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THE SOCIAL CONSTRUCTION OF IDENTITY IN HIV/ AIDS
    HOME BASED CARE VOLUNTEERS IN RURAL
               KWA-ZULU NATAL
               Naidu, T & Sliep, Y
Outline

    •   Literature
    •   Project outline and situation
    •   Rationale for the study
    •   Research methods
    •   Results
    •   Discussion
Literature


    •   Culture and volunteerism
    •   Identity and volunteerism in HIV care
        and support
    •   Volunteerism Social Capital and Power
Project Outline and Situation

    1. Part of a large project on social capital
       care and support
    2. Subsection of a study HBCV identity
    3. KwaNgcolosi, High HIV infection +
       AIDS
    4. Poverty and unemployment are
       extremely high in the community
    5. Resource strained
Rationale for the Study

    1. No detailed studies on volunteer identity
       motivation participation in SA
    2. Most research on caregivers focuses on
       burdensome, disempowering nature of the
       work
    3. Offers an in-depth perspective on identity of
       women volunteers who provide care and
       support.
    4. Data could be useful in recruitment retention
       and replicating HBCV programmes and
       activities
METHODOLOGY: Sample

  1.   15 Home based care volunteers
  2.   Group called Uthandolomama
  3.   Aged between 25 and 60
  4.   Grade 5 to grade 12 level of education.
  5.   No formal training in nursing or care work
  6.   Nine of the women were married
  7.   All had one or more children.
  8.   isiZulu - first language
METHODOLOGY : Data Collection

   1. Qualitative Narrative Interviews
   2. Translated from isiZulu to English
   3. Three Stage Process
     1.Constructivist Interview
     2.Life Story Interview
     3.Reflective Interview
   4. Participatory Action Approach
     1.Appreciative Inquiry
Home Based Care Volunteers
Reflective Interview
    What did you tell your family about the interviews OR what will
       you tell them?
    From you life story and your work story I have heard that you
       are a hard working, committed, concerned about your future
       and that of your family, good at making quick decisions
       entrepreneurial, innovative ambitious? Would you say that
       this is true of you?
    What would your family the person closest to you or good friend
       say about you as a person – the kind of person you are?
    Would they and your friends agree with this idea of the kind of
       person you are?
    What kind of qualities do you need to have to be a HBCV
    Can anyone be a home based care volunteer?
    Someone said you need the mind of a mother to be a HBCV –
       What are your ideas on what this means?
    Do you agree?
    What are you ideas on why the group is called
    “Uthando lomama”
METHODOLOGY : Narrative Analysis

   1. Phase 1: Assimilating to the data and
      generating baseline themes
   2. Phase 2: Reading for and elucidating
      the context
METHODOLOGY : Narrative Analysis

   1. Phase 3: Reading for and identifying
      themes of HBCV personal identity
   2. Phase 4: Reflexively connecting
      personal, role and collective identity
RESULTS & DISCUSSION
CONTEXT
Social Field                   Meta-Narratives
•Poverty                       •Absent men
•Political unrest              •Aspiring to service oriented
•Lost educational              work
opportunities                  •Motherhood
                               •Religious commitment or
•Absent men                    belief
•Shifting between two          •Traditional aspects of life
worlds                         (Collectivist culture,
•Traditional aspects of life   Polygamy, Hlonipha)
(Collectivist culture,         •Marriage
Polygamy, Hlonipha)            •Culture Care
                  ROLE & COLLECTIVE IDENTITY
                   “Umqondo kaMama”
                   The mind of a mother
ROLE & COLLECTIVE IDENTITY
                          “Umqondo kaMama”
                          The mind of a mother
               PERSONAL /INDIVIDUAL IDENTITY
Personal Narratives
Compassionate doer
Natural helper, Industrious
Hopeful helper
Personal Agency (empowerment through contact with outsiders and training)
Continued personal growth/self improvement
Emotional/constitutional Resilience
Resolved past loss or experience of caring for family member
Strong emotional tolerance
Socialiser
Sense of community
With other carers and community in general
Recognition/Status
Broadening of perspective
Deep connections and personal boundaries – patients, families, other HBCVs)
Acknowledgment of death and preciousness of life??
DISCUSSION

  Context = foundation for understanding the connection
      between the role and collective identity of the HBCVs
      and their personal identity.

  Preliminary work by other researchers
Home Based Care Volunteers
Reflective Interview

    What did you tell your family about the interviews OR what will
       you tell them?
    From you life story and your work story I have heard that you
       are a hard working, committed, concerned about your future
       and that of your family, good at making quick decisions
       entrepreneurial, innovative ambitious? Would you say that
       this is true of you?
    What would your family the person closest to you or good friend
       say about you as a person – the kind of person you are?
    Would they and your friends agree with this idea of the kind of
       person you are?
    What kind of qualities do you need to have to be a HBCV
    Can anyone be a home based care volunteer?
    Someone said you need the mind of a mother to be a HBCV –
       What are your ideas on what this means?
    Do you agree?
    What are you ideas on why the group is called “Uthando
       lomama”
DISCUSSION

