Tackling gender inequalities and intimate partner violence in the response to HIV: moving towards effective interventions in Southern and Eastern Africa.
Identifieur interne : 001C90 ( PubMed/Curation ); précédent : 001C89; suivant : 001C91Tackling gender inequalities and intimate partner violence in the response to HIV: moving towards effective interventions in Southern and Eastern Africa.
Auteurs : Andrew Gibbs [Afrique du Sud]Source :
- African journal of AIDS research : AJAR [ 1727-9445 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Afrique australe (épidémiologie), Afrique de l'Est (épidémiologie), Assistance, Comportement sexuel (psychologie), Facteurs de risque, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (), Infections à VIH (épidémiologie), Mâle, Partenaire sexuel (psychologie), Politique publique, Services de médecine préventive (utilisation), Violence envers le partenaire intime (), Violence envers le partenaire intime (psychologie).
- MESH :
- psychologie : Comportement sexuel, Partenaire sexuel, Violence envers le partenaire intime.
- utilisation : Services de médecine préventive.
- épidémiologie : Afrique australe, Afrique de l'Est, Infections à VIH.
- Adolescent, Adulte, Assistance, Facteurs de risque, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH, Mâle, Politique publique, Violence envers le partenaire intime.
English descriptors
- KwdEn :
- Adolescent, Adult, Africa, Eastern (epidemiology), Africa, Southern (epidemiology), Counseling, Female, HIV Infections (epidemiology), HIV Infections (prevention & control), Humans, Intimate Partner Violence (prevention & control), Intimate Partner Violence (psychology), Male, Preventive Health Services (utilization), Public Policy, Risk Factors, Sexual Behavior (psychology), Sexual Partners (psychology), Socioeconomic Factors.
- MESH :
- epidemiology : Africa, Eastern, Africa, Southern, HIV Infections.
- prevention & control : HIV Infections, Intimate Partner Violence.
- psychology : Intimate Partner Violence, Sexual Behavior, Sexual Partners.
- utilization : Preventive Health Services.
- Adolescent, Adult, Counseling, Female, Humans, Male, Public Policy, Risk Factors, Socioeconomic Factors.
Abstract
Ending intimate partner violence (IPV) and reducing gender inequalities are recognised as critical to "'ending AIDS" by 2030. Amongst women, experiencing IPV has been shown to increase HIV acquisition, reduce women's ability to use HIV prevention strategies and reduce adherence to antiretroviral therapy (ART). In Southern and Eastern Africa there has recently been a significant push to strengthen programming around this through broad funding and programming streams. However, while gender inequality underpins IPV and HIV acquisition, in different contexts a variety of other factors intersect to shape this vulnerability. Using reflections focused on young women living in urban informal settlements and the Stepping Stones and Creating Futures intervention, this paper illustrates the need to understand the specific drivers of HIV and IPV in any given context and the need for interventions to prevent this. Any intervention needs to include three key components: 1) resonate with the lived realities of women they target; 2) tackle multiple factors shaping women's vulnerability to IPV and HIV simultaneously; and 3) consider how best to work with men and boys to achieve improved outcomes for women. Such an approach, it is argued, resonating with the "slow research" movement, will yield better outcomes for interventions, but will also require a fundamental rethinking of how interventions to prevent IPV and HIV amongst women are conceptualised, with a greater emphasis on understanding the ways in which gender resonates in each context and how interventions can operate.
DOI: 10.2989/16085906.2016.1204331
PubMed: 27399043
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<front><div type="abstract" xml:lang="en">Ending intimate partner violence (IPV) and reducing gender inequalities are recognised as critical to "'ending AIDS" by 2030. Amongst women, experiencing IPV has been shown to increase HIV acquisition, reduce women's ability to use HIV prevention strategies and reduce adherence to antiretroviral therapy (ART). In Southern and Eastern Africa there has recently been a significant push to strengthen programming around this through broad funding and programming streams. However, while gender inequality underpins IPV and HIV acquisition, in different contexts a variety of other factors intersect to shape this vulnerability. Using reflections focused on young women living in urban informal settlements and the Stepping Stones and Creating Futures intervention, this paper illustrates the need to understand the specific drivers of HIV and IPV in any given context and the need for interventions to prevent this. Any intervention needs to include three key components: 1) resonate with the lived realities of women they target; 2) tackle multiple factors shaping women's vulnerability to IPV and HIV simultaneously; and 3) consider how best to work with men and boys to achieve improved outcomes for women. Such an approach, it is argued, resonating with the "slow research" movement, will yield better outcomes for interventions, but will also require a fundamental rethinking of how interventions to prevent IPV and HIV amongst women are conceptualised, with a greater emphasis on understanding the ways in which gender resonates in each context and how interventions can operate.</div>
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