bevind dat akademiese opleiding, ondervinding en kennis in die veld van MIV en
Vigs belangrik is. Daar is ook gevind dat werkgradering, klassifisering van aanstellings en veral
die tekort aan tyd daartoe bydgedra het tot die verswakking van die program. Dis ook bevind dat
eksterne voordele soos toegang tot akademiese opleidingsgeleenthede, hoë gradering van
voorsitters in ministeriële komitees aangaande MIV en Vigs, beskikbaarheid in terme van
naslaanwerk, belangstelling van beheerliggame, fisiese fasiliteite en inligting beskikbaar oor
MIV en Vigs programme tot groot hulp kan wees vir die ko-ordinering daarvan. Dis ook bevind
dat swak betrokkenheid van beheerliggame in die MIV en Vigs programme en swak
betrokkenheid in die opstelling van fondse vir hulpmiddele deur fokuspersone, ontoeganklikheid
tot finansiële fasiliteite die betrokkenheid van die fokuspersoon bedreig in die Openbare Dienste
van Namibië. Een van die voorstelle is dat die geslagsbalans in die kies van MIV en Vigs fokus
persone in die Openbare Dienste van Namibië in alle kantore, ministeries en agentskappe hersien
word. Genoegsame fondse vir MIV en Vigs programme, volkome oorgawe en samewerking van
leierskap en opgradering van fokuspersone se posisies word ook aanbeveel om sodoende
effektiewe ko-ordinasie van hoofstroom aktiwiteite te verseker.
Please refer to this item in SUNScholar by using the following persistent URL: http://hdl.handle.net/10019.1/49414