scholarly journals Tu'Washindi na PrEP: Working With Young Women and Service Providers to Design an Intervention for PrEP Uptake and Adherence in the Context of Gender-Based Violence

2021 ◽  
Vol 33 (2) ◽  
pp. 103-119
Author(s):  
Miriam Hartmann ◽  
Sophie Otticha ◽  
Kawango Agot ◽  
Alexandra M. Minnis ◽  
Elizabeth T. Montgomery ◽  
...  
Keyword(s):  
Young Women ◽  
Information Dissemination ◽  
Service Providers ◽  
Controlled Trial ◽  
Community Based Participatory Research ◽  
Community Change ◽  
Gender Based Violence ◽  
Community Based ◽  
Gender Based ◽  
Hiv Acquisition

HIV pre-exposure prophylaxis (PrEP) reduces HIV acquisition among adolescent girls and young women (AGYW). Existing evidence suggests that uptake and adherence are low among AGYW and that relationship factors such as gender-based violence (GBV) are important barriers. Through a community-based participatory research (CBPR) process, a youth advisory board (YAB), service providers (SP), and a study team developed the Tu'Washindi na PrEP intervention to support AGYW PrEP use in the context of GBV. The YAB also guided the formative research and interpretation of results. The authors pretested the intervention with SP, AGYW and their partners, and community change agents, and then developed guides for AGYW support clubs, community-based male sensitization sessions, and couples-based events that included formulation of story lines for dramatized PrEP negotiation and information dissemination skills. Stakeholder engagement led to an intervention responsive to AGYW's needs for PrEP support in the context of their relationships, which was evaluated through a 6-month pilot community randomized controlled trial.

Moving beyond Carceral Feminism

2020 ◽  
pp. 149-158
Author(s):  
Hannah E. Britton
Keyword(s):  
Social Transformation ◽  
Service Providers ◽  
Legal Issues ◽  
Sentencing Guidelines ◽  
Gender Based Violence ◽  
Political Leaders ◽  
Community Based ◽  
Carceral Feminism ◽  
Gender Based ◽  
Forms Of Violence

Recently in South Africa, social problems such as gender-based violence are interpreted primarily as legal issues that may be ameliorated by carceral solutions. These approaches are appealing because political leaders know how to set sentencing guidelines, monitor arrests, and track prosecutions. Yet what the postapartheid case underscores is that such reactive approaches are woefully inadequate to address the complexity of violence that individuals, families, and communities face. The service providers in this project argue that the prevention of gender-based violence starts with community-based approaches. When communities are strengthened, leaders are better able to foster social transformation. Service providers are calling for a broader understanding of the upstream solutions to address all forms of violence and to uproot the legacies of violence and oppression.

Evaluation of a Community-Based Participatory Research Consortium From the Perspective of Academics and Community Service Providers Focused on Child Health and Well-Being

2011 ◽  
Vol 38 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Jayne R. Pivik ◽  
Hillel Goelman
Keyword(s):  
Community Service ◽  
Participatory Research ◽  
Information Dissemination ◽  
Service Providers ◽  
Community Based Participatory Research ◽  
Well Being ◽  
Community Based ◽  
Community Partners ◽  
Shared Commitment ◽  
Health And Well Being

A process evaluation of a consortium of academic researchers and community-based service providers focused on the health and well-being of children and families provides empirical and practice-based evidence of those factors important for community-based participatory research (CBPR). This study draws on quantitative ratings of 33 factors associated with CBPR as well as open-ended questions addressing the benefits, facilitators, barriers, and recommendations for collaboration. Eight distinct but related studies are represented by 10 academic and 9 community researchers. Even though contextual considerations were identified between the academic and community partners, in large part because of their focus, organizational mandate and particular expertise, key factors for facilitating collaboration were found across groups. Both community and academic partners reported the following as very important for positive collaborations: trust and mutual respect; adequate time; shared commitment, decision making, and goals; a memorandum of understanding or partnership agreement; clear communication; involvement of community partners in the interpretation of the data and information dissemination; and regular meetings. The results are compared to current models of collaboration across different contexts and highlight factors important for CBPR with community service providers.

Promoting Wellness and Recovery of Young Women Experiencing Gender-Based Violence and Homelessness: The Role of Trauma-Informed Health Promotion Interventions

2020 ◽  
pp. 107780122092374
Author(s):  
Nadine Reid ◽  
Amie Kron ◽  
Thanara Rajakulendran ◽  
Deborah Kahan ◽  
Amanda Noble ◽  
...  
Keyword(s):  
Young Women ◽  
Group Intervention ◽  
Gender Based Violence ◽  
Structured Interviews ◽  
Community Based ◽  
Trauma Informed ◽  
Gender Based ◽  
Informed Group ◽  
Health Promotion Interventions

Little is known regarding the types of interventions most effective in supporting wellness and recovery of victims of gender-based violence, particularly those simultaneously experiencing homelessness. This qualitative study explored the experiences of 18 young women experiencing gender-based violence and homelessness who participated in a community-based, trauma-informed group intervention in Toronto, Canada. Participants completed audio-recorded and transcribed semi-structured interviews, analyzed using thematic content analysis. Participants described valuing the safe, women-only space, shared lived experiences, and tailored psychoeducation and resulting improvements in confidence, coping, health, relationships, and future directedness. Findings suggest community-based, trauma-informed group interventions can facilitate wellness and recovery in this population.

