Perceptions of the Availability and Effectiveness of HIV/AIDS Awareness and Intervention Programmes by People with Disabilities in Uganda

The World Health Organization has recommended collaborative activities between TB and HIV programmes with routine counselling and testing for HIV among TB patients in order to improve the uptake of HIV services. We carried out qualitative research interviews with 21 TB patients in four selected TB and HIV/AIDS treatment centres in the Northwest Region of Cameroon to explore the facilitators and barriers to HIV testing. The desire to be healthy and live longer from knowing one's status inspired by the anticipated support from loved ones; faith in a supreme being; influence and trust in the medical authority; encouraged HIV testing. Men also demonstrated their masculinity by testing; thus portraying themselves as positive role models for other men. Meanwhile; the overwhelming burden of facing both TB and HIV simultaneously; influenced by the fear of disclosure of results; harmful gender norms and practices; fear of stigma and discrimination; and misconceptions surrounding HIV/AIDS deterred HIV testing. However; as a result of conflicting emotional experiences regarding to test or not to test; the decision-making process was not straightforward and this complex process needs to be acknowledged by health care providers when advocating for routine HIV testing among TB patients

Trans-Cultural Nursing : Exploring the Experiences of International Students Visiting Namibia

"In a rapidly changing world; where people from diverse cultures move about more readily; nurses may find themselves faced with patients and clients with a totally different world perspective and health belief system. Because this aspect has long been recognised by nurse educators; many educational institutions; in a proactive fashion; have incorporated trans-cultural nursing content in their nursing curricula. As possible options for students to gain clinical exposure in caring for a culturally diverse population; educational visits by student nurses to foreign countries have been increasingly accepted and credited. Namibia is amongst the countries that are visited by foreign nursing students; who are usually well-prepared with regard to what is required during their clinical exposure; as their educational institutions provide them with instructions and objectives. However; they are not as well-prepared in respect of ""acclimatising"" to the country per se and the world view of Namibians. In fact; it appears that there is a huge gap between their expectations and reality. Consequently; it becomes necessary to provide them with basic guidelines to bridge this discrepancy and to make their visit more meaningful. A qualitative; explorative; descriptive and contextual study was conducted to determine the nature of their experiences. Data were collected over a period of four years by means of narratives that were written by students who had spent at least 12 weeks within the Namibian health care services as visiting nurses. Three themes emerged; namely (1) experiences relating to recognition of differences in care delivery; (2) experiences relating to feelings of culture shock; and (3) appreciation for experiencing a cultural encounter. Based on these themes; guidelines were constructed. These guidelines addressed aspects such as the health structure of the country; health belief systems; legal aspects; and the philosophy of nursing care in Namibia."