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Community-Based Conservation: Is It More Effective, Efficient, and Sustainable?

Subtitle: 
Summary of Scientific Evidence Relating to Community-based Conservation
Author: 
Michael A. Rechlin
Daniel Taylor
Jim Lichatowich
Parakh Hoon
Beberly de León
Jesse Taylor
March 1, 2008
Affiliation: 

Future Generations Graduate School of Applied Community Change and Conservation

Through a global literature review and an analysis of 4 case studies, this 134-page report offers an analysis of current thinking and trends in community-based conservation.

Contact Information: 
Source: 

Email from Traci Hickson to The Communication Initiative on September 22 2009; and Future Generations website, November 9 2009.

http://www.comminit.com/files/Nepal_Certified forest area-Photo -ANSAB-compressed.jpg

Multiple Concurrent Partnerships Mass Media Campaign: Assessment of Reach, Recall and Effectiveness

September 1, 2008
Affiliation: 

Population Services International (PSI) Botswana

This 52-page report, published by Population Services International (PSI) Botswana with funding from the President's Emergency Plan for AIDS Relief (PEPFAR), is an evaluation of a mass media campaign

Source: 

PSI website on March 10 2009.

PSI Multiple Concurrent Partnerships Mass Media Campaign

This HIV prevention campaign, implemented by Population Services International (PSI) Botswana in 2008, focused on the HIV risk associated with the pattern of multiple concurrent partnerships (MCP).

Communication Strategies: 

The campaign's mass media channels included billboard, print, and radio. Between March and August 2008, 37 billboards were erected in a number of cities around the country, 1,059 radio spots were broadcast, and 116 print spots were published. Billboards contained headline messages; print spots provided additional information about why concurrent or overlapping partnerships are risky; and radio spots portrayed typical, everyday scenarios in which the behaviours and values represented in the common sayings play out. All media were produced in both English and Setswana.

The campaign also included community-based interpersonal communication projects such as: peer education in homes, schools, churches, and shebeens (unlicensed drinking establishments); community theatre; and the use of bar and club DJs.

The campaign used common sayings like "It is said that small houses strengthen relationships, but having small houses spreads HIV" and "a man cannot be contained in one kraal (village), but he can spread HIV from one kraal to another".

Development Issues: 

HIV/AIDS

Key Points: 

According to PSI, Southern Africa is the region in the world worst affected by HIV/AIDS: all the highest HIV prevalence countries are in this region. However, comparison of HIV prevalence with the "traditional" sexual behaviour indicators, such as age of sexual debut, lifetime number of sexual partners, and rates of condom use, does not explain the global distribution of HIV infections. Therefore, the focus has shifted in recent years to the pattern of sexual partnerships rather than the overall number of sexual partners as the driver of HIV transmission. Looking to the pattern of sexual relationships as a driver of sexually transmitted infections (STIs) is not new, but it is only in recent years that it has gained widespread credibility and acceptance as an explanation of high HIV rates in Sub-Saharan Africa. The Expert Think Tank Meeting on HIV Prevention in High Prevalence Countries of the Southern African Development Community (SADC) in May 2006 pointed to high levels of multiple and concurrent sexual partnerships by men and women, with insufficient consistent, correct condom use, combined with low levels of male circumcision, as the key drivers of the HIV epidemic in the region.

One communication objective of the campaign was to encourage people engaged in MCP to reflect on their own behaviour. According to evaluations conducted by PSI, the campaign succeeded in provoking thought about multiple partners and HIV risk, with people expressing a wish to change behaviour, or actually changing it. It also aimed to get people talking about the issues related to MCP; evaluations suggest it had some success in this regard as well, mostly in private discussion between friends and partners.

Partner Text: 

National AIDS Coordinating Agency (NACA) and African Comprehensive HIV/AIDS Partnerships (ACHAP)

Multiple Concurrent Partnerships Among Men and Women aged 15-34 in Botswana

Author: 
Diana Gourvenec
Noah Taruberekera
Obakeng Mochaka
Toby Kasper
December 1, 2007
Affiliation: 

PSI Botswana

This 53-page report, published by PSI (Population Services International) Botswana, documents the findings of a national tracking survey of youth and adults aged 15-34.

Contact Information: 
Source: 

PSI website on January 23 2009.

