Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW

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ADDITIONAL INFORMATION Program References and Resources Luseno, W.K., and W.M. Wechsberg. “Correlates of HIV Testing in a Sample of High-risk South African Women.” AIDS Care, in press, 2009. Wechsberg, W.M. “Adapting HIV Interventions for Women Substance Abusers in International Settings: Lessons for the Future.” Journal of Drug Issues, in press, 2009. Wechsberg, W.M., W.K.K. Lam, W.A. Zule, G. Bobashev, et al. “Efficacy of a Woman-Focused Intervention to Reduce HIV Risk and Increase Self- Sufficiency Among African American Crack Abusers.” American Journal of Public Health 94, no. 7 (July 2004): 1165–1173. Wechsberg, W.M., W.K. Luseno, W.K. Lam, et al. “Violence Against Substance-abusing South African Sex Workers: Intersection With Culture and HIV Risk.” AIDS Care 17(S1) (2005): 55–64. Wechsberg, W.M., W.K. Luseno, F.A. Browne, T.L Kline, R. Middlesteadt- Ellerson, W.A. Zule, et al. “The Effect of an Adapted Evidence-based Woman Focused HIV Intervention on Condom Use and Negotiation Among At-risk Women in Pretoria, South Africa: Preliminary Findings.” Journal of Prevention & Intervention in the Community, in press, 2009. Wechsberg, W.M., W.K. Luseno, T. Kline, F.A. Browne, R. Middlesteadt- Ellerson, W. Zule, et al. “The Women’s Health Coop in South Africa: Efficacy of an Adapted Evidence-based Woman-focused Intervention.” Oral Satellite Session presented at the XVII International AIDS Conference, Mexico City, Mexico, 2008. Wechsberg, W.M., W.K. Luseno, W.K. Lam, C.D.H. Parry, and N.K. Morojele, et al. “Substance Use, Sexual Risk, and Violence: Findings From an HIV Prevention Pilot Intervention With Sex Workers in Pretoria.” AIDS and Behavior 10, no. 2 (2006): 131–137. Wechsberg, W.M., W.K. Luseno, K. Riehman, R. Karg, F. Browne, C. Parry, et al. ”Substance Use and Sexual Risk Within the Context of Gender Inequality in South Africa.” Substance Use and Misuse 43 (2008): 1186– 1201. Contact Information RTI International 3040 Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709-2194 USA Tel: + 1 919 541 6422 / Fax: + 1 919 485 5555 Website: www.rti.org/satei Wendee Wechsberg, Ph.D., Senior Director Email: wmw@rti.org 156
T-MARC LEAD ORGANIZATIONS: COUNTRY: HIV PROGRAM AREA: Academy for Educational Development (AED) Tanzania Prevention OVERVIEW: T-MARC (the Tanzania Marketing and Communications for AIDS, Reproductive Health, Child Survival and Infectious Diseases Project) uses business partnerships and campaigns to prevent the further spread of HIV in highly affected communities. To directly improve health, T-MARC is working with Tanzanian businesses to develop or expand markets for health products for HIV and AIDS prevention and care, family planning, child survival, and infectious diseases. T-MARC also is using campaigns to address problems that the program implementer identified as exacerbating the epidemic, such as certain male norms (e.g., multiple partners), limited reproductive health knowledge, and low rates of condom use. The program also includes a grants component for female sex workers and women involved in transactional sex. Evaluations indicate that the campaigns have had wide reach: 1.2 million people through the condom initiative, 600,000 through the “be faithful” campaign and 20 million through radio outreach. In the course of program implementation, T-MARC has learned the importance of addressing men and women separately, particularly when discussing sensitive issues, and that repackaging messages for different communities is crucial. BACKGROUND HIV & AIDS Program Goals T-MARC seeks to improve the health of Tanzanian families and reduce the transmission and impact of HIV and AIDS by developing or expanding markets for health products, improving access to affordable health products, and developing and managing a broad-based communications initiative to enhance knowledge about core issues related to HIV and AIDS. Gender Strategies Addressed Reducing violence and coercion Addressing male norms and behaviors Increasing women’s legal protection Increasing women’s access to income and productive resources Other: Description of Intervention T-MARC works with Tanzanian businesses to develop or expand markets for health products for HIV/AIDS prevention and care, family planning, child survival, and infectious diseases that will achieve demonstrable and sustainable health impacts. T-MARC works with commercial partners to support, develop or launch new or existing products (such as a new male and female condom) and to cost-effectively build upon existing marketing, sales and distribution networks. At the same time, T-MARC seeks to develop and manage a broad-based communications initiative that enhances the knowledge of Tanzanians about core issues related to HIV and AIDS, including accurate information about relevant products and services as well as persuasive information to encourage and sustain healthy behaviors. Through qualitative research, AED discovered that male norms including multiple partners, limited knowledge on reproductive health, lack of access 157
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| AIDS AIDSTAR-One Support and Tech
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INTEGRATING MULTIPLE GENDER STRATEG
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CONTENTS Acronyms..................
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Mama’s Club Memory Book .........
