There has been a great deal of focus on young people and how they obtain information about reproductive health matters in the era of HIV/AIDS. However, there has very limited research on role of traditional initiation schools in the era of HIVIAIDS. In some parts of South Africa, young men and women continue to attend traditional initiation schools. The primary aim of these schools is to disseminate information about sexuality and other reproductive health matters in order to ensure that young people are well prepared for their future social growth, societal responsibilities and conjugal matters. Interviews were conducted with young people who had attended traditional initiation schools. The study was conducted in three villages in the Limpopo Province in South Africa where traditional initiations are widely practices. The study examines the impact of traditional initiation schools on adolescent's sexuality and reproductive health behaviour. The findings of the study show that traditional initiation schools have an important role to play in imparting information about sexuality and reproductive health. Traditional initiation schools prepare young people for the transition to adulthood. It is believed that these schools produce men who are independent, brave and courageous and women who are good mothers, wives and daughter-in-Iaws. However, some young men and women feel that they are more likely to engage in sexual activities soon after attending traditional initiation schools. This is because there is massive use of sexually explicit language during the process of initiation. Some young people feel that traditional initiation schools have contributed to the increase in sexual activity and as a result, negative reproductive health outcomes. However, the main conclusion is that traditional initiation schools have an important role to play to shaping the sexual and reproductive health behaviour of Venda young men and women. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2005.

The female condom has the potential to protect the health of millions of women at risk of sexually transmitted infections, including HIV, as well as unwanted pregnancies. Increased use of the female condom and its positive impact on health is therefore substantial, particularly in the context of the growing feminisation of HIV/AIDS epidemic and high maternal mortality as well as high unmet need for contraception. However, female condoms in Swaziland do not seem to have attracted much attention. Using sex workers, this study aimed to explore the factors that facilitates and inhibits use of the female condom. Their main reasons for using the female condom were protection from sexually transmitted infections and pregnancy prevention. The qualitative interviews revealed that women like the female condom and prefer it over the male condom because it offers them more options and moreover they control its use. Other factors that facilitate its use include the fact that it can be inserted up to eight hours before intercourse and that it can be negotiated as a contraceptive. Partner objection, cultural and social beliefs, and limited availability served as barriers to the use of the device. Some women reported secret use, but a majority had to negotiate its use. Although women have to negotiate its use with their sexual partners, the fact that the female condom provides women with an independent method of protection that they can use on their own increases their ability to control their sexual health. The study indicates the potential benefits of female condom use in increasing protected sex acts. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2010.

Female migration in South Africa has been on the increase over the years. This thesis attempts to look at the demographic and socio-economic factors that drive this increase using data from the Africa Centre Demographic Information System (ACDIS) during the period 2001 and 2008. Using data that provides for timing of events such as migration and births, the study analyses the time it took females to migrate. Migration was defined as having out-migrated the Demographic Surveillance Area (DSA) and never coming back. Migration levels were found to be high with 28 per cent of the females between 15-49 years of age out-migrating from the DSA. Models were created to explore the demographic and socio-economic factors controlling for other known determinant of migration. In the logistic regression, odds ratios showed that parity and childbearing status were important predicators of female migration. Females with four children were less likely to out-migrate the DSA (a 61 per cent less chance of migrating compared to females without children). Furthermore, pregnant females were not likely to migrate (a 45 per cent less chance of migrating compared to females who are not pregnant or breastfeeding). In a survival analysis, determinants of timing of migration showed that females with high parities had a higher survivorships to out-migration, compared to females who were pregnant. Hazard ratios also showed that females with four children are not likely to migrate compared to females with four children (a 7 per cent less hazard of migrating compared to females with no children). Age, marital status and educational attainment were also found to be predictors of female migration. Older females were less likely to migrate compared to younger females (females in the 44-49 age group had a 70 per cent less hazard of migrating compared to females in the 15-19 age group). Currently married and cohabiting females had a 29 per cent less hazard of migrating compared to never married females. Females with high educational attainment were more likely to migrate compared to females without education (an 18 per cent higher hazard of migrating compared to females without education). The timing of migration showed that pregnant females migrate after five years into the start of their pregnancy (date of conception). In conclusion, females with many children and females who are pregnant or breastfeeding are not likely to migrate. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.

