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    UNIVERSITY OF DAR ES SALAAM

    RESEARCH PROPOSAL FOR PARTIAL FULFILLMENT OF MASTERS OF

    SCIENCE IN COMPUTER SCIENCE BY COURSEWORK AND DISSERTATION

    1.0 NAME OF CANDIDATE: Kiyao, Fadhili (Reg. No. 2009-06-00193)

    (BSc. in Computer Science, UDSM)

    2.0 NAME OF SUPERVISOR: Dr. G. Justo

    3.0 DEPARTMENT: Computer Science Unit

    FACULTY: School of Informatics and Communication Technology (SCIT)

    4.0 PROPOSED DEGREE: MSc. in Computer Science

    5.0 TITLE: ICT as a tool to enhance voluntarily counseling and testing for

    HIV/AIDS in Tanzania: A case of designing online TAWG

    HIV/AIDS counseling system

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    6.0 Introduction

    6.1 General Introduction

    The human immunodeficiency virus (HIV) infection, which can cause acquired

    immunodeficiency syndrome (AIDS), has shown a high degree of prevalence in

    populations all over the world. According to the World Health Organization (WHO)

    reports, it shows that about 33.4 Million people were living with HIV/ AIDS in the

    world where 22.4 Million were from Sub-Saharan Africa to December 2008 (WHO

    AIDS epidemic update, 2009).

    Knowledge of HIV status has always had the potential for benefiting an individuals

    health and wellbeing and for helping to prevent the further transmission of HIV.

    Knowledge of HIV status has been especially beneficial when it has enabled people to

    access care, support and treatment, in the form of psychosocial support; home based

    care; nutritional support; palliative care; treatment for opportunistic infections,

    tuberculosis and sexually transmitted infections; and antiretroviral therapy (WHO,

    2002).

    Knowing HIV/ AIDS status is only possible if an individual undertakes HIV/ AIDS

    testing, which is initiated by voluntarily counseling which prepares the individual to be

    ready willingly to undergo the testing and know his or her status.

    HIV testing has also been problematic in the context of clinical care. This is because, in

    many places, HIV testing has reportedly either not been conducted at all as part of

    clinical care or has been conducted without consent, confidentiality, counseling, the

    provision of results or any follow-up care to benefit health. Even in places where people

    with AIDS occupy more than 50% of hospital beds, almost none of these people have

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    been diagnosed as HIV positive or told that they have AIDS. Although this

    phenomenon may result from fear that these patients will face discrimination or be

    denied health insurance, etc., if they are diagnosed as having AIDS, it also appears to be

    a form of medical denial that ultimately does not serve the best interests of these people

    or their families or communities (WHO, 2002).

    The aim of this study is to investigate the current procedures of voluntarily and

    counseling for HIV/AIDS, also to investigate how the existing information technology

    is utilized to support Counseling and testing for HIV/AIDS. From this investigation a

    new strategy will be suggested on the utilization of information technology to improve

    the access to information and the counseling and testing of HIV/AIDS. After suggesting

    the new strategies, an online HIV/AIDS counseling system for TAWG will be

    developed, implemented and tested in order to cover all gapes that face to face

    counseling is facing.

    6.2 Statement of the Problem

    Online counseling provides an alternative to traditional face-to-face counseling at a

    time when traditional methods are inaccessible, inconvenient, or not preferred. Online

    counseling may be a useful alternative for people, unable to make it to a counselors

    office, live in a remote area, have a disability, limited time constraints, or would like to

    get an idea of how counseling works before seeing a counselor face to face.

    Knowledge of HIV infection is necessary to access many forms of HIV-related support,

    care and treatment. As drugs become more affordable and political commitment and

    financial resources in support of access rise, greater access to care and treatment,

    including antiretroviral therapy, is becoming much more of a real possibility.

    Programmes are in place to increase the access to antiretroviral drugs in general and in

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    particular, to prevent mother-to-child transmission. Further, where treatment, care and

    support have become more widely available; stigma and discrimination, which have

    always been disincentives to HIV testing, have reportedly decreased.

    Given that the changing landscape of the HIV/AIDS epidemic has resulted in new

    opportunities as well as new imperatives to increase knowledge of HIV status, there is a

    need to explore approaches to delivering HIV testing and counseling services.

