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

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In collaboration with legal organizations and to increase women’s legal protection, the Memory Book project also helps organize legal clinics to sensitize community leaders to the needs and legal rights of women and children. The project teaches and assists families in will-writing to protect women’s and children’s property rights. The program also works to reduce stigma and discrimination directed toward HIV-positive women by improving the community’s understanding of the situation these women are in. Target Audience • Women living with HIV as parents • Guardians of children affected by HIV and AIDS • Children from families affected by HIV and AIDS Level of Intervention Community Geographic Location Timeframe Districts of Busia, Luwero, Lira, Soroti, and Iganga 1997–ongoing Funders Healthlink Worldwide, UK Partner Organizations Implementation partners: • ActionAid in Palisa, Arua, Jinja, Rukungiri, and Kabale districts • AIDS Communication Education and Training (ACET) • TASO in Mbarara, Masaka, Jinja, Kampala, Mulago, Tororo, and Mbale districts • Bushnet (Busia HIV/AIDS Network) • Christian Children’s Fund (CCF) in Soroti, Busia, and Wakiso Districts • Friends of Christ Revival Ministry (FOC – REV) in Busia district • Goal International in Bugiri • Happy Children Foundation (HCF) in Busia • Integrated District HIV/AIDS Committee (IDHAC) in Iganga district, a local government initiative • Plan International in Luwero and Kawempe Districts • Reach the Child Uganda in Rakai and Wakiso District • Save the Children in Kasese District • St. Paul Health Center in Njeru District • Ufumi Village Community in Busia District, where Busia Human Rights Defenders' activists started their operations • Legal Aid – Uganda • Association of Uganda Women Lawyers (FIDA) IMPLEMENTATION AND RESULTS Start-up and Implementation Process The project started in Palisa and Kampala with a “Training of Trainers” for 36 parents and 36 children in each district. Participants were parents living with HIV who were interested in planning for the future of their children and in improving their communication at the family level. As it would be necessary to openly discuss HIV during the training and implementation, it 180
was important for participants to have come to terms with their status, to some extent. Fundraising to cover program activities also took place during the start-up phase. Trained participants then carried out the Memory Book work activities, with follow-up by the program officer. In turn, dedicated trained beneficiaries formed a strong team to follow up with other participants and spearhead other Memory Book work activities. Trained people living with HIV are thus themselves both beneficiaries and owners of the project. This is important because passing on knowledge about the Memory Book project involves sharing experiences as well as information. Local Involvement/ Ownership Parents, guardians, and children gain skills that remain in the community and within families. Community participants share and teach these skills to others. The project also uses local materials. Evaluation Methodology Community report card: The report card is a qualitative data collection tool used by NACWOLA to solicit information from participants and community members about the perceived performance of the program. Information about communication within the family, noted change in behaviors, and use of legal services are recorded on the report card. Evaluation Results Community report card: Analysis of data from report cards shows the following: • Training by NACWOLA (in collaboration with Legal Aid – Uganda and Association of Uganda Women Lawyers) on the rights of women has enabled members to seek legal redress on issues that affect them. • The Memory Project improved communication between HIV-positive women and their family members. There has been improved family intimacy, with significant reduction of family conflicts and violence against women. More than 80 percent of the 828 HIV-positive women trained in the Memory Project reported they had experienced no violence in their families since they received the training. • Of the 285 men trained in the Memory Project, 100 percent have reported changes in male norms toward gender-based violence stemming from traditional practices. Men also report they communicate freely with their wives and children about planning for the family’s future and making plans to generate income to provide for their families. • Participants felt prepared to engage in will-writing, and many had drawn up wills. • About 30 percent out of those trained are active in the sensitization programs in their various districts, fighting stigma and discrimination through testimonies, drama, and radio talk shows. At the same time, 60 percent felt capable of identifying stigma and discrimination and raising them to the perpetrators and policy makers through dialogue. • NACWOLA members continue to engage in income-generating activities to claim their position economically. 181
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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
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Rural South Africa: A Cluster Rando
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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 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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