Soul City Institute Regional Programme 2002 - 2007 Impact Evaluation Summary

May 1, 2008

This is an evaluation of the Soul City Regional Programme (SCRP), an HIV/AIDS communication project which involves 8 southern African countries and combined the adaptation of local communication materials with a large-scale capacity building programme. The Soul City Institute for Health and Development Communication identified local partners in each country who then, with support from Soul City, set up their own health communication programme. The 8 countries produced a total of 20 titles in the 5-year period from 2002 to 2007.

Source: 

Soul City website on November 20 2008.

Southern African Journalists' Bursary

The International Journalists' Programmes (IJP) is offering a bursary to as many as 6 young Southern African and as many as 5 young German journalists.

Deadline Date: 
January 31, 2011

One Love: Multiple and Concurrent Sexual Partnerships in Southern Africa

Subtitle: 
A Ten Country Research Report
Author: 
Michael Jana
Mzwethu Nkambule
Dorothy Tumbo
August 1, 2008
2008
August

This report was designed to inform the development of an HIV prevention campaign by the Soul City Regional Programme (SCRP) aimed at reducing new infections in the southern Africa region by focusing o

Source: 

Soul City website on October 20 2008.

Untold: Stories in a Time of HIV and AIDS

Untold is a series of 9 short films from 9 Southern African countries - Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia, and Zimbabwe. The series forms part of a cross border regional collaboration, led by the Soul City Institute for Health and Development Communication, and is an effort to act together as a region to help deal with the HIV epidemic in southern Africa. Over an 18-month period, producers, scriptwriters, and directors from each of the 9 countries were trained in filmmaking and the edutainment process.

Communication Strategies: 

According to the Soul City Regional Programme, as HIV and AIDS does not respect borders, the success in curtailing the epidemic depends on a coordinated regional response, which not only allows organisations in the different countries to share best practice, but also ensures synergy of health messages.

The series of 24-minute films aims to change complex patterns of particular sexual behaviour that put people at risk of HIV infection. According to Soul City, this cannot be done through simple messages. Through drama, it is, however, possible to deal with the journey of complex characters facing complex choices, whilst entertaining and educating. The series aims to reach people with authentic local stories that will get people talking and challenge them to reflect on their own lives and the lives of the people around them. The films are shot in the local languages of the respective countries.

According to the organisers, television is an important vehicle for reaching large audiences and has the potential to contribute significantly to Africa’s development. For that reason, the project also aimed to create opportunities for local filmmakers to develop their skills to tell new stories and grow the local content of quality dramas on television across the region.

Filmmakers and writers across the region attended an intensive 18-month accredited training course in script writing and drama film production in order to make the edutainment films. The multifaceted training programme consisted of: workshops with writers and filmmakers from across the region; follow-up assignments; and mentorship and technical support provided by well-known directors and producers on set and during pre- and post-production.

The filmmakers worked closely with the local NGO partners of the Soul City Regional Programme, who provided input on the content and messaging of the films, and were involved in much of the research and testing that formed part of the production process.

The series consists of the following 9 films (partner organisations indicated in brackets):

The Test - Malawi (Pakachere)
This is a comedy about facing fear. A successful, ambitious young Malawian man is too scared to have an HIV test at the request of his girlfriend, even though this may jeopardise his relationship.

Secrets and Lies - South Africa (Soul City)
A couple, who are unable to communicate with each other, seek comfort and pleasure elsewhere. This films looks at how HIV can enter a relationship and how keeping secrets can put people's lives at risk.

A Tempestade (The Storm) - Mozambique (N'weti Comunicação para Saúde) [See the video, below]
This is a story about domestic violence in a small fishing community in Mozambique. A young fisherman must risk his relationship with his father to save his mother from harm at the hands of his father.

Ulendo wa Rose (Rose's Journey) - Zambia (Kwatu)
This is a story about a young HIV-positive orphan in need of care and support and the choices faced by her extended family who are considering taking care of her.

Batjele (Tell Them) - Swaziland (Lusweti)
This film, set in the foothills of Manzini, tells the story of a young Swazi girl who is being abused by her teacher. In order to expose the abusive teacher, she must stand up against a community that does not believe her.

