scholarly journals Consumer Perceptions and Acceptability of Traditional Dishes Prepared with Provitamin A-Biofortified Maize and Sweet Potato

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1577
Author(s):  
Laurencia Govender ◽  
Kirthee Pillay ◽  
Muthulisi Siwela ◽  
Albert Thembinkosi Modi ◽  
Tafadzwanashe Mabhaudhi
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Sweet Potato ◽  
Vitamin A Deficiency ◽  
Age Groups ◽  
Food Samples ◽  
Consumer Perceptions ◽  
Provitamin A ◽  
Consumer Acceptability ◽  
Age Group

Vitamin A deficiency (VAD) is prevalent in South Africa, particularly among predominantly poor rural communities. Provitamin A (PVA)-biofortified crops could be used to address VAD; however, there are challenges of poor consumer acceptability. This study investigated the effect of replacing white maize and cream-fleshed sweet potato (CFSP) with PVA-biofortified maize and orange-fleshed sweet potato (OFSP), respectively, on consumer acceptability and perceptions of traditional dishes of rural communities in South Africa. Consumer acceptability of PVA-biofortified phutu (a crumbly maize porridge) served with either curried cabbage, chicken or bambara groundnut, separately, and boiled OFSP was evaluated by black South African adults (n = 120) using a five-point facial hedonic scale. Focus group discussions (FGDs) were conducted with 56 subjects recruited from the consumer panel to assess consumer perceptions of the food samples. The majority of the participants rated the composite dishes containing PVA-biofortified phutu as “4 = good” and the acceptability of the composite dishes varied significantly (p < 0.05). Compared to other age groups, the 50–59-year age group showed higher preference for white phutu and chicken curry, whereas the 30–39-year age group showed higher preference for PVA-biofortified phutu and chicken curry. The acceptability of OFSP and CFSP was similar. The study participants showed positive perceptions of the OFSP, as well as PVA-biofortified phutu if served with either curried chicken or cabbage. The findings suggest that PVA-biofortified maize and OFSP can replace white maize and CFSP, respectively, in selected traditional dishes of the rural communities studied to alleviate VAD.

scholarly journals Improving the Dietary Vitamin A Content of Rural Communities in South Africa by Replacing Non-Biofortified White Maize and Sweet Potato with Biofortified Maize and Sweet Potato in Traditional Dishes

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1198 ◽  
Author(s):  
Laurencia Govender ◽  
Kirthee Pillay ◽  
Muthulisi Siwela ◽  
Albert Thembinkosi Modi ◽  
Tafadzwanashe Mabhaudhi
Keyword(s):  
South Africa ◽  
Rural Communities ◽  
Vitamin A ◽  
Sweet Potato ◽  
Vitamin A Deficiency ◽  
Nutritional Composition ◽  
Dietary Vitamin ◽  
Micronutrient Deficiencies ◽  
Isoleucine Leucine ◽  
Lower Protein

Biofortification of staple crops has a potential for addressing micronutrient deficiencies, such as vitamin A deficiency (VAD), which are prevalent in South Africa. The poor acceptability of provitamin A (PVA)-biofortified foods could be improved by combining them with other food items to produce modified traditional dishes. The nutritional composition of the dishes could also be improved by the modification. The study aimed to investigate the effect of replacing white maize and cream-fleshed sweet potato (CFSP)] with PVA-biofortified maize and orange-fleshed sweet potato (OFSP) on the nutritional composition of South African traditional dishes. The protein, fibre, total mineral (ash), lysine, and iron concentrations of the PVA maize phutu (traditional porridge) composite dishes (control), were not significantly different (P > 0.05) from those of white maize phutu composite dishes. However, the PVA concentration of PVA maize phutu composite dishes was higher than that of the white phutu composite dishes (P > 0.05). The OFSP had a significantly lower protein concentration, but a significantly higher (P > 0.05) fibre, ash, lysine, isoleucine, leucine, and PVA concentration, relative to the CFSP. The findings indicate that composite dishes in which white maize is replaced with PVA-biofortified maize, and switching over from CFSP to OFSP, would contribute to combating VAD in South Africa, and in other developing counties.

scholarly journals Nutritional enhancement of Ghanaian weaning foods using the orange flesh sweetpotato (Ipomea batatas)

