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Strategy to Involve Rural Workers in the Fight against Hiv/Aids through Community Mobilization Programs

By Schapink, Dick

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Book Id: WPLBN0000054443
Format Type: PDF eBook
File Size: 0.2 MB
Reproduction Date: 2005

Title: Strategy to Involve Rural Workers in the Fight against Hiv/Aids through Community Mobilization Programs  
Author: Schapink, Dick
Language: English
Subject: Economics, Finance & business, World Bank.
Collections: Economics Publications Collection
Publication Date:
Publisher: The World Bank


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Schapink, D. (n.d.). Strategy to Involve Rural Workers in the Fight against Hiv/Aids through Community Mobilization Programs. Retrieved from


I. Context The Rural HIV/AIDS Initiatives (RAIDS) is a contribution of the rural sector to the Bank?s multisectoral effort designated as AIDS Campaign Team (ACT- Africa) launched in 1999. Starting in 1998, RAIDS attempted to involve rural communities in HIV/AIDS prevention and mitigation through rural frontline workers especially extension workers and/or local RAIDS consultants in Benin, Burkina Faso, Cameroon, Chad, Cote d?Ivoire, Guinea, Malawi, Niger and Nigeria. RAIDS commissioned a team of consultants from the Royal Tropical Institute (KIT) and Tanzania Netherlands Support for AIDS (TANESA) to review rural AIDS activities in SSA and to develop a framework of strategies to involve rural workers and rural communities in HIV/AIDS prevention and mitigation efforts. This report is the outcome of their work, and is based on literature review, field visits and KIT/TANESA?s experience on district level approach to HIV/AID prevention and mitigation in Africa. II: Principles HIV/AIDS prevention and control activities in many African countries were centered around biomedical approach and IEC messages. The underlying models predicted behavior change subsequent to increased awareness about the disease and risk. Nevertheless, minimal behavior change has occurred despite repeated use of these approaches. Lack of action on social determinants is now believed to be one of the major reasons why the epidemic keeps growing despite impressive awareness efforts in many countries. Consequently, the emphasis should be put on social mobilization combined with focussed IEC, improved health services, availability of condoms and targeted interventions. Addressing social dimension of development is very challenging since they touch society?s deep cultural norms and values. Discussion of issues on sexual relationships is taboo in many African societies. The urgency to act on social dimension of this epidemic has been recommended by social research spanning more than a decade (1989 to 1999). Noteworthy work of John C. Caldwell, et al. (1999) provides a theoretical basis on the social factors facilitating the progression of the epidemic. Two factors that seem to facilitate the progression of epidemic are (a) attitude towards death, and -- (b) importance of sexual relations relationships with multiple partners, outside marriage.


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