Rebel Rhymes - Botswana (Choose Life)
This is a fast paced musical drama about growing up and taking responsibility. An angry young rebel rapper, in search of fame, suddenly becomes a parent to his orphaned siblings.

Mapule's Choice - Lesotho (Phela Health and Development Communications)
A young garment worker from Maseru must keep her HIV-positive status a secret to please her abusive husband. This forces her to travel long distances to get ARVs and means she does not get the emotional support she needs. She has to choose between her husband and saving herself.

Chipo’s Promise - Zimbabwe (Action)
This is the story of a young girl, living in the heart of a township in Harare, who is forced to be a mother to her orphaned younger brother and sister, after their parents pass away due to AIDS. The film shows how they struggle to make ends meet in a community that does not want them.

Desert Soul - Namibia
Set in a funky hair salon in Windhoek, a friendship is put to the test, when the wealthy, smooth-talking boyfriend of one of the characters makes a move on her friend and business partner. Facing financial pressures due to an ailing father, she needs to make a choice between money and maintaining her friendship and new business.

From October to December 2008, these films were broadcast across the region in prime-time television slots.

The films are also available on DVD. In addition, a booklet has been developed to support discussion and debate on the issues raised by the films.

Development Issues: 

HIV/AIDS

Key Points: 

The Soul City Regional Health Communication Programme was initiated by the Soul City Institute for Health and Development Communication in 2002. The project seeks to build a regional network of health communicators by working with identified partners in eight Southern African Development Community [SADC] countries - Botswana, Lesotho, Malawi, Mozambique, Namibia, Swaziland, Zambia, and Zimbabwe. The project aims to have impact on health and development issues, in particular HIV/AIDS, by building local capacity for health promotion through training, adaptation of existing Soul City multimedia products (print, radio, and television), and, more recently, by supporting the creation of new media products in each country.

In 2009, Soul City evaluated the impact of the Untold series as a whole. It showed that "we - as individual countries and communities - are not alone and that as a region we face very similar problems. At the same time, it showed that AIDS, domestic violence and other social problems are above culture, ethnicity, language and other differences between countries."

With the film A Tempestade (The Storm), the Mozambican organisation N'weti (partner of the Soul City Regional Health Communication Programme) won the Golden Impala short Eastern Africa film award. It was conferred in 2010 at the Amakula Kampala International Film Festival: Domestic Violence is above Culture. The film was part of a mass media campaign about domestic violence, which had as a crucial objective the passing of a law against domestic violence by the Mozambican Parliament. Oxfam Novib and other affiliates supported this lobbying project for years through the partners Forum Mulher and Women and Law in Southern Africa; in August 2009, the Mozambican government adopted a law against domestic violence.

Partner Text: 

The series is sponsored by British Petroleum (BP), Royal Netherlands Embassy, European Union, Department for International Development - United Kingdom (DFID), and Irish Aid.

Source: 

Soul City website; email to Soul Beat Africa from Georgina Lefifi on October 9 2008; and Oxfam Novib website, May 23 2013.

The Communication Initiative Network and Partnership

Covers all major development issues. Convenes the communication/media development, social/behavioural change community with a social network of 85,000 - please join. . When registered you can search the network to identify relevant support and connections.. Knowledge sharing - 35,000 summaries, 1 million users pa. Critical peer review - ratings, comments, dialogue. Advocacy for this field. Strategic direction/funding by 20 Partners. To discuss partnership please contact Warren

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Featured

The Interagency Youth Working Group (IYWG) compiled this list of curricula on sexual and reproductive health (SRH) for young people by calling for materials that are accessible, appropriate, user-friendly, and substantive. Published by FHI 360, funded by the United States Agency for International Development (USAID), the collection of free-to-...

This video describes BBC Media Action’s work with media and communication to "provide health information and explore social and cultural norms that affect good health" in economically poor areas and developing countries.

"The Youth Coalition for Sexual and Reproductive Rights (YCSRR) recognizes the human rights violations integral to child, early and forced marriage as well negative implications related to poverty, education, health and sexual and reproductive health and rights."

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Eliminate Stigma and Discrimination

This report describes the findings from an external evaluation of the Namibia component of the Southern African Regional Social and Behavior Change Communication Program. The programme, which has been implemented in 8 countries in Southern Africa with funding from the United Kingdom Department for International Development (DfID), aims to...