2014 ◽  
Vol 14 (65) ◽  
pp. 9236-9256
Author(s):  
EA Bonsi ◽  
◽  
WA Plahar ◽  
R Zabawa ◽  
◽  
...  
Keyword(s):  
Vitamin A ◽  
Sweet Potato ◽  
Nutritive Value ◽  
Vitamin A Deficiency ◽  
Consumer Acceptability ◽  
Weaning Food ◽  
Nutrient Density ◽  
Weaning Foods ◽  
Maize Meal ◽  
Β Carotene

Vitamin A deficiency (VAD) is a public health problem in Ghana. Research on the orange flesh sweet potato root has been given prominence because of its high β - carotene content as a means to enhance the nutritive value and vitamin A content of the traditional diets of Ghanaian children as a long -term intervention towards combating VAD. Two Ghanaian cereal -legume weaning foods: roasted maize- soy blend and fermented maize -soy blend were added to Orange Flesh Sweet potato (O FS) flour from the variety, Beauregard, to develop four weaning food formulations . To each product formulation preparation, 25% and 50% OFS flour was added to the basic cereal - legume meals , and mixed thoroughly. The four weaning formulations were evaluated for chemical composition, sensory characteristics and consumer acceptability. All samples had a range of protein (12.1% - 15%), fat (4.8% - 6.4%), carbohydrate (71.1% – 75.1%), energy (380 - 390 kcal/100g) and minerals (calcium, iron and phosphorus) to ensure good nutrient density, while the moisture content was low (5.3% - 6.1%) for storage stability. The contribution of β -carotene ( 55.18 –115.55 ug/g) by the OFS in the formulations further enhanced the nutritive value of all the blends and is enough to meet the daily β -carotene needs of the children ( 1-6 yrs of 400 -450ug/100g). A higher level of β -carotene was seen in the roasted maize meal weaning foods which make s them a better potential blend for combating VAD. Also, sensory evaluation of the products indicated the highest consumer acceptability score (87%) for the roasted maize meal porridge formulation containing 25% OFS . It is, therefore , concluded that OFS flour has the potential to be used at 25% replacement level in the soy- fortified roasted maize meal formulation, and OFS is a useful ingredient with the potential to improve the β -carotene or vitamin A content of such formulations . This will help alleviate vitamin A deficiency of children in Ghana and other countries with similar problems . It is , therefore, recommended that the orange flesh sweet potato flour be used by mothers as an entry point for enhancing the traditional weaning food preparations .

scholarly journals Analysis of trends in total deaths and AIDS-related deaths certified at Mosvold Hospital, Ingwavuma, KwaZulu-Natal, from 2003 to 2008

2010 ◽  
Vol 11 (1) ◽  
Author(s):  
C H Vaughan Williams
Keyword(s):  
South Africa ◽  
Longitudinal Study ◽  
Hiv Infection ◽  
Cause Of Death ◽  
Age Groups ◽  
Age Group ◽  
Age At Death ◽  
Mortality Trends ◽  
Kwazulu Natal ◽  
Roll Out

Objectives. To analyse mortality trends from deaths registered at Mosvold Hospital, Ingwavuma, KwaZulu-Natal, and possible impact of programmes to treat and prevent HIV infection. Design. Longitudinal study of death certifications from 2003 to 2008. Setting. Mosvold Hospital mortuary, Ingwavuma. Subjects. Counterfoils of form 83/BI-1663, Notification/Register of Death/Stillbirths (Republic of South Africa, Department of Home Affairs), completed at Mosvold Hospital from January 2003 to December 2008. Outcome measures. Age at death, cause of death, patterns of deaths grouped by age, gender and cause of death. Results. AIDS-related deaths were the cause of 53% of deaths, particularly affecting the 20 - 59-year and under-5 age groups. Since 2005 there has been a decline in deaths in the 20 - 59 age group and an increase in average age at death. Conclusions. The decrease in mortality from 2005 may be associated with antiretroviral roll-out reducing mortality from AIDS-related illnesses.

scholarly journals Clinical Characteristics of Children with HIV Initiated on Antiretroviral Treatment at HIV Clinics in Bloemfontein, South Africa

2021 ◽  
Vol 10 (1) ◽  
pp. 146-155
Author(s):  
Andrew Walubo ◽  
Refuoe Baleni ◽  
Hillary Mukudu ◽  
Henry Kambafwile ◽  
Mukesh Dhedha ◽  
...  
Keyword(s):  
South Africa ◽  
Global Health ◽  
Clinical Characteristics ◽  
Treatment Guidelines ◽  
Age Groups ◽  
World Health ◽  
Severe Illness ◽  
Age Group ◽  
National Guidelines ◽  
Number Of Children

