Port Elizabeth, Eastern Cape, 4 May 2017 – Hundreds of students were tested for HIV and screened for sexually transmitted infections (STIs) and Tuberculosis (TB) at Nelson Mandela Metropolitan University today during the launch of the 2017 First Things First campaign.
Now in its seventh year, First Things First has tested nearly 500 000 students for HIV and screened a similar number for TB and STIs. Speaking at the launch event, Deputy Minister of Higher Education and Training, Mr. Mduduzi Manana welcomed the initiative.
“The higher education and training sector is in a unique position to decrease the number of new HIV infections, and to create champions that create awareness about the pandemic,” said Manana. “The First Things First programme has been extremely effective in this regard. I am pleased to be launching another year of this innovative programme in the Eastern Cape.”
First Things First is an initiative of the Higher Education and Training HIV/AIDS Programme (HEAIDS), mandated by the Department of Higher Education and Training (DHET). In addition to HIV testing and STI screening, the programme brings counselling and HIV-prevention education directly to students on campuses.
“In 2016 we provided HIV testing and counselling to more than 160 000 students in universities and TVET colleges,” said Dr Ramneek Ahluwalia, Director of HEAIDS. “We also distributed over 15 million male and female condoms. Our goal is to reach all two million young people in our higher education institutions and to help create an HIV-free generation,” he continued.
First Things First has proved to be extremely effective. A study by the Human Sciences Research Council (HSRC) found that the campaign is “a relevant, impactful, efficient, effective and sustainable intervention” and that it has become “central to the efforts to mitigate the spread of HIV and AIDS, encouraging young people to test and know their HIV status.” *
However, a study of TVET colleges in 2014 found that more than a quarter of students surveyed only used condoms if requested to do so by their sexual partners. More than a third of students felt that they could not ask their partners to get tested for STIs without being accused of infidelity. **
Given that women aged 15 to 24 are nearly twice as likely to become infected with HIV when compared with any other age and gender grouping, changing norms around testing is vital to reducing the spread of the pandemic. ***
In addition to HIV, STI and TB services, First Things First offers screening, treatment and support for a wide range of general health issues including hypertension, diabetes, cardiovascular health and cancer. The programme also provides family planning, dual contraception, reproductive and maternal health services to students in need.
“A holistic approach to HIV prevention is simply more effective than addressing any single factor,” said Ahluwalia, “The HSRC impact study has shown that the integration of general health services with HIV testing has strengthened the relevance of the entire programme,” he continued.
“The First Things First programme reminds us that we each have one responsibility above all others – to look after ourselves,” said Manana. “The future prosperity of our country depends on the students in our higher education institutions. They are our future leaders. It is critical that we equip them with the knowledge and skills to remain HIV negative and healthy,” he concluded.
* Impact Evaluation of the First Things First Campaign of the Higher Education and Training HIV/AIDS (HEAIDS) Programme, 2013–2015, Human Sciences Research Council
** HIV and AIDS related knowledge, attitudes and behaviours of students and staff at South African Technical and Vocational Education and Training colleges in South Africa, 2014, HEAIDS http://www.hsrc.ac.za/uploads/pageNews/262/43227%20KAB%20Full%20Report.pdf
*** South African National HIV Prevalence, Incidence and Behaviour Survey, 2012, Human Sciences Research Council http://www.hsrc.ac.za/uploads/pageContent/4565/SABSSM%20IV%20LEO%20final.pdf