Effectiveness of Community Dialogue in Changing Gender and Sexual Norms for HIV Prevention: Evaluation of the Tchova Tchova Program in Mozambique.
Effectiveness of Community Dialogue in Changing Gender and Sexual Norms for HIV Prevention: Evaluation of the Tchova Tchova Program in Mozambique.
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DOI：
10.1080/10810730.2015.1114050
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发表时间：
2016-05
影响因子：
4.4
通讯作者：
Kwizera A
中科院分区：
文献类型：
--
作者：
Figueroa ME;Poppe P;Carrasco M;Pinho MD;Massingue F;Tanque M;Kwizera A
结构性艾滋病毒预防干预措施作为解决助长艾滋病毒流行病的根本社会和文化因素的途径，已得到重视。找出解释结构性干预如何改变这些因素的理论，可以大大提高它们的成功率。Tchova Tchova社区对话方案是2009-2010年在莫桑比克赞比西亚省和索法拉省实施的一项基于理论的干预措施，旨在改变性别和性规范，以预防艾滋病毒。通过促进会议，该计划引发了参与者之间的批判性思维和公开对话。本文以462名参与者和453名非参与者为样本，衡量了该计划的有效性。结果表明，该方案成功地改变了艾滋病毒的三个基本结构因素：性别态度、性别角色和艾滋病毒污名。该计划还成功地改变了与艾滋病毒感染相关的其他因素，包括艾滋病毒预防知识，性伴侣之间的艾滋病毒讨论以及拥有多个性伴侣。
Structural HIV prevention interventions have gained prominence as ways to address underlying social and cultural factors that fuel the HIV epidemic. Identifying theories that explain how structural interventions are expected to change such factors can substantially increase their success. The Tchova Tchova community dialogue program, a theory-based intervention implemented in 2009–2010 in the provinces of Zambezia and Sofala, Mozambique, aimed to change gender and sexual norms for HIV prevention. Through facilitated sessions, the program sparked critical thinking and open dialogue among participants. This article measures the program’s effectiveness based on a sample of 462 participants and 453 nonparticipants. The results show that the program was successful in producing changes in three of the underlying structural factors of HIV: gender attitudes, gender roles, and HIV stigma. The program was also successful in changing other factors associated with HIV infection, including HIV prevention knowledge, discussion of HIV between sex partners, and having multiple sex partners.