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Research on structural change to prevent HIV

Social forces drive the HIV epidemic and block prevention efforts. STRIVE partners investigate how structural factors create vulnerability and what programmes work to tackle them.

Projects

Maisha: Microfinance and gender training to reduce violence against women

The Maisha study addresses intimate partner violence (IPV) through microfinance and gender empowerment interventions.

Drivers: Gender inequality and violence
Methods:
Maisha: Microfinance and gender training to reduce violence against women

SASA! Act now against violence

SASA! addresses the imbalance of power between women and men that underlies gender violence and HIV risk.

Drivers: Gender inequality and violence
Methods:
SASA community mobilisation

Parivartan for Girls

Parivartan for Girls is designed to increase adolescent girls' self-esteem, self-confidence and educational aspirations through sports.

Drivers: Gender inequality and violence
Methods:
Parivartan for Girls

Samvedana Plus: Reducing violence and increasing condom use in the intimate partnerships of female sex workers

An intervention and evaluation study in northern Karnataka, India, Samvedana Plus seeks to understand and address this form of violence and HIV risk.

Drivers: Gender inequality and violence
Methods:
Samvedana Plus

Samata: Keeping girls in secondary school

Samata aims to reduce HIV risk among adolescent girls in Bijapur and Bagalkot Districts by increasing their rates of secondary school enrolment and completion.

Samata on International Day of the Girl Child 2013

Modelling the influence of structural factors

Multi-level statistical modelling has helped support the growth of a movement to address the social determinants of health.

STRIVE research data

Guidelines for reducing HIV stigma in India

Globally, stigma and discrimination impede HIV prevention, testing and treatment efforts. ICRW's framework for India identifies key entry points for stigma-focused programming and measurement.

Drivers: Stigma and criminalization
Methods:

Reducing excessive alcohol use and high-risk sex

Project addressing alcohol as a structural driver of HIV risk by intervening in alcohol’s ubiquitous availability in impoverished urban areas.

Addressing alcohol as a structural driver of HIV

Parivartan: Coaching boys into men

Coaching boys into men to cultivate gender equality and reduce violence against women.

Drivers: Gender inequality and violence
Methods:
Parivartan changes gender norms through sports coaching

Swa Koteka: Cash transfers to tackle HIV among adolescents

How might cash payments reduce transactional sex, thereby reducing the risk of HIV and unwanted pregnancy among young girls? How do girls’ friendship networks affect their risk of acquiring HIV?

Swa Koteka: Cash transfers to tackle HIV among adolescents
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Resources

  • Impact case study: Alcohol Policy in Tanzania Harmful alcohol use is associated with a number of HIV risk factors. A national alcohol policy – informed by public health evidence – will regulate alcohol availability and marketing in Tanzania. This in turn will reduce health and social harms,...
  • Impact case study: HIV stigma reduction in India Stigma remains a major barrier to HIV prevention and treatment.
  • Impact case study: Stigma framework and measurement Tackling HIV-related stigma and discrimination is critical if we are to reduce and even end the AIDS epidemic. Effective stigma reduction requires an accurate understanding of the different ways in which it operates and standardised measures to...
  • Technical brief: Measuring HIV stigma and discrimination HIV-related stigma and discrimination continue to be experienced across the globe, impeding access to and scale-up of HIV prevention, treatment, care and support programmes. In 1987, HIV stigma was described as the ‘third epidemic’, coming after...