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Promoting HIV Prevention in Lesotho  A behavior and social  change communication approach Presented by:  Carol Larivee Deputy Director, C-Change
C-Change Partnership ,[object Object],[object Object]
Catalyze System-Wide Change ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Country Context THE DAYS MALARIA WORLD AIDS DAY WORLD BREASTFEEDING WEEK ANTI SMOKING DAY TB DAY WORLD HEALTH DAY
Concurrent Partnerships
Definition ,[object Object],Same contact rate (5/yr), but the sequence of start and end dates is different Current Partner Count Slide from Dr. Martina Morris --  U. of Washington 1 2 3 4 5 time 1  01  01  0 1  0  1 0 1 2 3 4 5 time 1  2 3 2  1  2 10 1 0
Important features of concurrency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Slide from Dr. Martina Morris --  U. of Washington
Implication :  Concurrency has threshold impacts on network connectivity Bicomponents in red Hubs and superspreaders are not required for network connectivity Slide from Dr. Martina Morris --  U. of Washington In largest  component: In largest bicomponent: 2% 0 41% 5% 64% 15% 10% 1% Mean: 1.74 Mean: 1.80 Mean: 1.86 Largest components Mean:   1.68 Number of Concurrent  Partners
Cultural Setting
“ Everything you discuss here is just the tip of the iceberg” Participant at Swaziland HIV/AIDS Partners’ Forum, 2008  Historical, political, economic processes,  and contemporary trends Slide from Suzanne LeClerc-Madlala, U. of Kwa Zulu Natal
Southern African societies are traditionally polygamous, patrilineal and patrilocal Many norms and values rooted in these social arrangements persist and shape the assumptions, expectations and meanings that people bring to relationships. Suzanne LeClerc -- Madlala
Formative Research  Soul City One Love Regional Campaign
Regional Programme country partners Slide from Harriet Perlman, Soul City, Regional Programme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Themes across all countries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Slide from Harriet Perlman, Soul City, Regional Programme
Regional Messages
Campaign Positioning ,[object Object],[object Object],[object Object],[object Object],[object Object],Slide from Harriet Perlman, Soul City, Regional Programme
Core campaign messages for Region ,[object Object],[object Object],[object Object],[object Object],[object Object],Slide from Harriet Perlman, Soul City, Regional Programme
Lesotho
C-Change Partners in Lesotho
Annual New Infections
HIV Prevalence in Adults
HIV Prevalence by Marital Status
C-Change Formative Research in Lesotho
Main Question ,[object Object],Slide from Veronica Sigamoney, Social Surveys ?
Methodology  ,[object Object],[object Object],[object Object],[object Object],Slide from Veronica Sigamoney, Social Surveys
In Lesotho Silence & Secrecy as Respect   Slide from Veronica Sigamoney, Social Surveys Secrecy Silence HIV/AIDS Sex, MCP HIV/AIDS Sex, MCP Shame Respect Social Norms Indirect Communication
Strategy
Elements ,[object Object],[object Object],[object Object],[object Object]
Engage Existing Community Groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MCP Issues that will be Addressed ,[object Object],[object Object],[object Object],[object Object]
MCP Issues that will be Addressed ,[object Object],[object Object],[object Object],[object Object]
Magnifying Change Through Media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring and Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Messages ,[object Object],[object Object]
C-Change Lesotho Team ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Promoting HIV Prevention in Lesotho

  • 1. Promoting HIV Prevention in Lesotho A behavior and social change communication approach Presented by: Carol Larivee Deputy Director, C-Change
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  • 4. Country Context THE DAYS MALARIA WORLD AIDS DAY WORLD BREASTFEEDING WEEK ANTI SMOKING DAY TB DAY WORLD HEALTH DAY
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  • 8. Implication : Concurrency has threshold impacts on network connectivity Bicomponents in red Hubs and superspreaders are not required for network connectivity Slide from Dr. Martina Morris -- U. of Washington In largest component: In largest bicomponent: 2% 0 41% 5% 64% 15% 10% 1% Mean: 1.74 Mean: 1.80 Mean: 1.86 Largest components Mean: 1.68 Number of Concurrent Partners
  • 10. “ Everything you discuss here is just the tip of the iceberg” Participant at Swaziland HIV/AIDS Partners’ Forum, 2008 Historical, political, economic processes, and contemporary trends Slide from Suzanne LeClerc-Madlala, U. of Kwa Zulu Natal
  • 11. Southern African societies are traditionally polygamous, patrilineal and patrilocal Many norms and values rooted in these social arrangements persist and shape the assumptions, expectations and meanings that people bring to relationships. Suzanne LeClerc -- Madlala
  • 12. Formative Research Soul City One Love Regional Campaign
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  • 22. HIV Prevalence by Marital Status
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  • 26. In Lesotho Silence & Secrecy as Respect Slide from Veronica Sigamoney, Social Surveys Secrecy Silence HIV/AIDS Sex, MCP HIV/AIDS Sex, MCP Shame Respect Social Norms Indirect Communication
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Editor's Notes

  1. Partners for Health and Development Communication, or PHDC, is a new five-year $175 million global health and development communication initiative supported by USAID.