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ACRONYMS AED AEMCI AIDS AMREF AOSCI
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ACKNOWLEDGEMENTS We would like to t
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EXECUTIVE SUMMARY The public health
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INTRODUCTION The public health and
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• Identify current, promising pro
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• Snowball sampling of gender and
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LIMITATIONS This compendium is limi
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program, and small-scale programs s
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Child Security Project in South Afr
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elated efforts. The Mozambique SSTO
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RECOMMENDATIONS 1. Programs should
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PROGRAM DESCRIPTIONS TARGETING AND
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transmission and explain how the pr
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Tel: + 267 319 1816 / Fax: + 267 31
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Sessions center around small group
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Supervision occurs on two levels: s
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issues. • Involve uniformed perso
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a new bridge to the health care sys
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and among working girls, 77 percent
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ETHIOPIAN RADIO SERIAL DRAMAS TO PR
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• Ministry of Health Evaluation p
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64 percent at baseline. • Ethiopi
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• Conduct a post-intervention sur
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promotes HIV prevention through pee
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Evaluation Methodology • Monitori
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ADDITIONAL INFORMATION Program Refe
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and produces materials in media tha
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During implementation, participants
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• Communities claim ownership of
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part of this strategy, Maanisha has
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the cultural practices and sexual b
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Langata Road, P.O Box 27691 - 00506
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developing memory books, scrapbooks
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• Quantitative data collection: D
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POST RAPE CARE LEAD ORGANIZATIONS:
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Funders • Trócaire • The U.S.
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Recommendations for Replication •
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seminars with invited guest speaker
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Local Involvement/ Ownership Commun
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ADDITIONAL INFORMATION Program Refe
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treatment of sexually transmitted i
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• National Survey on the Reproduc
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woman’s ability to negotiate and
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skills, human rights, and monitorin
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empowers them to make healthier cho
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Service on replication. TIOS is als
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WOMEN FIRST (MULHERES PRIMERO) LEAD
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Funders • Canadian International
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$45,000 $40,000 $35,000 $30,000 $25
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MALE NORMS INITIATIVE LEAD ORGANIZA
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IMPLEMENTATION AND RESULTS Start-up
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assistance is no longer necessary i
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collaboration with relevant governm
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involvement in protecting the right
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assertiveness, puberty and gender-b
Page 120 and 121: traditional practices, and knowledg
Page 122 and 123: POLYCLINIC OF HOPE CARE AND TREATME
Page 124 and 125: Partner Organizations Implementatio
Page 126 and 127: international workshop was convened
Page 128 and 129: THE FATHERHOOD AND CHILD SECURITY P
Page 130 and 131: • Community leaders including tra
Page 132 and 133: After the session, 100 percent beli
Page 134 and 135: KwaZulu-Natal and OR Tambo, Eastern
Page 136 and 137: Gender and HIV component (Sisters-f
Page 138 and 139: Evaluation Results • Cluster rand
Page 140 and 141: Rural South Africa: A Cluster Rando
Page 142 and 143: accompanied by djembe drumming. Onc
Page 144 and 145: staff intended for partner organiza
Page 146 and 147: ADDITIONAL INFORMATION Program Refe
Page 148 and 149: Young men also build knowledge arou
Page 150 and 151: • Project completion report: The
Page 154 and 155: character, Matlakala, is in an abus
Page 156 and 157: • The Presidency • Society For
Page 158 and 159: society stakeholders. • While eve
Page 160 and 161: 4. Contraception, conception and me
Page 162 and 163: IMPLEMENTATION AND RESULTS Start-up
Page 164 and 165: Challenges and Unforeseen Outcomes
Page 166 and 167: WOMEN’S HEALTH COOP, PRETORIA LEA
Page 168 and 169: female condoms to distribute in com
Page 172 and 173: to contraceptives (particularly con
Page 174 and 175: • Periodic household surveys: A b
Page 176 and 177: Resources Promises an Exciting Year
Page 178 and 179: stressed families in their home env
Page 180 and 181: generating activities and home visi
Page 182 and 183: LESSONS LEARNED AND CHALLENGES Key
Page 184 and 185: HIV & AIDS COUNSELING AND SERVICES
Page 186 and 187: Timeframe 1987-ongoing; the current
Page 188 and 189: multisectoral approach and that res
Page 190 and 191: Peer educators also aim to increase
Page 192 and 193: Challenges and Unforeseen Outcomes
Page 194 and 195: In collaboration with legal organiz
Page 196 and 197: Replication and Scale-up Activities
Page 198 and 199: THE SASA! ACTIVIST KIT FOR PREVENTI
Page 200 and 201: Timeframe 2008-ongoing Funders •
Page 202 and 203: • Engaging a cross-section of act
Page 204 and 205: CORRIDORS OF HOPE II LEAD ORGANIZAT
Page 206 and 207: Geographic Location Seven towns: Ka
Page 208 and 209: of HIV counseling and testing and t
Page 212 and 213: APPENDIX 1: ONLINE SEARCH PROCESS T
Page 214 and 215: APPENDIX 2: SURVEY INSTRUMENT BACKG
Page 216 and 217: 1.10 Does the project address incre
Page 218 and 219: Section 5: LESSONS LEARNED AND FEAS
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Country Program Name Lead Organizat
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Gender Strategy Addressed Type of H
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AIDSTAR-One John Snow, Inc. 1616 No
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