Process elements contributing to community mobilization for HIV risk reduction and gender equality in rural South Africa

Autoři: Catherine MacPhail aff001;  Nomhle Khoza aff002;  Sarah Treves-Kagan aff005;  Amanda Selin aff006;  Xavier Gómez-Olivé aff003;  Dean Peacock aff008;  Dumisani Rebombo aff008;  Rhian Twine aff003;  Suzanne Maman aff009;  Kathleen Kahn aff003;  Stephanie M. DeLong aff011;  Lauren M. Hill aff009;  Sheri A. Lippman aff003;  Audrey Pettifor aff003
Působiště autorů: School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia aff001;  Wits Reproductive Health & HIV Institute, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa aff002;  MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa aff003;  STRIVE Research Programme Consortium, London School of Hygiene and Tropical Medicine, London, England, United Kingdom aff004;  Center for AIDS Prevention Studies (CAPS), Department of Medicine, University of California, San Francisco, California, United States of America aff005;  Carolina Population Centre, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America aff006;  INDEPTH Network, Accra, Ghana aff007;  Sonke Gender Justice, Cape Town, South Africa aff008;  Department of Health Behaviour, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America aff009;  Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden aff010;  Department of Epidemiology, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America aff011
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0225694


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.

Klíčová slova:

Behavior – Consciousness – HIV prevention – Human families – Human learning – Sexual and gender issues – Social communication


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2019 Číslo 12