challenges in hiv prevention experiences from mozambique n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Challenges in HIV Prevention: Experiences from Mozambique PowerPoint Presentation
Download Presentation
Challenges in HIV Prevention: Experiences from Mozambique

Loading in 2 Seconds...

play fullscreen
1 / 37

Challenges in HIV Prevention: Experiences from Mozambique - PowerPoint PPT Presentation


  • 63 Views
  • Uploaded on

Challenges in HIV Prevention: Experiences from Mozambique. Rebecca J. Vander Meulen, MPH Diocese of Niassa Anglican Communion rvandermeulen@fastmail.fm +258 82 668 9990. 300 Anglican congregations 29 active priests 600 lay leaders 35,000 congregants area of 175,000 mi 2.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Challenges in HIV Prevention: Experiences from Mozambique' - marjean


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
challenges in hiv prevention experiences from mozambique

Challenges in HIV Prevention: Experiences from Mozambique

Rebecca J. Vander Meulen, MPH

Diocese of Niassa

Anglican Communion

rvandermeulen@fastmail.fm

+258 82 668 9990

diocese of niassa
300 Anglican congregations

29 active priests

600 lay leaders

35,000 congregants

area of 175,000 mi2

5% of congregations in urban or peri-urban areas; 95% in rural areas

104 active congregational teams responding to HIV and AIDS since first training started in 2004

Diocese of Niassa
africa

Diocese of Niassa project area: northern Mozambique

(provinces of Niassa, Cabo Delgado, Nampula, Zambezia, with particular emphasis in Lake District, Niassa Province)

Africa

  • project area distant from capital, Maputo
  • particular project communities distant even from provincial capitals (5% of congregations in urban or peri-urban areas; 95% in rural areas)
objectives
Objectives:
    • Mobilized local congregations work towards
      • Reduction and mitigation of the negative consequences of HIV (psychosocial, physical, and emotional) and
        • Reduction in HIV prevalence
  • HIV and AIDS response teams (Equipas de Vida) are community groups that respond to the challenges they identify related to HIV and AIDS
baseline data among church hiv activists april 2005
Baseline data, among church HIV activists, April 2005
  • participants report an average of 2.0 partners in past year (maximum 6), and an average of 6.0 lifetime partners (maximum 24)
  • average age at first sexual intercourse: 16.6
sexual debut among church youth niassa
Sexual Debut among Church Youth, Niassa
  • “Girls start having sex at an early age, around age 13, because they want partners that can take them out, buy them hair extensions, and make them look beautiful.”
  • “Normally you have to have at least 3 partners, both boys and girls, no one has only one, so there would be no reason to have only one partner.”
sexual debut among church youth niassa1
Sexual Debut among Church Youth, Niassa
  • “At about 13 or 12, when your body begins to change, you’re curious and want to explore, so you have sex then just to try out what you’ve heard or seen in TV shows”
  • “When adolescence starts, we are really stimulated and you really want to grow up, and the only way to prove that you are grown up is by having sex.”
common biological misconceptions
Common Biological Misconceptions
  • “Sex is a biological necessity that you can’t live without.”
  • “No one normal can live without having sex.”
  • “When boys don’t have sex they develop big breasts; when girls don’t have sex their breast don’t develop.”
  • “When girls don’t have sex they become sick and weak and even get pimples on their face.”
  • “When boys don’t have sex their sperm rots inside them and they can go crazy.”
cultural factors
Cultural Factors
  • unhago (initiation rites): girls and boys of the Yao people group participate in initiation rites between ages 8 and 14, boys are encouraged to have sex, and girls aren’t encouraged not to say no, at least the first time they are asked
behavior change promotion
Behavior Change Promotion
  • Appropriate for the church:
    • Low resource
    • Connected with morality
    • Requires integrated approach
  • Difficult for the church:
    • Talking about sex (particularly addressing one’s own sexuality) is not natural!
    • Requires a solid understanding of HIV, and a comfort in discussing it
foundations for behavior change promotion
Foundations for Behavior Change Promotion
  • Combating stigma:
    • Equipas de Vida, not Equipas de SIDA (Life Teams, not AIDS Teams)
    • “In Christ there is no difference between positive and negative.”
foundations for behavior change promotion1
Foundations for Behavior Change Promotion
  • Addressing stigma
  • Education about how HIV is (and is not!) transmitted, and how to prevent it
biology basics booklet
“Biology Basics” booklet
  • 40 pages, made from 5 A4 pieces of paper
  • Responds to the local misunderstandings about HIV
foundations for behavior change promotion2
Foundations for Behavior Change Promotion
  • Addressing stigma
  • Education about how HIV is (and is not!) transmitted, and how to prevent it
  • Care and support
key teaching sex is a gift from god not a result of sin
Key teaching: Sex is a gift from God, not a result of sin

