title: Challenges to providing HIV prevention education to youth with disabilities in South Africa.
abstract: OBJECTIVE
  In South Africa, little is known how HIV prevention education is implemented in schools for learners with disabilities. This article reports on findings from a study exploring the extent to which HIV education is reached to people with disabilities in South Africa, and the challenges faced by educators providing HIV prevention education to learners with disabilities.
  
  
  METHODS
  A survey questionnaire completed by 34 schools for learners with special education needs in the Western Cape province of South Africa. Additional complimentary data were collected through interviews with a total of 21 members of staff at schools for learners with disabilities.
  
  
  RESULTS
  Respondents recognise the importance of providing HIV prevention education for people with disabilities. Staff reports some challenges in providing HIV prevention education: barriers to communication; discomfort about issues of sexuality and disability; disagreements among staff about what is appropriate content for sexual health education; and fears of promoting sexual activity.
  
  
  CONCLUSIONS
  There is a need for HIV prevention education to be specifically customized to the needs of the specific population. A general programme, which is included as part of a general curriculum and generally tailored to "mainstream" schools, would need to be adapted according to specific needs and disabling barriers faced.
authors.affiliation: Department of Psychology, Anglia Ruskin University, Cambridge, United Kingdom. Poul.Rohleder@anglia.ac.uk
authors.forename: Poul
authors.initials: P
authors.lastname: Rohleder
authors.forename: Leslie
authors.initials: L
authors.lastname: Swartz
authors.forename: Marguerite
authors.initials: M
authors.lastname: Schneider
authors.forename: Arne Henning
authors.initials: AH
authors.lastname: Eide
mesh_terms: D003142:Communication; D006233:Persons with Disabilities / Q000193:education*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010465:Perception; D012307:Risk Factors; D012574:Schools; D012736:Sex Education / Q000379:methods*; D013019:South Africa; D011795:Surveys and Questionnaires