Ambivalence, silence and gender differences in church leaders’ HIV-prevention messages to young people in KwaZulu-Natal, South Africa

2010 ◽  
Vol 12 (1) ◽  
pp. 103-114 ◽  
Author(s):  
Elisabet Eriksson ◽  
Gunilla Lindmark ◽  
Pia Axemo ◽  
Beverley Haddad ◽  
Beth Maina Ahlberg
Keyword(s):  
South Africa ◽  
Gender Differences ◽  
Young People ◽  
Hiv Prevention ◽  
Church Leaders ◽  
Prevention Messages ◽  
Kwazulu Natal ◽  
And Gender

scholarly journals Impact evaluation of scripted lesson plans for HIV-related content in a life orientation curriculum: results from two provinces in South Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ilene S. Speizer ◽  
Mahua Mandal ◽  
Khou Xiong ◽  
Ndinda Makina ◽  
Aiko Hattori ◽  
...  
Keyword(s):  
South Africa ◽  
Young People ◽  
Hiv Prevention ◽  
Longitudinal Data ◽  
Condom Use ◽  
Genital Herpes ◽  
Life Orientation ◽  
School Based ◽  
Kwazulu Natal ◽  
And Control

Abstract Background Young people under age 25 years are a key population at risk of unintended pregnancies, HIV and other sexually transmitted infections. School-based programming, focusing on youth under 17 years is strategic given that many in this age group are in school or are required to be in school and spend a considerable amount of their time at school. Prior evaluations of school-based HIV prevention programs for young people often employed weak study designs or lacked biomarkers (e.g., HIV or STI testing) to inform outcomes. Methods This study used longitudinal data collected in 2016 from a cohort of grade-8 girls from Mpumalanga and KwaZulu-Natal Provinces in South Africa. We followed them for 2 years to examine the impact of the South African Department of Basic Education’s revised scripted lesson plans for the HIV and sexual content of a “life orientation” curriculum on knowledge, attitudes, condom use behaviors, pregnancy incidence, and genital herpes incidence. Schools were randomized to intervention and control arms. Multivariable analyses were undertaken using hazard modeling for incidence-based outcomes (genital herpes and pregnancy) and generalized linear latent and mixed modeling for outcomes measured at each time period (knowledge, attitudes, and condom use). Results At end line, 105 schools were included from the two provinces (44 from Mpumalanga and 61 from KwaZulu-Natal). Fifty-five were intervention and fifty were control schools. A total of 2802 girls were surveyed at both time periods (1477 intervention and 1325 control). At baseline, participating girls were about 13.6 years; by end line, they were about 2 years older. Longitudinal data demonstrated few differences between intervention and control groups on knowledge, attitudes, condom use, genital herpes, and pregnancy experience. Monitoring data demonstrated that the program was not implemented as intended. Our results demonstrated 7% incidence of genital herpes in the two-year follow-up period indicating sexual risk-taking among our cohort. Conclusions We did not find significant effects of the revised life orientation curriculum on key outcomes; however, this may reflect poor implementation. Future HIV prevention programs for young people need to be implemented with fidelity to ensure they meet the crucial needs of the next generation. Trial Registration: This study has been registered at ClinicalTrials.gov. The trial registration number is: NCT04205721. The trial was retrospectively registered on December 18, 2019.

Antiretroviral Therapy Based Hiv Prevention Targeting Young Female-Sex Workers: A Mixed Method Approach to Understand the Implementation of Prep in a Rural Area of Kwazulu-Natal, South Africa

2020 ◽  
Author(s):  
Natsayi Chimbindi ◽  
Nondumiso Mthiyane ◽  
Thembelihle Zuma ◽  
Kathy Baisley ◽  
Deenan Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Young People ◽  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Community Members ◽  
Long Distance ◽  
Female Sex ◽  
Kwazulu Natal ◽  
Prep Awareness

Abstract Introduction: Pre-exposure prophylaxis (PrEP) has the potential to alter the HIV epidemic in South Africa. Between 2016 and 2018 PrEP was rolled-out for 18-24 year-old female-sex workers (FSW) in a rural KwaZulu-Natal subdistrict with very high HIV incidence among adolescent girls and young women (AGYW). Using a ‘framework of access’ model, we describe PrEP access, awareness and uptake for AGYW, including community members’ attitudes towards PrEP for young people.Methods: We enrolled a cohort of 2184 AGYW aged 13-22 living within the subdistrict and quantitatively measured their eligibility, awareness and uptake of PrEP and other HIV prevention interventions in 2017 and 2018. We supplemented this insight with in depth exploration by conducting 19 group discussions with young people and community members, nine stakeholder key informant interviews, 58 in-depth interviews with 15-24 year-olds and 33 with implementing partners, and participatory observations. All interviews were recorded, transcribed and analysed using thematic analysis.Results: PrEP awareness increased from 2% to 9% from 2017 to 2018. Among 965 AGYW sexually-active by 2018, 13.4% (95%CI: 11.4-15.7%) reported transactional sex and 10.6% (95%CI: 8.8-12.7%) sex for money. Of these latter 194 PrEP-eligible AGYW, 21 were aware of PrEP, but none had ever used it. Wider community members were generally unaware of PrEP but imagined it would benefit young people, HIV-serodiscordant couples and those in long-distance relationships. Youth saw PrEP as a positive alternative to condoms since it “will be in their system” and not get in the way of sex. Teachers and healthcare providers were more apprehensive: worrying that PrEP would lower personal responsibility for sexual health.Conclusions: Although PrEP awareness increased and it was generally acceptable, uptake was low even among eligible AGYW, i.e., who reported FSW activity. Condom use remained undesirable suggesting a need to include PrEP in offers of alternative HIV prevention technologies to comdoms. The targeted nature of public-sector PrEP for FSW may have limited the reach, and the future broader roll-out, of PrEP in this setting. Inclusive approaches to PrEP provision integrated with wider sexual healthmay help improve demand and access to PrEP.