The thesis has considered an asset-based alternative to the conventional use of consumption or expenditure in defining well-being and poverty. The motivation for the study was to derive a measure of economic status by households in the absence of income or consumption data. This is particularly important for a country like Tanzania where consumption, expenditure and price data are either limited or unavailable. The thesis uses data from The Tanzania 2002 Population and Housing Census information on housing conditions and ownership of certain durable goods to construct an asset index. This index is a proxy for long-run household wealth. When tested for reliability the asset index was found to be robust, coherent and a good predictor for economic status among the "poor" and "non-poor". The study has revealed that with further research, poverty analysts in Tanzania may also use the household asset index as an explanatory or as a means of mapping welfare in the country. / Thesis (M.Sc.)-University of KwaZulu-Natal, 2006.

In response to the high levels of child poverty, the government of South Africa introduced the Child Support Grant (CSG) in 1998. The grant, initially targeted children 6 years and younger. Over the years it has been extended to include children 15 years and younger. According to many studies the grant has proven to be beneficial. This study investigated the targeting of the CSG, if it indeed reaching the poor children via their caregivers. Care-givers, who reported receiving the CSG in KIDS 2004, were tracked to KIDS 1998 to determine their demographic and socioeconomic profile. A combination of quantitative and qualitative research methods was employed. The demographic and socio-economic characteristics of caregivers receiving and not receiving the CSG were analysed using cross tabs. Based on the means test income threshold, caregivers who are eligible and non-eligible for the CSG were identified. Multinomial regression was applied to identify the targeted, omitted and leaked CSG beneficiaries. These findings were augmented by the findings from the qualitative data. Based on the proxy indicators of poverty, the findings from the study have revealed that the CSG is being targeted at the poor, however there is evidence of both type I and type 11 errors of targeting present. Whilst type 11 error (leakage) is negligible, type I error of under-coverage is quite prominent. In essence the grant is reaching only some of its intended beneficiaries but not all of them. The study calls for government and its stakeholders to revisit the targeting design and implementation of the GCS. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

The main purpose of this study was two fold: to estimate mortality levels and to investigate socio-economic differentials in child mortality. Brass Indirect Techniques were used to estimate both child and adult mortality based on the 2001 Lesotho Demographic Survey. National estimates gave an IMR of 76 deaths per 1000 live births and a CMR of 30 deaths per 1000 live births. On the other hand, while the 1996 Lesotho Population Census showed life expectancy at birth as 59.5 years, the 2001 Survey gave an estimate of 55.4 years. Generally speaking, males are more prone to death in Lesotho than females. Infant mortality rate is estimated to be 69 deaths per 1000 live births for females and 84 deaths per 1000 live births for males. Results on child mortality further emphasised that male children are indeed at the risk of death than female children in Lesotho, estimated at 34 and 26 deaths per 1000 survivors at age 1 but dying before age 5 respectively. On the other hand, there is a strikingly huge gap between male and female adult mortality levels. Although, this study did not cover the details of why this might be the case, this difference might be a retlection of the impact of HIV/AIDS epidemic. The life expectancy at age 20 was estimated as 38.1 years for males and 48.7 years for females. On the other hand, the 2001 life expectancy at birth has been estimated as 56.7 years for females and 54.1 years for males. The difference between the life expectancy at birth for males and females is not huge, but this does not rule out evidence that longevity in Lesotho has declined and mortality still remains high. Analysis of differentials reveals that there exist socio-economic disparities measured using maternal variables. As was expected, there is an inverse relationship between improved education of the mother, housing, and sanitation and child mortality within households in Lesotho. Children residing in urban areas are better off in Lesotho compared with children residing in the rural areas. But, contrary to our expectation children that are raised in female-headed households that were assumed to be poor were found to be experiencing lower risks of dying when compared with children in maleheaded households. / Thesis (M.A.)-University of Natal, Durban, 2003.

HIV prevalence remains a critical health concern particularly amongst the youth of South Africa. The demographic health survey suggests that open communication about sex is essential to delaying the onset of sexual activity, reducing teenage pregnancy and the spread of HIV/AIDS. Previous research has also indicated that parent-adolescent communication has positive influences on sexual behaviours. Further to that studies show that communication is the most effective way of helping teenagers understand their surroundings and make better decisions about sexually related issues. This study investigates the level of parent-adolescent communication about sexual related issues and identifies the main sources of sexuality information for adolescents. The study adopted a qualitative research approach using in-depth interviews with ten adolescents and their parents. This study reveals that both adolescents and parents view communication as important in the era of HIV/AIDS. More mothers than fathers communicate with adolescents about sexual related topics. Mothers viewed sexual communication as one of the ways they were fulfilling parental responsibility. Adolescents viewed growing up in an era of HIV/AIDS as a challenge due to the pressures they received from their peers. As a result adolescents trusted the information obtained from parents and teachers compared to the information from peers. The conclusion drawn from this study is that communication helps to create a bond between the parent and the adolescent. Adolescents felt important and cared for when parents were taking their time to talk to them about sexual related issues. Parent-adolescent communication was important in decreasing early sexual behaviour and preventing HIV/AIDS. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