A Community-based Addiction Rehabilitation Electronic System to Improve Recovery Outcomes in Patients with Drug Use Disorder: Protocol for a Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Zhe WANG ◽  
Shujuan CHEN ◽  
Junning CHEN ◽  
Chunfeng XU ◽  
Zhikang CHEN ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Drug Use ◽  
Illicit Drug ◽  
Service Providers ◽  
Controlled Trial ◽  
Electronic System ◽  
Community Based ◽  
Randomized Controlled ◽  
Community Rehabilitation ◽  
Drug Use Disorder

BACKGROUND Relapse is very common in patients with illicit drug use disorder and contributes to a series of bad consequences that substantially impact their physical and social functions. Due to the limited existence of effective addiction treatment, the majority of patients with drug use disorder could not access help when needing. Mobile health (mHealth) offers a potential solution to improving recovery outcome for patients in community. OBJECTIVE This paper is a protocol for a randomized controlled trial (RCT) of a smart phone application called community-based addiction rehabilitation electronic system (CAREs). This interactive system consists of an APP for clients and a webpage for service providers, with the aim of teaching clients craving and emergency coping skills and helping service providers to improve their work efficiency and effectiveness in community. METHODS A randomized controlled trial (RCT) will be conducted. Sixty drug illicit users who are newly ordered to undergo community rehabilitation will be recruited from the community in Shanghai. Participants will be 1:1 randomly assigned to receive integrated community rehabilitation by using CAREs or only receiving routine community rehabilitation for 6 months. Corresponding anti-drug social workers will provide service and monitor their drug use behavior in accordance with the routine work-flow. Outcomes will be assessed at baseline and in the 6th month. The primary study outcome is the performance on illicit drug urine test which will be carried on regularly twice per week during the study period. Secondary study outcomes include longest duration of sustained abstinence, days that participants interact with anti-drug social workers, and the decrease rate of addiction-related issues severity index. RESULTS Recruitment is currently underway with the aim of recruiting 60 subjects with drug use disorder. Recruitment will continue until the end of 2018. CONCLUSIONS This is the first known trial of a smartphone-based psychotherapy program for improving recovery outcomes in illicit drug users in community. The study provides evidence for the feasibility and effectiveness of the "CAREs" system through comparing the results of the intervention group with the control group. This paper describes the design and methodology of the study. CLINICALTRIAL ClinicalTrials.gov NCT03451344, https://clinicaltrials.gov/ct2/show/NCT03451344

scholarly journals Exploring the feasibility and acceptability of integrating screening for gender-based violence into HIV counselling and testing for adolescent girls and young women in Tanzania and South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manuela Colombini ◽  
◽  
Fiona Scorgie ◽  
Anne Stangl ◽  
Sheila Harvey ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Young Women ◽  
Hiv Risk ◽  
Clinical Staff ◽  
Gender Based Violence ◽  
Process Data ◽  
Hiv Counselling And Testing ◽  
Gender Based ◽  
Study Participants

Abstract Background Gender-based violence (GBV) undermines HIV prevention and treatment cascades, particularly among women who report partner violence. Screening for violence during HIV testing, and prior to offering pre-exposure prophylaxis (PrEP) to HIV uninfected women, provides an opportunity to identify those at heightened HIV risk and greater potential for non-adherence or early discontinuation of PrEP. The paper describes our experience with offering integrated GBV screening and referral as part of HIV counselling and testing. This component was implemented within EMPOWER, a demonstration project offering combination HIV prevention, including daily oral PrEP, to young women in South Africa and Tanzania. Methods Between February 2017 and March 2018, a process evaluation was conducted to explore views, experiences and practices of stakeholders (study participants and study clinical staff) during implementation of the GBV screening component. This article assesses the feasibility and acceptability of the approach from multiple stakeholder perspectives, drawing on counselling session observations (n = 10), in-depth interviews with participants aged 16–24 (n = 39) and clinical staff (n = 13), and notes from debriefings with counsellors. Study process data were also collected (e.g. number of women screened and referred). Following a thematic inductive approach, qualitative data were analysed using qualitative software (NVivo 11). Results Findings show that 31% of young women screened positive for GBV and only 10% requested referrals. Overall, study participants accessing PrEP were amenable to being asked about violence during HIV risk assessment, as this offered the opportunity to find emotional relief and seek help, although a few found this traumatic. In both sites, the sensitive and empathetic approach of the staff helped mitigate distress of GBV disclosure. In general, the delivery of GBV screening in HCT proved to be feasible, provided that the basic principles of confidentiality, staff empathy, and absence of judgment were observed. However, uptake of linkage to further care remained low in both sites. Conclusion Most stakeholders found GBV screening acceptable and feasible. Key principles that should be in place for young women to be asked safely about GBV during HIV counselling and testing included respect for confidentiality, a youth-friendly and non-judgmental environment, and a functioning referral network.

