Addressing gender inequity in HIV care in rural Lesotho: the 'Male Initiative'.
Int Health
; 5(1): 72-7, 2013 Mar.
Article
em En
| MEDLINE
| ID: mdl-24029849
ABSTRACT
BACKGROUND:
Lesotho is a nation in Southern Africa with an HIV prevalence of 25%. Males are less likely to access HIV services and there is a need for strategies to improve male participation in HIV care. This paper describes the development and implementation of the Male Initiative to increase male participation in HIV services.METHODS:
A combination of qualitative and quantitative methods were used to describe the components, process, organization, participation and potential impact of the Male Initiative.RESULTS:
The Male Initiative was developed in partnership with local village chiefs, traditional healers and spiritual leaders. It used the traditional male meeting structure known as the Pitso-ea-banna to deliver messages about HIV care. 1311 men participated in five Male Initiative meetings over a 30 month period from June 2006-31 December, 2008. Male enrollment increased from 32% in 2006 to 36.8% in 2008, a trend which approached statistical significance (p = 0.07) and suggests potential programmatic impact that merits further study.CONCLUSION:
Gender inequalities in enrollment in HIV care can be addressed through programs developed in partnership with local leaders and delivered in culturally accepted settings.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Avaliação de Programas e Projetos de Saúde
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Infecções por HIV
/
Serviços de Saúde Rural
/
Saúde do Homem
/
Promoção da Saúde
Tipo de estudo:
Evaluation_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
/
Male
País/Região como assunto:
Africa
Idioma:
En
Revista:
Int Health
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Lessoto