Although much research has been conducted on termination of pregnancy, there is a paucity of information regarding women’s sexuality after such a procedure, and in particular, how a woman understands her sexuality following a termination of pregnancy or what influences such an understanding. This research aimed to investigate how women understand their sexuality following a voluntary termination of pregnancy through the examination of the interaction between personal and broader social views on sexuality. Seven women who had undergone the procedure at two private termination clinics in Johannesburg were interviewed, using a semi-structured, open-ended interview schedule. The data was analysed according to thematic analytic methods. Based on the results, it was clear that the way in which women understand their sexuality following a termination of pregnancy is complex and multi-faceted. Particular themes emerged that were in line with the debates raised in the current literature. It became evident that these views were intricate and multi-faceted. Heteronormativity and heterosexuality proved particularly influential in how women understand their sexuality following a termination of pregnancy, and which further related to points raised throughout the literature. It was clear through the analysis that each theme could be seen to stand alone, or alternatively be represented through other themes and sub-themes.

A research report submitted to the School of Social Science, University of the Witwatersrand in partial fulfilment of the Master of Arts in Demography and Population Studies, November 2017 / Introduction: Across Sub-Saharan Africa, studies have shown transactional sex, characterized by the exchange of money or gifts for sex, to be one of the major contributing factors of HIV/AIDS infection. Risky sexual behaviours such as multiple sexual partners, non-condom use and transactional sex are driving forces behind negative health outcomes of young people. Thus, the aim of the study is to determine the association between socio-economic status and transactional sex among young women in South Africa, primarily to investigate whether transactional sex is a survival strategy or not among young women in South Africa. Methods: Secondary data analysis was done from a cross-sectional study conducted in 2012 by the Third National Communication Survey. This analysis was limited to 4 586 167 (weighted) sexually active females aged 16-24 who reported engaging in transactional sex. STATA version 13 was used to analyse this data. Descriptive statistics was used to analyse data at the univariate level. The Chi-squared test was conducted to test the relationship between the outcome variable and the independent variables. The complementary log-log regression model was used to analyse the data at multivariate level to identify the association between demographic factors (age, race, marital status, type of residence and province), socio-economic characteristics (education status or training status and employment status), beliefs towards behaviour, subjective norms towards behaviour and transactional sex. Results: Transactional sex was higher among women whose age at first sex was 18-19 (6.34%) compared to women of older ages 20+ years (0.4%). African women were likely to engage more in transactional sex (3.46%), compared to women of other races (2.48%). This study has found that a relationship between women who were not in Education, Employment and Training (NEETS) and transactional sex did not exist (AOR 1.10, 95% CI: 0.62-1.96). Single women had higher odds of engaging in transactional sex compared to cohabitating women and married women (AOR 1.04, 95% CI: 0.42-2.54). Conclusion: The findings of this study have shown that although transactional sex is a common behaviour among young women in South Africa, there is no relationship between socio economic status and transactional sex. Being NEETS has no association with young women engaging in transactional sex, which means that young women were more likely to engage in transactional sexual relationships for reasons other than survival; that is reasons for having fashionable clothes, cars, expensive holidays, and airtime. However, factors such as early age at first sexual encounter, race, and beliefs about behaviour and subjective norms were associated with transactional sex. The fact that some young women believed that they would not be infected with HIV suggests that there is a need to have intervention programmes to educate young people about HIV risk factors. This study is relevant in informing health policies, planning and programme designs of sexual and reproductive health services in South Africa. Transactional sex is a sensitive issue; problems of underreporting may be expected. / XL2018

The study investigates the influence of online and social media in HIV prevention, with a focus on young women and HIV risk perception related to age-disparate relationships. The study was conducted using an existing online prevention HIV prevention platform by means of a self-administered online questionnaire. Convenience sampling was used to recruit between 250 and 500 users between the ages of 18 to 24 years. The results revealed poor HIV risk perception in 46% of respondents, which seemed influenced by their perception (38%) that older men are safer sexual partners than younger men. In addition, this poor risk perception is seemingly influenced by the fact that many young women (77%) involved in these relationships, viewed these as primarily based on love and affection and as being “safe”, challenging the commonly held perception that these are primarily transactional in nature. Further respondents reported at rates of between 38% and 44% that the platform had improved their HIV risk perception related to these relationships. In summary, the research resulted in several recommendations to improve the platform, including improving ways of getting more and on-going feedback from users on their HIV risk perceptions and designing content and engagement strategies to address these. / Sociology / M. A. (Social Behaviour Studies in (HIV/AIDS)