Background and Objective: Over the past 15 years, there have been three major updates to the South African national guidelines for the management of human immunodeficiency virus (HIV) in children. The purpose of this study is to describe the clinical characteristics of children who were initiated on antiretroviral therapy (ART) in Bloemfontein, South Africa, following these national treatment guidelines. Methods: Clinical information during initiation of ART in children aged 0-13 years was obtained from five HIV clinics in Bloemfontein from 2004 to 2019 as part of the establishment of an antiretroviral (ARV) pediatric registry at the University of the Free State. Data were analyzed for patient demographics, clinical presentation (World Health Organization (WHO) HIV-staging, growth rate and comorbid conditions), types of investigations done, and medicines prescribed. Results: The number of children initiated on ART increased from 168 in the period 2004-2009 to 349 (107.8%) in 2010-2014, and then dropped to 162 in the period 2015-2019. The increase in 2010-2014 was mainly in the <2 years age group by 54.8%, and in the 5 to 10 years age group by 344.4%. In the same period, the number of children with severe illness (WHO HIV-stage 4) decreased by 20.7%, while those with mild to moderate illness (WHO HIV-stage 2 and 3) increased by 17.3%. HIV infection was more severe in children under two years as more patients in this age group presented with WHO HIV-stages 3 and 4, severe underweight (below 3rd percentile), severely suppressed CD4 count (< 25%), and a high viral load (> 1000 copies/ml). There was increased use of ABC/3TC/LPVr in the < 3-year age group and ABC/3TC/EFV in the > 3-year age group. There was reduced use of the stavudine and other regimens. Conclusion and Global Health Implications: More children were started on ART and safer ARV drugs. Children under 2 years were the most debilitated by HIV, and there was an increase in HIV prevalence among children > 5 years. New strategies for the prevention and management of HIV among children in these two age groups are needed.   Copyright © 2021 Walubo et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

scholarly journals High-risk human papillomavirus detection in self-collected vaginal samples compared with healthcare worker collected cervical samples among women attending gynecology clinics at a tertiary hospital in Pretoria, South Africa

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Teboho Amelia Tiiti ◽  
Tebogo Loraine Mashishi ◽  
Varsetile Varster Nkwinika ◽  
Ina Benoy ◽  
Selokela Gloria Selabe ◽  
...  
Keyword(s):  
South Africa ◽  
Human Papillomavirus ◽  
High Risk ◽  
Healthcare Worker ◽  
Age Groups ◽  
Tertiary Hospital ◽  
P Value ◽  
Age Group ◽  
Total Group ◽  
Mcnemar Test

Abstract Background In 2017, the South African National Department of Health (NDoH) Cervical Cancer Prevention and Control Policy was revised. Human papillomavirus (HPV) testing on self-collected samples may offer improved screening uptake. The objectives of the study were to compare the positivity of high-risk (hr)-HPV deoxyribonucleic acid (DNA) and hrHPV viral messenger ribonucleic acid (mRNA) between healthcare worker-collected cervical and self-collected vaginal samples and investigate the accuracy of the applicator-tampon-based self-collected samples in detecting hrHPV DNA and hrHPV mRNA. Methods A total of 527 women aged 18 years and older and seeking gynecology services at a tertiary hospital in Pretoria, South Africa, were enrolled. Vaginal samples were self-collected using SelfCerv applicator tampon, followed by cervical samples collected by a healthcare worker using a Cervex Brush® Combi. Both samples were tested with the Abbott m2000 analyzer for 14-hrHPV types and 285 paired samples were tested for hrHPV E6/E7 mRNA using the Aptima HR-HPV mRNA assay. The prevalence of hrHPV DNA and hrHPV E6/E7 mRNA was estimated and the positivity between the two collection methods was compared for the total group as well as per age group. Results HrHPV prevalence was 48.0% (95% CI 43.7–52.4) among healthcare worker collected samples and 47.6% (95% CI 43.3–52.0) among self-collected samples. There was no difference in positivity between healthcare worker collection (48.0%) and applicator-tampon-based self-collection, 47.6% (p-value = 0.90). The proportions of hrHPV were equal between the age groups as shown by the McNemar test (p = 0.9036) results for correlated proportions. The prevalence of hrHPV mRNA was 78.6% (95% CI 73.4–83.2) and 58.6% (95% CI 52.6–64.4) for healthcare worker- and self-collection, respectively. The McNemar test for correlated proportions was highly significant (p < 0.0001), indicating that the hrHPV mRNA proportions are not comparable, although this differed between age groups. Conclusions Applicator-tampon-based self-collection has a comparable hrHPV DNA positivity rate as healthcare worker collection but different positivity rates for hrHPV mRNA. Self-sampling showed high concordance with healthcare worker-collected sampling for hrHPV DNA detection, especially regarding HPV 16/18 detection. HrHPV DNA was equally detected between the total group as well as per age group. Implementation of self-sampling using an applicator tampon as a primary screening tool may be considered.

