scholarly journals Generating CHARISMA: Development of an Intervention to Help Women Build Agency and Safety in Their Relationships While Using PrEP for HIV Prevention

2019 ◽  
Vol 31 (5) ◽  
pp. 433-451 ◽  
Author(s):  
Miriam Hartmann ◽  
Michele Lanham ◽  
Thesla Palanee-Phillips ◽  
Florence Mathebula ◽  
Elizabeth E. Tolley ◽  
...  
Keyword(s):  
Secondary Data ◽  
Health Clinic ◽  
Community Based ◽  
Ring Trial ◽  
Power Differentials ◽  
Adherence Intervention ◽  
Exposure Prophylaxis ◽  
Community Health Clinic ◽  
Depth Interviews ◽  
Trial Participants

This article describes the development of the Community Health clinic model for Agency in Relationships and Safer Microbicide Adherence intervention (CHARISMA), an intervention designed to address the ways in which gender norms and power differentials within relationships affect women's ability to safely and consistently use HIV pre-exposure prophylaxis (PrEP). CHARISMA development involved three main activities: (1) a literature review to identify appropriate evidence-based relationship dynamic scales and interventions; (2) the analysis of primary and secondary data collected from completed PrEP studies, surveys and cognitive interviews with PrEP-experienced and naïve women, and in-depth interviews with former vaginal ring trial participants and male partners; and (3) the conduct of workshops to test and refine key intervention activities prior to pilot testing. These steps are described along with the final clinic and community-based intervention, which was tested for feasibility, acceptability, and preliminary effectiveness in Johannesburg, South Africa.

scholarly journals Pengembangan Potensi Pusat Kota Serang sebagai Wisata Heritage Perkotaan Berbasis Masyarakat

2020 ◽  
pp. 144
Author(s):  
Arfah Sahabudin ◽  
Rusdin Rusdin ◽  
M. Sapari Dwi Hadian
Keyword(s):  
Qualitative Method ◽  
Heritage Tourism ◽  
Secondary Data ◽  
Decision Makers ◽  
Primary Data ◽  
Community Based ◽  
Tourist Destination ◽  
Library Research ◽  
Strategic Policy ◽  
Depth Interviews

The existence of the potential for heritage tourism in center of Kota Serang is now almost eliminated and forgotten, whereas if it is managed optimally, many benefits can be generated. The purpose of the research is to reveal the potential of heritage tourism in center of Kota Serang to be developed as a tourist destination. The research method used is a qualitative method. Primary data collection through observation techniques and in-depth interviews. Secondary data through library research. Data analysis uses an interactive model, through three activities namely data reduction, data presentation, and drawing conclusions. The results of the study indicate that there is no clear strategic policy and the lack of efforts in achieving optimal utilization of potential inheritance for tourism development. The synergy of all stakeholders and decision makers is needed to run in line with the vision and mission of development. The proposed development model is community-based heritage tourism. Keywords: heritage tourism, urban-community-based tourism, urban tourism

scholarly journals Pre-exposure prophylaxis prescribing and retention in care among heterosexual women at a community-based comprehensive sexual health clinic

AIDS Care ◽  
2017 ◽  
Vol 29 (7) ◽  
pp. 866-869 ◽  
Author(s):  
Oni J. Blackstock ◽  
Viraj V. Patel ◽  
Uriel Felsen ◽  
Connie Park ◽  
Sachin Jain
Keyword(s):  
Sexual Health ◽  
Retention In Care ◽  
Health Clinic ◽  
Community Based ◽  
Heterosexual Women ◽  
Exposure Prophylaxis

scholarly journals HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic

2017 ◽  
Vol 22 (4) ◽  
pp. 1096-1099 ◽  
Author(s):  
J. Carlo Hojilla ◽  
David Vlahov ◽  
Pierre-Cedric Crouch ◽  
Carol Dawson-Rose ◽  
Kellie Freeborn ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Clinic ◽  
Community Based ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals Implementation of the Open Defecation Free Study Program in Sungai Dua Village Rambutan District Banyuasin Regency

2019 ◽  
Vol 2 (1) ◽  
pp. 50-59
Author(s):  
Vivi Rizky Juniarti ◽  
Joko Siswanto
Keyword(s):  
Policy Implementation ◽  
Field Research ◽  
Secondary Data ◽  
Three Dimensions ◽  
Primary Data ◽  
Community Based ◽  
Open Defecation ◽  
Study Program ◽  
Descriptive Research ◽  
Depth Interviews