Recent studies on marriage patterns in South Africa have revealed a clear trend towards decreasing proportions of married women and an increase in age at first marriage (Udjo, 2001; Budlender et al., 2004). Despite marriage being one of the most important proximate determinants of fertility, the role of these nuptiality changes on the country’s decreasing fertility levels has not been adequately explored. Using data from the 1998 South African Demographic Survey, this paper fills this research gap by examining the marriage and fertility trends among African women in South Africa. The decision to focus on African women hinged on two basic factors; (1) available evidence shows that changes in marriage patterns are most notable in this racial group, and (2) African women have the highest fertility level relative to other racial groups. The results show that marriage patterns have been changing over time. The proportions married are low and late among African and rural women. There is an increase in the proportion of women who are cohabiting and never-married. Fertility levels are different for marital status, with the married and widowed women having the highest mean number of children ever born and the least number of children ever born is among the never-married women. Furthermore, the mean number of children ever born is among the highest in the older ages for all women. Kaplan-Meier estimates indicate that half of the divorced and widowed women have their first birth as early as age 18 years, compared to age 20 for the never-married and the cohabiting women, and age 22 for the married women. The mean age at first birth for African women is 19.7 years compared to 21.2 years for non-African women. Overall, socio-economic and demographic factors such as educational attainment, place of residence, marital status, race, and age have a significant effect on the age of a woman at first birth. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

In the last seven to eight years, Antiretroviral Treatment (ART) has received an increasing amount of attention internationally. It has come to be viewed as an important way of preventing new HIV infections and prolonging HIV-positive peoples' lives. In late 2003 the increased attention, amongst other factors, led the South African government to publish a comprehensive health care plan stating that all citizens in South Africa who need ART should receive it by year 2009. Patients' adherence and their sexual behavior are crucial to the success of ART. This thesis focuses on what factors influence patients' sexual behavior after commencing ART. It will especially look at ART patients' perception of their own infectiousness, as studies have suggested that lower viral loads caused by ART will increase their sexual risk behaviour. The research was conducted on patients attending Ithembalabantu Clinic in KwaZulu-Natal, South Africa. Qualitative and quantitative data were used in the study. The quantitative data involved 271 face-to-face interviews based on a survey. The qualitative data involved conducting 20 semistructured interviews. The results indicated that consistent condom use was high among the sample population (72%), and only two females and seven males having multiple partners (7%). However, due to ART just recently having been introduced in South Africa, the average time spent on ART was 14 months. The findings reveal that a partner's attitude to HIV/AIDS and the levels of communication and openness in a relationship influenced consistent use of condoms. The use of condoms was significantly related to knowledge of partners' status. A high level of sexual assertiveness amongst the females in the sample might have made it easier for them to negotiate condom use. The stage at which members of the sample population entered the relationship was also a predictor of condom use. People who were unemployed and over 35 years in age were less likely to use condoms consistently. The study also examined the respondents' perception of their own infectiousness. The results indicate that respondents and participants felt that it was just as, or even more dangerous, to have sexual intercourse without a condom when they are on ART. Few of the participants in the study understood the concept of viral load. They used the same explanation for both viral load and CD4 count. / Thesis (M.A.)-University of KwaZulu-Natal, 2006.

This study was conducted in order to explore the experiences of survivors of gender based violence in the Democratic Republic of Congo. The aim was to determine the impact of gender based violence on the reproductive health of women. The study was carried out at a hospital in the eastern province of the country. In-depth interviews were conducted with women survivors of rape and informant interviews with staff at the hospital. A total of twenty one participants participated in the study. The findings show that women suffered humiliation, physical and psychological torture during their rape. Some women were raped by a number of men. The rape also had serious consequences for their sexual and reproductive health. Some of the effects of their rape were long-term: it resulted in an unwanted pregnancy or HIV/AIDS. Many of the women expressed their fears for the future. They were particularly worried about their children, especially those who were divorced following their rape and those who lived with HIV/AIDS. / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, 2010.