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Lawrence Meda, Alfred H. Makura


South Africa has reportedly the largest number of people living with HIV and AIDS in the world. Although adolescents as a group comprises the greatest portion of infected people, their behaviours and perceptions about the disease leave a lot to be desired. The purpose of this article is to explore some South African adolescent girls’ risky behaviours and perceptions about HIV and AIDS. A qualitative case study approach, using a school in Soweto, Johannesburg, was adopted. The paradigmatic position was interpretive. Twelve adolescent girls aged between 15 and 19 were purposively selected to participate in semi-structured interviews. Data were qualitatively processed to discern themes. Results showed that adolescent girls have comprehensive knowledge about HIV and AIDS, but they indulge in risky sexual behaviours because of ignorance, peer influence and a need to access government child support grants. The study concludes that unless there is a sharp turn-around in the youthful adolescent girls’ perspectives on HIV and AIDS, the country’s efforts to attain a Sustainable Development Goal of combatting HIV and AIDS, will remain elusive.


Adolescents; HIV and AIDS; South Africa; Perceptions

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Basen-Engquist, K. and Parcel, G. S. 1992. Attitudes, norms, and self-efficacy: A model of adolescents’ HIV-related sexual risk behavior. Health Education and Behavior, 19(2): 263–277.

Boulle, A., Van Cutsem, G., Hilderbrand, K., Cragg, C., Abrahams, M., Mathee, S., and Goemaere, E. 2010. Seven-year experience of a primary care antiretroviral treatment programme in Khayelitsha, South Africa. Aids, 24(4): 563–572.

Brook, D. W., Morojele, N. K., Zhang, C., and Brook, J. S. 2006. South African adolescents: Pathways to risky sexual behavior. AIDS Education & Prevention, 18(3): 259–272.

Casale, M., Rogan, M., Hynie, M., Flicker, S., Nixon, S. and Rubincam, C. 2011. Gendered perceptions of HIV risk among young women and men in a high-HIV-prevalence setting. African Journal of AIDS Research, 10 (supplement): 301–310.

Castro, K. G. C., Ward, J. W., Slutsker, L., Buehler, J. W., Jaffe, H. W. and Berkelman, R. L. 1993. Revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. Retrieved from (accessed 27 April 2016).

Meda and Makura Adolescent girls’ perceptions about HIV and Aids-related risky behaviours Cluver, L., Boyes, M., Orkin, M., Pantelic, M., Molwena, T. and Sherr, L. 2013. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: A propensity-scorematched case-control study. The Lancet Global Health, 1(6): e362–e370.

Cohen, L., Manion, L. and Morrisson, K. 2007. Research methods in education. 6th Edition. New York: Routledge.

Creswell, W. J. 2008. Educational research: Planning, conducting and evaluating quantitative and qualitative research. 3rd Edition. New Jersey: Merrill Prentice Hall.

Creswell, J. W. 2012. Educational research: Planning, conducting and evaluating quantitative and qualitative research. Boston: Pearson.

Das, B. R., Sarkar, A. H., Nath, G., Tamuli, P. and Kakoti, G. 2016. Knowledge, attitude and practices regarding HIV/AIDS amongst the adolescents – a hospital based study. International Journal of Health Sciences and Research, 6(1): 1–7.

HEAIDS. 2007. Case studies in mainstreaming: Integrating HIV and AIDS realities into South African higher education curriculum. Pretoria: Higher Education South Africa.

Ike, E. U and Oluwatosin, A. 2016. Evaluation of adolescents’ level of HIV/AIDS awareness and sexual behaviour in selected secondary schools in Ibadan. International Journal of Health Sciences and Research, 6(1): 290–298.

Lowenthal, E. D., Bakeera-Kitaka, S., Marukutira, T., Chapman, J., Goldrath, K. and Ferrand, R. A. 2014. Perinatally acquired HIV infection in adolescents from sub-Saharan Africa: A review of emerging challenges. The Lancet Infectious Diseases, 14(7): 627–639.

MacPhail, C. L., Pettifor, A., Coates, T., and Rees, H. 2008. ‘You must do the test to know your status’: Attitudes to HIV voluntary counseling and testing for adolescents among South African youth and parents. Health Education & Behavior, 35(1): 87–104.

Maharaj, P. 2006. Reasons for condom use among young people in KwaZulu-Natal: Prevention of HIV, pregnancy or both? Int Fam Plan Perspect., 32(1): 28–34.

Meda, L. 2013. Assessing factors influencing university students to uptake voluntary counselling and testing (VCT) of human immune deficiency virus/acquired immune deficiency syndrome (HIV/AIDS). Journal of AIDS and HIV Research, 5(6): 173–180. Retrieved from

Mertens, M. D. 2012. Ethics in qualitative research in education and the social sciences. In S. D. Lapan., M. T. Quartaroli and F. J. Riemer (Eds.), Qualitative research: An introduction to methods and designs, 19–40. San Franscisco: Jossey-Bass.

Mishna, F., Antle, J. B. and Regehr, C. 2004. Tapping the perspectives of children: Emerging ethical issues in qualitative research. Qualitative Social Work, 3(4): 449–468.

Nabunya, P., Ssewamala, F. M., Mukasa, M. N., Byansi, W. and Nattabi, J. 2015. Peer mentorship program on HIV/AIDS knowledge, beliefs, and prevention attitudes among orphaned adolescents: An evidence based practice. Vulnerable Children and Youth Studies, 10(4): 345–356.

National Strategic Plan on HIV, STIs and TB 2012–2016. Retrieved from

Oladepo, O. and Fayemi, M. M. 2011. Perceptions about sexual abstinence and knowledge of HIV/AIDS prevention among in-school adolescents in a western Nigerian city. BMC Public Health, 11(1): 1.

Meda and Makura Adolescent girls’ perceptions about HIV and Aids-related risky behaviours Rashad, I. and Kaestner, R. 2004. Teenage sex, drugs and alcohol use: Problems identifying the cause of risky behaviors. Journal of Health Economics, 23(3): 493–503.

Kosslyn, S. M. and Rosenberg, R. S. 2001. Psychology: The brain, the person, the world. Boston: Allyn.

Statistics South Africa. 2014. Mid-year population estimates, 2014. Retrieved from

UNAIDS. 2014. The Gap report. Retrieved from (accessed 9August 2014).

Watt, M. H., Aunon, F. M., Skinner, D., Sikkema, K. J., Kalichman, S. C. and Pieterse, D. 2012. ‘Because he has bought for her, he wants to sleep with her’: Alcohol as a currency for sexual exchange in South African drinking venues. Social Science & Medicine, 74(7): 1005–1012.



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