  •   Reflective questioning – linking collective and
      personal identity
  •   Witnessing in the process
  •   Opportunity for transformative in research
      questioning that encourages movement from
      endogenous to referent reflexivity
  •   Through the use of a generative metaphor
  •   Uthandolomama             Umqondo kamama

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03 Naidu & Sliep

  • 1. THE SOCIAL CONSTRUCTION OF IDENTITY IN HIV/ AIDS HOME BASED CARE VOLUNTEERS IN RURAL KWA-ZULU NATAL Naidu, T & Sliep, Y
  • 2. Outline • Literature • Project outline and situation • Rationale for the study • Research methods • Results • Discussion
  • 3. Literature • Culture and volunteerism • Identity and volunteerism in HIV care and support • Volunteerism Social Capital and Power
  • 4. Project Outline and Situation 1. Part of a large project on social capital care and support 2. Subsection of a study HBCV identity 3. KwaNgcolosi, High HIV infection + AIDS 4. Poverty and unemployment are extremely high in the community 5. Resource strained
  • 5. Rationale for the Study 1. No detailed studies on volunteer identity motivation participation in SA 2. Most research on caregivers focuses on burdensome, disempowering nature of the work 3. Offers an in-depth perspective on identity of women volunteers who provide care and support. 4. Data could be useful in recruitment retention and replicating HBCV programmes and activities
  • 6. METHODOLOGY: Sample 1. 15 Home based care volunteers 2. Group called Uthandolomama 3. Aged between 25 and 60 4. Grade 5 to grade 12 level of education. 5. No formal training in nursing or care work 6. Nine of the women were married 7. All had one or more children. 8. isiZulu - first language
  • 7. METHODOLOGY : Data Collection 1. Qualitative Narrative Interviews 2. Translated from isiZulu to English 3. Three Stage Process 1.Constructivist Interview 2.Life Story Interview 3.Reflective Interview 4. Participatory Action Approach 1.Appreciative Inquiry
  • 8. Home Based Care Volunteers Reflective Interview What did you tell your family about the interviews OR what will you tell them? From you life story and your work story I have heard that you are a hard working, committed, concerned about your future and that of your family, good at making quick decisions entrepreneurial, innovative ambitious? Would you say that this is true of you? What would your family the person closest to you or good friend say about you as a person – the kind of person you are? Would they and your friends agree with this idea of the kind of person you are? What kind of qualities do you need to have to be a HBCV Can anyone be a home based care volunteer? Someone said you need the mind of a mother to be a HBCV – What are your ideas on what this means? Do you agree? What are you ideas on why the group is called “Uthando lomama”
  • 9. METHODOLOGY : Narrative Analysis 1. Phase 1: Assimilating to the data and generating baseline themes 2. Phase 2: Reading for and elucidating the context
  • 10. METHODOLOGY : Narrative Analysis 1. Phase 3: Reading for and identifying themes of HBCV personal identity 2. Phase 4: Reflexively connecting personal, role and collective identity
  • 12. CONTEXT Social Field Meta-Narratives •Poverty •Absent men •Political unrest •Aspiring to service oriented •Lost educational work opportunities •Motherhood •Religious commitment or •Absent men belief •Shifting between two •Traditional aspects of life worlds (Collectivist culture, •Traditional aspects of life Polygamy, Hlonipha) (Collectivist culture, •Marriage Polygamy, Hlonipha) •Culture Care ROLE & COLLECTIVE IDENTITY “Umqondo kaMama” The mind of a mother
  • 13. ROLE & COLLECTIVE IDENTITY “Umqondo kaMama” The mind of a mother PERSONAL /INDIVIDUAL IDENTITY Personal Narratives Compassionate doer Natural helper, Industrious Hopeful helper Personal Agency (empowerment through contact with outsiders and training) Continued personal growth/self improvement Emotional/constitutional Resilience Resolved past loss or experience of caring for family member Strong emotional tolerance Socialiser Sense of community With other carers and community in general Recognition/Status Broadening of perspective Deep connections and personal boundaries – patients, families, other HBCVs) Acknowledgment of death and preciousness of life??
  • 14. DISCUSSION Context = foundation for understanding the connection between the role and collective identity of the HBCVs and their personal identity. Preliminary work by other researchers
  • 15. Home Based Care Volunteers Reflective Interview What did you tell your family about the interviews OR what will you tell them? From you life story and your work story I have heard that you are a hard working, committed, concerned about your future and that of your family, good at making quick decisions entrepreneurial, innovative ambitious? Would you say that this is true of you? What would your family the person closest to you or good friend say about you as a person – the kind of person you are? Would they and your friends agree with this idea of the kind of person you are? What kind of qualities do you need to have to be a HBCV Can anyone be a home based care volunteer? Someone said you need the mind of a mother to be a HBCV – What are your ideas on what this means? Do you agree? What are you ideas on why the group is called “Uthando lomama”
  • 16. DISCUSSION • Reflective questioning – linking collective and personal identity • Witnessing in the process • Opportunity for transformative in research questioning that encourages movement from endogenous to referent reflexivity • Through the use of a generative metaphor • Uthandolomama Umqondo kamama