Shifting gender norms to improve HIV service uptake: Qualitative findings from a large-scale community mobilization intervention in rural South Africa

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Leddy, Anna M.; Gottert, Ann; Haberland, Nicole; Hove, Jennifer; Lippman, Sheri A.; Kahn, Kathleen; Mathebula, Rhandzekile; Rebombo, Dumisani; Gómez-Olivé, Xavier; Twine, Rhian; Peacock, Dean; Pulerwitz, Julie, 2021, "Shifting gender norms to improve HIV service uptake: Qualitative findings from a large-scale community mobilization intervention in rural South Africa", https://doi.org/10.7910/DVN/340EZH, Harvard Dataverse, V1

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Description	The data set includes 55 transcripts from qualitative in-depth interviews (IDIs) conducted early to mid 2018 in Mpumalanga Province, South Africa, in the final months of the three-year intervention called Tsima. Tsima was a community mobilization intervention designed to improve HIV testing, care and treatment outcomes among adults aged 18-49 years, specifically sought to address social barriers to engaging in HIV services, such as limited knowledge about treatment as prevention, poor treatment literacy, HIV stigma and fear of disclosure, and inequitable gender norms. The IDIs in this dataset focused specifically on the process of gender norms change and associated changes in HIV service uptake. IDIs for the present study were conducted with 25 community members (48% women; 60% HIV-positive) and 30 key informants (70% women), for a total of 55 interviews. Key informants included community mobilizers (n=16), Community Action Team (CAT) members (n=7), and community opinion leaders (n=7).
Subject	Social Sciences
Keyword	Gender norms, HIV testing, Antiretroviral therapy, Adherence, Disclosure, Couple communication
Related Publication	Leddy, A., Gottert, A., Haberland, N., Hove, J., West, R., Pettifor, A., Lippman, K., Kahn, K., Mathebula, R., Rebombo, D., Gómez-Olivé, X., Twine, R., Peacock, D, Pulerwitz, J. Shifting gender norms to improve HIV service uptake: Qualitative findings from a large-scale community mobilization intervention in rural South Africa. PLOS One. 2021; in press.
License/Data Use Agreement	CC0 1.0

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	1-IDI guide_Round 2_CommMembers_SOAR_GenderStudy_30Jan2018_v1.0.docx MS Word - 27.5 KB Published Nov 18, 2021 0 Downloads MD5: 47754d27af7d53b375127b6823c872f4	Access File File Access Restricted Request Access Download Metadata Data File Citation Download EndNote XML Download RIS Download BibTeX
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Citation Metadata

Persistent Identifier	doi:10.7910/DVN/340EZH
Publication Date	2021-11-18
Title	Shifting gender norms to improve HIV service uptake: Qualitative findings from a large-scale community mobilization intervention in rural South Africa
Author	Leddy, Anna M.University of California San Francisco Gottert, AnnPopulation Council Haberland, NicolePopulation Council Hove, JenniferMRC/Wits Rural Public Health and Health Transitions Research Unit Lippman, Sheri A.University of California San Francisco,MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) Kahn, KathleenMRC/Wits Rural Public Health and Health Transitions Research Unit Mathebula, RhandzekileSonke Gender Justice Rebombo, DumisaniYanani Community Project Gómez-Olivé, XavierMRC/Wits Rural Public Health and Health Transitions Research Unit Twine, RhianMRC/Wits Rural Public Health and Health Transitions Research Unit Peacock, DeanPromundo Pulerwitz, JuliePopulation Council
Point of Contact	Use email button above to contact. Gottert, Ann (Population Council)
Description	The data set includes 55 transcripts from qualitative in-depth interviews (IDIs) conducted early to mid 2018 in Mpumalanga Province, South Africa, in the final months of the three-year intervention called Tsima. Tsima was a community mobilization intervention designed to improve HIV testing, care and treatment outcomes among adults aged 18-49 years, specifically sought to address social barriers to engaging in HIV services, such as limited knowledge about treatment as prevention, poor treatment literacy, HIV stigma and fear of disclosure, and inequitable gender norms. The IDIs in this dataset focused specifically on the process of gender norms change and associated changes in HIV service uptake. IDIs for the present study were conducted with 25 community members (48% women; 60% HIV-positive) and 30 key informants (70% women), for a total of 55 interviews. Key informants included community mobilizers (n=16), Community Action Team (CAT) members (n=7), and community opinion leaders (n=7).
Subject	Social Sciences
Keyword	Gender norms HIV testing Antiretroviral therapy Adherence Disclosure Couple communication
Related Publication	Leddy, A., Gottert, A., Haberland, N., Hove, J., West, R., Pettifor, A., Lippman, K., Kahn, K., Mathebula, R., Rebombo, D., Gómez-Olivé, X., Twine, R., Peacock, D, Pulerwitz, J. Shifting gender norms to improve HIV service uptake: Qualitative findings from a large-scale community mobilization intervention in rural South Africa. PLOS One. 2021; in press.
Funding Information	USAID/PEPFAR
Depositor	Gottert, Ann
Deposit Date	2021-11-17
Time Period	Start Date: 2018-03; End Date: 2018-07
Data Type	Qualitative

Geospatial Metadata

Geographic Coverage	South Africa, Bushbuckridge subdistrict of rural Mpumalanga province

Social Science and Humanities Metadata

Unit of Analysis	Individual
Sampling Procedure	For the community member sample, Community Action Team (CAT) and Community Mobilizers, who were working for Tsima, helped identify participants aged 18-49 (the target population for Tsima), who resided in intervention communities and had participated in at least one Tsima activity. Participants were purposively sampled to obtain equal representation of males and females and HIV-negative and HIV-positive participants using data collected during the trial. For the key informant sample, all community mobilizers were invited to participate. CAT members and community leaders (e.g. local government officials, religious leaders, and representatives of community-based organizations) were purposively selected by the study team based on their level of engagement in the community and the intervention.
Type of Research Instrument	In-depth interview guides

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