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GenARDIS 2002 - 2010: Small Grants that Made Big Changes for Women in Agriculture

Author: 
Jennifer Radloff
Helen Hambly Odame
Sonia Jorge
September 1, 2010
Affiliation: 

Association for Progressive Communications (Radloff), University of Guelph (Hambly Odame)

This document discusses the work of the Gender, Agriculture and Rural Development in the Information Society (GenARDIS) small grants fund, which was initiated in 2002 to support work on gender-related issues in information and communications technologies (ICTs) for the African, Caribbean, and Pacific regions. The small grants fund was disbursed to diverse projects in order to counter barriers to women living in rural areas. This document records the process and results, and is intended to contribute to more gender-aware ICT policy advocacy.

Source: 

Association for Progressive Communications (APC) website, February 16 2011 and March 30 2012.

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Understanding Community-Based Information Systems in the Millennium Villages

December 1, 2009

This website from newmediadev2009 was a project of a 2009 research seminar developed and taught by Professor Anne Nelson at Columbia's School of International and Public Affairs (SIPA) in New York, the United States (US).

Contact Information: 
Source: 

Email from Anne Nelson to The Communication Initiative on January 11 2010.

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The View from Above

Author: 
Pierre Sibiry Traoré
February 1, 2010
Affiliation: 

International Crops Research Institute for the Semi-Arid Tropics (ICRISAT)

From the "Farm Services" Issue 53 of ICT Update, this article discusses how very high resolution imagery (VHRI) made by sensors on satellites gives West African farmers data on soil fertility and land

Source: 

ICT Update Issue 53, February 2010. Source image: ICRISAT

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CEPEHRG and Maritime, Ghana: Engaging New Partners and New Technologies to Prevent HIV among Men Who Have Sex with Men

With the support of the President's Emergency Plan for AIDS Relief (PEPFAR), two of Ghana's community-based organisations (CBOs) are using behaviour change communication (BCC) strategies for the purpo

Communication Strategies: 

Specific elements of the project included:

  • Prevention outreach: Building on its research findings on MSM in Ghana, and in consultation with USAID and its government and non-governmental organisation (NGO) partners, SHARP worked with the Ghana Sustainable Change Project (GSCP) - another USAID-funded project implemented by AED - to develop a basic package of BCC tools and interventions for MSM, including a participatory training curriculum for peer educators. The package contained BCC materials that could be distributed to participants in prevention outreach sessions. The materials included pocket-sized brochures listing MSM-friendly clinics and drop-in centres or illustrating HIV and sexually transmitted infection (STI) prevention behaviours. One of the brochures is purposefully graphic in its visual representation of behaviours that can reduce transmission risk of HIV and other STIs (see image above). The direct nature of these materials was designed to reinforce the lessons taught during peer outreach.

    Peer educator-led outreach sessions for MSM promoted risk reduction behaviours, offered referrals to testing and clinical services, sold condoms and lubricant, and provided counselling by trained health care workers.

    The programme also worked with its implementing partners on outreach events that included large community parties and small gatherings at private homes and at hot spots such as bars and clubs that attract MSM clientele. Integrating HIV prevention messages into social activities, these events were designed to raise awareness, within a broader peer group, of the value of open communication in MSM relationships and the importance of condom use and other prevention behaviours, such as partner reduction.


  • HIV and STI services: Clinical services for MSM were also supported at government-run clinics as well as at the four drop-in centres run by SHARP's NGO partners. Services included STI diagnosis and treatment, HIV counselling and testing, post-test counselling and support, antiretroviral therapy (ART), and referrals to other services if necessary.

  • Health care worker training: SHARP developed a most-at-risk-population (MARP)-friendly curriculum and trained providers to increase their understanding of MARP-related health issues and expand their capacity to provide responsive care in a supportive and non-stigmatising environment.

  • Support groups: SHARP encouraged CEPEHRG and Maritime to set up support groups for MSM living with HIV.

