Stemming the HIV/AIDS epidemic in South Africa: Are our HIV/AIDS campaigns failing us?

Media-based campaigns are critical tools in changing the behaviours that are fuelling the HIV/AIDS epidemic in South Africa. However, given the absence of an effective behaviour-change response in the face of the epidemic, many have come to doubt the efficacy of these campaigns. Campaign designers who profess to using best-practice principles in designing HIV/AIDS campaigns also report that although some of these campaigns book changes in beliefs and attitudes, they seldom have a significant effect on the behaviours that are fuelling t/ie epidemic. This situation raises a number of general questions with regard to South African HIV/AIDS campaigns: How effective are media-based campaigns in general in changing health-related behaviours? Are South African HIV/AIDS campaigns successful or not? If not, why not, and what could be done to optimise their efficacy? What aspects of South African HIV/AIDS campaigns contribute to their efficacy and could be up-scaled in future campaigns? This article provides a critical analysis of the processes followed in the design of the Living Positively Campaign and of the design features of the messaging of the booklet living positively with HIV and AIDS. This analysis clearly indicates that despite claims by campaign designers of adherence to bestpractice heuristics, very few of them are implemented in the design of HIV/AIDS campaigns.