"The broader aim of the framework is to use media as a positive force to improve human rights and ensure universal access to HIV and healthcare services for MSM and TG persons in South Asia."

"Structural determinants are especially important in mediating HIV risk among key populations, including men who have sex with men, people who inject drugs, sex workers of all genders, and transgender women. The objective of this systematic review was to synthesize the evidence characterizing the community-level determinants that potentiate or...

"Addressing community-level factors (CLFs) is integral to the ongoing effort to design multilevel, effective, and sustainable interventions to address each element of the HIV/AIDS treatment cascade." This review examined 100 evaluations of communication interventions designed to create a more positive environment for HIV testing and access to...

Author: Lucy Maroncha, July 23 2014 - Activists at the 20th International AIDS Conference in Melbourne [Australia] this week have urged journalists to be more creative and to use less stigmatizing words which influence public opinion and attitudes.

...

Give Stigma the Index Finger project, running from 2011 to 2014 in Mozambique, Ethiopia, and Swaziland, aims to increase understanding of HIV stigma by empowering men and women living with HIV to take an active part in research and resulting advocacy on HIV stigma. There are various components to this project which include a stigma measurement...

"From the beginning, the education sector has played a central role in responding to HIV. However, its role and the contribution of school-based HIV education has been the subject of much debate."

From bloggers Neil M. Orr and David R. Patient, June 3 2014 - The Failure of the ABC Approach

Rana Tassawar Ali

Author: Rana Tassawar Ali, May 29 2014 - We want an AIDS-free Pakistan, and indeed everyone Pakistani wants an AIDS-free Pakistan. The HIV (human immunodeficiency virus), which causes and leads to AIDS (acquired immune deficiency syndrome), is an incurable disease. In Pakistan, an estimated one hundred thousand people are infected with HIV....

Authors: Julie Pulerwitz and John Bongaarts, crossposted on May 27 2014 - The achievement of an AIDS-free future will surely be a priority discussion topic at the upcoming International AIDS Society conference in Melbourne, Australia.

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Empower Young People

The Interagency Youth Working Group (IYWG) compiled this list of curricula on sexual and reproductive health (SRH) for young people by calling for materials that are accessible, appropriate, user-friendly, and substantive. Published by FHI 360, funded by the United States Agency for International Development (USAID), the collection of free-to-...

Revela2 is a multimedia, TV, and social mobilisation edutainment for social change platform for adolescents and youth. The first of its kind in Colombia, it aims to facilitate dialogue and critical reflection about sexuality and sexual and reproductive health and rights (SRHR) and contribute to transforming individual and family behaviours and...

Lilian Kiefer

Author: Lilian Kiefer, August 14 2014 - Adolescence is a defining period in the growth of a young person. Supporting young people to successfully navigate this stage of life can help break the cycle of poverty and produce great benefits for individuals, communities, and countries.

During adolescence, a growing person has the possibility...

"National strategic frameworks or plans (NSPs) determine a country’s national response to HIV and AIDS, guiding allocation of funding, resources and human capacity and are now critical for Global Fund investments.  Many plans are not strategic, include limited situational analysis and do not identify the key drivers of the epidemic and the...

This 3-year programme aims to engage marginalised children and youth in their rights to health and education services in 8 countries: Afghanistan, Georgia, Mali, Nepal, Niger, Pakistan, Tanzania, and Viet Nam. Activities in each country are tailored to the specific contexts and conditions children and young people experience, but all come...

Author: Boyd Chibale, July 25 2014 - "Well, I am made of latex, and I come in lots of different brands, shapes and sizes. I am anything from small to extra-large, strawberry and banana flavoured," says Mr Condom, one of the stars of a brand new radio show in Zambia. "Sex is still sweet with me and you save yourself stress about STIs...

"HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group."

This review was initiated to identify interventions on HIV prevention in the Asia Pacific region with demonstrated or potential impact for adolescent and young key populations (YKP), "looking at the role of individual and structural factors in accessibility and delivery." From the United Nations Children’s Fund (UNICEF) East Asia and Pacific...

