The Human Sciences Research Council (HSRC)

2134  Large

The Nelson Mandela Foundation (NMF) commissioned the first national, household sero-prevalence survey of HIV/AIDS in 2002. That study had significant impact nationally, in the sub-region and internationally. The report received widespread attention, has been used to build the capacity of other Southern African Development Community (SADC) countries in implementing similar studies, and has impacted on policy, strategy and practice in the area of HIV/AIDS in South Africa. Statistics South Africa currently uses the 2002 household survey to estimate the magnitude of the HIV/AIDS situation in the country.

Since 2002, significant shifts have occurred and South Africa has made great strides: the roll out of a comprehensive programme for the care and treatment of HIV-infected individuals has begun and investment in mass media campaigns aimed at preventing new infections is at an all-time high. The NMF realised that it was important to assess the extent to which these policies and practices had changed the shape of the pandemic in South Africa by following up on the first survey.

This report on the second national survey of HIV/AIDS reveals a number of key issues, such as:

  • South Africans are increasingly being tested to find out their HIV status;
  • More people, including older South Africans, are using condoms at higher rates than before; and
  • More care and support is being provided to people living with and affected by HIV/AIDS.

The report brings home the reality that the HIV prevalence in South Africa among persons aged 2 years and older at 10.8% translates to 4.8 million people living with HIV/AIDS in 2005. Factors underpinning continued high HIV prevalence are partly illustrated by the finding that half of the respondents in this study who were found to be HIV positive did not think they were at risk of HIV infection. It considers HIV/AIDS stigma, the integration of family planning and HIV/AIDS service, and the existing HIV/AIDS communication campaigns. The findings and recommendations of the report will be invaluable to policy-makers and strategic planners, health and other professionals, the media, researchers and academics.

Open Access

Product information

Format : 280mm x 210mm
Pages : 156
ISBN 10 : 0-7969-2152-0
ISBN 13 : 978-07969-2152-9
Publish Year : 2005

List of figures
List of tables
Foreword
Acknowledgements
Contributors
Abbreviations and acronyms

Executive Summary

  1. Introduction
    1.1 Background
    1.2 Objectives of this study

  2. Methodology
    2.1 Survey design and sampling
    2.2 Sample size estimation
    2.3 Weighting of the sample
    2.4 Ethical considerations
    2.5 Questionnaires
    2.6 Fieldwork procedures
    2.6.1 Recruitment and training of fieldworkers
    2.6.2 Community mobilisation
    2.6.3 Community and household entry
    2.6.4 Pilot study
    2.6.5 Main survey
    2.6.6 Quality control
    2.7 Laboratory procedures
    2.7.1 Specimen collection
    2.7.2 Specimen tracking
    2.7.3 HIV antibody testing
    2.7.4 HIV incidence testing
    2.8 Data management and analysis

