This qualitative study was done in Livingstone, Zambia, and used focus group discussions to investigate the reasons that youths aged 15 to 24 years see as justifying, or compelling, their non-use of recommended methods for prevention of sexual transmission of HIV. It focused on four methods, namely abstinence, condom use, voluntary counseling and testing, and mutual faithfulness. The study found that non-adherence to HIV preventative methods is linked to variables in the process of adolescent growth and development, to contextual variables in society, to characteristics of products and services associated with these HIV preventative methods, and to disease characteristics of HIV itself. A key conclusion of this study is that to improve the effectiveness of HIV prevention programs among the youths it is essential that factors that hinder adherence to preventative methods are recognized and addressed. / Social Work / M.A.(Social Work)

This study investigated coercive and high risk sexual practices in South African adolescent dating relationships. Quantitative and qualitative information was collected from secondary school learners in a community near Johannesburg. Of 928 learners surveyed, 23.5% of females and 53.7% of males ever had sex. Of these, 57.8% of females and 44.2% of males reported sexual victimisation, and 46.8% of females and 50% of males reported perpetrating sexual coercion in a relationship. Significantly more males engaged in risky sex than females. Among females, sexual coercion was significantly linked to risky sexual behaviour. Among males, alcohol and perpetration of sexual coercion were significantly associated with risky sexual behaviour. Focus group data reveal how dominant constructions of gender normalise male coercion and contribute to risky sexual practices. Recommendations for sexual health initiatives include introducing alternative discourses of female sexual desire and male sexual responsibility as a means for building healthier adolescent dating relationships. / Psychology / M.A. (Psychology)

This study investigated coercive and high risk sexual practices in South African adolescent dating relationships. Quantitative and qualitative information was collected from secondary school learners in a community near Johannesburg. Of 928 learners surveyed, 23.5% of females and 53.7% of males ever had sex. Of these, 57.8% of females and 44.2% of males reported sexual victimisation, and 46.8% of females and 50% of males reported perpetrating sexual coercion in a relationship. Significantly more males engaged in risky sex than females. Among females, sexual coercion was significantly linked to risky sexual behaviour. Among males, alcohol and perpetration of sexual coercion were significantly associated with risky sexual behaviour. Focus group data reveal how dominant constructions of gender normalise male coercion and contribute to risky sexual practices. Recommendations for sexual health initiatives include introducing alternative discourses of female sexual desire and male sexual responsibility as a means for building healthier adolescent dating relationships. / Psychology / M.A. (Psychology)

This qualitative study was done in Livingstone, Zambia, and used focus group discussions to investigate the reasons that youths aged 15 to 24 years see as justifying, or compelling, their non-use of recommended methods for prevention of sexual transmission of HIV. It focused on four methods, namely abstinence, condom use, voluntary counseling and testing, and mutual faithfulness. The study found that non-adherence to HIV preventative methods is linked to variables in the process of adolescent growth and development, to contextual variables in society, to characteristics of products and services associated with these HIV preventative methods, and to disease characteristics of HIV itself. A key conclusion of this study is that to improve the effectiveness of HIV prevention programs among the youths it is essential that factors that hinder adherence to preventative methods are recognized and addressed. / Social Work / M.A.(Social Work)

Adolescents have become focal points of discussions and debates regarding sexuality and reproductive health matters. However, little research has been done particularly in South Africa to examine their knowledge concerning abortion and emergency contraception. Research indicates that a substantial proportion of adolescent pregnancies are unintended or unwanted. Abortion and emergency contraception are both time-sensitive services. Thus having accurate and comprehensive knowledge about both abortion and emergency contraception is pivotal, in the case of unintended or unwanted pregnancy or when engaging in unprotected sex or experiencing contraceptive failure that could lead to pregnancy. The 1994 International Conference on Population and Development (ICPD) defined reproductive health rights for both men and women as the right to "decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so" (p. 60). That is, men and women should "have the right to make decisions concerning their reproduction free of discrimination, violence and coercion" (ICPD, 1994, p.60). Based on these definitions, it is rather evident that comprehensive and accurate knowledge are at the core of one's ability to make an informed consent. This is confirmed by Adler's (1992, p. 289) definition of informed consent or choice "a) access to sufficient information b) understanding the information c) competence to evaluate potential consequences d) freedom to make a choice and e) the ability to make and express that choice". It is from this framework that this study emerged. The aim of this study was to examine adolescents' knowledge concerning abortion and emergency contraception. The participants were Grade 11 learners between the ages of 15-24 years from five different schools in the Buffalo City Municipality. A sample of 514 was achieved. Data were analysed using descriptive cross-tabulation, chi-square and qualitative methods where appropriate. The results revealed that most of the participants did not have sufficient accurate knowledge concerning the Choice on Termination of Pregnancy Act, consequences of legal abortion and emergency contraceptive pills to make informed decisions. Furthermore, data also revealed that the participants' schools playa role in their sexual activity, their knowledge about the Choice on Termination of Pregnancy Act and about emergency contraceptive pills. Although this method made it feasible for the researcher to make general assumptions, non-responses were one of the limitations of the study. Similar research in various municipalities/cities in and outside the Eastern Cape is recommended so as to increase further awareness concerning the level of knowledge that adolescents have about contraceptive pills particularly emergency contraceptive pills, the Choice on Termination of Pregnancy Act and abortion in general.

