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HIV/AIDS remains a critical public health challenge in South Africa, particularly among young women who are disproportionately affected. Comprehensive knowledge and appropriate behavioural responses are essential for preventing transmission and managing the disease. To determine comprehensive knowledge of HIV/AIDS, STI’s as well as the sexual behaviour among young women aged 18 – 24 years in Tshwane Sub district 1, Gauteng province, South Africa. A quantitative cross-sectional survey was conducted in Tshwane District, Gauteng province. The self-administered questionnaire was completed by 400 young women from four health care facilities rendering youth-friendly services. They indicated high knowledge scores for HIV/AIDS, STI’s and sexual behaviour, although most young people had risky sexual practices towards HIV/AIDS and that there were misconceptions about prevention and transmission methods of HIV. Despite high knowledge on STI’s, 27% of the participants self-reported to have had STIs. While most young women in Tshwane possess good knowledge of HIV/AIDS, a considerable proportion still engage in behaviours that increase their risk of infection. This disconnects between knowledge and practice highlights the need for more targeted interventions that not only educate but also empower young women to make safer sexual health choices. Comprehensive strategies addressing both knowledge and socioeconomic barriers are essential for reducing HIV transmission in this vulnerable population.

Teenagers' ignorance and reckless decision-making lead to poor consequences for their sexual and reproductive health. This could be exacerbated by teenagers looking for information from unreliable sources such as the internet and social media. This emphasizes the importance of communication between parents and teenagers about sexual health practices. There is an increasing number of sexually transmitted infections such as HIV among teenagers in South Africa. This study aimed to explore the measures to improve parent-teen sexual health communication in rural Mpumalanga province, South Africa. This qualitative, exploratory and descriptive research was conducted using individual in-depth interviews. Purposive sampling was used to select parents who had teenagers aged 12 to 19 years. Content analysis by Tesch’s approach was used for data analysis. The research process was guided by ethical principles which were applied throughout the study. The study findings revealed four themes such as setting up a forum for parent-teen engagement at health centres, open family communication, community sexual health support structures and sexual and reproductive health education. There is a need to improve sexual reproductive health communication between parents to teenagers. The study findings revealed suggestions to improve communication for the future and this will encourage parents to communicate with their teenagers in future such as concerning sexual health. Ensuring that teenagers have access to sexual and reproductive health services contributes to fulfilling their sexual and reproductive rights, providing them with more choices to best suit their needs and empowering them.

Adolescents living with HIV and AIDS experience difficulties when they transition from pediatric clinics to adult clinics. People living with HIV and AIDS have been judged and stigmatized as promiscuous. Since adolescence is a challenging milestone with all the physical and emotional changes, adolescents become vulnerable to defaulting care and treatment at the clinic. In some health facilities, youth-friendly services are still not well implemented, despite the program being advocated for by the World Health Organization to reduce HIV. The study aimed to explore the barriers to the provision of youth-friendly services for adolescents living with HIV and AIDS in clinics in Gauteng Province, South Africa. An explorative descriptive and qualitative design was applied through in-depth interviews. Data were collected from 15 professional nurses in three clinics and analysed using the content analysis framework. The study's findings produced five themes: human resource challenges, inadequate space to provide the service, healthcare providers’ attitudes toward the provision of mixed services and an environment not conducive to the service. Healthcare providers displayed judgemental attitudes towards adolescents when they sought sexual and reproductive services at the clinics. The shortage of staff and resources hampered the provision of youth-friendly services to adolescents living with HIV and AIDS. Lack of privacy and confidentiality due to limited space in the clinics caused adolescents to default on their treatment as they are seen in the same space as adults. The study recommends a designated area for adolescents and youth separated from other clinic populations so that sexual and reproductive health topics can be discussed without fear of being identified by other people visiting the clinic. Moreover, more youth-inclusive environments in healthcare settings should be created.