    6.3 Objectives of the Research

    6.3.1 General objective

    The objective of the study is to investigate the current procedures of voluntarily and

    counseling for HIV/AIDS, also to investigate how the existing information technology

    is utilized to support Counseling and testing for HIV/AIDS.

    6.3.2 Specific Objectives

    To study the operations of the normal counseling services for HIV/ AIDS

    To propose ICT based techniques for counseling services for HIV/ AIDS

    To implement the proposed techniques by building a online virtual counseling

    services for HIV/ AIDS for Tanga AIDS Working Group (TAWG)

    6.4 Research Questions

    The following are some research questions that will be answered by this study:-

    What are the existing problems facing face to face counseling system for

    HIV/AIDS

    What are the problems facing online counseling services

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    How can ICT be used to enhance/ facilitate counseling services for HIV/ AIDS

    6.5 Significance of the study

    This research will address the importance of using Information and Communication

    tools as one of the way to improve access to information relating to HIV/ AIDS. Hence

    encourage people to attend the newly designed voluntarily counseling and testing for

    HIV/ AID since most people are avoiding to visit counseling and test due to forbear of

    people to think that there are affected since these services will be available anywhere

    6.6 Literature Review

    6.6.1 Information about TAWG

    The Tanga AIDS Working Group (TAWG) is an innovative non-governmental

    organization in Tanzania dedicated to caring for people with AIDS and reducing the

    spread of HIV. The main Objectives of TAWG is: -(http://www.tawg.net/Services.php)

    To provide home-based care and support to people living with AIDS and their

    families.

    To collaborate with traditional practitioners.

    To prevent the spread of HIV / AIDS through community-based education

    Programmes.

    To provide guidance and assistance to other organizations working on Aids

    6.6.2 AIDS Counseling services in Tanzania (Limitations faced)

    Provisions of HIV/AIDS counseling services in Tanzania started in 1988. In 2001,

    ANGAZA Program received a grant from USAID to enhance counseling and testing

    services in the country. However, Tanzania indicator survey of 2003-2004 indicated

    that 15% of people aged 15 to 49 years tested HIV. A national HIV testing campaign

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    was realized as one of the approaches for scaling up counseling and testing services as

    entry to HIV prevention, care and support services. ANGAZA Program supported

    launch of campaign in mid July 2007 and scaling up the campaign in the country.

    The number of VCT sites has increased considerably during 2003 2007

    implementation period. There were 1,027 VCT sites by the end of 2006, compared to

    289 in 2003. This number includes sites in health facilities and stand alone sites. The

    geographic distribution of VCT sites is still inequitable, with an urban bias, although all

    districts have at least 4 sites. The number of clients counseled and tested has increased

    to 680,520 in 2006, up from about 140,000 in 2003. (NMSF, 2007)

    Despite this considerable roll-out of service availability, the uptake of VCT in the

    country is still quite low. According to the Tanzania HIV/AIDS Indicators Survey

    (THIS) 2003/04, only about 15% of men and women are reported to have ever

    undertaken an HIV test. Women and men living in urban areas are two to three times

    more likely to have been tested than those in rural areas. One of the reasons for the low

    uptake is related to limited access to VCT services, particularly in the rural areas. Low

    public awareness about the benefits of knowing ones HIV status, insufficient human

    resources with skills in counseling and fear of stigma are also barriers to increased VCT

    utilization and the lack of care and support after HIV testing. The recent National

    voluntary HIV testing campaign aims at increasing the number of Tanzanian who know

    their HIV status and thus to take action to protect themselves and others

    6.6.3 Computer Technology as a tool to improve Social Services

    It is a good time to consider the power of current technological advances. Increasingly,

    communication and information technologies have become part of our everyday lives.

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    The use of computers is increasing day by day, because they are used in many fields to

    make our lives easier (Bayhan, Olgun, & Yelland, 2002). Computers can present crucial

    information and offer effective tutorial (An instructional book or program that takes the

    user through a prescribed sequence of steps in order to learn a product) instruction

    (Cammarata, 2006). Computers also connect us with other people, store vast amounts of

    data, and provide us with access and entertainment (Yelland, 2002).

