South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005

The Nelson Mandela Foundation (NMF) commissioned the first national household seroprevalence survey of HIV/AIDS in 2002. That study had a 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 to implement similar studies, and has impacted 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.

HSRC Press

Product Information

Format:

240mm x 168mm (Soft Cover)

Pages:

200 Pages

ISBN-13:

South African National HIV Prevalence, HIV Incidence, Behaviour and Communication Survey, 2005

Publish Year:

2005

Rights:

World rights

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

Executive Summary

Introduction
1.1 Background
1.2 Objectives of this study

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

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

Conclusions and recommendations
4.1 Conclusions
4.2 Recommendations

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