This thesis examines the reception of material developed by Soul City: Institute for Health and Development in South Africa and distributed in four Sub-Saharan countries: Botswana, Lesotho, Swaziland and Namibia. Soul City is the focus of considerable resource, research and media attention in South Africa. The study thus critically assesses Soul City's efficacy in neighbouring states, such as Lesotho. The focus of the study is on Choose Life; a booklet intended for 12-16 year olds and assesses its reception by the target group in Lesotho. The study investigates how message-decoding practices of the target audience in Lesotho will bear on a product originally designed for a South African audience. The sample's interpretation of the Choose Life booklet is therefore assessed to determine the extent to which their reception produced 'preferred', negotiated or aberrant meanings. Therefore Stuart Hall's encoding/decoding model (1980) offers the theoretical framework upon which the reception of Choose Life is analysed. Development communication models are also used to explain the role of Soul City as the agent and Youth in Lesotho as beneficiaries in the implementation of the project. Results established by this study indicate that there is need to conduct extensive formative research of target audiences and also involve beneficiaries in projects intended for them. Different readings of the booklet were observed which were attributed to age, gender, place of residence (Urban or rural), cultural and communication barriers . This means these factors were supposed to have been considered by Soul City prior to the Choose Life intervention. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2005.

Voluntary Counselling and Testing for HIV is an effective and important strategy for prevention, care and support. The study examines factors affecting utilization of VCT among pregnant women in Lesotho. A combination of quantitative and qualitative methods was employed. The quantitative part of the study utilized the 2004 Lesotho Demographic and Health Survey data and the qualitative study drew on data from focus group discussions among women attending antenatal clinics in Maseru and Leribe. The majority of pregnant women have never been tested for HIV/AIDS. Married women were less likely to go for VCT as compared with those who are not married. The study also established that place of residence, education and marital status were significantly associated with knowledge of HIV/AIDS and ever been tested for HIV. Stigma and discriminations and fear associated with HIV testing were highlighted as the main factors hindering the use of VCT services among pregnant women. However, knowing one’s status in order to access early treatment was the main reason for utilizing VCT. The VCT promotion programme for pregnant women in Lesotho has to focus on enhancing positive perception of VCT and alleviating perceived barriers related to the use of VCT services. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.