"By December 2013, it was estimated that close to 6 million men had been circumcised in the 14 priority countries for scaling up voluntary medical male circumcision (VMMC), the majority being adolescents (10-19 years). This article discusses why efforts to scale up VMMC should prioritize adolescent men, drawing from new evidence and experiences...

In this study, in order to evaluate the high rates of HIV infection among adolescent girls and to present evidence on what works globally to address the risk, researchers reviewed evidence on programming for adolescents from 150 studies and evaluations from 2001 to June 2013. [Footnotes are removed by the editor.]

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Enhance Social Protection

Author: Warren Feek, August 14 2014 - All of us worry all of the time about both strategy and money! So the more we can share experiences and analysis the better for all. Some ideas and questions follow. Please do respond by logging in and commenting.

"Structural determinants are especially important in mediating HIV risk among key populations, including men who have sex with men, people who inject drugs, sex workers of all genders, and transgender women. The objective of this systematic review was to synthesize the evidence characterizing the community-level determinants that potentiate or...

"Addressing community-level factors (CLFs) is integral to the ongoing effort to design multilevel, effective, and sustainable interventions to address each element of the HIV/AIDS treatment cascade." This review examined 100 evaluations of communication interventions designed to create a more positive environment for HIV testing and access to...

Author: Boyd Chibale, July 25 2014 - "Well, I am made of latex, and I come in lots of different brands, shapes and sizes. I am anything from small to extra-large, strawberry and banana flavoured," says Mr Condom, one of the stars of a brand new radio show in Zambia. "Sex is still sweet with me and you save yourself stress about STIs...

This review was initiated to identify interventions on HIV prevention in the Asia Pacific region with demonstrated or potential impact for adolescent and young key populations (YKP), "looking at the role of individual and structural factors in accessibility and delivery." From the United Nations Children’s Fund (UNICEF) East Asia and Pacific...

In this study, in order to evaluate the high rates of HIV infection among adolescent girls and to present evidence on what works globally to address the risk, researchers reviewed evidence on programming for adolescents from 150 studies and evaluations from 2001 to June 2013. [Footnotes are removed by the editor.]

This supplement to the Journal of Acquired Immune Deficiency Syndromes (JADS), "a collection of reviews on adolescents, presents the complexity of the adolescent HIV epidemic and examines current evidence and experience from programmes to highlight how to improve HIV-specific outcomes. Findings in the papers were presented in a global technical...

Elias Banda

Author: Elias Banda, June 23 2014 - The large number of Zambian school girls under the age of 16-years-old falling pregnant within the school system is a serious cause for concern that should make all of us to pause and seek honest answers on how to curb child pregnancy.

"From the beginning, the education sector has played a central role in responding to HIV. However, its role and the contribution of school-based HIV education has been the subject of much debate."

This guide for civil society organisations (CSOs) is part of the Quality of Sexual and Reproductive Health Rights (SRHR) and HIV Prevention programme developed by Rutgers WPF and STOP AIDS NOW! Its aim is to support CSOs working on HIV prevention interventions and SRHR education for young people in 12 African countries: Kenya, Ethiopia,...

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15 Million accessing treatment

Dr. Susan Kasedde's presentation for the Programming for Adolescents and Youth in the Arab States/MENA Region conference in Istanbul, Turkey, December 3-7 2012, opens with 2012 statistical trends in new HIV infection in adults and children. Kasedde poses the question: "The vast majority of adolescents living with HIV (60%) are adolescent girls...

World Youth Alliance

"UNAIDS, a United Nations body with a lot of political and financial weight, has continued to promote strategies that often do not address the fundamental underlying behaviors that facilitate the spread of HIV. The need is urgent for locally driven campaigns that are aimed at stopping risky behaviors and cultivating a culture of personal...

Reaching Youth With Out-of-Facility HIV and Reproductive Health Services

This systematic literature review was undertaken to identify policies promoting or programmes delivering HIV or reproductive health services to adolescents in their communities. The researchers reviewed studies that evaluated uptake of services or commodities. Data from studies meeting inclusion criteria were qualitatively analysed.

...

"Today, Rosa gives a talk about HIV and sexually transmitted infections (STIs) to the women at El Mamey, demonstrating the correct use of condoms and reminding the women to come for their monthly medical checkups at the Clínica de Familia La Romana (La Romana Family Clinic). At the end of her talk she answers questions, addresses common...