This research is motivated by the fact that there are still many Latrine Villagers who do not comply with Community-Based Total Sanitation Criteria. This study aims to determine the implementation of the Open Defecation Free  Program in Sungai Dua Village, Rambutan District, Banyuasin Regency. This research uses descriptive qualitative research methods with the type of descriptive research. The type of data used is primary data and secondary data. Data collection techniques are done through observation, in-depth interviews and documentation. This study uses the Policy Implementation Theory of Ripley and Franklin, where the success of policy implementation is influenced by three dimensions namely (1) the level of compliance, (2) the smoothness of routine routines and (3) the desired performance and implementation impact. Based on the results of field research, it shows that the level of compliance in the implementation of the program is not yet optimal, the smoothness of routine functions has not run smoothly, and the desired performance and impact of implementation have not been maximized and not yet achieved. The conclusion of this research is that the implementation of the Open Defecation Free Program in Sungai Dua Village, Rambutan District, Banyuasin Regency has not been successful. This research suggests that all rules are obeyed and implemented, it is necessary to increase monitoring and coordination on a regular basis

scholarly journals A community-based mobile clinic model delivering PrEP for HIV prevention to adolescent girls and young women in Cape Town, South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elzette Rousseau ◽  
Linda-Gail Bekker ◽  
Robin F. Julies ◽  
Connie Celum ◽  
Jennifer Morton ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Adolescent Girls ◽  
Young Women ◽  
Scale Up ◽  
Cape Town ◽  
Sub Saharan Africa ◽  
Health Clinic ◽  
Community Based ◽  
Depth Interviews

Abstract Background Daily doses of pre-exposure prophylaxis (PrEP) can reduce the risk of acquiring HIV by more than 95 %. In sub-Saharan Africa, adolescent girls and young women (AGYW) are at disproportionately high risk of acquiring HIV, accounting for 25 % of new infections. There are limited data available on implementation approaches to effectively reach and deliver PrEP to AGYW in high HIV burden communities. Methods We explored the feasibility and acceptability of providing PrEP to AGYW (aged 16–25 years) via a community-based mobile health clinic (CMHC) known as the Tutu Teen Truck (TTT) in Cape Town, South Africa. The TTT integrated PrEP delivery into its provision of comprehensive sexual and reproductive health services (SRHS). We analyzed data from community meetings and in-depth interviews with 30 AGYW PrEP users to understand the benefits and challenges of PrEP delivery in this context. Results A total of 585 young women started PrEP at the TTT between July 2017 – October 2019. During in-depth interviews a subset of 30 AGYW described the CMHC intervention for PrEP delivery as acceptable and accessible. The TTT provided services at times and in neighborhood locations where AGYW organically congregate, thus facilitating service access and generating peer demand for PrEP uptake. The community-based nature of the CMHC, in addition to its adolescent friendly health providers, fostered a trusting provider-community-client relationship and strengthened AGYW HIV prevention self-efficacy. The integration of PrEP and SRHS service delivery was highly valued by AGYW. While the TTT’s integration in the community facilitated acceptability of the PrEP delivery model, challenges faced by the broader community (community riots, violence and severe weather conditions) also at times interrupted PrEP delivery. Conclusions PrEP delivery from a CMHC is feasible and acceptable to young women in South Africa. However, to effectively scale-up PrEP it will be necessary to develop diverse PrEP delivery locations and modalities to meet AGYW HIV prevention needs.

scholarly journals A community-based healthcare package combining testing and prevention tools, including pre-exposure prophylaxis (PrEP), immediate HIV treatment, management of hepatitis B virus, and sexual and reproductive health (SRH), targeting female sex workers (FSWs) in Côte d’Ivoire: the ANRS 12381 PRINCESSE project

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Valentine Becquet ◽  
Marcellin Nouaman ◽  
Mélanie Plazy ◽  
Aline Agoua ◽  
Clémence Zébago ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Cote D'ivoire ◽  
Sex Workers ◽  
Côte D’Ivoire ◽  
Community Based ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Exposure Prophylaxis ◽  
Depth Interviews

