Condoms, Pills and Professional Identity

Author(s):  
Louise Mubanda Rasmussen

Ethnographic research with different Catholic HIV/AIDS projects in Uganda revealed a remarkable contrast between HIV prevention and HIV counselling with regard to the condom question. Whereas HIV prevention facilitators usually followed the official Catholic policy and discouraged condom use, HIV counsellors most often encouraged their clients to use condoms. Taking this contrast as a starting point, this chapter analyses the position and practices of HIV counsellors in Catholic HIV/AIDS projects in Uganda. It focuses on the way counsellors negotiate and transform counselling techniques and notions of appropriate sexuality in the context of ARV treatment, and how these negotiations are connected to both transnational dynamics and local moral discourses. The chapter illustrates how the local professional identity of HIV counsellors and the transnational relations of the ART scale-up project appear to structure the counsellors’ approach to condom use much more than the official policy of the Catholic Church.

2020 ◽  
Vol 35 (2) ◽  
Author(s):  
Rhonda Holliday ◽  
Romell Phillips ◽  
Tabia Henry Akintobi ◽  
Mohamed Mubasher ◽  
Ananya Banerjee ◽  
...  

Project HAPPY was a CBPR prevention intervention for Black youth (14 - 18) that compared four intervention groups: Becoming a Responsible Team (BART), HIV-RAAP (HIV/AIDS Risk Reduction Among Heterosexually Active African American Men and Women: A Risk Reduction Prevention Intervention), and two newly developed curriculums that incorporated social media, DHAB A and DHAB B (Decreasing HIV/AIDS Boldly). We examined the effects of the intervention on condom use attitudes, condom use self-efficacy, and HIV prevention attitudes. The analyses of 175 participants demonstrated significant positive effects of all the interventions on HIV prevention attitudes, and condom use attitudes, while there was a positive effect for the BART intervention on condom use self-efficacy. The BART intervention also demonstrated significant positive effects on condom use self-efficacy when compared to the DHAB B intervention. Multiple regression analysis demonstrated a significant effect for gender on HIV prevention attitudes and a significant effect for age on condom use attitudes.


2009 ◽  
Vol 23 (3) ◽  
pp. 421-445 ◽  
Author(s):  
Jill Owczarzak

This article explores the history of HIV activism in Poland from the socialist period through the early 1990s transformation as a means of examining the reconfiguration of rights, obligations, and responsibility as Poland redefined itself as a market democracy. Drawing on archival materials, in-depth qualitative interviews with current and former HIV activists, and participant observation at HIV prevention organizations in Warsaw, Poland, I sketch the ways in which the socialist system's failures to protect the health of its subjects led to the terms through which state-citizen engagement was defined in the postsocialist period. Uncertainties and anxieties surrounding who was responsible for protecting the health and well-being of citizens in the newly democratic Poland gave rise to a series of violent protests centered on HIV prevention and care for people living with HIV/AIDS. Resolution of these political and social crises involved defining democracy in postsocialist Poland through claims to moral authority, in alliance with the Catholic Church, and an obligation by multiple stakeholders to disseminate technical/scientific knowledge. By comparing the responses to the epidemic by diverse institutions, including the government, the Catholic Church, and the fledgling gay rights movement, this analysis reveals the ways in which democracy in postsocialist Poland tightly links science, democratic reform, and moral/ religious authority while at the same time excluding sexual minorities from engaging in political activism centered on rights to health and inclusion in the new democracy.


2020 ◽  
Vol 18 (4) ◽  
pp. 228-236
Author(s):  
Zeinab Najafi ◽  
Leila Taj ◽  
Omid Dadras ◽  
Fatemeh Ghadimi ◽  
Banafsheh Moradmand ◽  
...  

: Iran has been one of the active countries fighting against HIV/AIDS in the Middle East during the last decades. Moreover, there is a strong push to strengthen the national health management system concerning HIV prevention and control. In Iran, HIV disease has its unique features, from changes in modes of transmission to improvement in treatment and care programs, which can make it a good case for closer scrutiny. The present review describes the HIV epidemic in Iran from the first case diagnosed until prevention among different groups at risk and co-infections. Not only we addressed the key populations and community-based attempts to overcome HIV-related issues in clinics, but we also elaborated on the efforts and trends in society and the actual behaviors related to HIV/AIDS. Being located in the Middle East and North Africa (MENA) region, given the countryspecific characteristics, and despite all the national efforts along with other countries in this region, Iran still needs to take extra measures to reduce HIV transmission, especially in health education. Although Iran is one of the pioneers in implementing applicable and appropriate policies in the MENA region, including harm reduction services to reduce HIV incidence, people with substance use disorder continue to be the majority of those living with HIV in the country. Similar to other countries in this region, the HIV prevention and control programs aim at 90-90-90 targets to eliminate HIV infection and reduce the transmission, especially the mother-to-child transmission and among other key populations.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 824-824
Author(s):  
Andre Brown ◽  
Mark Brennan-Ing ◽  
Steven Meanley ◽  
Sabina Haberlen ◽  
Deanna Ware ◽  
...  