    6.6.4 Computer Technology in Education and Learning

    Computer technology has important transformative effects on society (Logan, 1995). It

    provides concrete experiences, helps children control the learning experience (Papert,

    1998), and supports children's development in all domains, as they use computers to

    investigate questions, solve problems, explore, and manipulate objects on a screen

    (Dodge, Colker, & Heroman, 2003). For example, children can use computers to

    investigate questions by using a program that teaches number concepts. Such a program

    might allow children to create "monsters," for example, by adding the right number of

    body parts. Also, children can explore with computers, using software programs that

    label vocabulary with pictures, written words, and spoken words. Such software

    programs often verbally identify an object when the child clicks on it. Some software

    programs allow children to match pictures of images to their beginning letters (Dodge

    et al., 2003).

    Approaches to the use of ICT in education are presented within the context of education

    for a multidisciplinary human services workforce. A range of approaches are

    considered predominantly using a blended approach of ICT and face to face delivery.

    These include creating and sustaining community in a virtual environment to develop

    inter-professional skills. A focus of skill development is on reflective practices using

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    online role-plays and group work principles and processes in virtual situated learning

    environments. Issues for professional practice cultures in the online environment are

    considered within a global context (Martin, Jennifer & Hawkins, and Linette).

    6.6.5 Computer Technology in Health

    Information and communication technologies have changed the face of the world we

    live in. ICT enables people to communicate with family, friends and colleagues around

    the world instantaneously, gain access to global libraries, information resources, and

    numerous other opportunities. ICT may also bring an improvement in health care

    delivery systems. So, we may define Information and Communication Technology as

    one of the driving forces of globalization ICT encompasses the broad spectrum of

    communication technologies from radio, film, television, press, and telephone along

    with more participatory forms such as theatre, video or storytelling. It also focuses on

    the electronic end of the spectrum such as e-mail, the Internet, mobile phones and

    digital video.

    The science and practice of health or medical informatics changed radically in the late

    1970s and early 1980s when computer use began to become increasingly common in

    healthcare environments (Shortliffe & Blois 2006). Since then, improvements in the

    speed and processing power of computers, computer networks, and the Internet has led

    to increased accessibility and availability of information for healthcare professionals to

    support their decision-making processes (Vimarlund et al 2008; Rose 2005; Winkelman

    & Leonard 2004; Chamorro 2001). According to Hassett (2002): A health information

    system (HIS) encompasses a wide array of applications and information systems that

    are linked or interfaced. A HIS supports the provision of care to patients and the

    business aspects of the healthcare organization by communicating information. It is

    now hard to imagine healthcare without information and communication technology

    (ICT) based applications for both the accumulation and interchange of clinical

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    information (Ammenwerth et al. 2004). This is in part because ICT-based applications

    have been recognized as enablers. This means that they are tools that offer solutions to

    the problem of the increasing accumulation of patient data (Timpka et al 2007;

    Andersen et al. 1994; Friedman 1996). Due to their central role in enabling ubiquitous

    access to information, ICTbased systems ensure a more efficient use of healthcare

    organizations scarce resources (Harrison et al. 2007; Rahimi et al 2008; Pardes et al.

    2006).

    6.6.6 Trust Management in online counseling services

    For the Internet it is necessary to establish a foundation of trust among the participants,

    in order to be accepted as a viable platform, where the big companies can migrate their

    current desktop software applications. Trust is often mentioned in the context of e-

    commerce and has been developed over time through the formation of appropriate

    policies, procedures and practices to safeguard transactions and company assets

    (Furnell, M. S et al, 1999). The objective of security should be to manage risks by

    anticipating what is probably going to happen and limiting the risk exposures that could

    injure an organization's reputation. Perfect security is hard to achieve, infinitely

    expensive and often not a rational goal (Singhoi, A, 2000)

    6.6.7 Mode of payments for social online Services

    In the book at home

    6.6.8 Computer Technology in HIV/ AIDS Fighting (Related works)

    6.6.8.1 Online counseling platform for Mexican University

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    It integrates the database and communication tools needed to administer access and

    disseminate information between Course tutors and their students. On the student

    screen contains a number of features like a calendar where students can solicit and then

    program personal sessions with their tutors. Aims at providing students with the

    opportunity to reach their personal and professional growth and contribute to their

    ultimate success.

    6.6.8.2 Grace Tree Counseling services

    Provides counseling services on Grief and loss issues, Survivors of family suicide,

    Depression & anxiety, marital and relationship issues, separation and divorce recovery,

    sexual abuse and incent and sexual addiction and abuse.

