Addressing gender inequity in HIV care in rural Lesotho: the %26apos;Male Initiative%26apos;

作者:Lesia Nicholas; Miller Ann C; Rigodon Jonas; Joseph J Keith; Furin Jennifer*
来源:International Health, 2013, 5(1): 72-77.
DOI:10.1093/inthealth/ihs007

摘要

Lesotho is a nation in Southern Africa with an HIV prevalence of 25. Males are less likely to access HIV services and there is a need for strategies to improve male participation in HIV care. This paper describes the development and implementation of the Male Initiative to increase male participation in HIV services. %26lt;br%26gt;A combination of qualitative and quantitative methods were used to describe the components, process, organization, participation and potential impact of the Male Initiative. %26lt;br%26gt;The Male Initiative was developed in partnership with local village chiefs, traditional healers and spiritual leaders. It used the traditional male meeting structure known as the Pitso-ea-banna to deliver messages about HIV care. 1311 men participated in five Male Initiative meetings over a 30 month period from June 2006-31 December, 2008. Male enrollment increased from 32 in 2006 to 36.8 in 2008, a trend which approached statistical significance (p 0.07) and suggests potential programmatic impact that merits further study. %26lt;br%26gt;Gender inequalities in enrollment in HIV care can be addressed through programs developed in partnership with local leaders and delivered in culturally accepted settings.

  • 出版日期2013-3