We present a conceptual framework that highlights how unique dimensions of individual-level HIV-related stigma (perceived community stigma, experienced internalized and anticipated stigma) might differently affect the health those living with HIV. is recognized as barrier to both HIV prevention engagement in care, but little known about mechanisms through which leads worse behaviors or outcomes. Our posits that, context intersectional structural stigmas, operate interpersonal factors, mental...

"One Man Can" (OMC) is a rights-based gender equality and health program implemented by Sonke Gender Justice Network (Sonke) in South Africa. The seeks to reduce the spread impact of HIV AIDS violence against women men. To understand how OMC workshops masculinities, norms, perceptions women's rights, an academic/non-governmental organization (NGO) partnership was carried out with University Cape Town, California at San Francisco, Sonke. Sixty qualitative, in-depth interviews were men who had...

Emerging out of increased attention to gender equality within violence and HIV prevention efforts in South African society has been an intensified focus on masculinities. Garnering a deeper understanding how men respond shifting relations rights the ground is urgent importance, particularly since social constructions are implicated HIV/AIDS epidemic. As scientists collaborating rights-based antiviolence program, we sought understand masculinities, rights, norms across six high seroprevalence...

Although poverty is sometimes seen as a driver of intimate partner violence victimization, less known about how it intersects with men's perpetration. Food insecurity sensitive marker that may have unique mechanisms leading to perpetration given its association gender roles and men "providing for the family."Using cluster-based sampling, team conducted an audio-assisted questionnaire in 2016 among living peri-urban settlement near Johannesburg, South Africa. The aim was examine relationship...

Abstract Background Intimate partner violence (IPV) has been recognized as a defining human rights, development and public health issue of our time. Economic empowerment is one the most promising interventions to reduce IPV in sub-Saharan Africa, yet evidence around economic factors that are key ensure reduction still mixed. Furthermore, there lack clarity on what kinds works for which population group. This paper seeks more nuanced understanding, by investigating whether associations...

More than half of rural Kenyan women experience intimate partner violence (IPV) in their lifetime. Beyond physical consequences, IPV indirectly worsens maternal health because pregnant avoid antenatal care or HIV testing when they fear violent reprisal from partners. To develop an intervention to mitigate towards women, we conducted qualitative research Kenya. Through eight focus group discussions, four with and male partners, in-depth interviews service providers, explored the social...

Background Childbirth with a skilled attendant is crucial for preventing maternal mortality and an important opportunity prevention of mother-to-child transmission HIV. The Maternity in Migori AIDS Stigma Study (MAMAS Study) prospective mixed-methods investigation conducted high HIV prevalence area rural Kenya, which we examined the role women's perceptions HIV-related stigma during pregnancy their subsequent utilization maternity services. Methods Findings From 2007–2009, 1,777 pregnant...

Nearly one-third of South African men report enacting intimate partner violence. Beyond the direct health consequences for women, violence is also linked to varied risk behaviours among who enact it, including alcohol abuse, risky sex, and poor healthcare uptake. Little known about how reduce perpetration men. We conducted retrospective, in-depth interviews with (n = 53) participated in a rural programme that targeted masculinities, HIV risk, computer-assisted thematic qualitative coding...

‘One Man Can’ (OMC) is a rights-based gender equality and health programme implemented by Sonke Gender Justice in South Africa. It has been featured as an example of best practice the World Health Organization, UNAIDS, UN Population Fund, translated into nearly dozen languages all across Africa strong HIV-related policies, but highest documented level men's violence against women world, largest number people living with HIV. In this context, OMC seeks to improve relationships their partners,...

Introduction Prevention of mother‐to‐child transmission (PMTCT) has the potential to eliminate new HIV infections among infants. Yet in many parts sub‐Saharan Africa, PMTCT coverage remains low, leading unacceptably high rates morbidity mothers and Intimate partner violence (IPV) may be a structural driver poor uptake, but received little attention literature date. Methods We conducted qualitative research three Johannesburg antenatal clinics understand links between IPV HIV‐related health...

Women's ability to safely disclose their HIV-positive status male partners is essential for uptake and continued use of prevention mother-to-child transmission (PMTCT) services. However, little known about the acceptability potential approaches facilitating partner disclosure. To lay groundwork developing an intervention, we conducted formative qualitative research elicit feedback on three safe HIV disclosure pregnant women in rural Kenya.This included in-depth interviews with HIV-infected...

Intimate partner violence (IPV) is reported by one in three women globally, but the prevalence much higher East Africa. Though some formal and informal resources do exist for experiencing IPV, data suggest that disclosure, help seeking, subsequent utilization of these are often hindered sociocultural, economic, institutional factors. This article explores actions taken victims, available support services, barriers to IPV pregnant rural Nyanza, Kenya. Qualitative were collected through nine...

Men whose sexual behaviors place them at risk of HIV often exhibit a "cluster" behaviors, including alcohol misuse and violence against women. Called the "Substance Abuse, Violence AIDS (SAVA) syndemic," this intersecting set issues is poorly understood among heterosexual men in sub-Saharan Africa. We aim to determine cross-sectional associations between men's use alcohol, violence, using gendered syndemics lens. conducted baseline survey with an informal, peri-urban settlement near...

Abstract Background Men’s perpetration of intimate partner violence (IPV) limits gains in health and wellbeing for populations globally. Largely informal, rapidly expanding peri-urban settlements, with limited basic services such as electricity, have high prevalence rates IPV. Evidence on how to reduce men’s perpetration, change social norms patriarchal attitudes within these settings is limited. Our cluster randomised controlled trial aimed determine the effectiveness Sonke CHANGE...

The development of critical consciousness is seen as a key stage in communities increasing levels dialogue about priority problems and effecting structural change for health. However, relatively little research identifies concrete methods programmes to build consciousness. We examined how South African intervention used tool prevention intimate partner violence HIV infection. collected qualitative data the form in-depth interviews with managers, trainers, participants Intervention...

Depression is associated with increased HIV transmission risk, morbidity, and higher risk of HIV-related death among HIV-infected women. Low sexual relationship power also contributes to but there limited understanding how it relates mental health women.Participants were 270 women from the Uganda AIDS Rural Treatment Outcomes study, a prospective cohort individuals initiating antiretroviral therapy (ART) in Mbarara, Uganda. Our primary predictor was baseline as measured by Sexual...

HIV infection is frequently transmitted within stable couple partnerships. In order to prevent acquisition in HIV-negative couples, as well improve coping couples with an HIV-positive diagnosis, it has been suggested that interventions be aimed at strengthening relationships, addition addressing individual behaviours. However, little known about factors influence relationships impact joint decision-making related HIV.We conducted qualitative in-depth interviews 40 pregnant women and male...

Violence against women and girls (VAWG) is a global human rights public health concern. Food insecurity sign of severe poverty, likely to heighten women's vulnerability VAWG men's perpetration it. However, the extent association multiple pathways between food are not well understood. We systematically assessed peer reviewed quantitative qualitative literature explore this in low- middle-income countries. Fixed effects meta-analysis was used synthesize evidence. Qualitative data analyzed...