We support implementation of a programme of HIV Counselling and Testing (HCT) for Teens ... but proper planning and protection of human rights of learners is essential
The Treatment Action Campaign (TAC), The Yezingane Network (YN) , Equal Education and SECTION27 welcome the Department of Health's plans to extend HIV Counselling and Testing (HCT) campaign to children 12 years and older. But we call for it to be done in a measured, phased manner after thorough and consultative planning.
Encouraging HIV testing among young people is necessary. It is a tragic fact that HIV infection is a reality and a risk for teenagers. For over a decade studies have consistently shown rising rates of HIV infection after the age of 14, where HIV prevalence has been known to reach as high as 20% amongst girls aged 18 to 20. This, together with high rates of teenage pregnancy, shows that unprotected sex does take place among youth of school age.
We therefore believe that extending the HCT campaign to teens can benefit this age group if approached carefully. Like adults, teenagers have a right of access to health care services, including for their sexual and reproductive health. It is unlawful to deny teenagers access to HIV preventative methods, such as condoms, information and HIV testing - when it is well know that they are at risk. But the right to access treatment, must also be accompanied with the surety that those in need of support are able to obtain it easily.
We believe the HCT campaign potentially also opens unique opportunities to prevent new infections among teenagers and to create better knowledge of sexuality, sexual health and HIV.
However we are very concerned about the challenges of conducting HIV testing with teens in the course of ordinary school activities and without serious preparation. Most schools in our country do not have a proper life-skills programme, despite government claims to the contrary. Problems of bullying, sexual abuse and substance abuse are widely reported. In this context, schools may pose serious challenges to privacy, confidentiality and voluntary participation. In a school setting learners reactions will be watched by their peers and educators.