Abstract Psychological sense of community (PSOC) in Black men who have sex with men (BMSM) may facilitate condom and pre-exposure prophylaxis (PrEP) use to prevent HIV transmission. Understanding BMSM’s PSOC contribution to HIV risk reduction may inform HIV prevention efforts for this population, that is disproportionately affected by HIV. Adjusted for sociodemographic characteristics and HIV status, we conducted logistic regressions to test the association between PSOC and condom use among aging BMSM (n=176). Multivariate analyses exhibited no association between PSOC and condom use (AOR= 0.994, 95% CI= 0.942, 1.049). HIV+ participants had higher condom use odds compared to HIV- participants (AOR= 4.031, 95% CI= 1.723, 9.426). A sub-analysis of HIV- participants (n=61), showed no associated between PSOC and PrEP use (AOR= 1.002, 95% CI= 0.904, 1.112). These results have implications for secondary HIV prevention and future research on alternative aspects of social support that may increase BMSM’s HIV risk reduction behaviors.


SAGE Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 215824402110168
Author(s):  
Renato M. Liboro ◽  
Paul A. Shuper ◽  
Lori E. Ross

Although the majority of specialists and researchers in the field of HIV/AIDS are aware and knowledgeable about HIV-associated neurocognitive disorder (HAND) as a condition that affects as much as 50% of people living with HIV/AIDS (PLWH), research has documented that many health care and service providers who work directly with PLWH are either unaware of HAND or believe they do not know enough information about HAND to effectively support their clients experiencing neurocognitive challenges. Based on the findings of a qualitative study that interviewed 33 health care and service providers in HIV/AIDS services to identify and examine their awareness and knowledge on HAND, this article argues for utilizing a combination of Public Health Informatics principles; communication techniques, propagation strategies, and recognized approaches from Implementation and Dissemination Science; and social media and online discussion platforms, in addition to traditional Knowledge Mobilization strategies, to scale up information sharing on HAND among all relevant stakeholders. Increasing information sharing among stakeholders would be an important step to raising awareness and knowledge on HAND, and consequently, improving care, services, and support for PLWH and neurocognitive issues.


2019 ◽  
Vol 35 (8) ◽  
pp. 879-915 ◽  
Author(s):  
Bona Lu ◽  
Yan Niu ◽  
Feiguo Chen ◽  
Nouman Ahmad ◽  
Wei Wang ◽  
...  

Abstract Gas-solid fluidization is intrinsically dynamic and manifests mesoscale structures spanning a wide range of length and timescales. When involved with reactions, more complex phenomena emerge and thus pose bigger challenges for modeling. As the mesoscale is critical to understand multiphase reactive flows, which the conventional two-fluid model without mesoscale modeling may be inadequate to resolve even using extremely fine grids, this review attempts to demonstrate that the energy-minimization multiscale (EMMS) model could be a starting point to develop such mesoscale modeling. Then, the EMMS-based mesoscale modeling with emphasis on formulation of drag coefficients for different fluidization regimes, modification of mass transfer coefficient, and other extensions are discussed in an attempt to resolve the emerging challenges. Its applications with examples of development of novel fluid catalytic cracking and methanol-to-olefins processes prove that the mesoscale modeling plays a remarkable role in improving the predictions in hydrodynamic behaviors and overall reaction rate. However, the product content primarily depends on the chemical kinetic model itself, suggesting the necessity of an effective coupling between chemical kinetics and flow characteristics. The mesoscale modeling can be believed to accelerate the traditional experimental-based scale-up process with much lower cost in the future.


2011 ◽  
Vol 58 (3) ◽  
pp. 220-225 ◽  
Author(s):  
T. M. d. S. Marinho ◽  
A. I. Souza ◽  
A. L. C. G. Ferreira ◽  
E. C. Fernandes ◽  
J. E. Cabral-Filho

2014 ◽  
Vol 42 (5) ◽  
pp. 799-809 ◽  
Author(s):  
Jueman (Mandy) Zhang ◽  
Di Zhang ◽  
T. Makana Chock

We examined how perceived threat affected attitude and behavior toward condom use with main and nonmain partners, among at-risk young adults with varying levels of self-efficacy. Participants were 170 heterosexually active, single students at a northeastern university in the United States. Exposure to HIV/AIDS public service announcements was found to increase perceived susceptibility, which facilitated a positive attitude toward condom use with main partners but not with nonmain partners. High self-efficacy promoted a positive attitude toward condom use with main partners, and condom use with main and nonmain partners. The interaction effects revealed that high, compared to low, self-efficacy motivated more condom use with main and nonmain partners when perceived susceptibility was lower.


Sign in / Sign up

Export Citation Format

Share Document