Women face a greater risk of HIV infection worldwide than men. This study explored socio-economic, cultural and environmental factors influencing young women’s vulnerability to HIV. A quantitative explorative study was conducted among young women in Sunnyside, Pretoria. A sample of 158 young women in the age group 18 to 24 years from all language groups was randomly selected to participate in this study. The findings showed that poverty, peer pressure and multiple sexual partners were the main factors that influenced young women in Sunnyside’s vulnerability to HIV. Behavioural change and social change were recommended as long-term processes, which need to be taken into consideration. Findings from the Sexual Relationship Power Scales show that young women between 18 and 21 years experience physical abuse, emotional abuse, sexual abuse and forced sex in their relationships. The study concluded with specific recommendations for the successful implementation of policy makers and planners to protect women. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)

Socio-cultural factors oppress and construct women as men’s objects of desire and pleasure, thus increasing women’s vulnerability to HIV infection and, subsequently, maintaining the HIV and AIDS epidemic and prevalence in South Africa’s rural areas. South Africa’s rural women and their sexuality has not received adequate attention to date. This qualitative study sought to explore rural women’s perceptions on their sexuality and HIV prevention within the socio-cultural context of Schoemansdal (South Africa). A sample of ten participants, who are women from the Swazi ethnic group between the ages of twenty and fifty, were purposefully drawn to participate in this study. Data were collected by means of tape–recorded, face-to-face interviews and focus group discussions. Results of the study reveal that women’s social and cultural contexts have an influence on their perceptions of sexuality and HIV prevention, and that this poses a hindrance to women’s HIV-prevention behaviours such as condom use. The study’s findings reveal that in examining HIV infection and prevention, women’s diverse contexts and experiences cannot continue to be overlooked. This is because they may provide relevant understanding of the epidemic that is plaguing South Africa’s rural women. / An explorative study of rural women's perceptions of sexuality and HIV prevention in their local socio-cultural context : a case study of rural Schoemansdal, Mpumalanga / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)

Socio-cultural factors oppress and construct women as men’s objects of desire and pleasure, thus increasing women’s vulnerability to HIV infection and, subsequently, maintaining the HIV and AIDS epidemic and prevalence in South Africa’s rural areas. South Africa’s rural women and their sexuality has not received adequate attention to date. This qualitative study sought to explore rural women’s perceptions on their sexuality and HIV prevention within the socio-cultural context of Schoemansdal (South Africa). A sample of ten participants, who are women from the Swazi ethnic group between the ages of twenty and fifty, were purposefully drawn to participate in this study. Data were collected by means of tape–recorded, face-to-face interviews and focus group discussions. Results of the study reveal that women’s social and cultural contexts have an influence on their perceptions of sexuality and HIV prevention, and that this poses a hindrance to women’s HIV-prevention behaviours such as condom use. The study’s findings reveal that in examining HIV infection and prevention, women’s diverse contexts and experiences cannot continue to be overlooked. This is because they may provide relevant understanding of the epidemic that is plaguing South Africa’s rural women. / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)

Text in English / Previous studies have reported a high prevalence of HIV and AIDS among adolescent girls. It is estimated that there are 5,24 million people living with HIV/AIDS (PLWHA). These estimates would mean that about 2.36 million people living with HIV/AIDS would be young women and girls aged 15-24 years. The latest household survey conducted by the Human Science Research Council (HSRC) revealed that the prevalence of HIV is three to seven fold in girls and young women aged 15-24 than boys and young men (HSRC 2014) This resurgence in HIV incidence is occurring at a time when it is believed the epidemic has reached a plateau following aggressive behavioural, biomedical and structural interventions by the Department of Health, Non-Governmental Organizations (NGO) and civil society in general. A probability sampling method, involving a random selection of elements was used to select 130 young women and girls aged 18-24 presenting at Dr George Mukhari Academic Hospital by simple random sampling. Data were collected by self-administering questionnaires. High unemployment and greater age-disparity in the relationships were found to have a direct correlation with HIV incidence in the population under study. This study also shows that inconsistent condom use, low rate of medical male circumcision of male partners, coupled with lower HIV counselling and testing than the national average, was associated with new HIV infections, in spite of high level of condom availability, knowledge of HIV issues and an exposure to an array of behavioural change communication interventions. / Health Studies / M.A. (Public Health)