scholarly journals Provitamin A Carotenoids in Baked Foods From Orange-Fleshed Sweet Potato Flour Are Substantially Bioaccessible and Contribute to Vitamin A Requirements

2020 ◽  
Vol 12 (10) ◽  
pp. 132
Author(s):  
Gisèle A. Koua ◽  
Sébastien Niamké
Keyword(s):  
Vitamin A ◽  
Sweet Potato ◽  
Vitamin A Deficiency ◽  
Public Health Problem ◽  
In Vitro Digestion ◽  
Provitamin A ◽  
Total Carotenoids ◽  
Provitamin A Carotenoids ◽  
Orange Fleshed Sweet Potato

Vitamin A deficiency (VAD) remains a public health problem in developing countries. Consumption of orange-fleshed sweet potato (OFSP) varieties has been proven to be a valuable strategy for VAD alleviation. In this work, OFSP flour was incorporated into wheat flour at 15, 25, 35, and 50% (w/w) and used to prepare baked products. The bioaccessibility of provitamin A carotenoids of OFSP baking products was performed according to an in vitro digestion model. The contribution of OFSP-wheat composite baking products to vitamin A requirements was evaluated. Relatively high amounts (98.70&plusmn;2.17-144.42&plusmn;1.31 &mu;g/g DM) of total carotenoids in OFSP flours was reported in Kakamega-7-Irene, Kabode, and Covington cultivars. The recovery of provitamin A carotenoid in baking products containing 15, 25, 35, and 50% OFSP flour was 1031.04&plusmn;6.36-3364.21&plusmn;10.22 &mu;g/100 g for cupcakes and 1009.19&plusmn;10.38-4640.72&plusmn;13.43 &mu;g/100 g for cookies, respectively. The in vitro bioaccessibility of provitamin A carotenoids of OFSP composite cupcake ranged from 12.53 to 27.21% while that of OFSP composite cookies was significantly different (p ˂ 0.05) and ranged from 15.99 to 27.84%. The results also showed that cupcake and cookies containing 35% and 50% OFSP flours could be used to fight vitamin A deficiency in C&ocirc;te d&rsquo;Ivoire as they were found to meet 50 and more than 100% (161% for 100 g portion) of the recommended dietary allowance (RDA) of vitamin A for children aged 3-10 years. Finally, our results may support adoption of OFSP varieties in order to decrease the risk of vitamin A deficiency in C&ocirc;te d&rsquo;Ivoire.

scholarly journals Consumer perceptions and demand for biofortified sweet potato-based biscuit: The case of Akarabo golden power biscuit in Rwanda

2014 ◽  
Vol 14 (63) ◽  
pp. 8941-8955
Author(s):  
JJ Okello ◽  
◽  
K Sindi ◽  
J Low ◽  
◽  
...  
Keyword(s):  
Vitamin A ◽  
Willingness To Pay ◽  
Sweet Potato ◽  
Low Income ◽  
Vitamin A Deficiency ◽  
Value Added ◽  
Consumer Perceptions ◽  
Income Groups ◽  
Orange Fleshed Sweet Potato ◽  
The Way

