This quantitative study sought to identify and describe factors influencing HIV disclosure and sexual practices among 340 PLWHA on ART at Mbabane National Referral VCT/ART Centre, Swaziland. Data were collected using a structured questionnaire. A high general HIV disclosure rate (94.1%; f=320; N=340) was observed of which 57.5% (f=184; n=320) was to sexual partners. X2 procedures indicate an association with gender, residential region, religion, and period of being on ART. The majority (70.2%; f=179; n=255) of the respondents used condoms all the time to avoid infecting their sexual partners (99.2%; f=243; n=245) and to avoid contracting STIs (99.2%; f=243; n=245). X2 procedures indicate an association with gender, residential region, marital status, number of sexual partners, knowledge of the HIV status of sexual partners and period of being on ART. The single leading reason for not using the condom was sexual partners’ refusal to use condoms (85.7%; f=54; n=63). / Health Studies / M.A.(Health Studies)

This research study focuses on the sexual encounters of teenagers. Teenagers do not always have private intimate places of their own and tend to use school grounds, toilets and classrooms to engage in sexual activities. Recently, various newspapers published articles about teen pregnancy and sex on school grounds. The alarming rate of sexual activities at schools among South African teenagers became a driving force for the researcher to investigate this phenomenon. The goal was to develop in-depth understanding of the experiences of teenagers being engaged in sexual activities at school and social work support required. A qualitative approach was employed following explorative, descriptive and contextual research designs. The study was conducted in the Gauteng province. Semi-structured interviews were employed to collect data. Purposive sampling was utilised. Analysis of data was conducted according to Tesch (cited in Smit, 2002) and Guba's model (cited in Shenton, 2004) was employed for data verification. / Social Work / M.A. (Social Science (Social Work))

Aims: The study was aimed at exploring adolescents‟ level of knowledge of HIV/AIDS and the influence this knowledge has on their sexual behaviour. Methods: In total, 20 in- depth interviews were conducted from a group of 20 (both males and females) secondary school learners. The interviews were audio taped with consent from participants. Results: The results of the study showed that participants possess basic knowledge of HIV/AIDS, including methods of prevention and transmission. No serious misconceptions about modes of transmission of HIV were found in this study. Although, participants reported condom use, no sexual intercourse with multiple concurrent partners and no intergenerational sexual relationships, the findings revealed some risk factors such as early sexual debuts, early dating, multiple sexual partnerships. Conclusions: The aforesaid sexual behaviours and the sexual activeness among learners is a cause for angst. Thus, these findings highlighted the need for a comprehensive approach to sexual reproductive health education by all interested parties in order to enhance and sustain behaviour change among young people. / Health Studies / M.A. (Public Health)

Understanding the sexual behaviour patterns that can place the adolescent at risk for the development of sexually transmitted diseases is crucial in the HIV I AIDS epidemic era. An explorative descriptive survey was conducted among adolescents in the age group 14 to 19 years attending sexually transmitted disease services in the Vaal Region clinics. The purpose of the study was to explore the sexual behaviours of the adolescents and the impact the life style health education programme had on their sexual practices. Of the 89 respondents who attended the sexually transmitted disease clinic more than half were found to be engaging in sexual intercourse on a weekly basis. The study further revealed that the adolescents lacked in-depth information on sex and sexuality and expressed the need for change in the implementation of the adolescent life style health education programme. / Health Studies / M.A. (Nursing Science)

Text in English / Preventing teenagers’ pregnancies and improving teenagers’ reproductive health are important as pregnancies in teenagers still represent an important health challenge in Cameroon. The purpose of this dissertation of a limited scope was to describe the perception of peer educators who underwent the ‘100% young’ peer education training and the effect it had on their own sexual behaviour. A qualitative descriptive, explorative and contextual research design was conducted. Data collection was done using in-depth interviews. Fifteen peer educators were purposively selected. Two questions were asked namely; please describe how you perceived the peer education training that you underwent and, describe how this training affected your own sexual behaviour. Findings revealed that participants had a positive education experience, positive personal growth and for many, that was enough to become mentors for their peers and build awareness. Recommendations propose that interventions such as the ‘100% young’ are urgently required to prevent teenage pregnancy. / Health Studies / M.P.H.

