Improving health literacy, self efficacy and personal skills: towards culturally tailored behavioural inreventions for African women

D. Onoya-Saleh

Research output: ThesisDoctoral ThesisExternal prepared

235 Downloads (Pure)


Black women in South Africa bear the highest burden of HIV and the condom use among this population of women is low. The aims of the research were to examine determinants of condom use among HIV positive and HIV negative isiXhosa speaking women separately. We found that dry sex (e.g. sex after vaginal treatment with substances that often dry and tighten the vaginal wall) among HIV-negative Xhosa women is primarily determined by the preference for dry sex of a dominant male partner. Women’s motivation for negotiating condom use is primarily influenced by their desire to please their partners For South African HIV-positive and HIV-negative black women the fear of stigma because of HIV/AIDS is the biggest barrier to participate in HIV/AIDS efficacy trials. Interventions to enhance condom use by HIV-positive black South African women need to focus on the reinforcement of self-confidence. HIV behavioural interventions have to be associated with poverty alleviation initiatives and have to be accompanied by behavioural interventions specific to men.

Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • Maastricht University
  • van den Borne, Hubertus, Supervisor
  • Reddy, S.P., Supervisor, External person
  • Ruiter, Rob, Co-Supervisor
Award date6 May 2010
Place of PublicationMaastricht
Publication statusPublished - 1 Jan 2010


  • HIV
  • Xhosa women
  • condom use

Cite this