Case study: Sugar daddies Lebogang Motsumi was 27 when she acquired HIV from a “sugar daddy” – a man significantly older than her who was capable of showering her with the gifts she believed she needed to fit in with her friends and feel more accepting of herself.
She was reluctant to use a condom because she feared being perceived as promiscuous by men and felt she was “not in control” of the situation when she was with her sexual partners.
Although South Africa is moving towards decriminalising sex work, carrying condoms can still be considered an offence.
Nevertheless, in 2016 86% of female sex workers reported using a condom with their last partner.16 Until recently South Africa has not had a comprehensive and nationally co-ordinated HIV plan for sex workers.
when you go to clinics and then maybe let’s say you have an STI or something.
They then start calling you names, and saying “Guys don’t sleep with guys, why do you do that? Boys don’t sleep together”.23 However, there is evidence that attitudes are changing.
There is also a lack of knowledge around the issues that face men who have sex with men, this makes it difficult for these men to disclose their sexuality to healthcare workers and get the healthcare they need.22 “There’s also discrimination whereby you find these old kinds of nurses who don’t have this knowledge about gays and lesbians …
Now a mother, Motsumi says she wishes she had received more information at home and at school about risky sexual behaviour, and is using her experience to advocate non-judgemental, face-to-face conversations with young people about relationships with older men.55 South Africa has made impressive progress in recent years in getting more people to test for HIV.
As of 2016, South Africa had nearly reached the first of the 90-90-90 targets, with 86% of people living with HIV aware of their status, an increase from 66.2 % in 2014.56 57 This progress follows the launch of two nation-wide testing initiatives: firstly, the national HIV testing and counselling (HTC) campaign of April 2010 and then the HTC revitalisation strategy in 2013 which focused on getting people from the private sector, farms and higher education to test.58 Thanks to campaigns such as these, more than 10 million people in South Africa test for HIV every year.
I was crying after the three left without saying anything.
Then the first one…let me out by the back gate without my property. HIV prevalence among men who have sex with men (sometimes referred to as MSM) in South Africa is now estimated at 26.8%.