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

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Peer educators also aim to increase women’s legal protection. They are trained in legal issues that affect women and talk to communities about human rights abuses against women. The program also works in partnership with women’s organizations involved in human rights, and has a plan to find free legal aid for women in need of legal assistance. The program helps women increase their access to income by teaching HIV-positive mothers how to look after their finances and how to generate income through tailoring, farming, and making handicrafts. The women also farm and keep small livestock. In addition, the program seeks to change male norms and behaviors around fatherhood and PMTCT. It partners with groups like Positive Men’s Union to train men to become mentors who value fatherhood and are involved in PMTCT. Target Audience HIV-positive mothers who have attended PPTCT programs and have children less than three years of age Level of Intervention District Geographic Location Timeframe Districts of Masindi, Kampala, Katakwi, Bukadea, Jinja and Masaka September 2003–ongoing Funders • The AIDS Support Organization of Uganda (TASO) • Collaborative Fund • German World Day of Prayer • Steven Lewis Foundation Partner Organizations Implementation partners: • ATHENA • Health Rights Action Group • The International Community of Women Living with HIV/AIDS (ICW) • The Market Vendors AIDS Project • National Community of Women Living with HIV/AIDS (NACWOLA) • The National Forum of People Living with HIV/AIDS • Positive Men’s Union • Positive Women Leaders of Uganda • Safe Motherhood Program • Single Mothers’ Association, Uganda • TASO Uganda IMPLEMENTATION AND RESULTS Start-up and Implementation Process Mama’s Club was started by 50 HIV-positive mothers who had attended PMTCT programs and had children younger than 3. The mothers decided to hold monthly meetings and seek training in life skills and other aspects of HIV that concerned them and their children. Since September 2003, 176
members of the founding group have mobilized other mothers at PMTCT clinics and in the community to form similar groups. In 2007, 30 adolescent mothers joined the Club and were trained in adolescent reproductive health services, family planning and how to go out in the community and be change agents for prevention. The project began with a needs assessment in which program participants came together to discuss if they wanted the program and exactly how they wanted to run it. An advisory board, which later became the executive board, meets regularly to advise club members. Local Involvement/ Ownership The women formed the club as a community-based project and are responsible for its maintenance. They are the owners of the project. They also have income-generating activities that have helped sustain the program. Evaluation Methodology Program reach: The program collects data on program reach. It currently is measuring impact of the program on families but results are not yet available. Evaluation Results • The program has trained a total of 100 peer mothers, approximately 20 from each branch. Mama’s Club now has five branches in five districts. • About 300 families have been reached. The father mentor program has 25 supportive partners of members who are reaching out to other men in the communities. Replication and Scale-up Activities The project was replicated in Masdindi, Uganda and in Zimbabwe (Zimbabwe Mama’s Club). Three more clubs are being formed in Uganda. LESSONS LEARNED AND CHALLENGES Key Findings and Lessons • It was initially difficult to convince partners and donors of the need for this program. Over time, however, donors recognized that the program could increase use of PMTCT services. • Empowering women with knowledge and life skills can build a critical mass for social change. • Women can influence men by fighting against human rights abuses. By creating partnerships with male groups like Positive Men’s Union and using mentor fathers, it is possible to change men’s thinking about fatherhood and the importance of seeking PMTCT for their wives and children. • HIV-affected women can create change by telling their stories. • Women need to be involved in decisions affecting their lives and need to be part of designing the programs that affect them. • Men need to be involved in gender-based programs as well. 177
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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
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traditional practices, and knowledg
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POLYCLINIC OF HOPE CARE AND TREATME
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Partner Organizations Implementatio
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international workshop was convened
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THE FATHERHOOD AND CHILD SECURITY P
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• Community leaders including tra
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After the session, 100 percent beli
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KwaZulu-Natal and OR Tambo, Eastern
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Gender and HIV component (Sisters-f
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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 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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Page 222 and 223: Country Program Name Lead Organizat
Page 224 and 225: Gender Strategy Addressed Type of H
Page 226: AIDSTAR-One John Snow, Inc. 1616 No
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