Communicating with the people about HIV infection risk as a basis for planning interventions: Lessons from the Kagera region of Tanzania

Killewo, Japhet; Sandström, Anita; Dahlgren, Lars; Wall, Stig

doi:10.1016/s0277-9536(96)00347-4

Cited by 6 publications

(4 citation statements)

References 41 publications

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“…Here, lessons can be drawn from community intervention work on epilepsy (e.g. Jilek-Aall, Jilek, Kaaya, Mkombachepa, & Hillary, 1997) and HIV/AIDS (Killewo, Sandstrom, Dahlgren, & Wall, 1997) in the region, which suggest that sustainable results are more feasibly realized if community education is prioritized alongside psychosocial support.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Living with Diabetes in Rural and Urban Ghana: A Critical Social Psychological Examination of Illness Action and Scope for Intervention

Aikins

2003

J Health Psychol

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Current chronic illness research in Africa neglects the social psychological dimensions of illness experiences that present more appropriate frameworks for intervention. Informed by social representations theory, links between social knowledge of diabetes, illness experience and illness action were examined through semistructured individual interviews with rural and urban Ghanaians with diabetes. All respondents drew interchangeably from commonsense, scientized, and religious knowledge modalities in defining health, illness and diabetes. Diabetes caused disruption to: body-self, social identity, family/social relationships, economic circumstance and nutrition. Commonsense and scientized notions of health, illness and diabetes framed illness action goals that merged with biomedical goals, specifically drug and diet management. These goals were compromised by the nature, severity and duration of disruption(s) and emotional responses evoked. The paper dicusses implications of the findings and outlines recommendations for interventions that span individual/group, community and structural dimensions.

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Section: Discussion and Recommendationsmentioning

confidence: 99%

Living with Diabetes in Rural and Urban Ghana: A Critical Social Psychological Examination of Illness Action and Scope for Intervention

Aikins

2003

J Health Psychol

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“…Alguns homens se declararam fiéis e consideraram que essa é uma medida efetiva para evitar a infecção pelo HIV. Resultado semelhante também foi encontrado por Killewo et al, 8 num estudo feito na Tanzânia, e por Hernandez-Giron et al, 7 numa pesquisa com homens na cidade do México.…”

Section: Discussionunclassified

Masculinidade e vulnerabilidade ao HIV de homens heterossexuais, São Paulo, SP

2002

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OBJETIVO: Identificar aspectos da masculinidade relacionados à vulnerabilidade dos homens à infecção pelo HIV. MÉTODOS: Pesquisa qualitativa realizada com homens motoristas de ônibus e integrantes de uma Comissão Interna de Prevenção de Acidentes (Cipa) em uma empresa de transportes coletivos na cidade de São Paulo, SP. Foram gravadas e transcritas dez entrevistas individuais e quatro oficinas de sexo seguro. Seu conteúdo foi disposto e discutido em blocos temáticos relacionados à sexualidade, à infidelidade, ao preservativo, às doenças sexualmente transmissíveis e à Aids. RESULTADOS: São aspectos que tornam os homens mais vulneráveis: sentir-se forte, imune a doenças; ser impetuoso, correr riscos; ser incapaz de recusar uma mulher; considerar que o homem tem mais necessidade de sexo do que a mulher e de que esse desejo é incontrolável. A infidelidade masculina é considerada natural; a feminina é atribuída a deficiências do parceiro. A decisão por usar ou não camisinha é feita pelo homem; a mulher só pode solicitá-la para evitar gravidez. A não-utilização da camisinha é atribuída a: estética, alto custo, medo de perder a ereção, perda de sensibilidade no homem e na mulher. Os entrevistados não se consideram vulneráveis ao HIV nem a doenças sexualmente transmissíveis (DST) e confundem suas formas de transmissão. CONCLUSÕES: A idéia de que ser homem é ser um bom provedor para a família e ter responsabilidade pode constituir um aspecto que favoreça a prevenção, já que pode levá-los a usar camisinha como contraceptivo e para não trazer doenças para casa. É importante conhecer e intervir sobre as concepções de masculinidade, não só porque elas podem contribuir para aumento da vulnerabilidade ao HIV, mas também porque podem apontar caminhos mais efetivos para a prevenção.

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“…Lwihula et al (1993) used language to identify people's perceptions about the social forces which brought AIDS into Kagera and also tried to determine people's attitudes and responses to AIDS. This study as well as another paper focusing on people's attitudes towards interventions for preventing HIV infection (Killewo et al 1997), showed differences in reactions in the urban and rural areas. Stigmatisation and suggestions for "hard solutions" such as isolation and imprisonment of the sick were more common in rural areas that were not yet hard hit by the disease.…”

Section: Background and Study Settingmentioning

confidence: 53%

Communicating about AIDS-Changes in Understanding and Coping with Help of Language in Urban Kagera, Tanzania1

Mutembei

Emmelin

Lugalla

et al. 2002

Journal of Asian and African Studies

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Faced with the problems of HIV/AIDS, people have to find ways to communicate around them. The aim of this paper is to mirror changes over time in the Kagera people's social cognition regarding HIV/AIDS, using their own language as a tracer of this process. Focus group discussions and personal and group interviews conducted during 1992 to 1995 in urban Bukoba, Kagera, constitute the basis for an analysis of metaphorical expressions in use since 1985. Pronounced uncertainty is later transformed into a deeper understanding of the pandemic and an increased disposition to cope with the situation. Knowledge about the socio-linguistic expressions mapped out in this article can be of help when developing guidelines on how to communicate about interventions.

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Communicating with the people about HIV infection risk as a basis for planning interventions: Lessons from the Kagera region of Tanzania

Cited by 6 publications

References 41 publications

Living with Diabetes in Rural and Urban Ghana: A Critical Social Psychological Examination of Illness Action and Scope for Intervention

Living with Diabetes in Rural and Urban Ghana: A Critical Social Psychological Examination of Illness Action and Scope for Intervention

Masculinidade e vulnerabilidade ao HIV de homens heterossexuais, São Paulo, SP

Communicating about AIDS-Changes in Understanding and Coping with Help of Language in Urban Kagera, Tanzania1

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