Review Article

Exploring the impact of HIV and AIDS among marginalised farming communities in the Eastern Cape province, South Africa

Ragosebo P. Sekopa, Robert T. Netangaheni, Lorraine N. Mntonintshi-Mketo
Health SA Gesondheid | Vol 31 | a3294 | DOI: https://doi.org/10.4102/hsag.v31i0.3294 | © 2026 Ragosebo P. Sekopa, Robert T. Netangaheni, Lorraine N. Mntonintshi-Mketo | This work is licensed under CC Attribution 4.0
Submitted: 23 September 2025 | Published: 10 July 2026

About the author(s)

Ragosebo P. Sekopa, Department of Health Sciences, College of Human Sciences, University of South Africa, Pretoria, South Africa
Robert T. Netangaheni, Department of Health Sciences, College of Human Sciences, University of South Africa, Pretoria, South Africa
Lorraine N. Mntonintshi-Mketo, Department of Sociology, College of Human Sciences, University of South Africa, Pretoria, South Africa

Abstract

Background: The HIV and AIDS epidemic on a global level continues to be a challenge in contemporary societies. The impact of HIV and AIDS on the workforce in the agricultural sector in Africa needs to be explored.
Aim: The study aimed at exploring and describing the impact of HIV and AIDS on the farming labour force among marginalised farming communities at Oliver Reginald (OR) Tambo District in Eastern Cape province, South Africa.
Method: The study utilised a qualitative research approach with exploratory and descriptive designs, employing in-depth interviews for data collection. Thematic analysis was conducted based on the framework established by Braun and Clarke.
Results: The study found that HIV and AIDS have significantly negative impacts on labour, farming skills, income and food security in marginalised farming communities in the OR Tambo Municipality. Additionally, there are challenges in accessing healthcare services, leading to treatment defaults.
Conclusion: HIV and AIDS directly affect the labour force, impacting households’ capacity to produce food or attend work to earn wages for food purchases.
Contribution: The findings from the study would assist local stakeholders, farming forums and the Department of Rural Development and Agriculture in managing HIV and AIDS with respect to the farming labour force and farming during their programme revisions and implementation planning.


Keywords

exploring; impact; HIV and AIDS; farming; communities; marginalised.

Sustainable Development Goal

Goal 3: Good health and well-being

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