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

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Sessions center around small group activities. Groups are determined by<br />

two criteria. The first is age, with groupings of 7- <strong>to</strong> 10-year-olds, 11- <strong>to</strong> 14-<br />

year-olds, <strong>and</strong> 15- <strong>to</strong> 24-year-olds. The communication messages are<br />

adapted according <strong>to</strong> age <strong>and</strong> sexual habits of the age group. The second<br />

criterion is by sex, with groups of only girls, only boys, or a mix of the two.<br />

The division between sexes allows the children <strong>to</strong> speak without inhibition.<br />

Members of the Epouses des Militaires de Côte d'Ivoire (AEMCI), a military<br />

wives association, are trained <strong>to</strong> conduct sessions with parents, particularly<br />

mothers, on how <strong>to</strong> discuss sexual <strong>and</strong> reproductive health issues with their<br />

children.<br />

Peer educa<strong>to</strong>rs use information, education, <strong>and</strong> communication (IEC)<br />

materials <strong>and</strong> educational kits <strong>to</strong> cover issues such as mutual fidelity <strong>and</strong><br />

other means of prevention such as correct <strong>and</strong> consistent condom use.<br />

Discussions around the fight against stigma <strong>and</strong> discrimination also occur.<br />

<strong>HIV</strong> mobile <strong>and</strong> fixed counseling <strong>and</strong> testing sites deliver services based on<br />

national norms. Clients are also referred <strong>to</strong> health centers, local<br />

associations, <strong>and</strong> nongovernmental organizations for palliative care<br />

services. Peer educa<strong>to</strong>rs help ensure that uniformed service personnel <strong>and</strong><br />

their families are aware of <strong>and</strong> use available services.<br />

<strong>Gender</strong>-related activities were planned for <strong>and</strong> included at the beginning of<br />

the program. OHP addresses gender equity by working with AEMCI <strong>to</strong><br />

improve women’s abilities <strong>to</strong> negotiate condom use, <strong>to</strong> advocate for<br />

orphans <strong>and</strong> vulnerable children, <strong>and</strong> <strong>to</strong> advocate for the rights of women<br />

who test positive <strong>and</strong> are rejected by their spouses. In small-group peer<br />

education sessions, the program also seeks <strong>to</strong> improve knowledge of the<br />

link between <strong>HIV</strong> transmission <strong>and</strong> high-risk behaviors, such as genderbased<br />

violence. OHP also uses sessions <strong>to</strong> target male norms, such as<br />

the perception that infidelity among males is a proof of virility, as well as<br />

improve awareness of harmful masculine behaviors, such as crossgenerational<br />

sex, transactional sex, multiple concurrent partnerships, <strong>and</strong><br />

substance abuse.<br />

Target Audience<br />

Uniformed personnel, their partners, <strong>and</strong> their children<br />

Level of Intervention • Individual<br />

• Family<br />

• Community<br />

• District<br />

• National<br />

Geographic<br />

Location<br />

Nationwide<br />

Timeframe Oc<strong>to</strong>ber 2005–September 2009<br />

Funders • The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)<br />

through the United States Centers for Disease Control <strong>and</strong> Prevention<br />

(CDC)<br />

24

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