Abstract Background Pre-exposure prophylaxis (PrEP) is recommended by the WHO for HIV prevention among female sex workers (FSWs). A study conducted in 2016–2017 in Côte d’Ivoire showed that if PrEP is acceptable, FSWs also have many uncovered sexual health needs. Based on this evidence, the ANRS 12381 PRINCESSE project was developed in collaboration with a community-based organization. The main objective is to develop, document, and analyze a comprehensive sexual and reproductive healthcare package among FSWs in Côte d’Ivoire. Methods PRINCESSE is an open, single-arm interventional cohort of 500 FSWs in San Pedro (Côte d’Ivoire) and its surroundings. Recruitment started on November 26th, 2019 and is ongoing; the cohort is planned to last at least 30 months. The healthcare package (including HIV, hepatitis B, and sexually transmitted infection management, pregnancy screening, and contraception) is available both at mobile clinics organized for a quarterly follow-up (10 intervention sites, each site being visited every two weeks) and at a fixed clinic. Four waves of data collection were implemented: (i) clinical and safety data; (ii) socio-behavioral questionnaires; (iii) biological data; and (iv) in-depth interviews with female participants. Four additional waves of data collection are scheduled outside the cohort itself: (i) the medical and activity records of Aprosam for the PRINCESSE participants; (ii) the medical records of HIV+ FSW patients not participating in the PRINCESSE cohort, and routinely examined by Aprosam; (iii) in-depth interviews with key informants in the FSW community; and (iv) in-depth interviews with PRINCESSE follow-up actors. Discussion The PRINCESSE project is one of the first interventions offering HIV oral PrEP as part of a more global sexual healthcare package targeting both HIV- and HIV+ women. Second, STIs and viral hepatitis B care were offered to all participants, regardless of their willingness to use PrEP. Another innovation is the implementation of mobile clinics for chronic/quarterly care. In terms of research, PRINCESSE is a comprehensive, interdisciplinary project combining clinical, biological, epidemiological, and social specific objectives and outcomes to document the operational challenges of a multidisease program in real-life conditions. Trial registration The PRINCESSE project was registered on the Clinicaltrial.gov website (NCT03985085) on June 13, 2019.

scholarly journals The Potential Development of Community Based Tourism at Ambengan Village, Buleleng Regency, Bali

2015 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Komang Trisna Pratiwi Arcana ◽  
Kadek Wiweka
Keyword(s):  
Community Involvement ◽  
Secondary Data ◽  
Cycle Model ◽  
Community Based ◽  
Tourist Destination ◽  
Sustainable Tourism Development ◽  
Potential Development ◽  
Observation Method ◽  
The Village ◽  
Depth Interviews

This study discussed the concept of sustainable tourism development which used participation-based of local communities in northern Bali, especially in Ambengan village in accordance with the concept of community-based tourism (CBT). To achieve the objectives of the research, this study has identified potential Ambengan village as a community-based tourism products, which consists of; attraction, accessibilities, amenities, ancillaries, activity, and community involvement. Followed by observation method, which were analyzed by using a life-cycle model of destination, it is known that Ambengan village as a tourist destination are in phase with the attitude of the community involvement is at euphoria. However, for determining the form of community participation, this study using in-depth interviews were subsequently combined with secondary data, and then be assessed in accordance with the principles of community-based tourism (CBT). The research results indicate that this form of public participation in the management Ambengan village is at the level of participation Degree of Tokenism (informing, consultation, and placation) of goverment. Ambengan villagers have not totally get involved, and then by developing the concept of CBT, hopefully it will be able to packaging tourism products at Ambengan village with better and in accordance with the character of the village.

Capitalizing on Community: Affordable Housing Markets in the Age of Participation

2020 ◽  
Vol 48 (2) ◽  
pp. 171-198
Author(s):  
John N. Robinson
Keyword(s):  
Affordable Housing ◽  
Urban Governance ◽  
Secondary Data ◽  
Safety Net ◽  
Social Safety Net ◽  
Community Based ◽  
Chicago Metropolitan Area ◽  
Depth Interviews ◽  
Shed Light

This article examines the affordable housing market to develop a new way to understand the problem of co-optation in participatory urban governance. Through a case study of the Chicago metropolitan area, it uses data from 105 in-depth interviews—supplemented with ethnographic, archival, and secondary data—to shed light on the circumstances in which poverty-managing organizations compete for the resources necessary to house marginalized populations. Findings show how community-based groups, which have long housed the poorest neighborhoods and residents, are systematically excluded from access to development capital in favor of other “grassroots for hire” organizations more amenable to the elite co-optation of grassroots empowerment—a process referred to as co-optation by cohort replacement. The article discusses implications of these findings for the study of urban development, participatory governance, and the changing social safety net.

