Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
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PROGRAM DESCRIPTIONS<br />
TARGETING AND INVOLVING MEN IN <strong>HIV</strong> PREVENTION ACTIVITIES<br />
LEAD ORGANIZATIONS:<br />
COUNTRY:<br />
<strong>HIV</strong> PROGRAM AREA:<br />
Pathfinder International (PI)<br />
Botswana Council of Churches<br />
Humana People <strong>to</strong> People<br />
True Men<br />
Botswana<br />
Prevention<br />
OVERVIEW:<br />
Targeting <strong>and</strong> Involving Men in <strong>HIV</strong> Prevention Activities has two interlinked goals: 1) <strong>to</strong> reduce risk<br />
for sexually transmitted infections among Botswana men <strong>and</strong> their partners, <strong>and</strong> 2) <strong>to</strong> improve men’s<br />
attitudes about <strong>and</strong> behaviors related <strong>to</strong> gender equity <strong>and</strong> <strong>HIV</strong> prevention. The project uses a malefocused<br />
peer education curriculum covering <strong>HIV</strong> prevention <strong>and</strong> gender issues such as multiple<br />
concurrent partnerships, drug abuse, sexual violence, <strong>and</strong> prevention of mother-<strong>to</strong>-child transmission<br />
(PMTCT). Men from the community who wish <strong>to</strong> participate meet one-on-one with peer educa<strong>to</strong>rs,<br />
who are selected by local officials <strong>and</strong> community members in collaboration with the implementation<br />
team. An initial interview with each participant helps peer educa<strong>to</strong>rs identify <strong>and</strong> address specific<br />
issues of concern, along with the st<strong>and</strong>ard curriculum. After completing the one-on-one curriculum,<br />
clients can participate in group sessions. On average, each client meets with a peer educa<strong>to</strong>r twice<br />
<strong>and</strong> attends two or more group sessions. Although most participants associate the idea of gender<br />
with “women’s rights,” after the sessions most were comfortable discussing gender issues.<br />
BACKGROUND<br />
<strong>HIV</strong> & AIDS<br />
Program Goals<br />
Targeting <strong>and</strong> Involving Men in <strong>HIV</strong> Prevention Activities aims <strong>to</strong> reduce the<br />
risk of sexually transmitted infections among Batswana men <strong>and</strong> their<br />
partners <strong>and</strong> <strong>to</strong> encourage more positive, gender-equitable attitudes <strong>and</strong><br />
behaviors related <strong>to</strong> <strong>HIV</strong> prevention within the family <strong>and</strong> community.<br />
<strong>Gender</strong> <strong>Strategies</strong><br />
Addressed<br />
<br />
<br />
<br />
Reducing violence <strong>and</strong> coercion<br />
Addressing male norms <strong>and</strong> behaviors<br />
Increasing women’s legal protection<br />
Increasing women’s access <strong>to</strong> income <strong>and</strong> productive resources<br />
Other: gender equity<br />
Description of<br />
Intervention<br />
In 2006, PI developed a peer education curriculum for men that promotes<br />
<strong>HIV</strong> prevention while simultaneously addressing <strong>to</strong>pics of gender norms,<br />
including gender-based violence <strong>and</strong> harmful male norms <strong>and</strong> behavior.<br />
Specifically, the curriculum addresses issues such as multiple concurrent<br />
partnerships, alcohol/substance abuse, sexual violence, safer sex<br />
practices, basic information about <strong>HIV</strong> <strong>and</strong> antiretroviral therapies (ART),<br />
prevention of mother-<strong>to</strong>-child transmission, <strong>and</strong> <strong>HIV</strong> testing. The curriculum<br />
also addresses gender equity in health services, including <strong>HIV</strong> testing <strong>and</strong><br />
uptake of ART. Participants first undergo an assessment <strong>to</strong> identify their<br />
specific risks <strong>and</strong> concerns regarding gender <strong>and</strong> <strong>HIV</strong>. Sample questions<br />
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