<p>Aim: The purpose of the study was to assess the knowledge of the transmission and prevention of HIV/AIDS among secondary school students in Bekwarra, Cross River State, Nigeria / to appraise the students&rsquo / attitudes towards HIV/AIDS / to describe the risky sexual and other behaviours they engaged in and what factors influenced such behaviours. This study was conducted in the area to systematically examine the widely held notion that adolescents were deviating from the strict sexual mores of the Bekwarra people, thereby exposing themselves to the risk of acquiring HIV. Methods: Information was collected using a cross-sectional survey based on a 64 item questionnaire adapted from the Family Health International HIV/AIDS/STD Behavioural . Surveillance Surveys. A random sample of 381 male and female students aged 14 to 18 selected from 12 secondary schools participated in the survey. Results: The level of general awareness of HIV/AIDS was high - 56.9% of participants knew how HIV is transmitted - but their knowledge of STI symptoms was low. Only 24.7% knew at least two STI symptoms in women, while only 20.7% knew at least two STI symptoms in men. One hundred and twenty three (32.2%) students constituting 68 males (17.8%) and 55 females (14.4%) had experienced sexual intercourse. The mean age at first sexual experience was 15.06 years for males and 14.95 years for female students. There was a statistical association between age and experience of sexual intercourse (p = .024). Two thirds (65.0%) of the 123 sexually experienced students had intercourse in the last six months, and only 30 of them (24.4%) had used a condom during their last intercourse. The use of condom was most frequent (10.6%) at age 18 and least frequent (.8%) at age 14. About one quarter (26.1%) of the students had taken&nbsp / alcohol: 17.3% occasionally, 5.5% moderately, and 2.6% frequently. There was a statistical association between taking alcohol and age (p = .038). Over a half (56.1%) of those who had not had sexual intercourse also had not taken alcohol. In contrast, 14.2% had sexual intercourse and also took alcohol, indicating significant statistical association (p &lt / .001). 66.8% of the students had neither used drugs nor taken alcohol, whilst 6.8% had both used drugs and taken alcohol, indicating significant association, (p &lt / .001). There was a similar association between sexual intercourse and using drugs, (p = .002). Conclusions: The study revealed significant high risk sexual behaviour among adolescents in Bekwarra. The high level of risky sexual behaviour and lack of basic knowledge about STIs indicated that access to information is currently insufficient. Health and educational authorities in Bekwarra should utilize the key findings highlighted from this study to design more effective local strategies for sexual health promotion that may help to slow the spread of STIs including HIV/AIDS. Intensive child-friendly programmes for pre-teenagers organized by educators to promote postponement of the early initiation of sexual intercourse may be effective. For adolescents who are unable to control their sexual initiation, improved education on safe sexual practices, especially the use of condoms appears to be necessary.</p>

<p>Since the early 1980&rsquo / s when the first case of HIV was diagnosed, AIDS remains a serious and threatening health crisis in the world. Sub-Saharan Africa is the region most affected by the HIV/AIDS pandemic having 67 % of the 33 million people infected with HIV globally in 2007. Young people aged 15-24&nbsp / account for an estimated 45% of all new HIV infections worldwide. The study aimed to assess the knowledge and attitudes on HIV/AIDS and sexual&nbsp / behavior among 15-19 year olds in Kenya. A descriptive, cross-sectional survey was conducted among 96 students randomly selected from five public&nbsp / schools in Ngong sub-district. Descriptive and bivariate analysis was conducted using Epi Info 3.3 and SPSS. The main findings indicate that a third&nbsp / (31/96) of respondents were sexually experienced. Knowledge level was however found to be inadequate (below 60 %) indicating a poorly informed sample on knowledge about HIV transmission and prevention. The study showed poor attitudes towards the risk to HIV as only 40 % of both males and females supported the use of condoms even when the sexual partners know each other well. Inaddition, risky sexual behaviors were reported by sexually&nbsp / &nbsp / experienced respondents where condom use in last sexual intercourse was (57 %) among males and (20 %) among females.</p>

