van Rooyen, Christofer2025-06-262024van Rooyen, Christofer . (2024). A social-ecological perspective on the roles of YOLO facilitators [PHD thesis, University of the Witwatersrand, Johannesburg]. WIReDSpace.https://hdl.handle.net/10539/45263A research report submitted in fulfillment of the requirements for the Doctor of Philosophy, In the Faculty of Faculty of Commerce, Law and Management, Wits School of Governance, University of the Witwatersrand, Johannesburg, 2024In South Africa, young people between the ages of 15 and 24 years face an elevated risk of contracting HIV due to various factors associated with high-risk practices such as engaging in unsafe sexual practices. The Department of Social Development implemented the “You Only Live Once” (YOLO) community-based HIV prevention programme. YOLO aims to reduce risky sexual behaviour among the youth. YOLO employs facilitators to render a structured programme with information on self-care, assertiveness, HIV treatment and adherence support, peer pressure and related content. The YOLO programme design subscribed to the social-ecological model focusing on children and youth. Several research studies used the social-ecological model to investigate YOLO participants (youth and children). However, the literature has limited exploration of how the interplay among individual, interpersonal and community levels influences the role of YOLO facilitators. The study aims to explore the roles of the YOLO facilitators from the lens of the social-ecological model. the research allows Further, the research allows YOLO facilitators to describe their individual, interpersonal and community roles. The study explores the interplay between the multiple levels of the social-ecological model and the influences on the role of the YOLO facilitators. The research site of the not-for-profit organisation (NPO) was in the City of Matlosana, previously known as Klerksdorp. According to the literature, the community in this area faces several challenges, including high levels of HIV, poor access to municipal health services, unprecedented high levels of youth unemployment and issues with violence and substance abuse. The YOLO facilitators who worked within the NPO reside in the area and have grown up in similar conditions, which gave them a unique perspective and understanding of the challenges faced by those whom they are trying to help. The research aimed to describe the YOLO facilitators from the perspective of the social-ecological model. The research recruited participants through the non-probability sampling methods. The method limits the researcher's biases in the selection process. Ten YOLO facilitators participated in the research. The YOLO facilitators represented various age groups, races, genders, skill sets and experiences in the field. The research used descriptive qualitative research methodology. The methodology employed a qualitative, semi-structured interview to collect data from 10 YOLO facilitators. The study employed the thematic data analysis method and identified several sub-themes and thesis themes from the data. The researcher used the social-ecological model to describe the micro, meso and micro-level themes. Further, the researcher followed a system approach and described the interactions between the micro, meso and macro systems. The University of Witwatersrand granted ethical clearance to the research. The researcher adhered to the ethical standard as part of the study. The National Department of Social Development and the NPO Board granted permission to conduct the research. The researcher explained their positionality and the influences on the research outcome. v The study found that YOLO facilitators function as “wounded healers”. The researcher discussed the risk of being a wounded healer in the context of the study. The researcher recommends that it is essential to ensure that YOLO facilitators are aware of potential risks and that NPOs provide a safe and supportive environment to mitigate them. YOLO facilitators’ personal experiences can undoubtedly assist them in developing empathy and sympathy, but it was essential to strike a balance between personal growth and personal harmen© 2024 University of the Witwatersrand, Johannesburg. All rights reserved. The copyright in this work vests in the University of the Witwatersrand, Johannesburg. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of University of the Witwatersrand, Johannesburg.UCTDsocial-ecologicalYOLOHIV preventionThesisUniversity of the Witwatersrand, JohannesburgSDG-17: Partnerships for the goals