"Several frameworks have been constructed to analyse the factors which influence and shape the uptake of evidence into policy processes in resource poor settings, yet empirical analyses of health policy making in these settings are relatively rare."

The End of AIDS?

"Throughout the XIX International AIDS Conference (aka 'AIDS 2012'), which was held in Washington, DC [US] this past July, speaker after speaker enthused that we were poised to create an 'AIDS-free generation' and that we were on the verge of 'ending AIDS.'"

Adolescents: Advancing HIV Prevention

"Despite impressive overall results in the past decade's response to HIV, especially in terms of dramatically increased treatment coverage for people living with HIV and a 40% reduction in the number of children infected with HIV due to vertical transmission between 2001 and 2011 (UNAIDS, 2012), efforts to prevent HIV sexual transmission and...

Myanmar

In Myanmar, the International HIV/AIDS Alliance focuses on promoting the health and rights of people living with, and most affected by, HIV. This short summary of conditions in Myanmar and the work of Alliance includes data on the rate of HIV (1.3%) in the general population, as well as rates among men who have sex with men (9.4%) and sex...

Bike4Care

A project of CooP-Africa: Cycling Out of Poverty, the Bike4Care project enables community health workers to visit more patients at a greater distance. In addition, a bicycle ambulance makes patient transport to health centres possible, and mobile pharmacies on bicycles enable access to medicines. CooP Africa has Bike4Care projects in Uganda,...

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Eliminate gender inequalities

"Structural determinants are especially important in mediating HIV risk among key populations, including men who have sex with men, people who inject drugs, sex workers of all genders, and transgender women. The objective of this systematic review was to synthesize the evidence characterizing the community-level determinants that potentiate or...

"Addressing community-level factors (CLFs) is integral to the ongoing effort to design multilevel, effective, and sustainable interventions to address each element of the HIV/AIDS treatment cascade." This review examined 100 evaluations of communication interventions designed to create a more positive environment for HIV testing and access to...

This supplement to the Journal of Acquired Immune Deficiency Syndromes (JADS), "a collection of reviews on adolescents, presents the complexity of the adolescent HIV epidemic and examines current evidence and experience from programmes to highlight how to improve HIV-specific outcomes. Findings in the papers were presented in a global technical...

Elias Banda

Author: Elias Banda, June 23 2014 - The large number of Zambian school girls under the age of 16-years-old falling pregnant within the school system is a serious cause for concern that should make all of us to pause and seek honest answers on how to curb child pregnancy.

"From the beginning, the education sector has played a central role in responding to HIV. However, its role and the contribution of school-based HIV education has been the subject of much debate."

These three videos in a series from Pathfinder demonstrate the method of their "Tailored Reflection and Integrated Learning", or TRAIL, model of community mobilisation and action.

This research based in the Eastern Cape, South Africa, tested the hypothesis that gender and relationship constructs are associated with condom use among young men living in rural South Africa.

This review aims to examine the role of faith-based organisations (FBOs) in HIV prevention in Africa by providing a systematic study of their potential strengths and weaknesses in effecting behaviour change. "The questions posed were:

This Pathfinder technical update summarises elements of a programme called 2011 APHIAplus Nairobi-Coast Health Service Delivery project that facilitated the expansion of a gender-based violence (GBV) prevention and response programme to six districts in Nairobi and five counties in Coast province in Kenya and presents recommendations to...

With this resource, Health COMpass provides access to health communication tools and project materials that focus on gender. They also provide a link to a full list of over 70 gender-focused materials available on their site.

A sampling of the gender tools and project examples highlighted in this Focus Package follows:

Tools -...

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Increase antiretroviral access

This report describes the findings from an external evaluation of the Namibia component of the Southern African Regional Social and Behavior Change Communication Program. The programme, which has been implemented in 8 countries in Southern Africa with funding from the United Kingdom Department for International Development (DfID), aims to...

"Structural determinants are especially important in mediating HIV risk among key populations, including men who have sex with men, people who inject drugs, sex workers of all genders, and transgender women. The objective of this systematic review was to synthesize the evidence characterizing the community-level determinants that potentiate or...

