South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2008

Foreword
Acknowledgements
Contributors
Acronyms and abbreviations
Executive summary

1. Introduction
       1.1 Background
       1.2 Purpose of the report
2. Methodology
       2.1 Study design
       2.2 Study population
       2.3 Sampling
       2.4 Sample size estimation
       2.5 Measures
       2.6 Ethical considerations
              2.6.1 Informed consent procedures
              2.6.2 Procedures to ensure confidentiality
              2.6.3 Motivation for conducting anonymous HIV testing
              2.6.4 Provision of HIV testing and counselling
              2.6.5 Other ethical considerations
       2.7 Fieldwork Procedures
              2.7.1 Specimen collection
              2.7.2 Quality control of fieldwork
       2.8 Community Mobilisation for Fieldwork
       2.9 Laboratory Methods
              2.9.1 Specimen tracking
              2.9.2 HIV antibody testing
              2.9.3 HIV incidence testing
              2.9.4 Detection of antiretroviral drugs
       2.10 HIV incidence among 15–20 year olds derived from single-year age prevalence
       2.11 Weighting of the sample
       2.12 Data management and analysis

3. Results
       3.1 Assessment of 2008 survey data
              3.1.1 Generalisability of the survey results
              3.1.2 Response analysis
       3.2 National indicators for assessing progress in achieving NSP targets
              3.2.1 HIV prevalence
              3.2.2 HIV incidence
              3.2.3 Behavioural determinants of HIV
              3.2.4 Awareness of HIV status
              3.2.5 Knowledge of HIV/AIDS
              3.2.6 Exposure to HIV communication programmes
       4. Discussion
       4.1 HIV prevalence
       4.2 HIV incidence
       4.3 Behavioural determinants
              4.3.1 Sexual debut
              4.3.2 Intergenerational sex
              4.3.3 Multiple sexual partners
              4.3.4 Condom use
       4.4 Awareness of HIV status
       4.5 Knowledge of HIV transmission
       4.6 Exposure to HIV and AIDS communication programmes
       4.7 Strengths and limitations of the study
              4.7.1 Strengths
              4.7.2 Limitations
5. Conclusions and recommendations
       5.1 Conclusions
       5.2 Recommendations
Appendices
       Appendix 1: HIV prevalence by sex, age, race and province, South Africa 2008
       Appendix 2: Primary indicators in the NSP for which HSRC is responsible
       Appendix 3 Performance against UNGASS Indicators
       Appendix 4: Performance against MDG indicators
       Appendix 5: Quality control of HIV testing
       Appendix 6: List of field staff
References

Contributors to this report were located at various organisations including the Human Sciences Research Council (HSRC), Medical Research Council (MRC), Centre for AIDS Development, Research and Evaluation (CADRE) and National Institute for Communicable Diseases (NICD) among others