  • "Text Me! flash Me!" Helpline: In Ghana, if people have charged phones and a minimal amount of call credit, they can receive calls and "flash" others (call and hang up before the recipient of the call picks up). This costs nothing and signals that the caller at the number shown on the phone's screen wants to be contacted. Branded as part of the "It's My Turn" campaign, the Helpline was staffed by employees of implementing partners and by HIV counsellors from government clinics. To prepare them for this new role, SHARP worked with a number of stakeholders to develop a training curriculum and provided ongoing support to the counsellors. The Helpline was designed to function during a set period of time each day, and callers would "flash" the counsellor on call, who could then phone back directly to answer questions, provide support, or share information about where to find services. Users were also able to send text inquiries that generated automated text responses on a variety of basic topics relevant to MSM health and well-being. In turn, the callers' cell numbers were recorded, with care taken to maintain confidentiality and protect their identities. Subsequently, these contacts were sent regular text message reminders about condom use, the need for testing, and the availability of the Helpline to answer questions or provide directions to clinics.
Development Issues: 

HIV/AIDS.

Key Points: 

MSM are, on average, over nine times more vulnerable to infection than the general population. And yet, according to James Robertson, author of the case study "CEPEHRG and Maritime, Ghana: Engaging New Partners and New Technologies to Prevent HIV among Men Who Have Sex with Men", MSM have been neglected in HIV programming in sub-Saharan Africa - frequently ignored in national strategies and hidden in the face of intolerance, stigmatisation, and punitive laws. The media and most prevention programming in the region consistently describe HIV vulnerability in terms of heterosexual risk, and many African MSM do not realise that they too are vulnerable. (Robertson points out that, in discussions with MSM in Ghana, many said that before they received MSM-specific education, they had thought condom use was only necessary during vaginal sex.)

That said, Ghana, which, like its neighbouring states, condemns homosexuality, is distinguished from most countries in sub-Saharan Africa by the level of activity addressing HIV among MSM. Although the Ghanaian government has not publicly embraced these efforts, officials have also not prevented the development of these interventions, despite the legal prohibition of homosexual behaviour.

Partner Text: 

CEPEHRG, Maritime, USAID, AED/SHARP.

Source: 

CEPEHRG and Maritime, Ghana: Engaging New Partners and New Technologies to Prevent HIV among Men Who Have Sex with Men, by James Robertson, January 2010.

Image courtesy of AED/SHARP and AED/Ghana Sustainable Change Project (GSCP)

CEPEHRG and Maritime, Ghana: Engaging New Partners and New Technologies to Prevent HIV among Men Who Have Sex with Men

Author: 
James Robertson
Affiliation: 

John Snow, Inc. (JSI)

This 18-page case study provides an instructive example of how to manage some of the challenges of implementing HIV programming for men who have sex with men (MSM) in a socially hostile and politicall

Source: 

Posting from John Nicholson to the CORE Group Child Survival (CS) Community listserv, February 2 2010.

Image credit: James Robertson/JSI

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Freedom of Information (FOI) and Women’s Rights in Africa - A Collection of Case Studies from Cameroon, Ghana, Kenya, South Africa and Zambia

Author: 
Carlyn Hambuba
Rachel Kagoiya
Publication Date: 
December 1, 2009

Published by the African Women’s Development and Communication Network (FEMNET), this resource book is a collection of case studies from Cameroon, Ghana, Kenya, South Africa, and Zambia. It was produced as part of the Freedom of Information (FOI) and Women’s Rights in Africa Project, a collaboration between FEMNET and the United Nations Educational, Cultural, and Scientific Organisation (UNESCO), which works to strengthen women’s participation in the processes of formulating, enacting, and implementing the of the Freedom of Information (FOI) legislation in Africa.

Cost: 
Free to download
Languages: 

English

Number of Pages: 

106

Source: 

UNESCO website on January 20 2010.

Radio Ada

Broadcasting since 1999, Radio Ada is a community radio station that works to enable marginalised communities and groups in Ghana to: generate and share their knowledge and experience; participate in

Communication Strategies: 

Radio Ada is located in Ada in the Dangme East District, southeastern Ghana and broadcasts to four Dangme-speaking districts which cover a population of approximately 600,000 people of whom 60% are non-literate. The radio staff is comprised of approximately 50 full-time and part-time volunteers, all of whom come from the four Dangme districts.

