This study’s purpose was to explore the knowledge, attitudes and perceptions regarding HIV/AIDS and condom use, and sexual behaviours among senior secondary school learners in Kumba, Cameroon using the Health Belief Model (HBM) as the theoretical framework. The ultimate goal was to determine how at risk learners were of contracting HIV/AIDS. A quantitative, non-experimental descriptive, explorative and correlational research design was adapted; using self-designed questionnaires for data collection. Respondents were sampled through proportionally stratified simple random sampling resulting in 480 (240 male and 240 female) grade 10 to grade 12 learners from two participating high schools. Descriptive and inferential statistics were calculated using the SPSS version 12 software program. Most learners were knowledgeable about HIV transmission; the prevention of HIV/AIDS; and sexual risk behaviours pertaining to HIV transmission. Learners also manifested positive attitudes towards PLWHA. Most learners did not perceive themselves to be at high risk of contracting HIV/AIDS. Up to 52,3% who were sexually active, only 30,0% used condoms consistently. The respondents knew about condoms, but had poor attitudes towards condom use. Most respondents received information on HIV/AIDS, condoms and sexuality from magazines/newspapers and teachers. The findings could assist policy makers, programme planners and educators in developing and implementing programmes to improve the health of adolescents. The perceived barriers to condom use and modifying factors should be addressed into consideration in designing any policy geared towards controlling risk exposure to HIV/AIDS among youths in Kumba, Cameroon.

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)

This quantitative, explorative and descriptive survey attempted to determine factors that influence the adolescent pregnancy rate in the Greater Giyani Municipality. Data were gathered from adolescent girls attending four selected high schools. Non-probability convenient sample of 147 respondents was used with 100% return rate. Data was collected using a questionnaire which had a reliability of 0.65. Data were analysed using the SAS/Basic computer program, version 9.2. Findings indicated that 56.34% of respondents reported key psychosocial variables such as peer pressure and 58.90% of them changed values as contributory to high pregnancy rates. .Health services were reported as not freely available and relationships with nurses significantly cited as poor by 72.41% respondents with regard to maintenance of confidentiality. Recommendations were made to improve school health services, reproductive education and future research / Health Studies / M.A. (Health Studies)

Text in English / The Department of Education nationwide introduced HIV and AIDS care and support for learning and teaching programmes as intervention strategies for supporting vulnerable learners. Despite these interventions, teenagers continue to fall pregnant and this increases their vulnerability to HIV infection. HIV and STIs are rife among teenagers owing to ignorance and peer pressure, among other factors. The aim of this exploratory qualitative study was to explore factors that influence condom use among high school teenagers aged between 16 and 18 in Dutywa District. Focus group discussions and in-depth face-to-face interviews with 12 high school teenagers from one high school (High School X) were used to collect data. Thematic analysis was used to analyse data. The findings of this study revealed that high school teenagers are not using condoms to any significant degree. In their opinion, condoms limit sexual pleasure; they indicate a lack of trust and unfaithfulness between partners and are associated with sexually transmitted diseases. The findings of this study are significant for the policy implementation of schools. / Sociology / M.A. (Social Behaviour Studies in HIV and AIDS)

Text in English / The purpose of this study was to explore factors contributing to poor reporting of rape by school going adolescents. A qualitative descriptive study was conducted among the 16-19 year old school going adolescents in grade 10-12 living in Matsulu Township of South Africa. Data collection was done using audio-taped semi-structured focus group discussions and individual interviews. Non-probability sampling was utilised for the study and purposive sampling was used to identify participants. Content analysis as proposed by Polit and Beck (2012:557) was utilised for this study. The study’s findings indicated that non-reporting of rape by adolescents is linked to structural, psychological, socio-cultural and economic causes. The study recommends that a comprehensive integrated approach should be used. / Nursing Science / M. A. (Nursing Science)