  3. Results
    3.1 Assessment of 2005 survey data
    3.1.1 Generalisability of the survey results
    3.1.2 Response analysis
    3.2 National HIV prevalence
    3.2.1 Overall HIV prevalence
    3.2.2 HIV prevalence among youth aged 1524 years
    3.2.3 HIV prevalence among persons aged 1549 years
    3.2.4 HIV prevalence in females aged 1549 years compared with the antenatal survey 2004
    3.3 National HIV incidence
    3.4 Behavioural determinants of HIV/AIDS
    3.4.1 Sexual behavioural risks
    3.4.2 Substance use
    3.4.3 Perceived susceptibility to HIV infection
    3.4.4 Knowledge and use of voluntary counselling and testing (VCT)
    3.5 Knowledge and attitudes concerning HIV-related issues
    3.5.1 Knowledge about HIV/AIDS
    3.5.2 Knowledge about anti-retroviral (ARV) therapy
    3.5.3 Knowledge of HIV vaccines
    3.5.4 Attitudes towards people with HIV/AIDS
    3.6 Communication
    3.6.1 Introduction
    3.6.2 Exposure to mass media
    3.6.3 Language
    3.6.4 Contribution of media to understanding HIV/AIDS information
    3.6.5 Taking HIV/AIDS more seriously
    3.6.6 Awareness of HIV/AIDS campaigns and programmes
    3.6.7 Utility of HIV/AIDS programmes and campaigns
    3.6.8 Other sources of HIV/AIDS information
    3.6.9 Interpersonal communication and participation in HIV/AIDS activities
    3.6.10 Relationship of activities to taking HIV/AIDS more seriously
    3.7 Mental health and HIV/AIDS
    3.8 Other contextual factors for HIV/AIDS
    3.8.1 Household burden of HIV/AIDS
    3.8.2 Orphans
    3.8.3 Child-headed households
    3.8.4 Risk factors and risk environments for children aged 218 years
    3.8.5 Communication and knowledge about HIV/AIDS-related issues
    3.9 Structural and political contextual issues
    3.9.1 Use of healthcare services
    3.9.2 Financing of HIV/AIDS services
    3.9.3 Opinion poll of political and structural contextual issues

  4. Conclusions and recommendations
    4.1 Conclusions
    4.2 Recommendations

  5. Appendices
    5.1 HIV prevalence rates, socio-demographic characteristics, coefficient of variation, and design effect
    5.2 HIV viral load analysis
    5.3 List of supervisors, fieldworkers and field editors

References

Share this

You might also consider these related books

2239  Large

Scholars in the Marketplace
The dilemmas of neo-liberal reform at Makerere University 1989-2005

Scholars in the Marketplace is a case study of market-based reforms at Uganda's Makerere University. With the World Bank heralding neo-liberal reform at Makerere as the model for the transformation of higher education in Africa, it has implications for the whole continent. At the global level, the Makerere case exemplifies the fate of public universities in a market-oriented and capital-friendly era.

Open Access

Product information

Format : 210mm x 148mm (Soft Cover)
Pages : 272
ISBN 10 : 0-7969-2214-4
ISBN 13 : 978-07969-2214-4
Publish Year : 2008
Rights : Southern Africa Rights Only
Price R 209.00
1960  Large

Education in Exile
SOMAFCO, the ANC school in Tanzania, 1978 to 1992

This co-authored book re-lives the experiences of young South African exiles at the Solomon Mahlangu Freedom College (SOMAFCO) in Tanzania. South Africans from all backgrounds and solidarity workers from many parts of the world showed what new ways of thinking about teaching and learning could achieve.

Open Access

Product information

Format : 168mm x 240mm
Pages : 232
ISBN 10 : 0-7969-2051-6
ISBN 13 : 978-07969-2051-5
Publish Year : 2004
Price R 231.00
Pentecostal Charismatic Women

Pentecostal Charismatic Women: Constructions of Femininity in Alexandra Township

This is a Black feminist autoethnographic study, written from the perspective of an insider in both the Pentecostal community and Alexandra township. The book uncovers the daily lives of women in an African Pentecostal community while relating them to Black/African feminist and womanist theory.

Open Access

Product information

Format : 135mm x 216mm (Soft Cover)
Pages : 160
ISBN 13 : 978-0-7969-2639-5
Publish Year : February 2023
Rights : World Rights
Price R R245 | $14 | 11,49
2220  Large

Human Rights in African Prisons

2220

Even in western industrialised nations, civil and human rights often stop at the prison door. This book looks at the challenges African governments face in dealing with these issues. Written by some of the most eminent researchers from and on Africa, including the former Chairperson of the African Commission on Human and Peoples' Rights.

Product information

Format : 240mm x 168mm (Soft Cover)
Pages : 256
ISBN 10 : 07969-2206-3
ISBN 13 : 978-07969-2206-9
Publish Year : 2008
Rights : World Rights excl. North America
Price R 191.00