ASSESSING BARRIERS AND FACILITATORS OF IMPLEMENTING AN INTEGRATED HIV PREVENTION AND PROPERTY RIGHTS PROGRAM IN WESTERN KENYA
Identifieur interne : 001E28 ( Pmc/Corpus ); précédent : 001E27; suivant : 001E29ASSESSING BARRIERS AND FACILITATORS OF IMPLEMENTING AN INTEGRATED HIV PREVENTION AND PROPERTY RIGHTS PROGRAM IN WESTERN KENYA
Auteurs : Tiffany Lu ; Lindsey Zwicker ; Zachary Kwena ; Elizabeth Bukusi ; Esther Mwaura-Muiru ; Shari L. DworkinSource :
- AIDS education and prevention : official publication of the International Society for AIDS Education [ 0899-9546 ] ; 2013.
Abstract
Despite the recognized need for structural HIV prevention interventions, few scientific programs have integrated women’s property and inheritance rights with HIV prevention and treatment. The current study focused on a community-led land and property rights intervention that was implemented in two rural areas of Western Kenya with high HIV prevalence rates (24–30%). The program was designed to respond to women’s property rights violations in order to reduce HIV risk at the local level. Through in-depth interviews with twenty program leaders, we identified several facilitators to program implementation, including the leadership of home-based HIV caregivers and involvement of traditional leaders in mediating property rights disputes. We also identified the voluntary basis of the intervention and its lack of integration with the formal justice system as implementation barriers. Our findings can guide future research and design of structural HIV prevention strategies that integrate women’s economic empowerment through property and inheritance rights.
Url:
DOI: 10.1521/aeap.2013.25.2.151
PubMed: 23514082
PubMed Central: 3753177
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9002873</journal-id><journal-id journal-id-type="pubmed-jr-id">1762</journal-id><journal-id journal-id-type="nlm-ta">AIDS Educ Prev</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Educ Prev</journal-id><journal-title-group><journal-title>AIDS education and prevention : official publication of the International Society for AIDS Education</journal-title></journal-title-group><issn pub-type="ppub">0899-9546</issn><issn pub-type="epub">1943-2755</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23514082</article-id><article-id pub-id-type="pmc">3753177</article-id><article-id pub-id-type="doi">10.1521/aeap.2013.25.2.151</article-id><article-id pub-id-type="manuscript">NIHMS488775</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>ASSESSING BARRIERS AND FACILITATORS OF IMPLEMENTING AN INTEGRATED HIV PREVENTION AND PROPERTY RIGHTS PROGRAM IN WESTERN KENYA</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lu</surname><given-names>Tiffany</given-names></name><aff id="A1">Department of Medicine Residency Training Program, Massachusetts General Hospital, Boston</aff></contrib><contrib contrib-type="author"><name><surname>Zwicker</surname><given-names>Lindsey</given-names></name><aff id="A2">Bixby Center for Reproductive Health, University of California, San Francisco School of Medicine, San Francisco</aff></contrib><contrib contrib-type="author"><name><surname>Kwena</surname><given-names>Zachary</given-names></name><aff id="A3">Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</aff></contrib><contrib contrib-type="author"><name><surname>Bukusi</surname><given-names>Elizabeth</given-names></name><aff id="A4">Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya</aff></contrib><contrib contrib-type="author"><name><surname>Mwaura-Muiru</surname><given-names>Esther</given-names></name><aff id="A5">GROOTS Kenya, Nairobi, Kenya</aff></contrib><contrib contrib-type="author"><name><surname>Dworkin</surname><given-names>Shari L.</given-names></name><aff id="A6">Department of Social and Behavioral Sciences, University of California, San Francisco</aff></contrib></contrib-group><author-notes><corresp id="FN1">Address correspondence to Tiffany Lu, Department of Medicine Residency Training Program, Massachusetts General Hospital, 15 Parkman St., WAC-615, Boston, MA 02114. <email>TLu4@partners.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>5</day><month>7</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>26</day><month>8</month><year>2013</year></pub-date><volume>25</volume><issue>2</issue><fpage>151</fpage><lpage>163</lpage><permissions><copyright-statement>© 2013 The Guilford Press</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><p id="P1">Despite the recognized need for structural HIV prevention interventions, few scientific programs have integrated women’s property and inheritance rights with HIV prevention and treatment. The current study focused on a community-led land and property rights intervention that was implemented in two rural areas of Western Kenya with high HIV prevalence rates (24–30%). The program was designed to respond to women’s property rights violations in order to reduce HIV risk at the local level. Through in-depth interviews with twenty program leaders, we identified several facilitators to program implementation, including the leadership of home-based HIV caregivers and involvement of traditional leaders in mediating property rights disputes. We also identified the voluntary basis of the intervention and its lack of integration with the formal justice system as implementation barriers. Our findings can guide future research and design of structural HIV prevention strategies that integrate women’s economic empowerment through property and inheritance rights.</p></abstract><funding-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source><award-id>P30 AI027763 || AI</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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