
Child rights activist Dr. Siyabonga Nzimande has issued a strong appeal to political leaders, communities, and government officials to take decisive action against the alarming rise in child and adolescent pregnancies, as well as new HIV infections among young girls in the province.
Shocking Statistics Reveal a Crisis
Recent data from the Ethekwini Municipality shows that over 7,000 teenage pregnancies were recorded between April 2024 and April 2025, with 154 cases involving girls between 10 and 14 years old. Health officials have also raised concerns about increasing HIV infections among adolescent girls.
Dr. Nzimande emphasized that these pregnancies are not just a social issue but a criminal matter, stating, “This is statutory rape. Girls who are victims of rape are being described as ‘teenage mothers,’ but we must call it what it is—sexual violence against children.”
Criticism of Government Response
While the MEC for Health, Noaku Melania, has expressed concern over the trend, Dr. Nzimande criticized the lack of concrete action. “We don’t need more dialogues—we need prosecutions,” he said. He pointed to other provinces where legal action has been taken against perpetrators, urging authorities to “stop calling them fathers and start calling them criminals.”
Community-Based Solutions Needed
Dr. Nzimande stressed the importance of tailored interventions that address the root causes of the crisis, including:
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Strengthening law enforcement to ensure perpetrators are arrested.
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Comprehensive sexuality education in schools.
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Behavioral change programs targeting boys and men.
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Household-level interventions to understand toxic environments where abuse occurs.
He also criticized cultural practices that normalize child pregnancies, such as offering livestock as compensation instead of justice. “We don’t need goats to ‘cleanse’ families—we need to protect children’s rights,” he declared.
Healthcare Workers Must Report Abuse
The law mandates that healthcare workers report underage pregnancies as potential rape cases. However, Dr. Nzimande noted that many victims avoid medical care “once they realize authorities must report the perpetrators.” He called for better training for health workers and stronger collaboration with the National Prosecuting Authority (NPA).
A Call for Research and Accountability
Dr. Nzimande urged government leaders to invest in research-driven solutions rather than just expressing concern. “We need data-driven responses, not just conferences and glossy reports that lead to no action,” he said.
Including Boys in the Conversation
While most discussions focus on girls, Dr. Nzimande highlighted the need to educate boys on responsible behavior. “Peer pressure leads many young boys into early sexual activity. We need targeted behavior change programs for each community,” he explained.
Conclusion: A Demand for Immediate Action
With thousands of young lives at risk, Dr. Nzimande’s message is clear: “Every pregnancy must be prevented, and every child must be protected. The time for talk is over—we need action now.”
As the province grapples with this crisis, the question remains: Will leaders step up, or will another year pass with only more shocking statistics?









