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From knowledge to action

Participant stories of a population health intervention to reduce gender violence and HIV in three southern African countries

Bibliographic Data

ID19440510
AuthorsMary Cameron (0000-0002-9700-0861, CIETcanada, Ottawa, ON, Canada, corresponding author), Anne Cockcroft (0000-0002-1558-1106, CIET Trust Botswana, Gaborone, Botswana), Grace Wanjiru Waichigo (CIET Trust, Johannesburg, South Africa), Nobantu Marokoane (CIET Trust, Johannesburg, South Africa), Ditiro Laetsang (CIET Trust Botswana, Gaborone, Botswana), Neil Andersson (0000-0002-5220-2136, Universidad Autónoma de Guerrero)
Year2014
Volume26
Issue12
Pages1534-1540
Publication date2014-12-02
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2014.931560
PMID24991886
PMCIDPMC4193283
OpenAlexW2095296477
LanguageEN
Citations received5
References cited36

This paper describes implementation research of an intervention in a complex HIV prevention randomised trial in southern Africa. Researchers collected stories of change attributed by 106 community members to an audio-drama edutainment intervention in 41 sites in Botswana, Namibia and Swaziland. The team analysed themes in the stories following a behaviour change model of conscious knowledge, attitudes, subjective norms, intention to change, agency, discussion and action (CASCADA). Storytellers attributed positive changes to the intervention in the areas of gender violence, multiple sexual partners, transactional and intergenerational sex and condom use. Their stories illustrate each of the steps in the CASCADA behaviour change model. As well as supporting an enabling environment for other interventions in the trial, the audio-drama also helped some participants to make personal changes. Collecting and discussing the stories were encouraging for the trial fieldworkers. Documenting the experiences of participants and framing the analysis of stories in an explicit behaviour change model allowed us to reflect on potential mechanisms and pathways through which the intervention impacts on individuals and communities. It helped in the design of the quantitative instruments to measure intermediate outcomes of the trial

Behavior change · Condom · Developmental psychology · Drama · Geography · Narrative · Population · Psychological intervention · Sociology · Storytelling · Transactional sex · Adolescent Sexual and Reproductive Health · Community Health and Development · Demography · Gender Studies · Health Policy Implementation Science · Medicine · Psychology · Social Psychology

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Citations per year0.56
Citation span2017 - 2024 (8)
Highly citedNo

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