scholarly journals Comparative Study on the Characteristics of Community-Based Tourism between Pentingsari and Nglanggeran Tourism Village, Special Region Yogyakarta

2018 ◽  
Vol 31 ◽  
pp. 09007
Author(s):  
Novia Purbasari ◽  
Asnawi Manaf
Keyword(s):  
Local Community ◽  
Tourism Development ◽  
Secondary Data ◽  
Community Based ◽  
Development Models ◽  
Adequate Understanding ◽  
The World ◽  
Ethics Code ◽  
Depth Interviews ◽  
Special Region

Community-based tourism is one of the tourism development models that effectively used as a tool to alleviate poverty through empowerment strategy of the local community. Nevertheless, many people do not have adequate understanding on the characteristics of community-based tourism, which are used as a determinant in the tourism development. This article describes the comparison on characteristics of community-based tourism between Pentingsari and Nglanggeran. These villages were chosen because Pentingsari was a tourism village that able to apply the principles ethical codes of world tourism, shown by an award from the World Committee on Tourism Ethics Code and Nglanggeran was awarded as Best Tourism Village award in Indonesia from ASEAN Community Based Tourism Award 2017.The objectives of this study is to explore the characteristics of community-based tourism applied in the Pentingsari and Nglanggeran, and to identify any indicators that could be used to indicate those characteristics. The research achieves through in-depth interviews, observation, and review of documents. There were 17 persons as informants. Further, the observation was reached by directly observing in the both study cases. In addition, the data obtained through the review of secondary data from the local manager of tourism village. Generally, Pentingsari has characteristics as a community-based rural tourism, while Nglanggeran has characteristics as community-based ecotourism.

scholarly journals The Community PrEP Study: a randomized control trial leveraging community-based platforms to improve access and adherence to pre-exposure prophylaxis to prevent HIV among adolescent girls and young women in South Africa—study protocol

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Andrew Medina-Marino ◽  
Dana Bezuidenhout ◽  
Sybil Hosek ◽  
Ruanne V. Barnabas ◽  
Millicent Atujuna ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Girls ◽  
Young Women ◽  
Randomized Control Trial ◽  
Community Based ◽  
Adherence Support ◽  
Randomized Control ◽  
Exposure Prophylaxis ◽  
Effective Use ◽  
Improve Access

Abstract Background HIV incidence among South African adolescent girls and young women (AGYW) remains high, but could be reduced by highly effective pre-exposure prophylaxis (PrEP). Unfortunately, AGYW report significant barriers to clinic-based sexual and reproductive health services. Even when AGYW access PrEP as an HIV prevention method, poor prevention-effective use was a serious barrier to achieving its optimal HIV prevention benefits. Determining the acceptability and feasibility of community-based platforms to increase AGYW’s access to PrEP, and evaluating behavioural interventions to improve prevention-effective use of PrEP are needed. Methods We propose a mixed-methods study among AGYW aged 16–25 years in Eastern Cape Province, South Africa. In the first component, a cross-sectional study will assess the acceptability and feasibility of leveraging community-based HIV counselling and testing (CBCT) platforms to refer HIV-negative, at-risk AGYW to non-clinic-based, same-day PrEP initiation services. In the second component, we will enrol 480 AGYW initiating PrEP via our CBCT platforms into a three-armed (1:1:1) randomized control trial (RCT) that will evaluate the effectiveness of adherence support interventions to improve the prevention-effective use of PrEP. Adherence will be measured over 24 months via tenofovir-diphosphate blood concentration levels. Qualitative investigations will explore participant, staff, and community experiences associated with community-based PrEP services, adherence support activities, study implementation, and community awareness. Costs and scalability of service platforms and interventions will be evaluated. Discussion This will be the first study to assess the acceptability and feasibility of leveraging CBCT platforms to identify and refer at-risk AGYW to community-based, same-day PrEP initiation services. It will also provide quantitative and qualitative results to inform adherence support activities and services that promote the prevention-effective use of PrEP among AGYW. By applying principles of implementation science, behavioural science, and health economics research, we aim to inform strategies to improve access to and prevention-effective use of PrEP by AGYW. Trial registration ClinicalTrials.govNCT03977181. Registered on 6 June 2019—retrospectively registered.

Sign in / Sign up

Export Citation Format

Share Document