The purpose of this study is to encourage honest dialogue between the Christian teaching on human sexuality as propounded by the Roman Catholic Church and that advocated by the Zulu traditions and customs. The perceived gap between these two worldviews results in the ineffectiveness ofthe sexual teaching of the Roman Catholic Church in South Africa and the experience of many Zulu Catholics of being tom between their Christian belief and their Zulu cultural roots. This study shows that the dialogue between these woridviews produces a relevant, positive and holistic moral sexual teaching. In order to achieve this end the thesis jlL\.1aposes these worldviews and exposes their compatibility and incompatibility. This dialogue establishes a melting point ofthe Christian sexual teaching on human sexuality and the teaching of the Zulu traditions which produces a Zulu Christian theology of human sexuality. To achieve this end the thesis is divided into si-" chapters. The Introduction outlines the problem and describes the approach that is followed. Chapter Two offers a brief history of the Zulu society. It also deals with the interviews conducted among the senior members of the Kwa-Mzimba village in order to learn ofZulu traditions relating to sexual matters. Chapter Three deals with interviews that were conducted among the young people of Kwa-Mzimba These young people show Zulu traditions and customs in transition in the modem world. Chapter Four outlines the development of the Catholic teaching on human sexuality from the early church to the present day. Chapter Five presents the official teaching of the Catholic Church in Southern Africa, especially in the HIV/AIDS context. Chapter SL"{ brings together the Zulu and the Catholic approaches and practices and gives a Contextualised Moral Sexual Teaching that is both positive and holistic. / Thesis (Ph.D.)-University of Natal, Pietermaritzburg, 2003.

The high levels of HIV prevalence amongst young people in sub-Saharan African countries, have led to the clarion call for researchers to investigate the determinants to young people's sexual risk-taking behaviour while others are exploring the usage of entertainment education (EE) so that effective prevention and interventions may be developed. One critical aspect is that research efforts so far have been hampered by the adoption of models and perspectives that are narrow and do not adequately capture the complexity associated with young people's sexual experiences. The distinctiveness of this study is therefore grounded in the focus on the risky sexual practices students engage in and their underlying risk and protective multisystemic factors and their response to the EE interventions, in particular the Scrutinise Campus Campaign. Thus, using the Problem Behaviour Theory, Reception Theory and the Social Cognitive Learning Theory, this study investigates the phenomena of students' sexual risk behaviour and their response to the Scrutinise Campus campaign. The study is situated within the interpretative paradigm. It used a hermeneutic phenomenological methodology underpinned by in-depth interviews, focus group discussions, participant observation and field notes to draw data for this study. The study sample included students and the Scrutinise Campus Campaign officers. Findings of this study sustain the conclusion that students' sexual risk behaviour is influenced by interrelated, interactional and transactional factors from the multisysternic factors: biological, environmental/social, behavioural and personality domains that either instigate or buffer against students' sexual risk behaviour. However, Scrutinise Campus campaign's messages do not fully address students' sexual risk practices and their underlying factors as experienced by students. It is critical to employ a comprehensive and continuum of EE interventions that are broad in scope arid target factors from multiple systems of influence including the multisystemic factors. Most significantly, sources of protective influence should not be ignored when designing and implementing EE prevention programmes and, to the extent possible, both risk arid protective factors should be addressed in the interventions. This may help to effectively address students' sexual-risk taking behaviour in universities. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2012.

