The perceived relevance of HIV/AIDS prevention and care programmes for reducing vulnerability in communities
PUBLICATION YEAR: 2009
TITLE AUTHOR(S): D.Naidoo, J.Seager, A.Davids
KEYWORDS: COMMUNITY PARTICIPATION, HIV/AIDS, HIV/AIDS PREVENTION, STIGMATISATION
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Intranet: HSRC Library: shelf number 6137
HANDLE: 20.500.11910/4471
URI: http://hdl.handle.net/20.500.11910/4471
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Background: The South African National Strategic Plan for HIV & AIDS and STI calls for an intensified, comprehensive, multi-sectoral, national response. Many interventions are being implemented but little is known about their perceived relevance or usefulness from a community perspective. Aim: This study explored community and key informant's perceptions of current HIV and AIDS interventions and assessed their potential for reducing vulnerability to HIV infection in selected rural and urban communities in KwaZulu-Natal, South Africa. Methodology: Four key informant interviews were conducted with senior staff in government and non-government HIV and AIDS interventions, and eight focus group discussions were held with community members in areas where these interventions were being implemented. The interviews and discussions explored perceptions of HIV/AIDS prevention and care programmes. Analysis: Transcripts were transcribed, translated and analysed using thematic analysis assisted by the software package Atlas.ti. Findings: Target groups for which the programmes are designed apparently do not understand the content of the messages. Communities have not been consulted. The community is not taken into consideration. They need to talk to ordinary folk. When a tool of prevention is designed it is done in an office, but should deal with the normal layman on the street. Strategies are not effective. They are not appealing to people on the street. They are keeping people vulnerable. Conclusion: HIV and AIDS intervention programmes need to engage communities to ensure that the information is locally relevant and understood by the target audience. Stigma needs to be addressed before messages regarding HIV prevention and transmission are likely to be accepted.-
Related Research Outputs:
- Adapting and disseminating a community-collaborative, evidence-based HIV/AIDS prevention programme: lessons from the history of CHAMP
- Positive prevention: experiences of AIDS-related stigma, disclosure and other daily life stressors of people who are aware that they are living with HIV in Cape Town, South Africa
- Support group needs for people living with HIV and AIDS (PLWHA) in communities around Durban, South Africa
- HIV sero-status disclosure and sexual behaviour among HIV positive patients who are on antiretroviral treatment (ART) in Mpumalanga, South Africa
- Civil society organizations and their capacity to implement HIV/AIDS programmes in Gaborone, Botswana
- Review of the HIV/AIDS policy, legislation, financing & implementation of programmes in Mozambique
- A review of HIV/AIDS policy, financing, legislation and programmes: South African case study: Draft
- The impact of HIV/AIDS on the health sector: national survey of health personnel, ambulatory and hospitalised patients and health facilities, 2002
- Prevention of mother to child transmission: a report of an assessment of a pilot programme in fifteen health facilities in Gauteng province
- A comparative analysis of the financing of HIV/AIDS programmes in Botswana, Lesotho, Mozambique, South Africa, Swaziland and Zimbabwe, October 2003
- HIV/AIDS/STD knowledge, attitudes, beliefs and behaviours in a rural South African adult population
- Family and community interventions for children affected by AIDS
- Traditional healers on board to fight HIV/AIDS
- HIV/AIDS impact assessment study project: first trimester report March - July 2006
- Bush and the global gag rule: trick or treat?
- Understanding HIV/AIDS stigma: a theoretical and methodological analysis
- Evaluation of HIV/AIDS prevention intervention messages on a rural sample of South African youth's knowledge, attitudes, beliefs and behaviours over a period of 15 months
- Rapid appraisal of the community capacity empowerment programme and leadership development for results: components of the enhancing an integrated response to HIV, AIDS and poverty programme
- HIV/AIDS/STD prevention intervention messages: an evaluation of the knowledge, attitudes and beliefs of a rural South African sample
- HIV prevention intervention among low-income women in South Africa: a randomized control trial 1