Socio-Cultural Identities, Perceptions of Sexuality/Sexual Behavior and Cultural Contexts as Determinants of HIV and AIDS Prevalence in Southern Africa

Abstract

This paper attempts to examine the connection between one’s socio cultural setting and the prevalence of HIV/AIDS. Often, local communities form the contexts within which people negotiate their social and sexual lives and identities. These communities also play a key role in enabling or restraining people from taking control over their health. The paper will try to demonstrate through specific examples that in African societies, sexual behavior is a product of one’s socio-cultural environment and structural contexts and not the cognitive properties of the individual. The article draws from the qualitative study (Focus group sessions, individual interviews) conducted in three high schools in the Boland area of the Western Cape with about 18 learners, 3 Life skills teachers, 3 Performer-Educators on the efficacy of the HIV/AIDS intervention by The Centre for HIV/AIDS Management theatre group based at the University of Stellenbosch. The aim of the study was to ascertain the cultural content of their campaign model as well as their knowledge of the determinants of sex and sexuality of their target areas. Based on the findings of this study, I argue that theatre will achieve greater success in its campaign against HIV/AIDS in South Africa if the designers of the campaign models adopt a more participatory approach, make indigenous culture central to the design of their intervention model and pay closer attention to what Campbell refers to as “community level of analysis” which simply put implies a greater understanding of the target audiences local communities and its determinants of sex and sexuality.

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C. Uwah and S. Wright, "Socio-Cultural Identities, Perceptions of Sexuality/Sexual Behavior and Cultural Contexts as Determinants of HIV and AIDS Prevalence in Southern Africa," World Journal of AIDS, Vol. 2 No. 1, 2012, pp. 17-23. doi: 10.4236/wja.2012.21003.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] H. Hoeken and P. Swanepoel, “Adapting Health Communication to Cultural Needs: Optimizing Documents in South African Health Communication on HIV and AIDS,” John Benjamins Publishing Company, Amsterdam/Philadelphia, 2009.
[2] C. Campbell, “Letting Them Die: Why HIV/AIDS Intervention Programmes Fail,” Indiana University Press, Bloomington & Indianapolis, 2003.
[3] L. Eaton, A. J. Flisher and L. E. Aaro, “Unsafe Sexual Behavior in South African Youth,” Social Science & Medicine, Vol. 56, No. 4, 2003, pp. 149-165. doi:10.1016/S0277-9536(02)00017-5
[4] R. Perloff, “Persuading People to Have Safer Sex: An Application of Social Sciences to the AIDS Crisis,” Lawrence Erlbaum Associates Inc., Mahwah, 2000.
[5] J. Sithole, “Cultural Factors in the Spread and Management of HIV/AIDS in Southern Africa,” In: E. Biakolo, J. Mathangwane and D. Odallo, Eds., Department of English, University of Botswana, Gaborone, 2003, pp. 142-145.
[6] R. O. Inness, “Sociocultural Aspects of AIDS,” 2006. http://www.health.com/medical/conditioncetres/777-792-814-1762asp
[7] A. C. van Dyk, “Traditional African Beliefs and Customs: Implications for AIDS Education and Prevention in Africa,” South African Journal of Psychology, Vol. 31, No. 2, 2003, pp. 1-9.
[8] K. Attawell, “HIV/AIDS Knowledge, Attitudes, Beliefs and Behaviours in South Africa: Literature Review,” National Directorate HIV/AIDS and STD, Pretoria, 1998.
[9] Department of Health, Medical Research Council & Macro International, “The South African Demographic and Health Survey 1998,” Department of Health, Pretoria, 1999.
[10] A. Fourie and A. Furter, “Sexually Transmitted Infections and HIV/AIDS: An Investigation into Knowledge Attitudes, Practice and Beliefs of the Botshabelo Community,” Centre for Health Systems Research & Development, Bloemfontein, 1998.
[11] A. Fourie and A. Furter, “Sexually Transmitted Infections and HIV/AIDS: An Investigation into Knowledge, Attitudes, Practices and Beliefs among School Going Teenagers in Thabanchu,” Centre for Health Systems Research & Development, Bloemfontein, 1998.
[12] A. Akinade, “Cultural Practices That Influence the Spread of HIV and AIDS in Botswana,” In: E. Biakolo, J. Mathangwane and D. Odallo, Eds., Department of English, University of Botswana, Gaborone, 2003, pp. 112-117.
[13] H. N. Eyoh, “Hammocks to Bridges: An Experience in Theatre for Development,” BET and Company, Yaounde, 1986.
[14] W. Parker, L. Dalrymple, E. Durden, “Communicating Beyond AIDS Awareness: A Manual for South Africa,” Beyond Awareness Consortium, Johannesburg, 1998.
[15] H. Gould, “What’s Culture Got to Do with HIV and AIDS? Why the Global Strategy for HIV and AIDS Needs to Adopt a Cultural Approach 2007,” (Online) Accessed on 21 July 2009. http://www.healthlink.org.uk/PDFs/Findings7_hiv_culture.pdf
[16] D. B. Somma and K. C. Bodiang, “The cultural approach to HIV/AIDS prevention,” Swiss Agency for Development and Cooperation/Swiss Centre for International Health, Swiss Tropical Institute, Geneva, 2004.
[17] N. Mkhulisi, “The Role of Language Departments at Tertiary Institutions in Language Development,” The Workshop with Tertiary Institutions, Kwa Zulu Natal, 1999.
[18] J. Ogden and L. Nyblade, “Common at Its Core: HIV-Related Stigma across Contexts” International Centre for Research on Women, Washington DC, 2005.
[19] F. R. Booysen and J. Summerton, “HIV/AIDS, Poverty and Inequality: Evidence from the South African Demographic and Health Survey,” In: E. Biakolo, J. Mathangwane, D. Odallo, Eds., The Discourse of HIV/AIDS in Africa Department of English, University of Botswana, Gaborone, 2003.
[20] M. J. Dutta-Bergman, “Theory and Practice in Health Communication Campaign: A Critical Interrogation,” Health Communication, Vol. 18, No. 2, 2003, pp. 103-122. doi:10.1207/s15327027hc1802_1
[21] K. Albright, “HIV/AIDS Information Seeking and Healthcare Communication in Sub-Saharan Africa,” 73rd IFLA General Conference and Council, Durban, 19-23 August 2007.
[22] T. Gorringe, “Furthering humanity: a theology of culture,” Ashgate Publishing Ltd., Aldershot, 2004.

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