Associate Professor, Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK. Correspondence:
Senior Research Associate, Africa Health Research Institute, KwaZulu-Natal, South Africa.
Sex Reprod Health Matters. 2022 Dec;30(1):2083809. doi: 10.1080/26410397.2022.2083809.
Young people, particularly adolescent girls and young women, represent a growing proportion of those living with HIV. Edutainment programmes have been widely used throughout the world to "educate" and "entertain" audiences and tackle serious social issues in bold and engaging ways. This paper examines the extent to which an edutainment programme, MTV-Shuga, was reported to influence young people's engagement with sexual and reproductive health (SRH) information in rural KwaZulu-Natal, South Africa. In 2019 we conducted eight community-based screenings of MTV-Shuga episodes followed by 25 individual in-depth interviews and 13 focus group discussions with young people aged between 15 and 30. Interviews were audio recorded and transcribed verbatim. Data analysis was thematic and complemented by constant comparison and deviant case analysis techniques. In this rural and poor setting with a high burden of HIV, young people exhibited high levels of awareness of SRH and HIV but had constrained access to services, and limited ability to engage with parents or guardians on SRH matters. MTV Shuga provided an entertaining guide of ways to navigate the risks that they faced in a way that resonated with them. The findings highlight the importance of enabling young people in rural areas to watch MTV Shuga with peers in a safe space in which discussion of the content is facilitated. There is also value in encouraging parents to watch MTV Shuga as a means of enabling discussions between children and adults in their lives about SRH matters.
年轻人,尤其是少女和年轻妇女,在感染艾滋病毒的人群中所占比例越来越大。教育娱乐节目在全球范围内被广泛用于以大胆和引人入胜的方式“教育”和“娱乐”观众,并解决严重的社会问题。本文探讨了教育娱乐节目《MTV Shuga》在多大程度上被报道影响了南非夸祖鲁-纳塔尔省农村地区年轻人对性与生殖健康信息的关注。2019 年,我们在社区进行了八次《MTV Shuga》剧集的放映,随后对 15 至 30 岁的年轻人进行了 25 次个人深入访谈和 13 次焦点小组讨论。访谈进行了录音,并逐字逐句地进行了转录。数据分析是主题性的,并辅以不断比较和异常案例分析技术。在这个农村和贫困地区,艾滋病毒负担沉重,年轻人对性与生殖健康和艾滋病毒有很高的认识水平,但获得服务的机会有限,与父母或监护人就性与生殖健康问题进行沟通的能力有限。《MTV Shuga》以一种与他们产生共鸣的娱乐方式,提供了一种应对他们所面临风险的指南。研究结果强调了让农村地区的年轻人在一个安全的空间里与同龄人观看《MTV Shuga》的重要性,在这个空间里,讨论节目的内容是有帮助的。鼓励父母观看《MTV Shuga》也有价值,因为这是在孩子和他们生活中的成年人之间就性与生殖健康问题进行讨论的一种方式。
Curr Sex Health Rep. 2023-5-6
Sex Reprod Health Matters. 2020-12