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Objective: This qualitative study explored the views and experiences of adolescents with perinatally acquired HIV in Kigali, Rwanda, regarding sex, love, marriage, children and hope for the future. Design: The study enrolled 42 adolescents who had received combination antiretroviral therapy for at least 12 months, and a selection of their primary caregivers. Study methods included 3 multiple day workshops consisting of role-playing and focus group discussions (FGDs) with adolescents, 8 in-depth interviews with adolescents, and one FGD with caregivers. …
This paper discusses the limitations of conventional Information, Education and Communication (IEC) approaches to HIV prevention and describes Stepping Stones, one approach which 1) is more holistic in recognising the location of HIV in a broader sexual and reproductive health (SRH) context; 2) emphasises the importance of a gendered perspective throughout; and 3) works on the basis that, with good facilitation, ordinary community members are those most able to develop the best solutions for their own sexual health needs.
This toolkit has been adapted from Understanding and challenging HIV stigma: toolkit for action. Module H: MSM and stigma,1 which was developed by and for African trainers, and has been used extensively around the continent to support HIV stigma reduction programmes. This version has been designed to use in the Middle East and North Africa (MENA) region, and includes adapted exercises and stories that are more relevant to this context. …
The disappearance of traditional sex education during rites of passage in African societies has left many youth uncertain of where to look for information. Against this backcloth, the objectives of this study were to identify knowledge gaps amongst adolescents in Kenya regarding sexuality, HIV/AIDS and reproductive health. A thematic analysis was conducted of questions posed by 735 school youth aged 12–18 years from Meru and Kajiado Districts. Results show that many questions showed curiosity and anxiousness. …
This Review reflects on the borders that have been placed around sexual identity, sexual behaviour and sexuality. It also reflects on the need for sexual order in the dominant hetronormative discourse of most societies, where heterosexuality is deemed to be the norm and all other sexual identities and practices the exception to this rule, to be tolerated, albeit in a strained and tense way. …
This Review is a collaboration between HAICU, based at the University of Cape Town, and the CSA, based at the University of Pretoria. These two organisations are committed to finding ways to understand and explain the HIV and AIDS epidemics, and to determining how tertiary institutions and the wider society may come to address and act on the many complex and fascinating social, moral, political, economic and educational issues that the epidemics raise.
Objective: To investigate the views of school pupils on sexual violence and on the risk of HIV infection and AIDS and their experiences of sexual violence. Design: National cross sectional study. Setting: 5162 classes in 1418 South African schools. Participants: 269 705 school pupils aged 10-19 years in grades 6-11. Main outcome measure: Answers to questions about sexual violence and about the risk of HIV infection and AIDS. Results: Misconceptions about sexual violence were common among both sexes, but more females held views that would put them at high risk of HIV infection. …
In 1990 women's rights activists in Uganda successfully lobbied to amend the Defilement Law, raising the age of sexual consent for adolescent females from fourteen to eighteen years old and increasing the maximum sentence to death by hanging. The amendment can be considered a macro-level intervention designed to address the social and health inequalities affecting young women and girls, particularly their disproportionately high rate of HIV as compared to their male counterparts. …
In South Africa, both HIV and gender-based violence are highly prevalent. Gender inequalities give men considerable relational power over young women, particularly in circumstances of poverty and where sex is materially rewarded. Young women are often described as victims of men, but this inadequately explains women's observed sexual agency. This paper takes a different approach. The authors use qualitative interviews and ethnographic observation among 16 young women from the rural Eastern Cape to explore ways young women construct their femininities and exercise agency. …
It has become evident that sexual health and HIV-risk behaviours cannot be addressed effectively without paying adequate attention to constructions of gender and sexuality. While the body of literature examining these themes is growing and becoming more nuanced, there is still a significant gap in our understanding of the relationship between gendered sexual identities and vulnerabilities to disease. In particular, few studies have explored how youths themselves perceive this relationship, and how these perceptions may differ among males and females. …
This conference aimed to explore and understand the determinants of student behaviour in order to develop the best prevention programmes. Sessions included: Gender and HIV; Sexual and Reproductive Rights; VCT - an entry point or stumbling block.
This report presents findings from baseline studies carried out in three districts in Kenya, Ghana and Mozambique for Stop Violence Against Girls in School, a five year project (2008-2013) led by ActionAid with support from the UK’s Big Lottery Fund. …
Globally, girls and young women are more likely to be hiV-positive than their male peers, due in large part to an array of gender inequalities that negatively impact their their mental and physical well being. The International Center for Research on Women (ICRW) and Taasisi ya Maendeleo Shirikishi Arusha (TAMASHA), in collaboration with Pact Tanzania, developed a participatory research and action project (Vitu Newala) that aimed to both understand and respond to girls’ HIV-related vulnerabilities. …
Data from two primary schools in Durban, South Africa finds that discussions on gender and sexuality during life skills lessons are not sufficiently in-depth and comprehensive. Teachers find it difficult to provide comprehensive information on sex, sexuality and gender at the primary school level due to discourses on childhood innocence. The paper discusses implications for teacher training in the conclusion.
This Communication Strategy provides a broad framework that will guide communication on youth and HIV and AIDS in Kenya for the next three years. It intends to address needs and gaps in communication programming identified in the areas of knowledge, skills and self-efficacy, capacity, coordination, policy support and utilisation of services. These issues were identified through a situation analysis conducted at the beginning of developing this strategy, and from consultations with stakeholders implementing HIV and AIDS programmes among the youth.
