Why Wait ‘til Marriage? The Determinants of Premarital Sex among Adolescents in a Country in Sub-Saharan Africa: Botswana

The purpose of the study was to describe the premarital sexual behaviors of Botswana adolescents and examine the factors associated with premarital sex intentions. An anonymous self-reported questionnaire was administered to 1,054 pupils ages 10 to 18 years in school and out of school. The findings indicate that the theory of planned behavior provides a model for developing interventions to reduce the risk behavior in regard to HIV/AIDS through premarital sex. The findings in the study indicate factors that influence adolescent intentions to engage in premarital sexual intercourse and the need to address these when designing effective interventions.     

Contextualized theory-based predictors of intention to practice monogamy among adolescents in Botswana junior secondary schools: Results of focus group sessions and a cross-sectional study

ABSTRACT

Culture and tradition influence behavior. Multiple-partner and concurrent relationships are held responsible for the increase of HIV infection in Sub-Saharan Africa. A contextualized “theory of planned behavior” is used in this article to identify predictors of intention to practice monogamy. A mixed method design using qualitative data from focus groups, stories, and a survey is analyzed for quantitative data. The qualitative data add to the behavioral beliefs a sociocultural belief domain, as well as attitudes and subjective norms. Perceived behavioral control predicts the intention to practice monogamy. Adolescents show a tendency toward having more than one sexual partner. The normative beliefs and the sociocultural beliefs also predict intentions, while hedonistic beliefs and partner’s reaction do not. In contextualizing theory-based interventions, it is important to draw from stories and the language that circulate in a community about a given behavior. More studies are needed on ways to combine qualitative approaches with quantitative approaches to inform the development of theory-based, culturally appropriate, and context-specific intervention strategies to reduce the risk of HIV.     

The role of informal caregivers in the well‐being of orphans in Botswana: a literature review

With the orphan population escalating, communities continue to rely on relatives to provide care to orphans. Therefore, there is a need to explore the role of caregivers with regard to the well‐being of orphans, the challenges they face, as well as how they could be empowered to be more responsive to children's needs. The paper acknowledges that informal caregivers play an important role in the lives of orphans. The paper also concedes that, in the process, caregivers are faced with challenges which make it difficult for them to fulfil their responsibilities and roles. As a result, they sometimes act as sources of stress to orphans, which eventually complicate the children's adjustment to the loss of their parents. Lastly, the paper paves the way to ensuring that challenges faced by informal caregivers are addressed in a manner that will make them more supportive to orphans.     

The nature of relationships between orphans and their kinship carers in Botswana

Generations of parents lost to AIDS and other causes have created a vacuum of care for the orphaned children they leave behind. This crisis has resulted in rapid changes in caregiving and family life, with extended family members, having to care for orphaned children. As a result of high numbers of vulnerable orphaned children residing with kinship carers, and the fundamental importance of the relationship between carers and orphaned children, we need to understand more about these relationships. This paper explores the nature of orphaned children–kinship carer relationships in Botswana. Interview guides were used to collect data from 15 caregivers and 15 orphaned children. The results indicate that the nature of relationships between orphaned children and caregivers is influenced by the way the parties communicate, how adolescents behave and the competing responsibilities of caregivers. Lastly, the paper recommends how positive relationships can be developed and nurtured between orphaned children and their caregivers in an African setting.