4.2 Article

What role can gender-transformative programming for men play in increasing men's HIV testing and engagement in HIV care and treatment in South Africa?

Journal

CULTURE HEALTH & SEXUALITY
Volume 18, Issue 11, Pages 1251-1264

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13691058.2016.1183045

Keywords

Masculinity; HIV; testing and treatment; gender-transformative programmes; South Africa

Funding

  1. US National Institutes of Health [P30-AI027763]
  2. US National Institute of Allergy and Infectious Diseases [T32 AI007001]
  3. US National Institute on Drug Abuse [T32 DA023356]
  4. Gladstone Institute of Virology and Immunology, Center for AIDS Research [P-30-AI027763]
  5. US National Institute of Mental Health [1R01MH106600-01]
  6. EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [T32HD007168, P2CHD050924] Funding Source: NIH RePORTER
  7. NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [T32AI007001, P30AI027763] Funding Source: NIH RePORTER
  8. NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH106600] Funding Source: NIH RePORTER
  9. NATIONAL INSTITUTE ON DRUG ABUSE [T32DA023356] Funding Source: NIH RePORTER

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Men are less likely than women to test for HIV and engage in HIV care and treatment. We conducted in-depth interviews with men participating in One Man Can (OMC) - a rights-based gender equality and health programme intervention conducted in rural Limpopo and Eastern Cape, South Africa - to explore masculinity-related barriers to HIV testing/care/treatment and how participation in OMC impacted on these. Men who participated in OMC reported an increased capability to overcome masculinity-related barriers to testing/care/treatment. They also reported increased ability to express vulnerability and discuss HIV openly with others, which led to greater willingness to be tested for HIV and receive HIV care and treatment for those who were living with HIV. Interventions that challenge masculine norms and promote gender equality (i.e. gender-transformative interventions) represent a promising new approach to address men's barriers to testing, care and treatment.

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