According to Radio Ada, their approach to broadcasting is participatory and grounded in the needs and identities of the Dangme-speaking audience. The station's programmes are developed and produced with the active participation of people in the respective communities. Radio Ada also uses a broadcasting technique called "narrowcasting" to reach the different occupation-based groups within the four Dangme Districts. The occupation-based groups are comprised of farmers, fishermen, fishmongers who are exclusively women, breadmakers, taxi drivers, and tailors. Each week, a 30-minute radio programme is recorded with the specific occupation-based group and then re-broadcast later in the week. These groups determine the content of their own programmes and act as co-producers. For example, Radio Ada has created opportunities for voice and dialogue amongst fishermen and women fishmongers. The fishmonger programme producer would visit a different fishing community each week, gather together the fishmongers from that community to ask them questions about their fish smoking work, and facilitate a discussion on issues of importance to them. A 30-minute version of the discussion is later broadcast on Radio Ada. The fishmongers are therefore communicating with the men in their community, and men from all communities are listening to the women over the airwaves.

In a bid to involve and ensure a community voice in its operations, Radio Ada has trained about 500 people in various broadcast skills, which include programme recording, producing and delivering the news, marketing, music programming, and programming on conflict prevention.

As part of its programming, Radio Ada also tackled the poor treatment of physically challenged people through the "Advocacy through Radio" project. This was an initiative financed by the Danish International Development Agency (DANIDA), which, according to organisers, contributed significantly to changing attitudes towards the disabled in the communities.

The station also plays a role in conflict resolution in the community. The station gives the community the space and opportunity to talk about burning issues that create conflict and to resolve their problems peacefully. For example, Radio Ada has resolved conflicts over cultural issues between churches and traditional worshippers in the district.

Development Issues: 

Economic Development, Natural Resource Management, Conflict Resolution.

Key Points: 

According to Radio Ada, community radio can play an important role in poverty reduction. Access to voice, information, and knowledge is vital in facilitating poverty reduction and sustainable human development, as voicelessness is a key dimension of poverty and exclusion. For many, Radio Ada is the only source of information; they have no television and more than 50% of the 600,000 in the station's broadcast range are illiterate. Community radio is also being used in the effort to create national functional literacy.

Research suggests that through Radio Ada's advice programmes, husbands and wives in Anyakpor are learning how to communicate and respect each other, which is helping to reduce household quarrelling and abuse. For example, men are learning to share money with their wives and learning how to explain to their wives that they have no money to share with them. They are realising that they should discuss problems with their wives rather than becoming angry and resorting to abuse. Women are learning how to respect their husbands, but also how to offer critical advice or approach them for help.

Contact Information: 
See video
Source: 

Kit website, All Africa website, and UNESCO website - all accessed on November 20 2009; and "Community Radio in Ghana: The Power of Engagement", by George White - accessed on July 26 2010.

Africa Talks Climate (ATC): Briefs on Climate Change in Africa

Author: 
Miriam Burton
Anna Godfrey
September 1, 2009
Affiliation: 

BBC World Service Trust

"Our climate is changing - the way we talk about it needs to change too."

 

Contact Information: 
Source: 

Email from Emily LeRoux-Rutledge, Anna Godfrey, and Grace Davies to The Communication Initiative on October 1 2009, October 29 2009, and October 30 2009, respectively.

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Stop the Bus! I Want to Get On: Lessons from Campaigns to End Violence Against Women in South Africa, Zimbabwe, and Ghana

Author: 
Kathleen Dey
Judith Chiyangwa
Netsy Fekade Odoi
Rachel Carter
Kanwal Ahluwalia
October 1, 2008

This 37-page report offers lessons learned from the "Stop the Bus" campaigns which were run in South Africa, Zimbabwe, and Ghana to raise awareness about and contribute to a reduction in violence agai

Source: 

WOMANKIND Worldwide website on October 20 2009 and June 1 2010.

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Strengthening HIV and AIDS Response Partnerships (SHARP)

Initiated in May 2004 and completed in 2009, Strengthening HIV and AIDS Response Partnerships (SHARP) is a 5-year project by Academy for Educational Development (AED) which strived to reduce new HIV i

Communication Strategies: 

The SHARP team worked with the Ghana Health Service and the National AIDS Control Programme, with health planning bodies, and at the district and community levels with multiple traditional and formal sector entities, to achieve the following four goals:

  1. conducting operations research and second-generation surveillance to guide evidence-based HIV programming across the continuum of care;
  2. supporting the establishment and expansion of interventions among most-at-risk groups and in high transmission areas;
  3. strengthening capacities of the national response at all levels; and
  4. maintaining and ensuring HIV/AIDS programme information and results reporting integrated with the Government of Ghana (GOG) programme.


