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Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands

Thesis (MPhil)--University of Stellenbosch, 2007.

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Main Author: Ward, Vivienne
Other Authors: Robins, S. L.
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2012
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access_status_str Open Access
author Ward, Vivienne
author2 Robins, S. L.
author_browse Robins, S. L.
Ward, Vivienne
author_facet Robins, S. L.
Ward, Vivienne
author_sort Ward, Vivienne
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MPhil)--University of Stellenbosch, 2007.
format Thesis
id oai:scholar.sun.ac.za:10019.1/19890
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:43:40.919Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2012
publishDateRange 2012
publishDateSort 2012
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/19890 Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands Ward, Vivienne Robins, S. L. Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Sociology and Social Anthropology. HIV infections -- South Africa -- Stellenbosch -- Social aspects AIDS (Disease) -- South Africa -- Stellenbosch -- Social aspects Social interaction -- South Africa -- Stellenbosch AIDS (Disease) -- Patients -- Care -- Social aspects -- South Africa -- Stellenbosch HIV-positive persons -- Care -- Social aspects -- South Africa -- Stellenbosch AIDS (Disease) -- Patients -- Social networks -- South Africa -- Stellenbosch HIV-positive persons -- Social networks -- South Africa -- Stellenbosch Public health -- South Africa -- Stellenbosch Non-governmental organizations -- South Africa -- Stellenbosch Theses -- Sociology Dissertations -- Sociology Thesis (MPhil)--University of Stellenbosch, 2007. ENGLISH ABSTRACT: This reflexive study of responses to the HIV/AIDS pandemic was set in Stellenbosch, a town in the Cape Winelands that, with its diverse but disjointed population, in many ways is a microcosm of South African society. My question was what happens when the experience of HIV/AIDS, with its personal impacts and global connections, reaches a particular locality in South Africa. I worked on the assumption that the reach of the disease in this specific locality reflects the disconnectedness of people through historical, political, social and economic processes, and that responses to the disease attempt to repair ruptures through integrating people into caring systems of support. By tracking and interrogating responses at public health and service organisation levels as a participant observer, I noted recurrent references to the importance of engaging patients in the treatment process. My observations revealed a transformation in the dyadic relationship between doctor and patient, as well as an embracing reach of networked service organisations, both initiatives striving to render more effective services. In the process relationships developed between patients and service providers at health and social levels, and between providers themselves. Much of the impetus for these local developments was derived from global inputs as local players draw down packaged practices and funds from the global assemblage that Nguyen refers to as the “AIDS industry” (2005a). Thus, I suggest that HIV/AIDS becomes a catalyst for local innovation within globally standardised structures, such innovation being driven principally by building social relationships. AFRIKAANSE OPSOMMING: Hierdie reflektiewe studie aangaande die response tot die MIV/VIGS pandemie is in Stellenbosch, ‘n dorp in die Kaapse Wynlande, gedoen. Stellenbosch se diverse, maar tog onsamehangende, populasie is in verskeie maniere ‘n mikrokosmos van die Suid- Afrikaanse samelewing. My vraag het gevra wat gebeur as die ondervinding van MIV/VIGS, wat persoonlike impakte en globale konneksies insluit, ‘n spesifieke lokaliteit in Suid-Afrika bereik. Ek het gewerk volgens die aanname dat die omvang van die siekte in dié spesifieke lokaliteit die uitskakeling van mense deur historiese, politieke, sosiale en ekonomiese prosesse reflekteer, en dat response tot die siekte poog om ontwrigtings te herstel deur die integrasie van mense in versorgende ondersteunings sisteme. Deur response, op publieke gesondheid en dienslewerings organisasie vlak, as deelnemende waarnemer op te volg en te ondersoek, het ek herhaaldelike verwysings gekry na die noodsaaklikheid om pasiente te betrek in die behandelings proses. My observasies het ’n transformasie in die wederkerige verhouding tussen dokters en pasiente ontbloot, sowel as ’n omvattende omvang van netwerke van dienslewerings organisasies. Beide inisiatiewe streef daarna om meer effektiewe dienste te lewer. In die proses ontwikkel verhoudings tussen pasiente en diensverskaffers op gesondheids and sosiale vlakke, asook tussen diensverskaffers. ’n Groot gedeelte van die dryfkrag agter hierdie plaaslike ontwikkelings spruit uit globale insette namate plaaslike spelers verpakte praktyke en fondse ontvang/trek van die globale groep, wat Nguyen na verwys as die ’VIGS industrie’ (2005a). Daarvoor, stel ek voor dat HIV/VIGS ’n katalisator vir plaaslike innovasie binne globaal gestandardiseerde strukture word, en dat inovasies van die aard hoofsaaklik deur die bou van sosiale verhoudings gedryf word. Masters 2012-03-14T13:38:59Z 2012-03-14T13:38:59Z 2007-03 Thesis http://hdl.handle.net/10019.1/19890 en_ZA Stellenbosch University viii, 128 p. application/pdf Stellenbosch : Stellenbosch University
spellingShingle HIV infections -- South Africa -- Stellenbosch -- Social aspects
AIDS (Disease) -- South Africa -- Stellenbosch -- Social aspects
Social interaction -- South Africa -- Stellenbosch
AIDS (Disease) -- Patients -- Care -- Social aspects -- South Africa -- Stellenbosch
HIV-positive persons -- Care -- Social aspects -- South Africa -- Stellenbosch
AIDS (Disease) -- Patients -- Social networks -- South Africa -- Stellenbosch
HIV-positive persons -- Social networks -- South Africa -- Stellenbosch
Public health -- South Africa -- Stellenbosch
Non-governmental organizations -- South Africa -- Stellenbosch
Theses -- Sociology
Dissertations -- Sociology
Ward, Vivienne
Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands
title Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands
title_full Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands
title_fullStr Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands
title_full_unstemmed Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands
title_short Networks, NGOs and public health : responses to HIV/AIDS in the Cape Winelands
title_sort networks ngos and public health responses to hiv aids in the cape winelands
topic HIV infections -- South Africa -- Stellenbosch -- Social aspects
AIDS (Disease) -- South Africa -- Stellenbosch -- Social aspects
Social interaction -- South Africa -- Stellenbosch
AIDS (Disease) -- Patients -- Care -- Social aspects -- South Africa -- Stellenbosch
HIV-positive persons -- Care -- Social aspects -- South Africa -- Stellenbosch
AIDS (Disease) -- Patients -- Social networks -- South Africa -- Stellenbosch
HIV-positive persons -- Social networks -- South Africa -- Stellenbosch
Public health -- South Africa -- Stellenbosch
Non-governmental organizations -- South Africa -- Stellenbosch
Theses -- Sociology
Dissertations -- Sociology
url http://hdl.handle.net/10019.1/19890
work_keys_str_mv AT wardvivienne networksngosandpublichealthresponsestohivaidsinthecapewinelands