    (http://www.gracetreecounceling.com)

    6.6.8.3 Ask the internet therapist services

    Have therapists who are committed to working with people who are interested in

    improving their overall mental health, reducing anxiety, and enhancing relationship

    skills. Our online counselors are skilled in the areas of relationship counseling, love

    addiction, codependence, stress, assertiveness, dysfunctional family counseling, and

    chemical dependence counseling. We are confident that we can assist you in making the

    connection with your loved ones more rewarding and meaningful.

    (http://www.asktheinternettherapist.com/healthcare_medical_clinic_services.asp)

    6.6.8.4 ICT based HIV/AIDS education

    ICT-based HIV/AIDS education and counselling services have been developed in

    various African countries, such as Uganda and Tanzania [Bloome 2001; Duveskoq

    2008]. The existing e-learning approaches for HIV/AIDS education provide limited

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    educational services to children with most solutions presenting static online content,

    carton-based stories and social networks using email as a means of communication

    [Bada and Suhonen 2008]. There is need to have a conceptual and pedagogical design

    of e-learning environment, which is aimed to provide a fresh perspective to the

    HIV/AIDS education and counselling services for Tanzanian. The design of TAWG

    online counselling service will provide the way forward to have an application that can

    cover all needed areas for Tanzanians.

    6.6.9 Different Approaches to Systems Development

    Systems Development

    Systems analysis is all about getting a detailed understanding of information relating to

    a proposed system collected previously (Avison and Shah, 1997).

    The phases of systems development are feasibility study, analysis, design,

    implementation, testing and maintenance .These phases of project development are the

    standard phases used more or less in all texts on systems analysis and software

    engineering. It is generally referred to as theLinear Life Cycle (Pressman, 1992).

    Alternative methods of Systems Development:

    There have been many criticisms of the Linear Life Cycle. Thus, the Linear Life Cycle

    is looked on as way too simplified for the complexities of the real world. The following

    are some of the alternatives available to the simple Linear Life Cycle model.

    Prototyping

    Gerri (1999) define a Prototyping as the process of building a model of a system. In

    terms of an information system, prototypes are employed to help system designers build

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    an information system that intuitive and easy to manipulate for end users. Prototyping is

    an iterative process that is part of the analysis phase of the cycle (Gerri, 1999).

    With prototyping the user feedback gained from developing a physical system that the

    users can touch and see facilitates an evaluative response that the analyst can employ to

    modify existing requirements as well as developing new ones (Gerri,1999).

    There are number of the advantages of the prototyping but some of them are reduced

    time of system development and decreases of cost in development process. Prototyping

    results in higher user satisfaction and expose developers to potential future system

    requirement (Gerri, 1999).

    The negative side of the prototyping includes the dangerous of the system being left in

    insufficient analysis. According to (Gerri, 1999) argues that now there is widespread

    use of prototypes of its advantage of inherently increase the quality and amount of

    communication between the developer/analyst and the end user.

    A Spiral Model

    This model aims to combine the best elements of the Linear Life Cycle and Prototyping

    but adding the new element of risk analysis (Pressman, 1992).

    Object Orientation (OO)

    Object orientated systems development requires the developer to think in terms of

    objects and object classes (Avison and Shah, 1997). This means that every attribute of a

    system is modeled just like it is in reality.

    7.0 Materials and Methods

    7.1 The study area

    The study areas for this case will be Tanga AIDS Working Group (TAWG).

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    7.2 Methods

    The following are techniques which will be used in the analyze of the current

    system of the flow and processing of information on HIV/ AIDS Counseling

    services Accurate information about HIV/ AIDS.

    7.2.1 Primary source of data.

    Observation

    The observation will be made on how the face to face voluntarily counseling for

    HIV/AIDS is conducted how it can be modeled to cover distance counseling

    services.

    Interview

    The general questions will be asked from client that will help in collecting the user

    requirements. Most of prepared questions are open-end question in order to explore as

    much as information from the client. To analyze the data collected from open-end

    questions, qualitative analysis methods will be used where data will be examined and

    compared. The meaningfulness of the data will be determined by established goals and

    objectives of the research.

