Assessing barriers and facilitators of implementing an integrated HIV prevention and property rights program in Western Kenya.

Assessing barriers and facilitators of implementing an integrated HIV prevention and property rights program in Western Kenya.
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DOI:
10.1521/aeap.2013.25.2.151
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发表时间:
2013-04
期刊:
AIDS education and prevention : official publication of the International Society for AIDS Education
影响因子:
--
通讯作者:
Dworkin SL
Dworkin SL
中科院分区:
其他
文献类型:
--
作者:
Lu T;Zwicker L;Kwena Z;Bukusi E;Mwaura-Muiru E;Dworkin SL

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尽管人们认识到有必要采取结构性的艾滋病毒预防干预措施,但很少有科学项目将妇女的财产和继承权与艾滋病毒预防和治疗结合起来。目前的研究重点是在艾滋病毒感染率高(24-30%)的肯尼亚西部两个农村地区实施的社区主导的土地和产权干预措施。该方案旨在应对侵犯妇女财产权的行为,以减少地方一级的艾滋病毒风险。通过对20位项目负责人的深入访谈,我们确定了几位项目实施的推动者,包括家庭艾滋病护理人员的领导和传统领导人参与调解产权纠纷。我们还确定了干预的自愿基础及其缺乏与正式司法系统的整合是实施障碍。我们的研究结果可以指导未来研究和设计结构性艾滋病毒预防战略,通过财产权和继承权整合妇女的经济赋权。
Despite the recognized need for structural HIV prevention interventions, few scientific programs have integrated women’s property and inheritance rights with HIV prevention and treatment. The current study focused on a community-led land and property rights intervention that was implemented in two rural areas of Western Kenya with high HIV prevalence rates (24–30%). The program was designed to respond to women’s property rights violations in order to reduce HIV risk at the local level. Through in-depth interviews with twenty program leaders, we identified several facilitators to program implementation, including the leadership of home-based HIV caregivers and involvement of traditional leaders in mediating property rights disputes. We also identified the voluntary basis of the intervention and its lack of integration with the formal justice system as implementation barriers. Our findings can guide future research and design of structural HIV prevention strategies that integrate women’s economic empowerment through property and inheritance rights.
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