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This book draws on an extraordinarily large and representative qualitative study to examine the variety of young people's sexual relationships and practices in a region typical of rural Africa. It describes how contradictory social ideals and expectations led to concealment of premarital and extramarital relationships. It then examines how this secrecy, combined with poor understanding of HIV/AIDS and the common practice of material exchange for sex, contributed to short relationships, fast partner change, concurrent partnerships, and related sexual health risks.

New infections with HIV remain an urgent problem among young people in Africa, but many young Africans pursue sexual relationships with little thought about the epidemic. This book examines young people's sexual relationships in a region typical of rural sub-Saharan Africa and investigates why the risk of HIV infection generally was not a salient concern for them. It is based on an extraordinarily large and representative qualitative study that was affiliated with an adolescent sexual health intervention trial and included three person-years of participant observation conducted by young East...

Promotion of the low risk "ABC" behaviors--Abstinence, Being faithful, and Condom use--has had only limited success in Africa. This book draws on a large qualitative study affiliated with an adolescent intervention trial to examine how ABC promotion can be improved. It evaluates the MEMA kwa Vijana sexual health program, which was implemented in 62 primary schools and 18 health facilities in rural Tanzania, scrutinizing its teacher-led curriculum, peer education, youth-friendly health services, youth condom distribution, and community mobilization components. The book examines how...

A compelling, harrowing, but ultimately uplifting story of resilience and self-discovery. A Two-Spirit Journey is Ma-Nee Chacaby's extraordinary account of her life as an Ojibwa-Cree lesbian. From her early, harrowing memories of life in a remote Ojibwa community, Chacaby's story is one of overcoming the social, economic, and health legacies of colonialism.