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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 />

18

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