According to the organisers, the SHARP project has:

  • focused its work on over 20,000 female sex workers (FSWs), 8,000 men who have sex with men (MSM), 8,000 non-paying partners (NPPs), and 10,000 people living with HIV (PLHIVs);
  • developed tools, materials, and interventions that support behaviour change and improved access to quality services;
  • facilitated performance-based funding and capacity-building for non-governmental organisation (NGO) implementing partners;
  • developed knowledge management capacity and disseminated tools and best practices to NGOs and government;
  • conducted research, monitoring and evaluation, performance feedback, and supervision activities;
  • initiated and participated in evidence-based lobbying and advocacy for improved policies and programming at the national level; and
  • provided systems strengthening and technical support for sustainable interventions and quality service delivery for NGO implementing partners.

Another project that was part of SHARP initiative is the Text Me! Flash Me! Helpline service which was launched in September 2008. This project used cell phone technology to provide most-at-risk populations in Ghana with HIV and AIDS information, referrals, and counselling services from qualified providers. While the initial pilot reached out to men who have sex with men (MSM) exclusively, it was expanded in February 2009 to include female sex workers (FSW).

The 5-year SHARP programme developed a number of tools and resources for HIV and AIDS prevention, including training manuals, discussion guides, and video clips.

Development Issues: 

HIV/AIDS

Partner Text: 

Academy for Educational Development (AED), Ghana Health Service, United States Agency for International Development (USAID).

Contact Information: 
Source: 

AED SHARP website on August 18 2009 (no longer in operation as of November 24 2009); and AED website, November 24 2009.

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

"This meta-analysis was conducted to synthesize evaluations of mass media-delivered HIV prevention interventions, assess the effectiveness of interventions in improving condom use and HIV-related knowledge, and identify moderators of effectiveness." The article is from the JAIDS: Journal of Acquired Immune Deficiency Syndromes...

"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...

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Eliminate Stigma and Discrimination

"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...

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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....

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Youth Leaders Speak is a project for supporting youth in Central America to tell their stories on adolescent sexual and reproductive health and rights (SRHR) through a Fellows training programme.

This guide is intended to be used for stimulating discussion of adolescents and communities in Latin America on adolescent sexual and reproductive health and rights (SRHR) through digital stories recorded as part of the GOJoven project of the Public Health Institute in collaboration with the Center for Digital Story Telling. Youth from Mayan,...

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Empower Young People

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.]

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."

Youth Leaders Speak is a project for supporting youth in Central America to tell their stories on adolescent sexual and reproductive health and rights (SRHR) through a Fellows training programme.

This guide is intended to be used for stimulating discussion of adolescents and communities in Latin America on adolescent sexual and reproductive health and rights (SRHR) through digital stories recorded as part of the GOJoven project of the Public Health Institute in collaboration with the Center for Digital Story Telling. Youth from Mayan,...

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Enhance Social Protection

"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,...

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...

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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

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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,...

Keeping people living with HIV (PLHIV) - including children - adherent to antiretroviral (ART) treatment was a key goal of Samastha, a 5-year project that was launched in January 2007 with support from the United States (US) President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development (USAID).

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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

"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."

"Faced with their own mortality an improbable group of young people, many of them HIV-positive young men, broke the mold as radical warriors taking on Washington and the medical establishment."

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Empower MSM Sex Workers Transgender

"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.

Author: Warren Feek of The Communication Intiative, December 2 2013        "It is certain that ending the AIDS epidemic will mean so much to so many.

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...

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Featured

"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...

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.]

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

This toolkit was developed as part of the ACT!2015 campaign, which seeks to mobilise young people around the world "to ensure HIV remains a priority in the post-2015 agenda and that sexual and reproductive health and rights gets recognized for the first time ever in major UN [United Nations] goals" (see Related Summary below for more...

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Remove Punitive Laws and Policies

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?"

"Crisis response has developed out of the need to create an enabling environment in which KPs [key populations] feel safe and confident enough to access HIV services and change high-risk behaviors. Crisis response also makes peer educators...safer from harassment or arrest..."

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