Dilemmas and tensions facing a faith-based organisation promoting HIV prevention among young people in South Africa
Dilemmas and tensions facing a faith-based organisation promoting HIV prevention among young people in South Africa
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DOI：
10.2989/16085906.2010.517480
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发表时间：
2010-07-01
影响因子：
1.2
通讯作者：
Jenney, Angelique
中科院分区：
文献类型：
--
作者：
Casale, Marisa;Nixon, Stephanie;Jenney, Angelique
以信仰为基础的组织(FBO)因其在解决南部非洲艾滋病毒和艾滋病问题上的作用而受到越来越多的关注。然而，这些角色并非没有哲学上的挑战。然而，到目前为止，大多数关于FBO的成功或局限性的引用仍然是理论上的，而且往往是意识形态辩论的领域。在这种情况下，关于信仰和公职人员在应对艾滋病毒和艾滋病方面的作用的讨论往往会引起极端的立场--要么支持他们的参与，要么批评他们的参与。取而代之的是，需要有经验证据和分析，阐明以信仰为基础的艾滋病毒预防方案的挑战和机遇。这篇文章从社会学的角度分析了一个FBO在努力向南非一个贫穷的城市周边地区的在校青少年提供以禁欲为重点的艾滋病毒预防方案时所面临的复杂性。作为更大的混合方法评估的一个方面，这一分析基于11个焦点小组讨论，这些讨论以不同的方式与家长、教师、学习者和方案促进者举行，以努力确定参与者如何以及为什么认为方案有效。我们提出并分析了数据中出现的与该方案基于信仰的取向有关的四个紧张来源：a)尽管意识到结构上的限制，但仍热衷于禁欲；b)行为的二分法(即好与坏)；c)关于避孕套的混合信息；以及d)在世俗公立学校内管理基于信仰的方案。通过这一分析，我们旨在更广泛地确定以信仰为基础的艾滋病毒预防工作的机会和挑战。我们认为，对基于信仰的艾滋病毒预防方案的任何评估都应尊重和反映其复杂性以及其运作环境的复杂性。
Faith-based organisations (FBOs) are receiving growing attention for their roles in addressing HIV and AIDS in southern Africa. These roles, however, are not without philosophical challenges. Yet, to date, most references to the successes or limitations of FBOs have remained the domain of theoretical and, often, ideological debate. In this context, discussions about the roles of faith and FBOs in responding to HIV and AIDS often evoke extreme positions - either advocating for or critiquing their involvement. In place of this there is a need for empirical evidence and analyses that shed light on both the challenges and opportunities of faith-based HIV-prevention programming. This article presents a critical sociological analysis of the complexities confronting one FBO in its effort to deliver an abstinence-focused HIV-prevention programme to school-going adolescents in a poor peri-urban area of South Africa. As one aspect of a larger mixed-methods evaluation, this analysis is based on 11 focus group discussions, variously held with parents, teachers, learners and programme facilitators, in an effort to determine how and why the participants perceived the programme to work. We present and analyse four sources of tension appearing within the data which relate to the programme's faith-based orientation: a) enthusiasm for sexual abstinence despite awareness of the structural constraints; b) a dichotomous framing of behaviours (i.e. good versus bad); c) mixed messages about condoms; and d) administering faith-based programming within secular public schools. Through this analysis we aim to identify opportunities and challenges for faith-based HIV-prevention efforts more broadly. We argue that any assessment of faith-based HIV-prevention programming ought to respect and reflect its complexity as well as the complexity of the context within which it operates.