Certain varieties of sweet potato , especially orange -fleshed, are being promoted as part of the strategy to combat vitamin A deficiency in children and pregnant mothers. However , the consumption of sweet potato is more widespread in rural households where it is mainly boiled or eaten raw. The lack of value addition exclude s majority of urban and higher income consumers who consider sweet potato an inferior product . At the same time low income urban households that would be interested in consuming sweet potatoes are not able to receive regular supplies from the rural producing are as due to perishability and bulkiness of the produce. This study examines consumer perception s and demand for value -added biofortified biscuit derived from the vitamin A-rich orange fleshed sweet potato in Rwanda. Specifically, it assesses consumer perceptions and preference for biofortified biscuit, consumer willingness to pay for biofortified biscuit and consumers ’ rating of the biofortified biscuit. It uses data from 1085 consumers stratified by income level s drawn from consumers in several urban market s of Rwanda . The study finds very favorable rating of the taste, color, packaging, looks, and sweetness for the biofortified biscuit . It also finds higher willingness to pay (WTP) for the biofortified biscuit among consumers from low and low/middle income groups. However, the study finds mixed results of WTP for the biofortifed sweet potato among consumers in the high income neigborhoods. Also, contrary to expectations, t he study finds no evidence that knowledge of vitamin A increases consumer rating for the biofortified biscuit, suggesting that the promotion campaigns did not change the way consumers perceive the biofortified sweet potato , perhaps due to the way the campaign was designed . The study concludes t hat the biofortified biscuit is currently more acceptable among the low and low/middle end income categories probably because of greater promotion at these levels . However , it has a high potential for the high and medium income groups as evident from the high rating it received among these groups . The paper discusses the implications of these findings and suggests a need for more detailed studies and indepth quantitative analysis of consumer perceptions and WTP for orange -fleshed sweet potato .

scholarly journals The use of questionnaires and parasitological analyses to identify groups at low risk of becoming infected with bilharziasis and the factors that might contribute to this in a community in the endemic area in South Africa

2004 ◽  
Vol 23 (4) ◽  
pp. 99-103
Author(s):  
C. T. Wolmarans ◽  
K. N. De Kock ◽  
J. Le Roux
Keyword(s):  
South Africa ◽  
Age Groups ◽  
Limpopo Province ◽  
Low Risk ◽  
Age Group ◽  
Infection Rates ◽  
The People ◽  
Group Knowledge ◽  
History Of ◽  
Males And Females

Groups at low risk of becoming infected with Schistosoma haematobium, as well as factors minimising such a risk, were identified in a study in the Limpopo Province of South Africa. Urine samples were collected from 623 persons of whom 276 were males. Schistosome ova were isolated by filtering the entire urine sample through a VisserHelminth Filter®. The isolated ova were counted and expressed as numbers per 10 ml urine. Information with regard to age, sex, level of schooling, knowledge of the disease, history of previous anti schistosomiasis treatment, visits to the river and details of activities performed at the river was obtained from the people tested by means of a questionnaire. A peak in prevalence as well as intensity of infection in especially the males in the 3-9 and 10-14 age groups was found. In the 3-9 year age group the availability of a toilet was found to correlate well with the absence of schistosome infections while no such factors could be found in the 10-14 year and older than 23 year age groups. The availability of either a house or communal tap was identified as a factor that correlates well with the absence of infection in both males and females in the 15-22 year age group. Knowledge of the disease and bathing in the river were respectively identified as factors in females in the 3-9 and older than 23 year age groups, which correlate well with the absence of infection. The majority of males and females had low infection rates, while only 3,6% of the males and 2,7% of the females were heavily infected.

scholarly journals The prevalence of antimicrobial resistance in human faecal flora in South Africa

1993 ◽  
Vol 111 (2) ◽  
pp. 221-228 ◽  
Author(s):  
P. M. A. Shanahan ◽  
B. A. Wylie ◽  
P. V. Adrian ◽  
H. J. Koornhof ◽  
C. J. Thomson ◽  
...  
Keyword(s):  
South Africa ◽  
Antimicrobial Resistance ◽  
Urban Population ◽  
Age Groups ◽  
Black Population ◽  
Commensal Bacteria ◽  
Age Group ◽  
Carriage Rate ◽  
Faecal Flora ◽  
Rural And Urban

SummaryBetween January and March 1992, 361 faecal specimens were collected from the healthy black population in the Transvaal Province of South Africa. Each specimen was examined for the prevalence of antimicrobial resistance in commensal bacteria. Volunteers, from both rural and urban dwellings, were divided into four age groups. The overall carriage rate of resistance varied from 88.6% for ampicillin, 74.2% for trimethoprim, 52.6% for chloramphenicol, 10.2% for nalidixic acid to 7.5% for gentamicin. The carriage of resistance found to each individual antimicrobial agent was slightly higher in the rural population rather than the urban population but there was no correlation between the prevalence of antimicrobial resistance and the age group.