scholarly journals Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya

2017 ◽  
Vol 4 ◽  
Author(s):  
A. Vu ◽  
A. L. Wirtz ◽  
S. Bundgaard ◽  
A. Nair ◽  
G. Luttah ◽  
...  
Keyword(s):  
Universal Screening ◽  
Service Providers ◽  
Public Health Problem ◽  
Global Public Health ◽  
Gender Based Violence ◽  
Internally Displaced ◽  
Health Clinics ◽  
Increased Risk ◽  
Screening Protocol ◽  
Gender Based

Background.Gender-based violence (GBV) is both a global public health problem and violation of human rights. Refugees and internally displaced persons experience an increased risk of GBV and health outcomes associated with GBV are often exacerbated in conflict settings.Methods.A mixed methods study to examine the feasibility and acceptability of universal screening for GBV in a refugee population in the Dadaab refugee camp of Kenya, using the ASIST-GBV from January to July 2015.Results.Of 9366 women offered screening at International Rescue Committee health clinics, about 89% (n = 8369) female refugees consented to participate. Only 15% of the potentially eligible population could participate in GBV screening because of the ongoing struggle to identify private space in the clinics. Over 85% of women reported being ‘willing’ or ‘very willing’ to participate in GBV screening; 96% felt they had a good or very good experience with the screening protocol. Qualitative findings stressed the importance of securing a room/space in the busy clinic is critical to universal screening with referral to safe and confidential services for survivors.Conclusions.The findings suggest that the evidence-based ASIST-GBV is both feasible to implement and acceptable to both providers and women seeking care. Universal GBV screening and referral is an effective way for health care and service providers in humanitarian settings to assist survivors of GBV.

scholarly journals The potential role of network-oriented interventions for survivors of violence among refugees in Belgium

2019 ◽  
Author(s):  
Emilomo Ogbe ◽  
Alaa Jbour ◽  
Ladan Rahbari ◽  
Maya Unnithan ◽  
Olivier Degomme
Keyword(s):  
Social Support ◽  
Service Providers ◽  
Repeat Victimization ◽  
Gender Based Violence ◽  
Coping Process ◽  
New Findings ◽  
Open Coding ◽  
Gender Based ◽  
And Gender ◽  
Domestic Violence Survivors

Abstract Introduction Social support and social network members have been identified as an important factor in mitigating the effects of sexual and gender-based violence (SGBV) and improving the coping process for many survivors. Network oriented strategies have been advocated for among domestic violence survivors, as they help build on improving social support and addressing factors that alleviate repeat victimization. There are opportunities to implement such strategies among refugees, who are survivors of SGBV in asylum centres, however, this has not been fully explored. This study sought to identify key strategies and opportunities for developing peer-led and network-oriented strategies for mitigating the effects of SGBV among refugees at these centres. Methods: 27 interviews, were conducted with service providers (n=14) and refugees (n=13) at three asylum centres in Belgium. Deductive coding was performed independently by two researchers based on pre-identified research questions, when new findings emerged outside the themes, open coding was done. Data triangulation was used with findings from observations at these centres over a period of a year. Findings: Many of the refugees presented with PTSD or psychosomatic symptoms, because of SGBV or other trauma experienced during migration. Peer and family support were very influential in mitigating the effects and social costs of violence among the refugees by providing emotional and material support. Social assistants were viewed as an information resource that was essential for most of the refugees. Peer-peer support was identified as a potential tool for mitigating the effects of SGBV

Rhetorical and Organizational Typification of Domestic Violence, Sexual Assault, and Stalking as Discrete Forms of Violence

2020 ◽  
Author(s):  
Benjamin R Weiss
Keyword(s):  
Domestic Violence ◽  
Sexual Assault ◽  
Service Providers ◽  
Participant Observation ◽  
Rhetorical Strategies ◽  
Gender Based Violence ◽  
Gender Based ◽  
Interactional Processes ◽  
Organizational Features ◽  
Forms Of Violence

Abstract Despite constructions of domestic violence, sexual assault, and stalking as discrete forms of violence, research shows that violence often co-occurs. Victims experiencing multiple forms of violence require different interventions from victims experiencing only one. Service providers’ understandings of domestic violence, sexual assault, and stalking as discrete, then, potentially undermine their goal of effective intervention. Drawing on 26 months of participant observation in an anti-gender-based violence nonprofit organization, I explore how advocates construct each form of violence as independent from the others. Results show that both organizational features, such as training curricula and organizational jurisdictions, and rhetorical strategies, such as an under-emphasis on co-occurring violence, contribute to the construction of each type of violence as discrete. This paper is of interest to researchers, practitioners, and policymakers committed to designing and implementing effective responses to gender-based violence. I also advance social problems theory, showing that organizational features, not just interactional processes, contribute to typification.

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