The challenge that confronts South Africa 's emerging democracy is that an increasing percentage of its population is being infected with HIV/AIDS daily . The socio-political impact of the disease has resulted in the development of a variety of macro-level interventions. Despite these initiatives, there has been no decline in the spread of the epidemic. The increasing prevalence of HIV infection among young South Africans in particular, has necessitated an exploration into their risky sexual behaviour. A closer study of the social fields of practice, where knowledge is not only produced, but is constantly contested, negotiated, reproduced and embedded, is suggested. This study uses the principles of feminist theory to focus on gender roles and the related issues of power and risky behaviour. The central argument of this work is that the traditional construction of sexuality, which encourages sexual aggression and promiscuity among young men, alongside female sexual passivity and ignorance, are gendered factors which fuel the spread of HIV/AIDS . In order to examine young peoples' perceptions of the role of gender and risky behaviour, I engaged young people, who were already in the field, to conduct the research. An exploration into the processes of enabling young people to conduct research, while linking the production of meaning to the possibility of human agency and transformative social action, formed an evolving methodology in this work. The research was designed to provide young people with a space for active engagement, participation, immersion and reflection, en route to becoming researchers. Young researchers who conducted research in their youth communities served as deep insider researchers, who possessed an awareness of the slogan systems and semiotics which operated within the cultural norms of the community. The young researchers conducted the inquiry by using a multiplicity of methods, which included visual methodologies, individual interviews and questionnaires. They solicited most of the data from a wider group of 15 to 19 year old African and Indian learners . These learners, who were mainly from a lower socio-economic background, attended the co-educational school, in the province ofKwaZulu Natal in South Africa. The findings of this study reveal how young researchers become empowered by acquiring increased competence in doing research and achieving a greater understanding of the influences of gender and power on risky behaviour. The research report offers methodological insights into the training and enablement of young people as researchers. It reveals how catalytic validity enables a transformation in the young researchers, who, having achieved a heightened understanding of the purpose of the research , actively participated in the research process. The study is significant because it reveals the gradual effacement of the main researcher from the research process, as a natural consequence of engaging young researchers to solicit, generate and interpret data. These new insights evolved as a result of taking the risk of allowing oneself, as a main researcher, to "get off track" and to enter uneven social spaces by doing research differently. / Thesis (Ph.D.)-University of KwaZulu-Natal, 2006.

This exploratory study investigates the factors that facilitate or inhibit the uptake of voluntary counseling and testing (VCT) among students aged 18-24 at the Howard College campus of the University of KwaZulu-Natal. It also examines the sexual behaviour of the students in order to determine if, and to what they are at risk of HIV infection. The study used a self-completed survey questionnaire to elicit participants' responses. On one hand, the key factors that were found to motivate the students to undergo VCT include: the desire to know one's HIV status, peer influence, future planning and commitment to long-term relationships. On the other hand, factors that inhibit VCT uptake among students include lack of awareness, low risk perception, stigma, fear of an HIV positive test result, lack of confidentiality, long waiting period to secure an appointment, and perceived lack of benefits of counselling . The study also established that among the sexually active students, some engage in risky sexual behaviour such as involvement with multiple sexual partners and inconsistent condom use. In the light of the findings, the study recommends measures that would be taken to improve VCT uptake amongst students, and contribute in curbing the spread of HIV. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2005.

In the global HIV/AIDS pandemic, men who have sex with men (MSM) have experienced high levels of infection. Consequently, this population is considered a crucial target for prevention, care, and treatment efforts. In sub-Saharan Africa, however, most HIV transmission occurs via heterosexual intercourse, and 60% of HIV cases are women. African HIV epidemics are thus classified as “heterosexual” phenomena, and MSM are rarely targeted by public health programming. Epidemiological studies now show that African MSM often have greater HIV prevalence than the general population. Behavioral research further indicates elevated sexual risk and low prevention-related knowledge levels among these men. Moreover, denial, stigmatization, and criminalization of male homosexual conduct across Africa have created social climates in which MSM remain “hidden,” fearing rejection or arrest. This has heightened their vulnerability to HIV infection. To counteract this trend, public health advocates call for prevention interventions adapted to the needs of African MSM. In a few countries, local NGOs have begun mobilizing around the “MSM issue.” However, little information exists about HIV prevention among MSM in sub-Saharan Africa and the associations undertaking it. Using a case study of one such association – Alternatives-Cameroun – this project aimed to explore the factors affecting design and implementation of HIV prevention interventions for MSM in Cameroon. Homosexual conduct is illegal in Cameroon, and MSM are frequently harassed and arrested. Nonetheless, Alternatives-Cameroun has launched prevention programming that reaches “hidden” MSM and addresses their unique characteristics. Through qualitative research involving stakeholder interviews and personal observation, this project found that local, national, and international factors all influence choices of intervention content and delivery formats. Interventions are designed by Cameroonian MSM, for Cameroonian MSM, but are also informed by empirical research and outreach principles drawn from other contexts. Implementation is a challenge in Cameroon’s hostile and resource-poor environment: stakeholders bear physical, emotional, and financial burdens during outreach. However, internal dynamics and foreign support help Alternatives-Cameroun mitigate these obstacles. This project reveals that understanding local realities and reinforcing multi-sectoral mobilization around MSM issues are important first steps towards launching HIV prevention interventions for MSM in sub-Saharan Africa. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