So God created man in his own image,

in the image of God he created him;

male and female he created them.

God blessed them and said to them, "Be fruitful and increase in number; fill the earth and subdue it.” . . .

God saw all that he had made, and it was very good.

For this reason a man will leave his father and mother and be united to his wife, and they will become one flesh.

The man and his wife were both naked, and they felt no shame.

From Genesis 1-2

For you created my inmost being;

you knit me together in my mother's womb.

I praise you because I am fearfully and wonderfully made;

your works are wonderful,

I know that full well.

Psalm 139:13-14

key teaching appropriateness
Key teaching: appropriateness
  • Fuel—great for making a car run, bad if we drink it when we’re thirsty
  • Fire—cannot live well without it, but it has the power to destroy and kill
  • Sex—a gift from God that can be used marvelously or destructively
strategy basic education
Strategy: Basic Education

Though education about HIV often has little impact on behavior, its impact tends to be great where there had previously been no knowledge of HIV.

strategy engage church leaders as active members of the equipas de vida
Strategy: engage church leaders as active members of the Equipas de Vida
  • Priests receive an HIV component during every clergy training session
  • Priests receive sermon notes and bible study guides addressing HIV
strategy engaging youth in support for people living with hiv
Strategy: Engaging Youth in Support for People Living with HIV
  • HIV becomes real
  • Youth gain sense of purpose
strategy estrelas de vida stars of life
Strategy: “Estrelas de Vida” (“Stars of Life”)
  • “I never even thought about abstinence before. It sounds like a good idea but I didn’t know it was possible”
condoms exposing myths
Condoms: Exposing Myths
  • “Condoms transmit HIV. After all, when you fill it up with water and let it sit, after a few days the little bugs start swimming around.”
condom drinking water analogy
Condom/drinking water analogy
  • drinking water from a public borehole: SAFE and “LEGAL”
  • drinking water from a public mud puddle: UNSAFE, though “LEGAL”
  • drinking water from the governor's borehole (inside his fence/quintal): SAFE, though “ILLEGAL”
  • drinking water from the governor's mud puddle (inside his fence/quintal): UNSAFE and ILLEGAL
not a jeito campaign
Not a “jeito” campaign!

‘. . . the messages they gave at 12 o’clock when the whole family was gathered around the lunch table was “when you have sex next time with your lover do not forget to use a condom”. Those songs, dramas made the churches close up even more as they felt that the way sex was talked about, the way it was promoted encouraged immoral behavior. . . . So the way PSI came in and talked about HIV/AIDS prevention and condoms made it more difficult for us to talk about the issue in the church’ (Pfeiffer 2004: 92).

condoms placing them in a broader medical context
Condoms: placing them in a broader medical context

Where good family planning education has occurred, condoms become far more acceptable (as they are not simply related to HIV).

cautious promotion
Cautious Promotion
  • “Our children are just used to having sex. It’s the main type of entertainment. It wasn’t like this. With my wife, it was just when we got married. But today, it’s sex. It’s worth explaining to our children how to use condoms.”
    • A priest whose daughter died of AIDS