Personal Involvement of Young People in HIV Prevention Campaign Messages: The Role of Message Format, Culture, and Gender

2006 ◽  
Vol 35 (2) ◽  
pp. 190-206 ◽  
Author(s):  
Cynthia Waszak Geary ◽  
Holly M. Burke ◽  
Laura Johnson ◽  
Jennifer Liku ◽  
Laure Castelnau ◽  
...  
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Personal Involvement ◽  
Prevention Campaign ◽  
Campaign Messages ◽  
Message Format ◽  
And Gender

In their own words: racial/ethnic and gender differences in sources and preferences for HIV prevention information among young adults

AIDS Care ◽  
2013 ◽  
Vol 25 (11) ◽  
pp. 1407-1410 ◽  
Author(s):  
Dexter Voisin ◽  
Cheng-Shi Shiu ◽  
Anjanette Chan Tack ◽  
Cathy Krieger ◽  
Dominika Sekulska ◽  
...  
Keyword(s):  
Gender Differences ◽  
Young Adults ◽  
Hiv Prevention ◽  
And Gender ◽  
Racial Ethnic

scholarly journals Primary healthcare and school health service utilisation by adolescents and young adults in KwaZulu-Natal, South Africa

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Aoife M. Doyle ◽  
Lerato Mchunu ◽  
Olivier Koole ◽  
Sandile Mthembu ◽  
Siphephelo Dlamini ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Young People ◽  
Health Service ◽  
School Health ◽  
Young Person ◽  
Service Utilisation ◽  
Kwazulu Natal ◽  
Health Registers ◽  
Youth Friendly

Abstract Background Young people aged 10–24 years are a vulnerable group with poor health service access relative to other populations. Recent South African initiatives, the She Conquers campaign, the Integrated School Health Policy and the Adolescent & Youth Health Policy, include a focus on improving the breadth and quality of youth-friendly health service delivery. However, in some settings the provision and impact of scaled-up youth friendly health services has been limited indicating a gap between policy and implementation. In this study we reviewed existing sources of data on health service utilisation to answer the following question: ‘What health conditions do young people present with and what services do they receive at public health clinics, mobile clinics and school health services?’ Methods We conducted a retrospective register review in three purposively selected primary healthcare clinics (PHCC), one mobile clinic, and one school health team in Hlabisa and Mtubatuba sub-districts of uMkhanyakude District, KwaZulu-Natal, South Africa. The focus was service utilisation for any reason by 10–24 year olds. We also conducted descriptive analysis of pre-existing data on service utilisation by young people available from the District Health Information System for all 17 PHCC in the study sub-districts. Results Three quarters of 4121 recorded young person visits in the register review were by females, and 40% of all young person visits were by females aged 20–24 years. The most common presenting conditions were HIV-related, antenatal care, family planning, general non-specific complaints and respiratory problems (excluding TB). There were relatively few recorded consultations for other common conditions affecting young people such as mental health and nutritional problems. Antibiotics, antiretrovirals, contraceptives, vitamins/supplements, and analgesics were most commonly provided. Routine health registers recorded limited information, were often incomplete and/or inconsistent, and age was not routinely recorded. Conclusions Measuring morbidity and service provision are fundamental to informing policy and promoting responsive health systems. Efforts should be intensified to improve the quality and completeness of health registers, with attention to the documentation of important, and currently poorly documented, young people’s health issues such as mental health and nutrition.

The personal values of tomorrow's workforce: Similarities and differences across sex and nationality

2010 ◽  
Vol 16 (3) ◽  
pp. 353-368 ◽  
Author(s):  
Margaret Lindorff
Keyword(s):  
Gender Differences ◽  
Young People ◽  
Personal Values ◽  
Future Research ◽  
Relative Importance ◽  
Work Activities ◽  
Value Differences ◽  
Similarities And Differences ◽  
And Gender

AbstractPrevious research has identified that values affect attitudes and behaviour, and value differences may be associated with conflict in organizations. This paper examines potential national and gender differences in values in a group of 345 young people soon to be entering the Australian workforce. Although there were national, and small gender, differences in the importance placed on particular values, the young people in the study were consistent in the relative importance placed on happiness, work success and friendship, and the unimportance of life and work activities that contributed to society. Implications for organizations and suggestions for future research are explored.

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