WB00825_.GIF (134 bytes) The nature of sexually transmitted diseases

An overwhelming majority of learners (97% at Sapler schools and 90% at other schools) could remember being told about STDs.

N=434 Other % Sapler

Has somebody told you about sexually transmitted disease also called STD or drop)

Yes 90 97
No 8.9 2.3
Don't know 1.2 0.6

A substantial proportion of learners also have more direct experience STDs. Between 14% (other schools) and 23% (Sapler schools) of learners who say they have had sex, report having had an STD. With almost one in five learners contracting an STD, this is clearly an important problem. 

The fact that a larger proportion of Sapler learners report having had an STD does not necessarily reflect badly on the programme as it could be due both to greater awareness of STD among Sapler learners and to greater openness about it.

3 Cross-tabulations such as this one can be interpreted as follows: "N" is the number of learners who responded to the question. The values in the table are column percentages, i.e. the percentage of learners from non-Sapler and Sapler schools respectively who responded in a particular way. "Chisq" is the Chi-squared value and "d.f." are the degrees of freedom - both these is a statistically significant difference in the percentages of Sapler versus other learners responding in particular ways. A p-level of smaller than 0.05 is typically considered significant and a p-level of smaller than 0.01 highly significant.

have you ever had an STD?
N=312 Other % Sapler
Yes 14 23
No 86 77
chisq=3.9998; df=1; p=.046

Despite this high level of awareness and personal experience, there were some crucial knowledge deficits with regard to the nature of STDs and HIV/AIDS. Only 55% of learners at Sapler schools and 63% of learners at other schools knew that an STD could remain undetected for some time.

Can you get an STD but not know that you are infected (have a sickness)?
N=430 Other Sapler
Yes 63 55
No 16 21
Don't know 21 25
chisq=3.; df=2; p=249

Similarly, only 75% of learners at Sapler schools and 81% of learners at other schools knew that one can be infected with HIV while remaining a-symptomatic.

Can you get infected (get the sickness) with HIV but still feel OK for a long time
N=429 Other Sapler
Yes 81 75
No 9.8 12
Don't know 9.0 13
chisq=2.; df=2; p=326

In addition, only around 65% of learners knew that HIV/AIDS cannot be cured, with only slightly more at Sapler than at other schools knowing this. Awareness that AIDS is an incurable condition is clearly crucial if learners are to appreciate the importance of safe sex practices, and it is of concern that even at Sapler schools almost one in three learners did not know this or were unsure.

Can HIV/AIDS be cured?
N=427 Other Sapler
Yes 20 16
No 64 67
Don't know 16 17
chisq=.9741; df=2; p=.615
 
Recommendation: Sapler should draw up a list of 3 to 5 essential knowledge items with regard to the nature of STDs and AIDS and ensure, through regular monitoring, that all learners know these facts. These should include that AIDS is an incurable condition and that STDs and HIV/AIDS may remain undetected for some time.