RESUMO
The World Health Organization recommends that HIV counseling and testing (HCT) programs implement strategies to address how intimate partner violence (IPV) influences women's ability to protect themselves from and seek care and treatment for HIV infection. We discuss the process used to adapt a screening and brief intervention (SBI) for female clients of HCT services in Rakai, Uganda-a setting with high prevalence of both HIV and IPV. By outlining our collaborative process for adapting and implementing the SBI in Rakai and training counselors for its use, we hope other HCT programs will consider replicating the approach in their settings.
Assuntos
Aconselhamento/estatística & dados numéricos , Testes Diagnósticos de Rotina/estatística & dados numéricos , Infecções por HIV/diagnóstico , Violência por Parceiro Íntimo/psicologia , Infecções por HIV/psicologia , Humanos , Violência por Parceiro Íntimo/estatística & dados numéricos , Projetos Piloto , Comportamento de Redução do Risco , UgandaRESUMO
Intimate partner violence (IPV) has a bidirectional relationship with HIV infection. Researchers from the Rakai Health Sciences Program (RHSP), an HIV research and services organization in rural Uganda, conducted a combination IPV and HIV prevention intervention called the Safe Homes and Respect for Everyone (SHARE) Project between 2005 and 2009. SHARE was associated with significant declines in physical and sexual IPV and overall HIV incidence, and its model could be adopted as a promising practice in other settings. In this article we describe how SHARE's IPV-prevention strategies were integrated into RHSP's existing HIV programming and provide recommendations for replication of the approach.
Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Infecções por HIV/prevenção & controle , Violência por Parceiro Íntimo/prevenção & controle , Estupro/prevenção & controle , Parceiros Sexuais , Adolescente , Adulto , Feminino , Infecções por HIV/epidemiologia , Humanos , Incidência , Violência por Parceiro Íntimo/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estupro/estatística & dados numéricos , Fatores de Risco , População Rural , Comportamento Sexual , Uganda/epidemiologia , Adulto JovemRESUMO
Research from Rakai, Uganda, suggests intimate partner violence (IPV) is common and attitudes condoning it are widespread. We used a public health approach to develop and implement an evidence-based IPV prevention intervention named the Safe Homes and Respect for Everyone (SHARE) Project. SHARE was designed on the Transtheoretical Model of behavior change and adapted IPV prevention strategies from Raising Voices and Stepping Stones. SHARE was implemented in four regions of Rakai. This article describes the design and implementation of SHARE, provides details on strategies and activities used, discusses challenges and lessons learned, and provides recommendations for other violence prevention programmers.
