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Advancing gender equality to improve HIV prevention: A study of practice

Mannell, JC; (2016) Advancing gender equality to improve HIV prevention: A study of practice. African Journal of AIDS Research , 15 (4) pp. 315-323. 10.2989/16085906.2016.1221837. Green open access

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Abstract

Addressing gender inequality as a social driver of HIV risk and vulnerability has become a key activity of non-governmental organisations (NGOs) in South Africa. This paper sheds light on the factors that influence gender and HIV prevention activities in this context. A multisite ethnographic study including 150 hours of participant observation and 32 in-depth interviews was conducted with 26 NGOs carrying out gender and HIV prevention interventions. Using thematic network analysis, 108 different intervention activities were identified, categorised and further analysed to explore contextual factors that influence intervention design and delivery. The findings highlight how practitioners draw on different theories of change about how to address the gender inequalities that contribute to HIV risk and vulnerability, which in turn influence the way interventions are delivered. Despite these theoretical differences, commonalities arise in practitioners’ use of popular narratives about the right to health and lived experiences of AIDS to ensure interventions are contextually relevant and to gain buy-in from participants. Other contextual factors influencing intervention activities include the role that insecure funding for gender plays in undermining the capacity of practitioners to design interventions based on their local knowledge and experience by forcing NGOs to adapt to the priorities of international donors. In conclusion, reliable funding for gender and HIV prevention is needed to support contextually relevant interventions

Type: Article
Title: Advancing gender equality to improve HIV prevention: A study of practice
Open access status: An open access version is available from UCL Discovery
DOI: 10.2989/16085906.2016.1221837
Publisher version: http://dx.doi.org/10.2989/16085906.2016.1221837
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis in the African Journal of AIDS Research on 14 December 2016, available online: http://www.tandfonline.com/10.2989/16085906.2016.1221837.
Keywords: gender, HIV and AIDS, non-governmental organisations, South Africa
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/1507886
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