Men's experiences and perceptions of HIV testing services in Gugulethu Township, Cape Town

South Africa continues to have the highest number of people living with HIV/AIDS in the world. HIV testing remains vital in the prevention and management efforts of the pandemic. Despite the efforts by the government, and local and international organizations to prevent the spread of HIV in men, HIV testing uptake in men continues to remain significantly low in the sub-Saharan Africa, including South Africa. Several factors, including experiences and perceptions of HIV testing services contribute to a low uptake and men's willingness to use HIV testing services in South Africa. This mini-dissertation explores men's experiences and perceptions of HIV testing services from a qualitative perspective. This mini-dissertation is divided in the following three parts. A research protocol (Part A) focuses on understanding men's experiences and perceptions of HIV testing in Gugulethu Township, Cape Town. A literature review (Part B) identifies literature on HIV testing in South Africa, gender norms and their impact on HIV testing uptake, men's perceptions of HIV testing, confidentiality issues, perceived benefits of HIV testing, and gaps in current literature. Lastly, a qualitative journal "ready" manuscript (Part C) focuses on men's experiences and perceptions of HIV testing services in Gugulethu Township, Cape Town. Desirably, this mini-dissertation will inform health interventions that are specific to men's health needs while also aiming to focus on health policies that are inclusive of men. This study will in part address the core issues men encounter when testing for HIV in Gugulethu Township

The prevalence of pregnancy among adolescent girls and young women across the Southern African development community economic hub : a systematic review and meta-analysis

BACKGROUND: Despite the high rate of HIV infections, there is still high rate of early unprotected sex, unintended pregnancy, and unsafe abortions especially among unmarried adolescent girls and young women (AGYW) 10-24 years of age in sub Saharan Africa. AGYW face challenges in accessing health care, contraception needs, and power to negotiate safer sex. This study aimed to estimate the rate of pregnancy among AGYW aged 10-24, 10-19 and 15-19 years in the Southern African Development Community (SADC) economic region. METHODS: A systematic review and meta-analysis was used to describe the prevalence of pregnancy among AGYW in 15 SADC member countries between January 2007 and December 2017. The articles were extracted from PubMed/MEDLINE, African Index Medicus, and other reports. They were screened and reviewed according to PRISMA methodology to fulfil study eligibility criteria. RESULTS: The overall regional weighted pregnancy prevalence among AGYW 10-24 years of age was 25% (95% CI: 21% to 29%). Furthermore, sub-population 10-19 years was 22% (95% CI: 19% to 26%) while 15-19 years was 24% (18% to 30%). There was a significant heterogeneity detected between the studies (I2 =99.78%, P<0.001), even within individual countries. CONCLUSION: The findings revealed a high pregnancy rate among AGYW in the SADC region. This prompts the need to explore innovative research and programs expanding and improving sexual and reproductive health communication to reduce risk and exposure of adolescents to early planned, unplanned and unwanted pregnancies, SRHR challenges, access to care, HIV/ STIs, as well as other risk strategies.http://journals.tbzmed.ac.ir/HPPpm2021School of Health Systems and Public Health (SHSPH

Investigation of a financial model for small and medium sized contractors in South Africa

M. Tech.The financing needs of contractors, especially emerging contractors, need to be explored. In the case of the Small, Medium and Micro-Enterprises (SMMEs’) within the contracting sector, a type of “finance-PLUS” arrangement, which sees the lender, or an intermediary, offer additional support services to emerging enterprises, would be worth exploring. There are various perspectives and opinions on the format and context of the contribution. One of these perspectives embraces the obstacles involved in the entrepreneurial process hindering contribution and economic catalisation. This study follows a focused approach towards the investigation of a financial model for small, medium sized contractors in South Africa. Interviews were conducted and questioners were sent out to different constructors who have been successful in the business for more than five years and also contractors who are currently straggling and trying to survive and grow. Conclusions will be drawn from the analysis and recommendations will be made for further study and curriculum revision, if necessary. All types of businesses need capital before and after they start operating as well as for expansion purpose. The problem is people who have been listed on credit bureaus have their records count against them when they apply for a loan. A key factor mitigating against increased investment in the SMMEs’ sector is the structure of the financial sector. The findings of the study point to the fact that conventional financing mechanisms do not allow for cost-effective provision of finance to large numbers of entrepreneurs seeking small quantities of finance. Effects of poverty and lack of assets mean that many people do not have the collateral needed to access finance. The study also found that although there are different initiatives that are in place to assist small and medium size contractors the typical problems and challenges are still existing. The scopes of this study only focused on small, medium and micro-enterprise in the built environment (specifically the construction industry). In addition, the study focuses on the different financial programmes that are currently in place. An overarching concern is that previously disadvantaged individuals do not have adequate access to credit offered by formal financial institutions and therefore are forced to seek relatively expensive (and often inadequate) amounts of credit from alternative financial sources