Table Of ContentHIV/AIDS Communication in South Africa
DOI: 10.1057/9781137491299.0001
Also by Colin Chasi
HARD WORDS: ON HIV/AIDS COMMUNICATION (2010)
DEVELOPMENT AND PUBLIC HEALTH COMMUNICATION (2011) (edited with  
K. Tomaselli)
DOI: 10.1057/9781137491299.0001
HIV/AIDS 
Communication in 
South Africa:  
Are You Human?
Colin Chasi
University of Johannesburg, South Africa
DOI: 10.1057/9781137491299.0001
© Colin Chasi 2014
Softcover reprint of the hardcover 1st edition 2014 978-1-137-49128-2
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First published 2014 by
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doi: 10.1057/9781137491299
Dedicated to my father and mother, Ruvimbo and 
Mildred Chasi
DOI: 10.1057/9781137491299.0001
Contents
1  Introduction  1
2  Are You Human?  4
3  Failure That Was Waiting to Happen  10
4   On Belief in the Communication of  
State Leaders  27
5  Just HIV/AIDS Communication  45
6  Towards Ubuntu as a Framework  61
Works Cited  76
Index  86
vi  DOI: 10.1057/9781137491299.0001
1
Introduction
Abstract: This chapter discusses the need to develop new 
theory as regards HIV/AIDS in South Africa with references 
to recent research findings. It discusses the importance of 
going past merely listing inventories of the latest statistics 
about prevalence, survey findings concerning about an 
assortment of communication practices regarding HIV/AIDS, 
and other such programmatic engagements with the epidemic. 
It speaks of the value of presenting new theory about life and 
communication in this era of epidemic.
Keywords: communication; HIV and AIDS; theory
Chasi, Colin. HIV/AIDS Communication in South Africa: 
Are You Human? Basingstoke: Palgrave Macmillan, 2014. 
doi: 10.1057/9781137491299.0002.
DOI: 10.1057/9781137491299.0002 
  HIV/AIDS Communication in South Africa
South Africa continues to be home to the world’s largest popula-
tion of people living with HIV ... one of every six people with HIV 
in the world lives in South Africa. (Fraser-Hurt et al., 2011, p. 18; 
emphasis added)
The most recent survey data on prevalence, incidence and behaviours 
regarding HIV in South Africa came out on April 1,2014 (April Fools’ 
Day). Key findings are that in 2012 the prevalence and incidence of 
HIV/AIDS were again on the increase and condom use was in decline 
(Shisana et al., 2014).
Meanwhile Johnson et al.’s (2013) The Third National Communication 
Survey 2012 finds that HIV communication programmes in that year 
reached 82 per cent of those aged 16–55. Significantly, it finds that these 
programmes particularly penetrated into younger black communities, 
which are most at risk. Notwithstanding that three years earlier 90 per 
cent of people in the 15–55 age range were exposed to these programmes, 
the conclusion reached is that HIV communication programmes ‘have 
shown success in a number of areas related to HIV in terms of build-
ing knowledge, developing appropriate attitudes and beliefs, and – as a 
consequence – changing behaviour patterns’ (p. 51). The compilers of 
The Third National Communication Survey report clearly still believed, 
however, that communication programs are changing people’s beliefs, 
norms, perceptions and other ideational factors with positive conse-
quences regarding behaviour change (p. vi).
From the above it is plausible to say that there are important insights 
about the challenge of communicating on HIV/AIDS that are yet to be 
revealed. If this is true it is important to go beyond enumerating known 
histories in their many varieties and forms.1 It is also important to go 
past listing inventories of the latest statistics about prevalence, survey 
findings concerning an assortment of communication practices regard-
ing HIV/AIDS, and other such programmatic engagements with the 
epidemic. Anyone can Google these.
I have no intentions to play at sorting apart the oldest from the latest 
innovations of experts and other programmers of this communication. 
After all, who has not been a part of many amazingly grand and small 
communication interventions and exercises aimed at variously changing 
people’s information states, attitudes and even behaviours?
It is vital to accept that on any topic it is clearly impossible to discuss 
all the angles, frames and controversies. Even the most trivial of things 
DOI: 10.1057/9781137491299.0002
Introduction 
can be understood from infinite vantage points. My intention is not 
to try to cover the vast body of intentions, strategies and practices on 
communication regarding HIV/AIDS. It is simply to put a finger on 
parts of them in order to draw fundamental new observations about life 
and communication in this era of epidemic.
This book will
1  discuss communication on HIV/AIDS as a failure that was waiting 
to happen;
2  poke holes into the idea that state leaders are expected to speak in 
ways that ameliorate the HIV/AIDS epidemic;
3  contest the view of some that retribution should befall those who 
are somehow found blameworthy as regards HIV/AIDS; and
4  try to show that the moral philosophy of ubuntu can act as a 
normative framework that guides how HIV/AIDS is communicated 
upon. Drawing on ubuntu is appropriate. It is a moral philosophy 
with a strong African pedigree (Metz, 2007) that has implications 
what people do as regards HIV/AIDS and communication on it.
Drawing on the South African experience in this way enables me to 
boldly offer a unique compendium of insights into HIV/AIDS commu-
nication and related experiences. This is crucial in the work of enunciat-
ing an African approach to the challenge of communicating on HIV/
AIDS that this book embraces.
Note
1  Keyan Tomaselli’s (2011) discussion of the history of communication on 
HIV/AIDS in South Africa, and particularly his notes on the departure from 
thinking that communication can change behaviours, is very instructive.
DOI: 10.1057/9781137491299.0002