MA (Sociology) / Department of Sociology / This study aims to investigate the socio-cultural influence towards the risky sexual behaviour of adolescents in eSikhaleni, in context of the prevalence of HIV/AIDS epidemic. The study will adapt a qualitative approach. It is an explanatory study goes beyond simple description to model empirically the phenomenon under study. The participants were drawn from two categories. The participants for the key informant interviews were selected purposively and they include community leaders, high schools principals and life orientation teachers. The adolescent’s learners were selected using a snowball sampling technique. Data was analysed thematically, matrices were created using to content thematic analysis. The responses were grouped thematically. Broad categories were then generated to differentiate and explain the thoughts expressed by the respondents. Invitations to participate on the study were sent to respondents by submitting informed consent electronically and in person. When participants completed the structured interview they were not required to reveal their personal or contact details. The findings of the study reveals that risky sexual behavior amongst adolescents learners is as a result of a number of factors which include the diminishing role of parenting, death of morality in society, poverty and deprivation just to name a few. The recommendations advanced speak to the need for government to have a multipronged strategy of resolving the problem.

PhD (Public Health) / Department of Public Health / The well-being of adolescents’ population is a major concern to policy makers, educators and researchers all over the world. Research has shown that adolescents engage in deviant and risky sexual behaviour, and such behaviour may have consequences for their present or future health. Likewise, it has been shown that adolescents are also known to conform to societal norms if they are given proper guidance. In the light of this, the present study proposed to explore and explain the influence of family dynamics in the occurrence of adolescents deviant and sexual risk behaviour. This study involved a sequential explorative, descriptive and analytic mixed method design, combining both qualitative and quantitative research approaches. The study was divided into three (3) phases. Phase 1 was purely qualitative in nature, where a total of 10 parents and 13 adolescents were engaged in an in-depth interview. Phase 2 was quantitative in nature, using a cross-sectional analytic design involving 388 adolescents, while Phase 3 was the development of a public health intervention to mitigate the influence of family dynamics on adolescent deviant and sexual risk behaviour. The qualitative data were analysed using thematic content analysis, while the quantitative data were analysed using the Statistical Package for Social Sciences (SPSS) version 22. The Chi-square test, Fisher’s exact test, multinomial and binary logistic regression were used to compare differences between the dependent and independent variables. The level of statistical difference was set at p<0.05. Couple conflicts was a common finding in the study. In addition, many families suffered severe financial constraints and some parents were disconnected from their children physically, emotionally and financially (particularly the fathers). Adolescents claim that the age difference between them and their parents remains a barrier to communication, in addition, some participants claimed that they received little or no sex education from their parents. The present study found a high level of recent physical violence (30%), alcohol (52.9%) and drug use (10%) among participants. The level of sexual activity in this study was high, with 60.1% of the participants being sexually active and 23.1% having been pregnant. In addition, only 35.6% using condoms regularly. There was gender difference among participants on the following variables: cigarette smoking, teenage pregnancy and having multiple sexual partners. Furthermore, participants differed significantly across age group on the following variables: cigarette smoking, sexual activity, having friends who are sexually active, reported pregnancy and currently having iii a relationship. However, ‘relationship with mother’ was the family dynamic variable that recorded a wider effect on deviant and sexual risk behaviour. Furthermore, age, duration of stay in the community, living with siblings, relationship with mother, having enough money at home, being supported emotionally at home and parental love for each other, were predictors of deviant and sexual risk behaviour in the present study. There was also low level of risk perception and low level of skill for self-protection among the participants. As part of the objectives of the present study, the study findings were used to develop an evidence-based public health programme targeted at vulnerable adolescents and adolescents at high risk for deviant and sexual risk behaviour. It is hoped that this programme will be able to empower parents and caregivers to apply better parenting practices to forestall undue exposure of adolescents to factors that contribute to deviant and sexual risk behaviour. The present study demonstrated that although adolescents have the propensity for deviant behaviours, many may transit to adulthood without much adverse sequelae even in the face of harsh family social and economic adversities. However, a proportion of the adolescent population in this community remains vulnerable due to the effects of family de-structuring, poverty and unemployment. / NRF