This is a descriptive study with a quantitative, non-experimental and contextual design, with the objective of describing the knowledge of female adolescents with regards to the implications of pregnancy. The study took place in the Bengo Province, more specifically in the school of the suburb Bairro da Açúcareira and the sample was constituted by 100 female adolescents, within the age group 13 to 19 years. Simple random sampling was used for the selection of the sample. For the collection of data a structured questionnaire with closed questions was used. Based on the data obtained the researcher draws the following conclusion: there is a need to develop educational programmes pertaining to the consequences of pregnancy, not only for adolescents but also for the teachers and parents, as the respondents indicated that teachers and parents would be the ideal people for this type of discussion; on the other hand, and of extreme importance, there is a need for specific assistance to adolescents at health centers and hospitals of the province with regard to the lack of entertainment for adolescents in the province is also an aspect that deserves attention on the part of the government of the Province of Bengo. / Health Studies / M.A (Health Studies))

Adolescence is a significant period of change in physical and psychosocial development of human beings. Being HIV positive and growing up on a dynamically multifaceted HAART treatment, adds to the complexity of adolescence. This study was aimed at exploring the nature of experiences of adolescents who are on long-term Highly Active Antiretroviral Therapy (HAART) in Tembisa, Gauteng province. The study is based on a qualitative research method using in-depth semi-structured open-ended interviews and a focus group for data collection. The sample consisted of seven individual adolescent participants, three parents, guardians and caregivers, as well as 11 health care professionals. The thematic data analysis and the phenomelogical analysis methods were used to analyse data qualitative data while descriptive statistics were used to analyse quantitative biographical data. The study findings cover the negative and positive experiences and the perceived role of HAART treatment over a long period of time. The predominant themes identified from adolescent participants were disclosure of HIV positive status and the stigma surrounding a positive status, early childhood experience of parental death, challenges of taking HAART treatment, factors influencing adherence and non-adherence to HAART treatment, and lastly, the impact of religion on HAART treatment adherence. The findings suggest that adolescents who are on HAART treatment over an extended period of time experience drug fatigue. Drug fatigue has far-reaching implications for the health of an adolescent, as it has a higher likelihood that poor adherence or even complete refusal to take HAART treatment will occur. Poor adherence or refusal to take HAART treatment will most likely lead to cross infection and further spread of HIV and AIDS. A recommendation was made to include the establishment of a youth and adolescent-friendly centre by the hospital – one that is designated for the provision of tailored adolescent services and sensitive to adolescent developmental stages so as to minimise the likelihood of infected adolescents falling through the health care cracks. The introduction of a hospital-based school, an education unit run by dedicated and qualified facilitators focusing on aiding hospitalised learners with catch-up scholarly programmes, was a further recommendation. It was further recommended that reproductive health care needs of adolescents who grow up on HAART treatment be given attention in further research. / Psychology / Ph.D. (Psychology)

This is a descriptive study with a quantitative, non-experimental and contextual design, with the objective of describing the knowledge of female adolescents with regards to the implications of pregnancy. The study took place in the Bengo Province, more specifically in the school of the suburb Bairro da Açúcareira and the sample was constituted by 100 female adolescents, within the age group 13 to 19 years. Simple random sampling was used for the selection of the sample. For the collection of data a structured questionnaire with closed questions was used. Based on the data obtained the researcher draws the following conclusion: there is a need to develop educational programmes pertaining to the consequences of pregnancy, not only for adolescents but also for the teachers and parents, as the respondents indicated that teachers and parents would be the ideal people for this type of discussion; on the other hand, and of extreme importance, there is a need for specific assistance to adolescents at health centers and hospitals of the province with regard to the lack of entertainment for adolescents in the province is also an aspect that deserves attention on the part of the government of the Province of Bengo. / Health Studies / M.A (Health Studies))

Stakeholder involvement in strategic planning: a strategy to mitigate the effects of HIV and AIDS on secondary education in Botswana. This study explores the involvement of stakeholders in strategic planning to mitigate the effect of HIV and AIDS in secondary education in Botswana. The prevalence of HIV and AIDS-related illness and deaths is high in Botswana and affects both teachers and learners. Education provision has been affected through increased mortality and morbidity and increased absenteeism which affect education-related personnel and the demand for education has been reduced due to growing numbers of orphaned and vulnerable children as a consequence of parent/guardian mortality and morbidity related to HIV and AIDS. The problem was investigated by means of a literature review and an empirical inquiry which combined quantitative and qualitative data collection. Based on the findings, in addition to medical and other interventions, an education management approach is required to mitigate the effects of HIV and AIDS on secondary education in Botswana. The strategies of coping, caring and preventing have been effective in this regard. Some internal stakeholders of the Department of Secondary Education (DSE) are not meaningfully involved in strategic planning. Similarly, most of the selected external stakeholders were not involved in the DSE HIV and AIDS strategic plan. Both external and internal stakeholders should be involved at all stages of planning. Furthermore, inducement-contribution exchanges and teacher credibility should be considered in a strategic plan. To improve the current DSE strategic plan, a stakeholder involvement model to involve internal and external stakeholders was designed. Based on this model and the above findings, recommendations for practice and suggestions for future research are made. / Educational Studies / D.Ed.(Educational Management)

This study seeks to describe the factors contributing to high adolescent pregnancy rate in Kinondoni Municipality, Dar-es-Salaam. Through the study we get to know the social economic characteristics of adolescents, the adolescents' general knowledge of reproductive health issues and the source of this knowledge. The major discoveries made from this study are that the educational status and knowledge of reproductive health of these adolescents is low, some are already dropouts from school, and others were deprived of the chance to continue with secondary education. They have nothing tangible to do because of their low education and coupled with their low economic status, they are at risk of being involved in sexual activities at an early age, ending in pregnancies. In addition, their parents' educational and economic status was also found to be low. It is important then, parents, teachers and the community in general to arrest the rate of adolescent pregnancies. / HEALTH STUDIES / MA (HEALTH STUDIES)