BACKGROUND: Studies done in both developed and developing countries have reported the tendencies of adolescents to engage in risky behaviours. Such behaviours include indulging in early and unsafe sexual activities, having multiple sexual partners, alcohol and drug use and dropping out of school among others. PURPOSE: The main aim of the study was to develop intervention strategies for reducing sexual risk practices among adolescents in Ethiopia. METHODS: A mixed method approach using quantitative and qualitative approaches was employed in order to investigate the risks of sexual practices among urban and rural adolescents in the selected area. A cross-sectional survey was used to gather data quantitatively and focus group discussions were used for the qualitative part of data collection. A total of 449 students and 72 FGD participants were selected for quantitative and qualitative study respectively using systematic random sampling technique. Logistic regression was done to identify possible factors associated with knowledge on emergency contraceptive, condom utilisation, pre-marital sex practices and perception of risky sexual practices. RESULTS: One hundred and seventy (37.9%) respondents had experienced sexual intercourse at the time of the study. The higher proportion (42.6%) of those who had engaged in sexual relationships was from the rural school compared to 33.1% in the urban schools. The proportion of sexually active respondents was higher among males (44.8%) compared to (29%) females. Multiple partners were higher in rural adolescents (44.7%) compared to 31.8% among urban adolescents. Sexually Transmitted Diseases were reported by 28.6% of the sexually active adolescents and the prevalence was higher among males (73.5%) compared to 27% females. 87% of the sexually active adolescents rarely used a condom. CONCLUSION: The study identified a knowledge gap on ASRH which limited adolescents to access reproductive services. Social, cultural and economic factors contributed to adolescent engagement in risky sexual behaviours. Based on the major findings of this study, intervention strategies targeting behavioural, biomedical and structural interventions were proposed. / Health Studies / D. Litt. et Phil. (Health Studies)

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.

This study involves an analysis of accounts of first and subsequent early sexual experiences in a deep rural area of the Eastern Cape in South Africa over the last forty years. Through interviews and focus group discussions, the enculturation of youth into sexual activity in the community of interest is explored. The study looks into sexual experiences from childhood, through early adolescence to adults of up to sixty five years old, allowing an analysis of the changing forms of sexual experimentation and sexual debut in this context. Contextual factors mediating these changes are explored, with special emphasis on the changing regulatory practices around early sexual experiences and the effect thereof on behaviors connected to HIV infection risk. Practices that were previously important mediators of sexual behavior were: anxiety about the social consequences of pregnancy, which was previously a significant disincentive to sexual intercourse; men's previous acceptance of the need to practice non-penetrative forms of sex and girls postponing sexual debut for as long as possible. All these were culturally endorsed, but are now noted to have changed due to changes in the regulatory practices surrounding youth sexuality. The context of early sexual experiences and the surrounding cultural practices have also changed significantly, and this needs to be taken into account in understanding receptivity to condom use messages. Implications for HIV/AIDS prevention are discussed. Among other interventions, the study describes a participatory, community-based, multi-sectoral approach that takes social conditions into account as a way of empowering the community to strengthen its response to the pandemic. This incorporates different sectors of the community, including youth, parents, religious and traditional leaders, and various other structures, services and institutions that make up the community.

Text in English / Teenage pregnancy remains a major social, economic and health challenge in South Africa. The consequences of unplanned teenage pregnancies are devastating. The current study explored the impact of teenage pregnancy on disadvantaged adolescents in Mpumalanga. Fourteen adolescent girls were selected, using the purposive sampling technique. The objectives were to explore the experiences of adolescence, as well as their knowledge of various methods of preventing teenage pregnancy, and how they cope with the pregnancy. The study further explored programmes that are available to assist with teenage pregnancies in the community. Data was collected using in-depth one on one interviews to allow the researcher a platform to ask open-response questions. The data was thematically analysed by carefully categorising and expanding significant themes that emerged from the participant’s responses. The study revealed that lack of knowledge about sex and contraceptives, unhealthy coping strategies, lack of support from parents and peer pressure are all effects of teenage pregnancy and the reasons for participating in unprotected sexual activities. Recommendations for overcoming these challenges were provided to the community, schools and government organisations as guidelines in the establishment of youth programmes. / Psychology / M.A. (Psychology)