Summaries in English and Shona / Introduction Despite wide spread information and knowledge of HIV and AIDS transmission, High school teenage girls continued to engage in risky sexual behaviour in Tshwane, a District of Gauteng Province of South Africa. Age-parity relationships between High school teenage girls and older men known as “Sugar Daddies” or “Blessers”, who showered High school teenage girls with money and expensive gifts, were believed to be spreading HIV. High school teenage girls failed to negotiate condom use due to lack of autonomy, coupled with sexual violence, resulting in HIV transmission. Consequently, Tshwane became one of the highest HIV burdened cities in South Africa. Purpose of the study This study explored and described the High school teenage girls’ knowledge and perceptions of the risks of human immunodeficiency virus and acquired immune deficiency syndrome in Tshwane, a District of Gauteng Province of South Africa. Method The study used a quantitative approach. The data were collected using questionnaires. The population comprised of all girls aged 15 to 19 at a selected High school. The sample consisted of 109 girls. Systematic sampling was used. The study was conducted in the school hall of a selected High school. Data were analysed using SPSS version 23 program. Results Generally, the High school teenage girls’ HIV knowledge was very high (84.4%) as compared to their knowledge on AIDS (3.7%). Only 10.1% of the High school teenage girls knew what the window period entailed. They were aware of HIV preventive measures evidenced by abstinence ranking first (1) and had the highest score of five (5). 17.4% of the High school teenage girls doubted the usefulness of the condom in combating HIV infection. Health care workers were easily accessible (30.3%). The television was the most available mass media (92%). The radio was most preferred (31%). High school teenage girls preferred to discuss HIV related information with their peers and friends (50%). 42% of the High school teenage girls preferred to discuss sex related topics with parents or guardians. Those who were below 18-years were 7.2 times less likely to have sex. 90% of the 19-year-old girls had had sex. Therefore, High school teenage girls’ perception of HIV risk was low because they continued to be involved in concurrent multiple relationships although 90% of those involved were using condoms. Conclusion Although High school teenage girls proved that they had knowledge of HIV and AIDS, they still had a low perception of HIV risk because they were involved in concurrent multiple sexual relationships with older men. / Habedi, Debbie Kgomotso / Kunyangwe vane ruzivo rwechirwere cheshura matongo, vasikana vane makore ari pakati pegumi nematatu negumi nemapfumbamwe vari kuenderera mberi nekuita unhu unoita kuti vabatwe nechirwere cheshuramatongo (AIDS). Vasikana ava vari kudanana nevarume vakuru kuvadarika vamwe masadzimba zvinoita kuti vatapurirwe utachiona hweHIV zvinoita kuti vasikana vane hutachiona uhwu vawandise muguta reTshwane, mudunhu reGauteng munyika yeSouth Africa. Vanasikana ava vanopuwa mari nekutengerwa mbozhanhre nenguvo zvinodhura nekudya tunonaka. Nekuda kwekuti varume vanesimba rehudzvinyiriri nekuvarwisa, muAfrica, vasikana ava havakwanisi kushandisa makondomu kuzvidzivirira kubva kuhutachiona hweHIV. Ndosaka guta reTshwane raita mukurumbira munyika yeSouth Africa nekuti vanasikana vane hutachiona hweHIV vari kuwandisa. Gwaro iri rinoongorora nekutsanangura ruzivo uye maonero evanasikana huipi hwechirwe cheshuramatongo muguta guru reTShwane, mudunhu reGauteng. Munyika yeSouth Africa. Mafambiro Egwaro Gwaro iri riri kuongorora nekutsanangura ruzivo nemaonerwo anoitwa hutachiona hweHIV nechirwere cheshuramatongo nevasikana vari pakati pemakore gumi nemakore matatu nevanegumi nemakore mapfumbamwe pachikoro chesekonari chakasarudzwa mugutu guru reTshwane, mudunhu reGauteng, munyika yeSouth Africa. Vasikana vaka pindura mibvunzo pamusoro peruzivo rwavaiva narwo uye zvakanyangara zvinoita kuti vabatwe nehutachiona hweHIV. Vasikana zana nevapfumbamwe ndivo vakapindura mibvunzo. Vasikana vakapindura mibvunza yaiva pamapepa muhoro yepachikoro pavo. Zvakabuda Muchidzidzo Zvakaonekwa kuti vasikana vane ruzivo rwechirwere cheshuramatongo asi vane zvimwe zvinhu zvavasinga nzwisisi pamusoro pechirwere ichi zvekuzvidzivirira. Vasikana havakwanisi kupa mutsauko wehutachiona (HIV) nechirwere cheshuramatongo (AIDS). Vanasikana vazhinji vanofunga kuti hutachiona hweHIV hunotapurirwana pakutsvodana uye pakushandisa zvimbuzi. Vasikana vazhinji havakwanisi kutsanangura nguva inogara hutachina hweHIV mumuviri hwusati hwaonekwa kuti hurimo. Vasikana havana chokwadi chekuti makondomu anogona kudzivirira hutachiona hweHIV kuti hwusapinda mumuviri nguva dzebonde. Vadzidzisi vechikoro ndivo vakasarudzwa kuti vane ruzivo rwechirwere cheshuramatongo. Vasikana havafariri kudzidziswa nezve chirwere cheshuramatongo nevabereki vavo. Vanofarira kukurukura nezvechirwere ichi nevanhu vezera ravo. Vasikana vasingagari nevabereki vavo vanoita bonde kudarika vanogara nevabereki vavo uye vanoita bonde nevadiwa vazhinji vamwe vacho varume vakuru madzisaimba. Vasikana vanotaridza kusatya kubatwa nechirwere chishuramatongo nemhaka yehunhu wawo hwakashata hweku danana nevarume vazhinji uye kusashandisa makondomu nguva dzebonde. Mhendero Zvidzidzo zvinopiwa vasikana zvinechekuita nezvepabonde zvinofanira kuongororwa zvipamhidzirwe kuti vasikana vagone kuzvidzivirira kuchirwere cheshuramatongo. Madzimudzangara netelevhizhoni zvino kurudzirwa kudzidzisa mitambo nedzimbo dzinodzidzisa pamusoro pekudzivirira chirwere cheshuramatongo. Vabereki vanofanira kudzidziswawo kuti vagone kudzidzisa vana vavo kuti vagone kuzvidzivirira kuti vasabatwa nechirwere ichi. Vanasikana vanofanirwa kudzidziswa kushandisa makondomu pese pavanoita bonde. Makondomu anofanira kuiswa pachena paano kwanisa kuwonekwa nevasikana. / Health Studies / M.P.H. (Health Studies)

