Browsing by Author "Monyeki, Andries"

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    The outcomes of a sport-based intervention on risky sexual behaviours among rural school-going adolescents
    (AFAHPER-SD, 2014) Awotidebe, Adedapo; Monyeki, Andries; Phillips, Julie; Lens, Willy
    The spread of HIV infection in sexually active adolescents and young adults has been attributed to the increasing risky sexual behaviours including early sexual activity, multiple sexual partnership, and irregular condoms use in this population. There are increasing calls to scale up youth-friendly HIV prevention programmes to assist youth in adopting safe sexual behaviours. The objective of this study was to assess the effectiveness of a 12-week sports-based HIV prevention programme on the HIV-risk reduction outcomes among rural high school learners. Participants are 430 learners representing 250 learners in the intervention school and 180 learners in the control school respectively. The intervention was delivered in school using the Grassroot Soccer generation skills curriculum consisting of soccer-themed HIV prevention activities including knowledge about HIV risks, self-efficacy to be abstinent and resist peer pressure. A one-way repeated measures ANOVA conducted to compare risk behaviour reduction outcomes at Time 1 (prior to the intervention), Time 2 (following the 12-week intervention) and Time 3 (four-month follow up) showed improvement in HIV knowledge [F (2) = 72.57, p = 0.000], self-efficacy [F (2) = 6.63, p = 0.002] and negotiation skills [F (2) = 4.07, p = 0.02]. Logistic regression analysis comparing risk reduction outcomes between intervention and control group showed statistically significant difference only on self-efficacy scores [β = 1.43 (95% CI: 1.07-1.92); p = 0.018]. There were no significant findigns regarding effect of sport-based HIV prevention programmes on risky sexual behaviours in rural school-going adolescents. The potential effect of the intervention on improvement of HIV knowledge, self-efficacy to refuse sex and negotiation skills for safe sex indicated that sport-based HIV prevention programmes could be used to modify risky sexual behaviours in South African adolescents and young adults.
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    Results from South Africa's 2016 report card on physical activity for children and youth
    (Human Kinetics Publishers Inc., 2016) Uys, Monika; Bassett, Susan; Draper, Catherine E.; Micklesfield, Lisa K.; Monyeki, Andries; De Villiers, Anniza; Lambert, Estelle V.
    Background: We present results of the 2016 Healthy Active Kids South Africa (HAKSA) Report Card on the current status of physical activity (PA) and nutrition in South African youth. The context in which we interpret the findings is that participation in PA is a fundamental human right, along with the right to "attainment of the highest standard of health." Methods: The HAKSA 2016 Writing Group was comprised of 33 authorities in physical education, exercise science, nutrition, public health, and journalism. The search strategy was based on peer-reviewed manuscripts, dissertations, and 'gray' literature. The core PA indicators are Overall Physical Activity Level; Organized Sport Participation; Active and Outdoor Play; Active Transportation; Sedentary Behaviors; Family and Peer Influences; School; Community and the Built Environment; and National Government Policy, Strategies, and Investment. In addition, we reported on Physical Fitness and Motor Proficiency separately. We also reported on nutrition indicators including Overweight and Under-nutrition along with certain key behaviors such as Fruit and Vegetable Intake, and policies and programs including School Nutrition Programs and Tuck Shops. Data were extracted and grades assigned after consensus was reached. Grades were assigned to each indicator ranging from an A, succeeding with a large majority of children and youth (81% to 100%); B, succeeding with well over half of children and youth (61% to 80%); C, succeeding with about half of children and youth (41% to 60%); D, succeeding with less than half but some children and youth (21% to 40%); and F, succeeding with very few children and youth (0% to 20%); INC is inconclusive. Results: Overall PA levels received a C grade, as we are succeeding with more than 50% of children meeting recommendations. Organized Sports Participation also received a C, and Government Policies remain promising, receiving a B. Screen time and sedentary behavior were a major concern. Under-and over-weight were highlighted and, as overweight is on the rise, received a D grade. Conclusion: In particular, issues of food security, obesogenic environments, and access to activity-supportive environments should guide social mobilization downstream and policy upstream. There is an urgent need for practice-based evidence based on evaluation of existing, scaled up interventions.