... The health of our educators xviExecutivesummaryxvii The DoEin the variousprovincesassignedco-ordinatorswhoensuredthatschoolswereinformedabout the study. The districtofficers of the DoEandlabourunionsassisted the HSRCco-ordinators,whoconsisted of MAandPhdresearchinterns,inmakingappointmentsatschoolsand/oraccompanyingco-ordinatorstoschoolstoaddress educators. Officialsfromlabourunionshelpedwithadvocacyfor the studyand the nature of the study,whichincreasedparticipation. The fieldteamsweresupportedbyanationalfieldmanager,andaseparateprojectmanagerwhotrackedprogress of the study.Visitingtimestoschoolswereadaptedtominimisepossibledisruption of teachingtime.FindingsDemographicandsocio-economiccharacteristics of the ELRCstudysample The demographicandsocio-economicprofileanalysis of educators in the samplerevealedthat68% of the sample of educators consisted of females. The majority of the educators weremarried.Overthree-quarters of the samplewereAfricans(77%)whilelessthan5% of the samplewereAsians,whichisareflection of the demographiccharacteristics of SouthAfrica.Self-reportedsocio-economicstatusandincomedistributionsuggestthat educators weregenerallywellqualified,withafirstdegreeorhigher,andhadmanyyears of teachingexperience,with70% of educators teachingforatleasttenyearsorlonger.About94% of educators reportedthat the DoEemployedthemwith the rest(6%)beingSchoolGoverningBody(SGB)appointments.Only27% of educators in the samplesaidtheyhadahousingsubsidyand67.8% of the educators reportedtheyweremembers of amedicalaidfund. The majority of educators (89%)weremembers of atradeunion.Thereweredisparitiesinsome of the demographicandsocio-economicprofiles of educators byraceandprovince. The findingsshowedthattherewereproportionatelymorefemaleandmaleAfrican educators in the low-incomecategorycomparedwith educators inotherracegroups.On the otherhandtherewereproportionatelylessmalewhite educators in the medium-incomecategorythanmale educators inotherracegroups.Prevalence of HIV The resultsshowedthat12.7% of educators whogaveaspecimenforHIVtestingwereHIVpositive.Thispercentageincludes educators inallprovinces,and educators of allages,sexandracialgroups.Inthisstudy,withoutconsideringageandracedifferences, the HIVprevalencewas the samefor the maleandfemale educators. The resultsinthisstudyshowedthatHIVprevalenceamong educators washighestforthoseaged25–34years(21.4%)followedbythoseaged35–44(12.8%).Older educators (55yearsandolder)had the lowestHIVprevalence(3.1%).However,differenceswereobservedwhen the analysiswasrestrictedtowomenandmenaged25–34years,withwomenhavinghigherHIVprevalence.WomenweregenerallymorevulnerabletoHIVinfectionbecause of theirbiologicalmakeupaswellastheirlowsocio-economicstatus. ... The health of our educators xviExecutivesummaryxvii The DoEin the variousprovincesassignedco-ordinatorswhoensuredthatschoolswereinformedabout the study. The districtofficers of the DoEandlabourunionsassisted the HSRCco-ordinators,whoconsisted of MAandPhdresearchinterns,inmakingappointmentsatschoolsand/oraccompanyingco-ordinatorstoschoolstoaddress educators. Officialsfromlabourunionshelpedwithadvocacyfor the studyand the nature of the study,whichincreasedparticipation. The fieldteamsweresupportedbyanationalfieldmanager,andaseparateprojectmanagerwhotrackedprogress of the study.Visitingtimestoschoolswereadaptedtominimisepossibledisruption of teachingtime.FindingsDemographicandsocio-economiccharacteristics of the ELRCstudysample The demographicandsocio-economicprofileanalysis of educators in the samplerevealedthat68% of the sample of educators consisted of females. The majority of the educators weremarried.Overthree-quarters of the samplewereAfricans(77%)whilelessthan5% of the samplewereAsians,whichisareflection of the demographiccharacteristics of SouthAfrica.Self-reportedsocio-economicstatusandincomedistributionsuggestthat educators