HIV epidemic in South Africa: A comparison of HIV epidemic patterns of two extreme provinces in South Africa

2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Khangelani Zuma ◽  
Khanyisile Manzini ◽  
Neo Mohlabane
Keyword(s):  
South Africa ◽  
Age Groups ◽  
Secondary Data ◽  
Population Based ◽  
Hiv Prevalence ◽  
Western Cape ◽  
Age Group ◽  
Recent Infection ◽  
Hiv Epidemic ◽  
Kwazulu Natal

Background: South Africa is experiencing one of the worst HIV epidemics, which varies by province and by districts within each province.Objective: To explore and compare HIV trends and patterns between two provinces in South Africa. Method: ‘Know your epidemic’ synthesis suggests that HIV prevalence is rising in older age groups and falling in younger people. Using secondary data analyses of population-based and antenatal care surveillance (ANC) surveys, we explored trends and patterns in HIV prevalence in KwaZulu-Natal and Western Cape.Results: Even though KwaZulu-Natal has the highest HIV prevalence in the country (15.5% compared with 3.8% in the Western Cape), there is considerable recent decline (6%) in HIV prevalence in KwaZulu-Natal, compared with a 2% increase in the Western Cape, based on ANC data, in youth aged 15 to 24 years. These results are consistent with those from a population-based survey where a decline of 0.3% in HIV prevalence in KwaZulu-Natal was observed as compared with an increase of 0.7% in Western Cape youth. Both ANC results and population-based surveys conducted in different years show a decline in HIV prevalence amongst youth in KwaZulu-Natal compared with an increase in the same age group in the Western Cape. HIV infection in this age group is associated with recent infection, thus indicating an increasing epidemic in the Western Cape compared with KwaZulu-Natal.Conclusion: Interventions aimed at curbing infections such as sexual abstinence and condom promotion in this age group need to be implemented extensively in the Western Cape. These should include HIV counseling and testing campaigns. Agtergrond: Suid-Afrika ondervind een van die ergste MIV-epedemies, wat verskil ten opsigte van elke provinsie en distrik en binne elke provinise. Doelstelling: Om MIV-voorkoms en -patrone tussen twee provinises in Suid-Afrika te ondersoek en vergelyk.Metode: ‘Ken jou epidemie’ sintese dui daarop dat die voorkomssyfer van MIV in ouer ouderdomsgroepe styg en daal by jonger mense. Ons het sekondêre data analieses van bevolkingsgebaseerde en swangerskapsorg waarnemingsopnames (ANC) gebruik om neigings en patrone in MIV-voorkoms in Kwa-Zulu Natal en die Wes-Kaap, vas te stel.Resultate: Ofskoon Kwa-Zulu Natal die hoogste voorkoms in Suid-Afrika (15.5% vergelyk met 3.8% in die Wes-Kaap) het, is daar ‘n aansienlike onlangse afname (6%) in die voorkoms van MIV in Kwa-Zulu Natal waargeneem, vergelyk met die 2% verhoging in die Wes-Kaap, gebasseer op ANC data, in jongmense in die ouderdomsgroep 15–24 jaar. Hierdie resultate is konsekwent met dié van die bevolkingsgebaseerde opname, waar ‘n afname van 0.3% in MIV-voorkoms in Kwa-Zulu Natal waargeneem is, vergelyk met ‘n toename van 0.7% in die jeug van die Wes-Kaap. Altwee die ANC-resultate en die bevolkings-gebaseerde opnames wat in verskillende jare uitgevoer is, wys ’n afname in MIV-voorkoms onder die jeug in Kwa-Zuly Natal vergelyk met ’n toename onder dieselfde ouderdomsgroep in die Wes-Kaap. MIV-infeksie onder hierdie ouderdomsgroep word verbind met ’n onlangse infeksie, wat ’n toename van die epidemie in die Wes-Kaap, vergelyk met Kwa-Zulu Natal aandui.Gevolgtrekkings: Ingryping, wat daarop gemik is om infeksies soos seksuele onthouding en die reklame van kondome vir hierdie ouderdomsgroep, behoort wyd in die Wes-Kaap geimplementeer te word. Hierdie behoort voorligtings- en toetsveldtogte in te sluit.

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