Policy, Strategy and Epidemiology

Synthesis on research on prevention of sexual transmission of HIV in South Africa

Date Published: 
2012 Jul 1
Authors: 
Kevin Kelly, Nolwazi Mkhwanazi, Rethabile Mashale, Nkhensani Nkwashu, & Ravikanthi Rapiti

The USAID Sexual HIV Prevention Programme (SHIPP) was designed in order to assist the Government of South Africa (GOSA) in implementing effective HIV combination-prevention programmes. The goal of this document is to provide a synthesis of what is known about the drivers of HIV infection and an understanding of HIV prevention needs, opportunities, challenges and priorities – for South Africa (SA) in general and for the three provinces of Gauteng, KwaZulu-Natal (KZN) and Mpumalanga in particular.

The document is presented in two sections. The first, entitled ‘Situation analysis’, consists of seven categories of information: 1. The changing profile of the HIV epidemic in South Africa, 2. The epidemiology of HIV in the three focal provinces, 3. The vectors of sexually transmitted HIV infection, 4. Patterns of sexual association driving HIV infection, 5. Social conditions driving HIV infection, 6. Nodes of high HIV incidence, 7. Economic and environmental factors underlying susceptibility to HIV transmission

The second section is an HIV-prevention response-analysis focusing on six categories of information: 1. Bio-medical approaches to the prevention of sexual transmission of HIV, 2. Social and behavioural change communication, 3. Behaviour change, 4. Effectiveness of responses relevant to specific population and age groups, 5. Coverage and effectiveness of responses relevant to most-at-risk populations, 6. Implementation and effectiveness of community and structural interventions

Talking about AIDS in an informal settlement: Experiences from Orange Farm, Gauteng 2008

Date Published: 
2008 Jul 14
Authors: 
Warren Parker & Helen Hajiyiannis
Talking about AIDS in an informal settlement: Experiences from Orange Farm, Gauteng 2008

Microbicides: Nice idea, but what are we doing for women now? Third South African AIDS Conference, Durban

Date Published: 
2007 Jun 11
Authors: 
Warren Parker & Mark Colvin
Microbicides: Nice idea, but what are we doing for women now? Third South African AIDS Conference, Durban

The vicious circularity of mental health effects of HIV/AIDS: Symptom and cause of poor responses to the epidemic.

Date Published: 
2008 Jul 11
Authors: 
Kevin Kelly, Melvyn Freeman, Nkululeko Nkomo & Pumla Ntlabati

The vicious circularity of mental health effects of HIV/AIDS: Symptom and cause of poor responses to the epidemic.   

Abstract 

In this paper we consider the possibility that psychosocial effects of the HIV/AIDS epidemic may have acted to sustain and entrench the epidemic. After reviewing the evidence for an association between HIV/AIDS and psychological dysfunction in the form of breakdown of coping responses to the point of psychiatric disorder, we suggest that it is not inevitable that this should have happened.  We argue that these effects are partially created and certainly sustained by the manner in which the epidemic has been responded to. Reviewing findings from our previous research on mental health effects of HIV/AIDS and analysing interviews conducted with HIV positive respondents, we describe psychological responses to HIV infection and their possible epidemiological consequences. We argue that these have acted with vicious circularity, undermining responses to the epidemic and compounding the predisposing psychosocial vectors of HIV infection. In closing we suggest that particular intervention strategies need to be much more carefully thought through and we make some recommendations regarding the need to respond to the mental health dimensions of HIV/AIDS. 

Marketisation of municipal services, daily life and HIV in South Africa. A Grahamstown case study.

Date Published: 
2006 Jan 10
Authors: 
Kevin Kelly & Pumla Ntlabati
Marketisation of municipal services, daily life and HIV in South Africa. A Grahamstown case study.

HIV/AIDS, Mental Health and Quality of Life. International Society for Quality of Life Conference. Grahamstown

Date Published: 
2006 Jul 11
Authors: 
Kevin Kelly
HIV/AIDS, Mental Health and Quality of Life. International Society for Quality of Life Conference. Grahamstown

Reality check: Circumcision, South Africa, HIV/AIDS. Colloquium on Circumcision, Wits University

Date Published: 
2006 Jul 11
Authors: 
Warren Parker
Reality check: Circumcision, South Africa, HIV/AIDS. Colloquium on Circumcision, Wits University

Private Sector Response to HIV and AIDS in Lesotho.

Date Published: 
2006 Jul 11
Authors: 
Mark Colvin, Genieve Lemmon & Julian Naidoo
Private Sector Response to HIV and AIDS in Lesotho.

Impact of AIDS, the health care burden. In: Abdool Karim SS, Abdool Karim Q (eds). HIV/AIDS in South Africa. Cambridge Press

Date Published: 
2006 Jul 11
Authors: 
Mark Colvin
Impact of AIDS, the health care burden. In: Abdool Karim SS, Abdool Karim Q (eds). HIV/AIDS in South Africa. Cambridge Press

HIV/AIDS Scenarios for South Africa: 2005-2025. An overview of underlying and future trends

Date Published: 
2005 Jul 11
Authors: 
Warren Parker, Mark Colvin & Karen Birdsall
HIV/AIDS Scenarios for South Africa: 2005-2025. An overview of underlying and future trends
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