weregenerallywellqualified,withafirstdegreeorhigher,andhadmanyyears of teachingexperience,with70% of educators teachingforatleasttenyearsorlonger.About94% of educators reportedthat the DoEemployedthemwith the rest(6%)beingSchoolGoverningBody(SGB)appointments.Only27% of educators in the samplesaidtheyhadahousingsubsidyand67.8% of the educators reportedtheyweremembers of amedicalaidfund. The majority of educators (89%)weremembers of atradeunion.Thereweredisparitiesinsome of the demographicandsocio-economicprofiles of educators byraceandprovince. The findingsshowedthattherewereproportionatelymorefemaleandmaleAfrican educators in the low-incomecategorycomparedwith educators inotherracegroups.On the otherhandtherewereproportionatelylessmalewhite educators in the medium-incomecategorythanmale educators inotherracegroups.Prevalence of HIV The resultsshowedthat12.7% of educators whogaveaspecimenforHIVtestingwereHIVpositive.Thispercentageincludes educators inallprovinces,and educators of allages,sexandracialgroups.Inthisstudy,withoutconsideringageandracedifferences, the HIVprevalencewas the samefor the maleandfemale educators. The resultsinthisstudyshowedthatHIVprevalenceamong educators washighestforthoseaged25–34years(21.4%)followedbythoseaged35–44(12.8%).Older educators (55yearsandolder)had the lowestHIVprevalence(3.1%).However,differenceswereobservedwhen the analysiswasrestrictedtowomenandmenaged25–34years,withwomenhavinghigherHIVprevalence.WomenweregenerallymorevulnerabletoHIVinfectionbecause of theirbiologicalmakeupaswellastheirlowsocio-economicstatus. ... Thehealthofoureducators1213inenrolmentsbetweengirlsandboys.Desmond,MichaelandGow(2000)aswellasMarcus(1999)statethatfemalechildrenaremorelikelytobetakenoutofschooltohelpwithhouseholdchoresandtakecareofthesick,especiallywhenadultfemalesarenotavailable.1.2RationaleofthestudyMuchoftheresearchconductedinSouthAfricaontheimpactofHIV/AIDSontheeducationsectorisbasedonprojectionsorconjecture;itisessentialtoobtainempiricalevidenceonself-reportedmeasuresaswellasbiologicalmeasuresofHIVstatus.TheELRCthusidentifiedtheneedforastudytoexplorethephenomenonofeducatorattritionandtounderstandwhyeducatorsmaybeexitingtheprofession.Someofthefactorsidentifiedincludethehealthstatusofeducators(includingTB),substanceuseorabuse,migration,staffmoraleandjobdissatisfaction.Inaddition,suchastudyshouldseektoclarifytheextentofdemandforeducatorsinthesystem,andthenumberofeducatorsneededtomeetthisdemand.1.3ResearchquestionsTheELRCcommissionedtheHSRCtoinvestigatethedeterminantsofdemandandsupplyofeducatorsinthepubliceducationsector.Suchastudyisexpectedtoanswerseveralresearchquestionssuchas:ãWhatistheprevalenceofHIV/AIDS,TB,alcoholanddruguseamongsteducatorsinpublicschools,FurtherEducationandTraining(FET)collegesandstudentsineducatortraining?ãDoeducatorshavehigherHIVprevalenceratioscomparedwiththegeneralpopulationofpeopleaged25yearsandolder,takingintoaccountkeyconfounders?ãWhatarethefactorsdrivingtheHIVandAIDSepidemicamongeducators?ãWhatistheprevalenceofHIV,TBandalcoholuseperdistrictcouncil?ãWhatistheattritionrateamongeducators,andwhatarethereasonsforattrition(suchassickness,mortality,TBdiagnosis,STIsandotherendemicdiseases,historyofhealthserviceuse,hospitalisation,alcoholanddruguseandmigration)?1.4ObjectivesofthestudyThestudyisdesignedtoyieldusefulinformationtoassistthegovernmentandunions,partnersintheELRC,inplanningeducatorsupplyatnational,provincialanddistrictlevel.Thespecificobjectivesofthisstudyarethreefold:ãTodeterminetheprevalenceofHIVandTBamongstSouthAfricaneducatorsintheGeneralandFurtherEducationandTrainingcollegesbyage,sexofeducator,race,qualifications,localitytype,learningareaandthephase/bandofactiveteaching;ãToinvestigatethedeterminantsofHIVamongsttheseeducatorsbyage,sexofeducator,race,qualifications,localitytype,learningareaandthephase/bandofactiveteaching;andãTodeterminethepotentialattritionrateamongeducatorsandthereasonsforthis.Introduction...