    7.2.2 Using a secondary source of Data

    The review of the literature from previous research on how other countries

    process their online counseling services will be conducted. Other document for

    HIV/AIDS counseling services will be reviewed.

    7.2.3 Software requirement analysis

    This will involve the following activities; develop the understanding of the

    application domain and Interact with the stakeholders in the system like Ministry

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    of Health and Social welfare, Tanga region Medical Officer, Counselors and the

    community as whole to know their requirements.

    7.3 Materials

    On designing the system, MySQL DBMS will be used to implement the database

    schema, the PHP scripting language for creation of the user interface and link to

    database. Apache will be used as a web server. The reason for choosing the above

    tool is because they are open source. (i.e. free to use)

    7.4 System Testing

    The unit test will be done first and after integration of different units, the whole

    system will be also tested. The system testing will be conducted to identify the

    correctness, completeness, security and quality of developed computer software.

    Testing will be performed on behalf of the stakeholders that are intended to reveal

    quality related information about the product with the respect to the context in

    which it is intended to operate.

    7.5 Software architecture

    The architecture of a software system refers to an abstract representation of that

    system. Researcher will produce one or more 'models' of what he see a system

    eventually look like, with ideas from the specification section either used or discarded.

    A document will be produced with a description of the system, but nothing is specific

    (Pressman, 2000).

    The figure below shows us the overview system architecture. It depicts all important

    parts of the system from the user (counselee) to the counselor.

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    AIDS related

    Information

    Social

    Networks

    Online

    Multimedia

    Content

    Online

    Counselling

    Services

    HUMAN COMPUTER INTERFACE

    HIV/AIDS Preventive

    educational Material

    Online Informational

    Materials

    Social Networks

    Counsellor to-Counsellor

    Communication

    Counselee to

    counsellor

    communication

    Web-based

    Counselling

    Online Counsellor

    Online counselling

    Database

    Digital Resources

    Interactive onlinecontentdevelopment using

    php, DHTML, JavaScripting

    Web 2.0 technologiesfor social networking

    Web based database for

    automated counselling.Use of communication

    tools chats, skype

    TECHNOLOGIES FOR DIGITAL COUNSELING ENVIRONMENTDEVELOPMENT

    TECHNOLOGICAL

    REQUIREMENT

    Figure 1: Overview of the system Architecture

    8.0 Research Gap

    Online counseling provides an alternative to traditional face-to-face counseling at a

    time when traditional methods are inaccessible, inconvenient, or not preferred. Online

    counseling may be a useful alternative for people, unable to make it to a counselors

    office, live in a remote area, have a disability, limited time constraints, or would like to

    get an idea of how counseling works before seeing a counselor face to face. This

    research is expected to cover the gap which is not covered by face to face counseling.

    9.0 Research Contribution

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    This is expected to contribute much not only in the field of computer but also to the

    community.

    9.0.1 Contribution in the field of Computer Science

    A new tool will be developed which will b used as a platform for other computer

    scientist to do other researches based on it.

    9.0.2 Contribution to other fields

    This research is expected to produce much contribution to other field like Health

    Science and counselling area as it will provide them with a new tool for their daily

    activities

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    10.0 References:

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    Papert, S. (1998). Technology in schools: To support the system or render it obsolete?

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    Timpka, T., Bng, M., Delbanco, T., Walker, J., 2007. Information infrastructure for

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    11.0 Other Relevant Information

    11.1 Estimated Budget

    Item No Items Cost(Tshs)

    1 Data collection, Analysis Design and implementation 1,700,000

    2 Dissertation Report Writing 500,000

    3 Stationary 800,000

    4 Contingence 300,000

    Total Budget Costs 3,300,000

    Table 1: Estimated budget

    11.2 Research Schedule

    Activity 2010 2011

    Jul

    y

    Au

    g

    Sep

    t

    Oct Nov De

    c

    Jan Fe

    b

    Ma

    r

    Ap

    r

    May Jun

    Data

    collection

    Data

    Analysis

    System

    Design

    System

    Implementati

    on

    Report write

    up and

    submission

    Table 2: Research Schedule

    21

  • 8/2/2019 Proposal Draft 2 Completed

    22/22

    Date

    ..

    Kiyao,

    Fadhili

    (2009-06-00193)

    SUPERVISOR COMMENTS:

    ..

    Signature:Date: