n Africa Journal of Nursing and Midwifery - Women's cultural perspectives on reasons for HIV / AIDS prevalence in a rural area of the Kwazulu-Natal province of South Africa

Volume 10, Issue 1
  • ISSN : 1682-5055


The transmission of HIV through sexual intercourse remains a challenge, especially where women are not able to negotiate the use of condoms. KwaZulu-Natal (KZN) Province has the highest globally reported antenatal HIV prevalence. In this study, women in a rural area of Msinga in KZN were aware of the dangers of having unprotected sex with men who had many sex partners, but could not demand that their husbands / partners use condoms as polygamy, as well as the practice of having many sex partners, reportedly remains culturally acceptable in this area.

A focus group interview, conducted with 12 women, deliberated on their perceived reasons for the continued spread of HIV / AIDS in the study area despite the availability of much information on the prevention of HIV / AIDS.
The participating women knew about the dangers of unprotected sex, but were not in a position to insist that their husbands / partners, use condoms. Despite their HIV / AIDS knowledge, these women did not disapprove of their husbands / partners' multiple sex partners; and accepted "widow inheritance" by widowers' brothers as a cultural reality.
Health education messages should incorporate cultural and traditional realities. Men should be targeted for health education messages. Women need to be economically empowered and financially independent of their husbands / partners before they can insist on their partners' condom use. The prevention of HIV / AIDS requires practices and solutions that will not interfere with cultural customs.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error