descriptive correlational study aiming at describing the knowledge, attitude and risk behavior of adolescents in relation to HIV/AIDS in one “girls only” Catholic school of Manzini. Structured self-administered questionnaires were used to collect data from 260 respondents aged 12 to 19 years. Although only 22.31% respondents indicated been tested for HIV, (83.08%) would like to take an HIV test. Hospital and clinic are mostly known by respondents for providing HIV testing. Most respondents expressed lack of confidence in getting partners wear condoms. 16 (6.15%) have engaged in sex and 5 (6.10 %) were raped. No statistically significant difference was noted between condom use during sexual intercourse for both participants who were raped and those who consented to sex (P value = 0.6538). Future youth health programs should focus on building confidence of youth in accessing condom, discussing condom issues with their partners and make their partners wear condoms / Health Studies / M.A. (Public Health)

This study evaluates a sex education programme administered in an Indian high school. To this end, a literature search, empirical study and qualitative data were used to measure the effectiveness of the Education for Living programme. Adolescents are blamed for having pennissive attitudes, or for indulging in amoral sexual behaviour without considering the consequences. The fact is, sexual development of young people is affected in a fundamental sense by what is taking place around them. Many of the taboos, which operated in society years ago, have disappeared. This study looks into the history of the South African Indian community. In particular, this study focuses on the community's values, attitudes and traditional practices toward sexuality, sex and marriage. It further highlights how the processes of westemisation and modernisation have eroded many of these aspects of traditional Indian culture. The study concludes by examining the emergence of new-found patterns of behaviour and attitudes. It is not the intention of this study to provide any conclusive documentation on the subject of the Indian adolescent. However the major findings of this study have been fommlated as recommendations and implications for further research. Since sexuality is an ever-changing, life-long experience, there is a need for continuous acquisition of accurate sexual knowledge. Carefully designed programmes may serve to allay fears, dispel myths, diminish confusion, enhance communication within families and promote health and wellbeing across generations. / Social Work / M.A. (SS) (Mental Health)