"Addressing community-level factors (CLFs) is integral to the ongoing effort to design multilevel, effective, and sustainable interventions to address each element of the HIV/AIDS treatment cascade." This review examined 100 evaluations of communication interventions designed to create a more positive environment for HIV testing and access to...

Authors: Julie Pulerwitz and John Bongaarts, crossposted on May 27 2014 - The achievement of an AIDS-free future will surely be a priority discussion topic at the upcoming International AIDS Society conference in Melbourne, Australia.

Author Manoj Pardeshi, April 7 2014:          Pre ART: 1986 to 31st March 2004

"You have AIDS," a counselor said to me in 1997. I don't remember the exact date, but suddenly everything went blank. The counselor had spoken to me for more than 20 minutes, but I just...


"In the end it is that which really spoke to me about this story: that from something unspeakably dark and inhuman a spark could be struck, that even one or two small, unknown, unconnected individuals could take on the most massive, powerful and unyielding of adversaries, and actually manage to change the world." - Dylan Mohan...

 women_out_loud.jpg

This report published by the Joint United Nations Programme on HIV/AIDS (UNAIDS) explores the impact of HIV on women and the instrumental role women living with the virus are playing to end HIV/AIDS. The report includes the voices of 30 women living with HIV who have given their personal insights into how the epidemic is affecting women and on...

"Given the critical nature of ART [HIV antiretroviral therapy] to improved health outcomes, the lack of consideration of formative research - including message pretesting - to inform the communication strategy design, can have dire implications for effective HIV prevention, treatment and care programs in developing country contexts."...

The New A2B4CT of HIV Prevention

This document focuses on critiquing the ABC sexual behaviour change strategy (Abstain, Be faithful, and use Condoms) of HIV/AIDS prevention in South Africa, explaining why and how it has not been effective and proposing another approach. "One of the failings of the old ABC approach was to make the exceptions the rule, and to focus upon these...

If, When and How to Tell

"In the Shona culture of Zimbabwe, a high regard for childbearing contributes to strong pressures on women to have children. For young women living with HIV, consequently, disclosure of HIV status can be a central strategy to garner support for controlling fertility."

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Empower MSM Sex Workers Transgender

"National strategic frameworks or plans (NSPs) determine a country’s national response to HIV and AIDS, guiding allocation of funding, resources and human capacity and are now critical for Global Fund investments.  Many plans are not strategic, include limited situational analysis and do not identify the key drivers of the epidemic and the...

"The broader aim of the framework is to use media as a positive force to improve human rights and ensure universal access to HIV and healthcare services for MSM and TG persons in South Asia."

"Structural determinants are especially important in mediating HIV risk among key populations, including men who have sex with men, people who inject drugs, sex workers of all genders, and transgender women. The objective of this systematic review was to synthesize the evidence characterizing the community-level determinants that potentiate or...

"Addressing community-level factors (CLFs) is integral to the ongoing effort to design multilevel, effective, and sustainable interventions to address each element of the HIV/AIDS treatment cascade." This review examined 100 evaluations of communication interventions designed to create a more positive environment for HIV testing and access to...

"HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group."

Rana Tassawar Ali

Author: Rana Tassawar Ali, May 29 2014 - We want an AIDS-free Pakistan, and indeed everyone Pakistani wants an AIDS-free Pakistan. The HIV (human immunodeficiency virus), which causes and leads to AIDS (acquired immune deficiency syndrome), is an incurable disease. In Pakistan, an estimated one hundred thousand people are infected with HIV....

"While community mobilisation (CM) is increasingly advocated for HIV prevention, its impact on measurable outcomes has not been established.... One reason for the lack of systematic attention to CM is that it is used across categories of HIV intervention usually considered separately, namely, biomedical, behavioural and structural interventions...

Female Sex Workers Programme Impact Assessment

This 25-page report shares finding of an impact assessment of Theatre For Change's "Interactive Theatre and Legislative theatre for sex workers and their clients" project in Malawi. The initiative was designed to ensure that sex workers, their clients, and sexually exploited children have the knowledge, attitudes, and skills to reduce the risk...

"Traversing these issues is essential to addressing the underlying structural factors that marginalize trans people, negatively impact their health and exclude them from the benefits of development."

The aim of this study was to conduct formative work to develop a text messaging intervention to reduce methamphetamine use and high-risk sexual behaviours among out-of-treatment men who have sex with men (MSM). MSM who use methamphetamine experience high risks for HIV infection.

