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

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empowers them to make healthier choices. For girls ages 9–13, a girl’s club offers training in income-generating “household activities,” such as making soap or candles, sewing, and knitting. Older girls (14–19) can attend sewing classes where they learn to make the anatomical dolls used in the HIV education and awareness training. The girls are paid based on quality production of the dolls. The project also organizes apprenticeships within the training center, with, for example, the accountant, the sewing teacher, or the bread teacher. This provides a substitute teacher if a regular teacher leaves, while also training the girls in marketable job skills. The SSTOP program manual also provides basic health and safety/first aid training so that women can take control of their own health. It also includes information about family law and women's rights to increase girls’ awareness of legal protections for women. In addressing gender-based violence, a separate self-defense course, offered in two three-hour sessions, covers what to do when a girl can fight back (a situation with a thief, intoxicated person, etc.) as well as when she may not be able to physically fight back (such as when dealing with a policeman, teacher or family member). In the latter case, girls are shown how to "talk your way out of the situation" rather than physically fight back. This course also covers the process of filing a police report in an abusive situation with a man and recommends organizations that support women who have been raped or sexually abused. Men are never permitted to participate in this course. Target Audience Adolescent girls, ages 14–19 who are responsible for caring for younger siblings, and other disadvantaged girls Level of Intervention • Community • District Geographic Location Timeframe Chimoio district/city of the Manica province, Western Mozambique June 2006–ongoing Funders The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) Partner Organizations Implementation partners: • Church World Service • Columbia University • Foundation for Community Development (FDC) • Health Alliance International (HAI) • Peace Corps • Population Services International (PSI) Evaluation partners: • Ilene Speizer, Department of Maternal and Child Health, University of North Carolina School of Public Health, Chapel Hill 84
IMPLEMENTATION AND RESULTS Start-up and Implementation Process In developing the SSTOP project, TIOS wanted to combine HIV awareness with basic safety and first aid. TIOS also knew that they needed a visual tool that would be understood and accepted by the local culture. Because women are traditionally allowed to produce domestic products, sewing dolls could be considered a “girl’s” career. Initial classes also showed participants how to manage the money a family uses for their daily needs, find ways to improve their living situation, and identify ways to generate more income in the future. The self-defense and family law classes evolved organically as additional needs were identified. For example, after the income-generating classes, participants felt empowered yet still placed great importance on attracting men. The family law classes helped them become aware of the legal difficulties of having a child without being married to the father of the child. Local Involvement/ Ownership Local community and church leaders, as well as school administrators and local bairro officials, helped SSTOP select girls to join the project. SSTOP also works in partnership with the National Council to Combat AIDS and Accao Social, a local organization that helps orphans and widows. Evaluation Methodology • Qualitative and anecdotal evidence: An evaluator from the University of North Carolina, Chapel Hill conducted a site visit and used qualitative methods to gather girls' testimonials and observe lifestyle changes. • Monitoring: Data were collected by TIOS on the number of participants trained and how many participants tested for HIV after attending prevention sessions. TIOS also collected data on the number of adolescent girls who are direct and indirect program beneficiaries. Evaluation Results • Qualitative and anecdotal evidence: Findings indicate that participants are better organizing their home finances and gaining vocational skills for income generation in the future. In interviews, family members said that the girls would now be able to choose their own husbands rather than having to say yes to any proposal offered. Girls also are delaying marriage, choosing to support themselves longer through the project’s income-generating activities, and not engaging in early sexual activity without protection. • Monitoring: At the TIOS training center, more than 500 participants have been trained in HIV training, self-defense and more. Typically, about 10 percent of participants have tested for HIV by show of hands at the beginning of a 90-day course, and more than 75 percent have tested by the end. Also, nearly 2,000 adolescent girls are direct program recipients and 29,415 adolescent girls are indirect recipients (indirect includes five family members of direct program recipients, as well as recipients who have received training from more than 500 trainers that TIOS has trained). Replication and Scale-up Activities • Several organizations have expressed interest in replicating the SSTOP project, and TIOS is currently working with Church World 85
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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
Page 48 and 49: ETHIOPIAN RADIO SERIAL DRAMAS TO PR
Page 50 and 51: • Ministry of Health Evaluation p
Page 52 and 53: 64 percent at baseline. • Ethiopi
Page 54 and 55: • Conduct a post-intervention sur
Page 56 and 57: promotes HIV prevention through pee
Page 58 and 59: Evaluation Methodology • Monitori
Page 60 and 61: ADDITIONAL INFORMATION Program Refe
Page 62 and 63: and produces materials in media tha
Page 64 and 65: During implementation, participants
Page 66 and 67: • Communities claim ownership of
Page 68 and 69: part of this strategy, Maanisha has
Page 70 and 71: the cultural practices and sexual b
Page 72 and 73: Langata Road, P.O Box 27691 - 00506
Page 74 and 75: developing memory books, scrapbooks
Page 76 and 77: • Quantitative data collection: D
Page 78 and 79: POST RAPE CARE LEAD ORGANIZATIONS:
Page 80 and 81: Funders • Trócaire • The U.S.
