“…HIV/AIDS is eroding social systems, as elderly women are increasingly responsible for caring for their sick children, or serving as surrogate parents for their grandchildren (Schatz, 2007). There also remain stigmas attached to HIV/AIDS, which has been shown to reduce open communication about how the disease is spread or can be treated (Campbell, 2003;Kauffman, 2004;Hosegood et al, 2007;Posel et al, 2007). Knowledge about HIV is high for some South African youth, for example, but perceived vulnerability and reported condom use remains low (MacPhail and Campbell, 2001).…”