scholarly journals “The Skill Is Using Your Big Head Over Your Little Head”

2013 ◽  
Vol 7 (4_suppl) ◽  
pp. 31S-42S ◽  
Author(s):  
Lisa Bowleg ◽  
Meaghan Mingo ◽  
Jenné S. Massie

Although the disproportionate toll of HIV/AIDS among Black heterosexuals, particularly in low-income U.S. urban areas is well documented, Black heterosexual men are rarely the explicit focus of HIV prevention messages, research, and interventions. We conducted 4 focus groups with 28 Black men, aged 19 to 51 years, who were enrolled in the workforce and fatherhood development program of a local community-based organization to examine (a) the priority and role of HIV/AIDS in their lives and (b) their HIV prevention needs. Although none articulated HIV as a top life priority, respondents nonetheless prioritized educating their children about HIV prevention and protecting their main partners from HIV if they had other sexual partners. Analyses demonstrated that participants said they wanted and needed: to learn how to talk to partners about HIV testing and use condoms when tempted not to do so, and more discussion-oriented educational opportunities to learn and exchange prevention strategies.

2021 ◽  
Author(s):  
Tom Murungi ◽  
Irene Kunihira ◽  
Pamela Oyella ◽  
Moses Mugerwa ◽  
Peruth Gift ◽  
...  

Abstract Background: Young people (15-24 years) bear the highest burden of new infections and are particularly vulnerable because of their highly risky behavior. There is paucity of information on the role of religious leaders in the multi-sectoral fight against HIV/AIDS. We examined the role of religious leaders in the use of HIV prevention strategies among young people.Methods: A cross sectional study was conducted between March and April 2021 among 422 randomly selected young people in Lira district. An interviewer administered a questionnaire to the young people in order to collect quantitative data. About 20 key informants were purposively sampled and interviews were conducted with religious leaders using a key informant's interview guide. Data was collected on social demographics, HIV prevention messages, and awareness about HIV prevention strategies. Data was analyzed using Stata version 15 using proportions, means, percentages, frequencies, and logistic regression analysis at a 95% level of significance. Qualitative data was analyzed using thematic content analysis and the major themes were generated from the participants’ responses.Results: About 57.1% (241/422) of the respondents were females. The prevalence of use of HIV prevention strategies among young people was 69.4%. Factors significantly associated with the use of HIV prevention included completing the primary level (aOR 4.95, p< 0.05), completing at least A level (aOR 8.85, p < <0.05), Awareness of HIV prevention strategies by religious leaders (aOR 0.02, p<0.001), religious leaders provided HIV prevention messages (aOR 2.53, p<0.01), Advocacy for abstinence outside marriage and fidelity in marriage (aOR 35.6, p<0.01), Religious leaders preaching about HIV prevention (aOR 4.88, p<0.001).Our qualitative data indicated that a section of religious leaders recommended abstinence/faithfulness. Condom use was the most discouraged HIV prevention strategy. However, most religious leaders agree with the fact that they have a role to play in HIV prevention, which includes sensitization, teaching and organizing sermons about HIV prevention.Conclusion: The use of HIV prevention strategies by religious leaders among young people was nearly 70%. This finding indicates that religious leaders have a role to play in HIV/AIDS prevention among young people in the Lira district. This calls for the involvement of religious leaders in HIV prevention programs tailored to prevent new infections of HIV among young people.


2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Rosa Solorio ◽  
Pamela Norton-Shelpuk ◽  
Mark Forehand ◽  
Marcos Martinez ◽  
Joel Aguirre

Young Latino immigrant men who have sex with men (MSM) are at risk for HIV and for delayed diagnosis. A need exists to raise awareness about HIV prevention in this population, including the benefits of timely HIV testing. This project was developed through collaboration between University of WA researchers and Entre Hermanos, a community-based organization serving Latinos. Building from a community-based participatory research approach, the researchers developed a campaign that was executed by Activate Brands, based in Denver, Colorado. The authors (a) describe the development of HIV prevention messages through the integration of previously collected formative data; (b) describe the process of translating these messages into PSAs, including the application of a marketing strategy; (c) describe testing the PSAs within the Latino MSM community; and (c) determine a set of important factors to consider when developing HIV prevention messages for young Latino MSM who do not identify as gay.


2021 ◽  
pp. 001312452110045
Author(s):  
Irma Y. Ramirez

This exploratory study examines the role community-based organizations have in bridging low-income students of color to postsecondary institutions. Data came from interviews with organization staff, high school students, and college students associated with three distinct community-based organizations located in a mid-size city. The findings suggest that organization staff are well-positioned in youth, academic, and community social networks. Staff become social brokers across these networks through three steps: cultivating authentic and safe relationships, lessons from students, and becoming advocates. Community-based organization staff strategically advocate for underrepresented student college enrollment and admissions by serving as social brokers between students, schools, and their communities.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049564
Author(s):  
Mary Abboah-Offei ◽  
Akosua Gyasi Darkwa ◽  
Andrews Ayim ◽  
Adelaide Maria Ansah-Ofei ◽  
Delanyo Dovlo ◽  
...  

