Exploring the Health Belief Model and First-Year Students' Responses to HIV/AIDS and VCT at a South African University

The Health Belief Model (HBM) is a psychosocial framework that attempts to explain health behaviour. It is determined by an individual's personal beliefs or perceptions about a disease and the options available to decrease its occurrence. In the context of sexual risk behaviours; literature reveals that knowledge about HIV/AIDS and Voluntary Counselling and Testing (VCT) are key strategies in the management and prevention of HIV. This study was conducted in 2011; the same year the First Things First campaign was implemented in universities across South Africa to maximise opportunities for HIV testing among youth. It aimed to identify first-year students' responses to HIV/AIDS and VCT at the University of the Witwatersrand (WITS). The mixed research methods consisted of self-administered structured questionnaires with a sample population of 195 first-year students and 2 in-depth interviews with experts in the field of HIV/AIDS. Descriptive statistical analyses (frequencies and cross-tabulations) and thematic content analysis was carried out. The findings indicate that students are willing to know their status. The positive influence of peers is a motivation for those accessing VCT. However; some students do not access VCT due to personal fears while other students do not access VCT because of their low individual risk perception for HIV due to sexual abstinence. It concludes that university students' self-efficacy and cues to action might bring about a positive change in the future of the epidemic within a university context

HIV/AIDS in South Africa: an overview

This paper presents an overview of the development of HIV/AIDS in South Africa, taking into consideration the social context and analyzing the factors most likely to have influenced its spread as well as the societal response to it. The authors argue that macro factors such as social and political structures, in addition to behavioral ones, have combined to shape the course of the epidemic. Since various factors linked to social inequalities have combined to shape the pattern and growth of the HIV/AIDS epidemic in South Africa, it is inappropriate to focus on only one dimension in an attempt to combat the epidemic. Following the psycho-socio- environmental model, all potential contributing elements need to be addressed simultaneously. This calls for a true interdisciplinary and multi-sectorial approach. It also requires great commitment as well as strong political will.