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Featured

The Interagency Youth Working Group (IYWG) compiled this list of curricula on sexual and reproductive health (SRH) for young people by calling for materials that are accessible, appropriate, user-friendly, and substantive. Published by FHI 360, funded by the United States Agency for International Development (USAID), the collection of free-to-...

This 3-year programme aims to engage marginalised children and youth in their rights to health and education services in 8 countries: Afghanistan, Georgia, Mali, Nepal, Niger, Pakistan, Tanzania, and Viet Nam. Activities in each country are tailored to the specific contexts and conditions children and young people experience, but all come...

This report describes the findings from an external evaluation of the Namibia component of the Southern African Regional Social and Behavior Change Communication Program. The programme, which has been implemented in 8 countries in Southern Africa with funding from the United Kingdom Department for International Development (DfID), aims to...

"The broader aim of the framework is to use media as a positive force to improve human rights and ensure universal access to HIV and healthcare services for MSM and TG persons in South Asia."

"The low level of knowledge on cervical cancer and HPV found in baseline formative research on the part of health workers and teachers,...let alone community members, prompted governments to provide detailed training to them to ensure that they would be able to answer questions from parents, girls, and other community members..."

"The aim of this article is to explore the role of health communication, an approach within the social and behavioral sciences, across the treatment continuum" for HIV. The article is from the JAIDS: Journal of Acquired Immune Deficiency Syndromes supplement addressing clinicians and public health scientists in the field of HIV...

"... although potentially less subject to reporting bias, biomarkers and biologic outcomes have their own flaws."

From the Abstract:  "This article responds to key questions related to health communication that are commonly asked in the HIV/AIDS arena: 'What is health communication?'; 'What is its role beyond HIV prevention?'; and 'How can it be used to achieve better HIV/AIDS outcomes?'"

This JAIDS: Journal of Acquired Immune Deficiency Syndromes supplement addresses clinicians and public health scientists in the field of HIV prevention and treatment who might value information on...

Published by the FXB Center for Health and Human Rights at Harvard University by invitation from Open Society Foundations (OSF), this resource guide "has been designed to be a user-friendly, multi-purpose tool in advocating for health and human rights." Now in its 5th edition, the guide is intended for "a wide array of users, including health...

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Remove Punitive Laws and Policies

"The broader aim of the framework is to use media as a positive force to improve human rights and ensure universal access to HIV and healthcare services for MSM and TG persons in South Asia."

Author: Lucy Maroncha, July 23 2014 - Activists at the 20th International AIDS Conference in Melbourne [Australia] this week have urged journalists to be more creative and to use less stigmatizing words which influence public opinion and attitudes.

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This report published by the Joint United Nations Programme on HIV/AIDS (UNAIDS) explores the impact of HIV on women and the instrumental role women living with the virus are playing to end HIV/AIDS. The report includes the voices of 30 women living with HIV who have given their personal insights into how the epidemic is affecting women and on...

"In Kenya, human rights violations have a marked impact on the health of people living with HIV. Integrating legal literacy and legal services into healthcare appears to be an effective strategy to empower vulnerable groups and address underlying determinants of health."

Highlighting findings from the July 2012 report HIV and the Law: Risks, Rights and Health by the Global Commission on HIV and the Law, this series of fact sheets from the Open Society Foundations offers information and language...

"In countries around the world...police carry out legal and illegal searches of sex workers and confiscate or destroy condoms found in their possession. In many cases, possession of condoms has been used by prosecutors as evidence of prostitution. Treating condoms as contraband forces sex workers to choose between safeguarding their health...

"Sex workers take charge of the community empowerment process by mobilizing with other sex workers to develop solutions to the issues they face as a group, and by advocating for their rights as sex workers and as human beings."

"...structural and policy issues have created barriers for MSM/TG/SWs in seeking services and adopting individual and community harm reduction strategies..."

"It has long been recognized that vulnerability to HIV infection is not simply an issue of individual behavior but involves complex webs of individuals, communities, and social structures. Can groups and networks also make people less vulnerable to this disease?"

"How can you prevent the spread of HIV among people who may consider it one of their least pressing concerns?"

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