Belle J A, Ferriera S B, Jordaan A
Disaster Risk Management Training and Education Centre for Africa Bloemfontein 9300, South Africa.
Department of Social Work, PO Box 339, University of the Free State, Bloemfontein 9300, South Africa.
Afr Health Sci. 2013 Dec;13(4):1117-25. doi: 10.4314/ahs.v13i4.36.
The impact and management of HIV/AIDS in Lesotho in the context of disaster management was investigated.
Lesotho health care workers' perception on HIV/AIDS progression, whether HIV/AIDS was managed as a disaster, and the impact on the demographic profile was investigated.
The empirical investigation included a literature study, and primary and secondary data analyses. Questionnaires (n=116) determined health care workers' perception of HIV/AIDS. Interviews with officers of Lesotho Disaster Management determined how HIV/AIDS was managed as a disaster. National population censuses and data from surveys were summarised to describe the impact of HIV/AIDS on the population structure.
Respondents' modal age group was 25 to 39 years, 28.4% viewed HIV/AIDS related deaths as very high and perceived that HIV/AIDS changed the age composition, sex and dependency ratio of the population. Although HIV/AIDS was declared a disaster, the Lesotho Disaster Management Authority only aided the National AIDS Commission. There was evidence that HIV/AIDS caused the population pyramid base to shrink, and an indentation in the active population.
Health care workers attributed HIV/AIDS to changing the demographic profile of Lesotho, also reflected in the population pyramid. Lesotho Disaster Management Authority played a supporting role in HIV/AIDS disaster management.
在灾害管理背景下,对莱索托的艾滋病毒/艾滋病的影响及管理进行了调查。
调查莱索托医护人员对艾滋病毒/艾滋病进展的看法、艾滋病毒/艾滋病是否作为灾害进行管理以及对人口结构的影响。
实证调查包括文献研究以及对初级和二级数据分析。问卷(n = 116)确定了医护人员对艾滋病毒/艾滋病的看法。对莱索托灾害管理官员的访谈确定了艾滋病毒/艾滋病作为灾害是如何管理的。对全国人口普查和调查数据进行了汇总,以描述艾滋病毒/艾滋病对人口结构的影响。
受访者的年龄中位数在25至39岁之间,28.4%的人认为与艾滋病毒/艾滋病相关的死亡人数非常高,并认为艾滋病毒/艾滋病改变了人口的年龄构成、性别和抚养比。尽管艾滋病毒/艾滋病被宣布为灾害,但莱索托灾害管理局仅协助了国家艾滋病委员会。有证据表明,艾滋病毒/艾滋病导致人口金字塔底部缩小,劳动人口出现凹陷。
医护人员认为艾滋病毒/艾滋病改变了莱索托的人口结构,这也反映在人口金字塔中。莱索托灾害管理局在艾滋病毒/艾滋病灾害管理中发挥了支持作用。