Page 82 and 83: Recommendations for Replication •
Page 84 and 85: seminars with invited guest speaker
Page 86 and 87: Local Involvement/ Ownership Commun
Page 90 and 91: treatment of sexually transmitted i
Page 92 and 93: • National Survey on the Reproduc
Page 94 and 95: woman’s ability to negotiate and
Page 96 and 97: skills, human rights, and monitorin
Page 100 and 101: Service on replication. TIOS is als
Page 102 and 103: WOMEN FIRST (MULHERES PRIMERO) LEAD
Page 104 and 105: Funders • Canadian International
Page 106 and 107: $45,000 $40,000 $35,000 $30,000 $25
Page 108 and 109: MALE NORMS INITIATIVE LEAD ORGANIZA
Page 110 and 111: IMPLEMENTATION AND RESULTS Start-up
Page 112 and 113: assistance is no longer necessary i
Page 114 and 115: collaboration with relevant governm
Page 116 and 117: involvement in protecting the right
Page 118 and 119: assertiveness, puberty and gender-b
Page 120 and 121: traditional practices, and knowledg
Page 122 and 123: POLYCLINIC OF HOPE CARE AND TREATME
Page 124 and 125: Partner Organizations Implementatio
Page 126 and 127: international workshop was convened
Page 128 and 129: THE FATHERHOOD AND CHILD SECURITY P
Page 130 and 131: • Community leaders including tra
Page 132 and 133: After the session, 100 percent beli
Page 134 and 135: KwaZulu-Natal and OR Tambo, Eastern
Page 136 and 137: Gender and HIV component (Sisters-f
Page 138 and 139: 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
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Young men also build knowledge arou
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• Project completion report: The
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ADDITIONAL INFORMATION Program Refe
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character, Matlakala, is in an abus
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• The Presidency • Society For
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society stakeholders. • While eve
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4. Contraception, conception and me
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IMPLEMENTATION AND RESULTS Start-up
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Challenges and Unforeseen Outcomes
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WOMEN’S HEALTH COOP, PRETORIA LEA
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female condoms to distribute in com
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to contraceptives (particularly con
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• Periodic household surveys: A b
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Resources Promises an Exciting Year
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stressed families in their home env
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generating activities and home visi
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LESSONS LEARNED AND CHALLENGES Key
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HIV & AIDS COUNSELING AND SERVICES
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Timeframe 1987-ongoing; the current
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multisectoral approach and that res
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Peer educators also aim to increase
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Challenges and Unforeseen Outcomes
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In collaboration with legal organiz
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Replication and Scale-up Activities
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THE SASA! ACTIVIST KIT FOR PREVENTI
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Timeframe 2008-ongoing Funders •
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• Engaging a cross-section of act
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CORRIDORS OF HOPE II LEAD ORGANIZAT
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Geographic Location Seven towns: Ka
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of HIV counseling and testing and t
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APPENDIX 1: ONLINE SEARCH PROCESS T
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APPENDIX 2: SURVEY INSTRUMENT BACKG
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1.10 Does the project address incre
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Section 5: LESSONS LEARNED AND FEAS
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Country Program Name Lead Organizat
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Gender Strategy Addressed Type of H
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AIDSTAR-One John Snow, Inc. 1616 No
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