University of Zambia Medical Library
The Impact of HIV/AIDS in Zambia: Household and Community Coping Strategies
(AIDS in Zambia Bibliography #199-202)
- (#199) "Determinants of Relatives' Capacity to cope and its Effects on rejection or
Acceptance of HIV/AIDS Patients in an Urban Community in Zambia"
Nkowane, A.M. (1990), unpublished
Geographical area: National; Keywords: Health care delivery, households; Location: UNZA Medical Library
A pilot study was conducted and the actual study was descriptive with both qualitative
and quantitative components. A structured interview schedule was prepared to gather
information. A convenient sample of AIDS/HIV infected patients admitted to the medical
units of UTH was selected and a sample comprised of 50 subjects/patients and 50
relatives or next of kin was determined. The aim of the study was to determine the
reasons for rejection or acceptance of HIV infected or AIDS patients by the family and
relatives. The study revealed that patients in general did not have support from relatives.
The results also showed that patients were cooperative with the staff. It was
recommended that strategies that promote home care as an integral part of management of the HIV infected person or a person with AIDS should objectively assess the determinants that may influence the capacity of the family to cope and that particular
attention should be paid to determinants that are influenced by the economic situation. -
- (#200) "Community Capacity to Prevent, Manage and Survive HIV/AIDS: Report on the 1991 survey of households in Chiawa"
Wallman, S and Bond, V.A. (1993), unpublished
Geographical area: Chiawa, Lusaka Province ; Keywords: Households, drought ; Location: UNZA - Institute of African Studies
The Chiawa household survey covered an area extending from Mararanika in the south-west down the river [Zambezi] to Mushonganhende in the north-east and up to Kalombo in the Chiawa hills, and was conducted in the period June to August, 1991. A team of local residents was recruited, trained and employed to administer the survey
questionnaire. Because this survey is community based and covers only the resident
population, many migrant workers living in camps in Chiawa were left out. This included all the workers living in the Masstock compound, at the Banana Scheme in the Tsetse Camp, the Roads Camp, the Veterinary Camp and in the game camps. The results indicate that the population as a whole is relatively mobile, and that the migration flows between Chiawa and urban centres, notably Lusaka and Kafue, are significant; there are 165 children who are living in a household without their mothers and there are 31 individuals who are parents with at least one child in residence, but without a spouse in the household. Such individuals could be more vulnerable to HIV/STD infection.
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- (#201) "Community Capacity to Prevent, Manage and Survive HIV/AIDS: Report on
a survey of Migrant Labour Camps in Chiawa (Working paper No. 6) "
Bond, V., Ndubani, P., Macwang'i, M. (1993) Karolinska Institute, Institute
of African Studies
Geographical area: Chiawa, Lusaka Rural; Keywords: Diarrhoea, drought, health care; Location: IAS, UNICEF
The paper presents the findings of the socio-economic survey of 241 migrant workers
living in camps in Chiawa, carried out in December 1991. The majority of the
respondents were men, aged between the ages of 20 to 29. Although most of them were married, 40 per cent of those married did not live with spouse in Chiawa and visited spouses once a month. A significant number of workers are employed seasonally, returning home to other rural areas or towns during the rains. In relation to health, respondents considered the most common illnesses in Chiawa to be diarrhoea and malaria. Chest complaints and STD consistently were considered the third or fourth most common illnesses. 67 per cent believe that AIDS is a serious health problem in Chiawa.
Deaths within their households in the last two years were reported by 195 of camp
households, with witchcraft cited as the third most common cause of death. 10 per cent
of all deaths were attributed to AIDS. Camp workers are more likely to know about and
use the formal health services than villagers, although they are also using informal
treatment options. -
- (#202) "Community Capacity to Prevent, Manage and Survive HIV/AIDS: Death,
Dysentery and Drought: Coping Capacities of Households in Chiawa
(Working paper No. 7) "
Bond, V.A. (1993) Karolinska Institute, Institute of African Studies
Geographical area: Chiawa, Lusaka Rural ; Keywords: Diarrhoea, drought, health care delivery; Location: IAS, UNICEF
This analysis of the impact of three critical events (namely: the death of a young adult
family member from suspected AIDS, a dysentery epidemic and an on-going drought)
on seven Goba households aims to unravel household capacity to cope with abnormal
situations and to postulate why there is a significant variation in how well different
households cope with different crises. How well households coped depended on
personality, plural economic activities, matrilinity, varied treatment options and the
existence of mixed generations within a household. It is ironic that the more capable
households are more likely to care for relatives with AIDS, at the same time undermining
their capacity. The paper concludes by indicating what local conditions, traditions and
coping strategies both prevent and promote HIV/STD transmission.
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Last updated February 4, 1999
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