Aim: The practice of virginity testing was done from the early twentieth century in KwaZulu-Natal. Many regard virginity testing as the only way to revitalize what they view as lost cultural values. The aim of the study is to understand the reasons for undergoing virginity testing from the perspective of adolescent girls and boys. The study will explore the importance attached to virginity testing by adolescent girls and boys. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

The literature reviewed reveals changing attitudes towards sexuality generally and towards sexuality and the elderly in particular. These changes are ' .... represented by a shift from religious organization of moral life to increasingly secular regulation embodied in the emergence of new medical, psychological and educational norms' (Weeks 1986,p.33). However, it seems that these changes have not necessarily affected provision of care for older persons in a positive way. This study focusses on attitudes of older women, housed in traditional large residential units, and attitudes of caregivers of the residents in such units, towards human sexuality. Data was obtained by means of the administration of the Sexual Attitude Scale (Hudson and Murphy, 1976) which is a summated rating scale. The attitudes of subjects toward self-determination in human sexuality in the context of the aging person's life are specifically considered. The major findings of the study were that residents attitudes towards human sexuality were generally extremely conservative. However, this clearly did not extend to a belief that sex was only for the young. Attitudes expressed by staff towards human sexuality were on the whole liberal and they agreed that sex was not only for the young. However, although caregivers support the idea that sexuality in the later years is important in theory, their actions do not bear this out. The findings have implications for the prevailing arrangements for caring in traditional large residential care units with respect to house rules, and education in human sexuality for residents, staff and relatives of the elderly. / Thesis (M.A.)-University of Natal, Durban, 1992.

Purpose: To explore sexual practices of married women, which make them vulnerable to HIV infection in a rural setting, and the implications such practices have for the HIV/AIDS epidemic. Methodology: An ethnographic approach was used to explore the phenomenon of, which was sexual practices of married women, both ancient and contemporary. Unstructured interviews and focus group discussions were undertaken. The researcher applied the principle of theoretical saturation and a total of fifty participants were included in the study. All the interviews were taped and transcribed. Data analysis was done manually by the researcher, using themes and sub-themes. Findings: Married women engage in short term sexual relationships with secret lovers which are either concurrent or frequent while their husbands are away on migrant labour. A number of factors that cause women to engage in such risky sexual practices were identified. Some of these factors included scarcity of men due to migration and economical resources, the fact that women cannot negotiate safe sex due to gender and cultural factors; limited knowledge of infections particularly HIV/AIDS, life skills including their sexual rights and how to exercises these rights, and economic skills. Recommendations included the designing of an intervention program to sensitise and empower women on factors that make them vulnerable to HIV infection. Conclusions: Married women in the rural KwaZulu-Natal indulge in multiple concurrent or successive extramarital partnerships in the absence of their migrant men. These sexual practices place them in a vulnerable position to get HIV infection as they engage in risky sexual behavior without condom use. They also have fear of being rejected by their secret lovers and their own husbands because of women's economic dependency on men. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.