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Title Process elements contributing to community mobilization for HIV risk reduction and gender equality in rural South Africa.
Full text https://escholarship.org/uc/item/0mt5p47f
Date 2019
Author(s) MacPhail, Catherine; Khoza, Nomhle; Treves-Kagan, Sarah; Selin, Amanda; Gómez-Olivé, Xavier; Peacock, Dean; Rebombo, Dumisani; Twine, Rhian; Maman, Suzanne; Kahn, Kathleen; DeLong, Stephanie M; Hill, Lauren M; Lippman, Sheri A; Pettifor, Audrey
Contributor(s) Galea, Jerome T
Abstract Community mobilization has been recognized as a critical enabler for HIV prevention and is employed for challenging gender inequalities. We worked together with community partners to implement the 'One Man Can' intervention in rural Mpumalanga, South Africa to promote gender equality and HIV risk reduction. During the intervention, we conducted longitudinal qualitative interviews and focus group discussions with community mobilizers (n = 26), volunteer community action team members (n = 22) and community members (n = 52) to explore their experience of being part of the intervention and their experiences of change associated with the intervention. The objective of the study was to examine processes of change in community mobilization for gender equity and HIV prevention. Our analysis showed that over time, participants referred to three key elements of their engagement with the intervention: developing respect for others; inter-personal communication; and empathy. These elements were viewed as assisting them in adopting a 'better life' and associated with behaviour change in the intervention's main focus areas of promoting gender equality and HIV risk reduction behaviours. We discuss how these concepts relate to the essential domains contained within our theoretical framework of community mobilization-specifically critical consciousness, shared concerns and social cohesion -, as demonstrated in this community. We interpret the focus on these key elements as significant indicators of communities engaging with the community mobilization process and initiating movement towards structural changes for HIV prevention.
Subject(s) Humans; HIV Infections; Prevalence; Risk Reduction Behavior; Leadership; Endemic Diseases; Community Networks; Socioeconomic Factors; Adolescent; Adult; Rural Population; Health Promotion; South Africa; Female; Male; Young Adult; Sexism; Community Participation; Clinical Research; Behavioral and Social Science; Pediatric AIDS; Pediatric; Prevention; HIV/AIDS; Prevention of disease and conditions; and promotion of well-being; 3.1 Primary prevention interventions to modify behaviours or promote wellbeing; Reduced Inequalities; Gender Equality; General Science & Technology
Coverage e0225694
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source PloS one, vol 14, iss 12
Rights public
Identifier qt0mt5p47f
Repository Berkeley - University of California
Added to C-A: 2023-01-09;09:24:53