IntroductionWith rapid urbanisation in low-income and middle-income countries, health systems are struggling to meet the needs of their growing populations. Community-based Health Planning and Services (CHPS) in Ghana have been effective in improving maternal and child health in rural areas; however, implementation in urban areas has proven challenging. This study aims to engage key stakeholders in urban communities to understand how the CHPS model can be adapted to reach poor urban communities.Methods and analysisA Participatory Action Research (PAR) will be used to develop an urban CHPS model with stakeholders in three selected CHPS zones: (a) Old Fadama (Yam and Onion Market community), (b) Adedenkpo and (c) Adotrom 2, representing three categories of poor urban neighbourhoods in Accra, Ghana. Two phases will be implemented: phase 1 (‘reconnaissance phase) will engage and establish PAR research groups in the selected zones, conduct focus groups and individual interviews with urban residents, households vulnerable to ill-health and CHPS staff and key stakeholders. A desk review of preceding efforts to implement CHPS will be conducted to understand what worked (or not), how and why. Findings from phase 1 will be used to inform and co-create an urban CHPS model in phase 2, where PAR groups will be involved in multiple recurrent stages (cycles) of community-based planning, observation, action and reflection to develop and refine the urban CHPS model. Data will be managed using NVivo software and coded using the domains of community engagement as a framework to understand community assets and potential for engagement.Ethics and disseminationThis study has been approved by the University of York’s Health Sciences Research Governance Committee and the Ghana Health Service Ethics Review Committee. The results of this study will guide the scale-up of CHPS across urban areas in Ghana, which will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content. This study is also funded by the Medical Research Council, UK.


2008 ◽  
Vol 19 (10) ◽  
pp. 713-714 ◽  
Author(s):  
K M Forbes ◽  
N Rahman ◽  
S Mccrae ◽  
I Reeves

Community-based sexual health services (SHS) are intended to improve access for people who may have difficulty attending traditional genitourinary medicine clinics. The objective of this study was to review uptake of sexually transmitted infection (STI) testing in an outreach clinic for those under 25 in an area where Black and minority ethnic groups comprise the majority of the local population. A retrospective case-notes review was undertaken of those attending. Standards were that Fraser guidelines should be completed in all under 16-year-old and all clients should be offered STI testing, HIV testing and contraception (if applicable) in accordance with local standards. One hundred and seventeen clients attended. Ten percent self-reported ethnicity was Asian. Thirty-six (31%) clients tested for chlamydia. Thirty (26%) had an HIV test. Five (14% of those tested) had a positive nucleic acid amplification test for chlamydia. Five (13%) of those requesting long term contraception had STI testing. This service has successfully improved access to STI screening. However, there may have been missed opportunities to offer tests in those requesting contraception. Under-representation of those of non-white ethnicity suggests access to SHS may be a particular problem and further work is required to improve the sexual health of the local community.


2020 ◽  
Vol 14 (02) ◽  
pp. 62-83
Author(s):  
Isdarmanto Isdarmanto ◽  
Christantius Dwiatmaja ◽  
Hari Sunarto ◽  
Antonius Suryo Abdi

The Climate change in world tourism can change the system of human life and its influence on nature. The development of the global digital tourism climate, selfi tourism is able to change the attitude of individual behavior in response to the demands of competitive life. The development of tourist destinations in the world, primarily from natural factors, the demands of a sharp competitive climate require tourism managers to create artificial innovations that are developed from natural potentials that are more attractive in design so that they become alternative ecotourism idols capable of boosting tourism growth that is more conducive and attractive. This research develops river ecotourism areas which are oriented to aspects of environmental development, nature preservation and local community development. This study uses qualitative research so that it can explore various aspects of the natural and humanity of the region in depth through the empirical phenomena that exist in the field. The real condition of river area which is not well managed is not in accordance with the development of Smart city, community awareness and tourism activists who are less focused. Hence, it needs community empowerment and encouraging the role of tourism activists to play more in the development of urban areas, and the use of river as ecotourism.   Keywords: Ecotourism, Waterfront, Natural Resources


2018 ◽  
Vol 8 (2) ◽  
pp. 259-274
Author(s):  
Ichsan Habibi

Positive contributions and trends in the tourism sector on Bangka Island, especially in the Matras Tourism Village, need to receive appreciation and support from all stakeholders through the management of environmentally friendly and sustainable tourist objects / attractions. To realize this mission, it is necessary to do ecological propaganda (religious values ​​originating from the Qur'an and Hadith) that are in accordance with the sociocultural characteristics of society. This issue is the subject of discussion in this study, especially regarding the values ​​of ecological preaching implemented in the development program of the Mattress Tourism Village. For this reason, a descriptive-qualitative study was conducted by collecting purposive-snowball data from the sample. Furthermore, the collected data was analyzed descriptively-qualitatively so that the values ​​of ecological preaching that had been implemented were identified and the form and process of implementation by the Matras Tourism Village community. The findings show that there are five types of ecological preaching values ​​that have been implemented, namely al-Is (justice), al-Tawazun (balance), al-Intifa 'wa laa al-Fasad (taking benefits without damage), ar-Riayah wa laa al -Israf (nurturing without exaggeration), and al-Tahdits wa al-Istikhlaf (renewal). Unfortunately, the value of al-Tahdits wa al-Istikhlaf is still not optimal due to the quality of science and technology. However, the local community has become more aware and intelligent about the importance of ecological preaching values ​​in the development of Mattress Tourism Village. In the future, besides needing to intensify and harmonize the role of ulama and Umara, it must also be carried out to increase the capacity of religious institutions, knowledge and appropriate technology for program implementers, and to involve community participation in planning, implementing and evaluating the Matras Tourism Village development program.


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