Understanding quality in services supporting women survivors of gender-based violence

On the basis of participatory research with service providers, service users, and external actors in Guatemala, Mozambique, and Nicaragua, we have developed a novel framework to describe and assess the quality of services for women and girls who have experienced violence against women (VAW survivors). The framework (1) provides a practical definition of quality, and (2) offers a structure to assess the effectiveness of services for VAW survivors in a development context. It can be adjusted to various situations, as well as to the different needs of service providers and of those who design, monitor, and support VAW programmes.

Comprendre la qualité dans les services d'aide aux survivantes de violences basées sur le genre

Sur la base de recherches participatives menées avec des prestataires de services, des utilisateurs de services et des acteurs externes au Guatemala, au Mozambique et au Nicaragua, nous avons mis au point un cadre original pour décrire et évaluer la qualité des services pour les femmes et les filles qui ont subi des violences faites aux femmes (VFF). Le cadre (1) propose une définition concrète de la qualité et (2) confère une structure permettant d’évaluer l'efficacité des services aux survivantes de VFF dans un contexte de développement. Il peut être ajusté en fonction de diverses situations, ainsi que des différents besoins des prestataires de services et de ceux qui conçoivent, surveillent et soutiennent les programmes de lutte contre la VFF.

Comprendiendo la calidad de los servicios que apoyan a mujeres sobrevivientes a la violencia de género

Con base en una investigación participativa realizada en Guatemala, Mozambique y Nicaragua con proveedores de servicios, usuarios de servicios y actores externos, las autoras desarrollaron un marco de referencia innovador que describe y valora la calidad de los servicios ofrecidos a mujeres y niñas que han experimentado violencia contra las mujeres (sobrevivientes de vcm). Este marco propone (1) una definición práctica de calidad; y (2) una estructura que permita valorar la efectividad de los servicios orientados a las sobrevivientes de la vcm en un contexto de desarrollo. Dicho marco puede ajustarse de acuerdo a las distintas situaciones y a las diferentes necesidades de los proveedores de servicios y de las personas que elaboran, monitorean y apoyan programas de vcm.

Compreendendo a qualidade de serviços de apoio a mulheres sobreviventes da violência baseada em gênero

Com base em pesquisa participativa com provedores de serviço, usuários de serviço e agentes externos na Guatemala, Moçambique e Nicarágua, desenvolvemos uma estrutura nova para descrever e avaliar a qualidade de serviços oferecidos a mulheres e meninas que enfrentaram a Violência Contra Mulheres (sobreviventes da VCM). A estrutura (1) oferece uma definição prática de qualidade e a (2) oferece uma estrutura para avaliar a efetividade dos serviços para sobreviventes da VCM em um contexto de desenvolvimento. Ela pode ser ajustada a várias situações, assim como a diferentes necessidades dos provedores de serviço e daqueles que criam, monitoram e apoiam programas de combate à VCM.     

Strengthening public health supply chains in Ethiopia: PEPFAR-supported expansion of access and availability

When the US President's Emergency Plan for AIDS Relief (PEPFAR)-supported Supply Chain Management System (SCMS) programme began working in Ethiopia in 2006, the estimated population of people living with HIV exceeded one million, while only 24,000 were on treatment and only 50 treatment sites were in operation. SCMS and other key partners entered into this context to support the Ethiopian government in significantly strengthening the public health supply chain system, with the aim of increasing the availability and accessibility of pharmaceutical products. The country now has 1,047 treatment sites and is nearing complete treatment coverage. This article discusses how priorities were set among many competing challenges from 2006 until 2014, and how the four-step strategy of build, operate, transfer, and optimise has resulted in a successful partnership.     

Queering accounts of “MSM” practitioner agency: recognising collateral benefits

This article demonstrates how donor resources can enable MSM/TG practitioners to exercise agency in diverse ways, which produce collateral benefits for sexuality/gender-diverse communities. By focusing on what Thai MSM/TG practitioners actually do, we illustrate how their practices respond to their own aspirations, not only the demands of donor funding regimes. We position our project as queer in the sense that it interrupts the normative absence of practitioner agency within current “MSM” development literature. We argue that our reading might enable greater recognition and donor support for MSM/TG practitioners who produce collateral benefits through their work.     

Schizophrenia,AIDS and the Decision to Prescribe HAART

SUMMARY

Individuals with schizophrenia are at risk of developing HIV and are known to experience barriers to optimal medical care. Our goal was to determine, among a cohort of HIV clinicians, whether or not the diagnosis of schizophrenia affected the clinical decision to offer highly active antiretroviral therapy (HAART) to AIDS patients.

This is a cross-sectional study of a random, national sample of HIV experts drawn from the membership of the American Academy of HIV Medicine. Participants were mailed a self-administered questionnaire with a case vignette of a new onset AIDS patient and were specifically asked whether or not they would recommend HAART treatment. Vignettes were randomly assigned to include a diagnosis of schizophrenia or not. We located 649 clinicians (93%); 347 responded (53.4%). Responders and non-responders did not differ in demographics or work characteristics. Recommendation of antiretroviral treatment did not differ between those who received a case vignette with schizophrenia versus those who did not (95.8% vs. 96.6%, p = 0.69). Compared to those who received a case vignette without schizophrenia, those who received vignettes with schizophrenia were more likely to avoid prescribing efavirenz, a medication with known neuropsychiatric side effects (17.7% vs. 45.5%, p < 0.01), more likely to agree to be helped by a specialist (34.5% vs. 12.9%, p < 0.01), and more likely to recommend directly observed therapy (20% vs.10%, p = 0.01). HIV clinicians recognize the importance of recommending HAART treatment to individuals with schizophrenia and AIDS and avoid using antiretroviral medication with known neuropsychiatric side effects.     

Role models in politicians will disappoint you: Cautionary notes on Aids leadership in post-apartheid South Africa

Abstract

In the face of HIV/Aids the call for political leadership is often made. Invariably, one form that this call takes involves leaders being called upon to act as role models. But time after time scandalous revelations arise. These scandals appear to have the potential to damage efforts to address HIV/Aids. This article assumes that it is not appropriate to attempt to limit public expression concerning the sex-related behaviours of politicians. The author further notices, with reference to post-apartheid leadership in South Africa, that the actions, behaviours and motivations of political leaders cannot be readily assumed to result in desired behaviours in relation to HIV/ Aids. It is proposed that rather than cynically saying we are waiting for ideal leaders to arise, we can embrace the challenge of our time by first allowing ourselves to question the status quo. The aim is to recover questions of the possible roles of politicians as questions of how human relations can be achieved. In other words, the aim is to argue for an approach that humanises both politicians and those who would (be given to) follow them.     

从J市艾滋违法者调查看社会公共安全对策

近年来,艾滋违法犯罪逐渐引起社会的广泛关注,其对社会公共安全带来极大危害和威胁。＂艾滋小偷＂、＂艾滋卖淫女＂、＂艾滋吸毒者＂正成为困扰各地公安机关的难题。我们基于J市的实证调查,提出进一步完善防控＂艾滋＂违法犯罪的如下社会公共安全对策建议：建议全国人大常委会在修订《传染病防治法》、《治安管理处罚法》、《监狱法》、《劳动教养管理法》、《禁毒法》时能充分考虑到有利于防治艾滋病工作的开展,使艾滋病防治工作更好地走上法制化的轨道;各地应加大财政支持力度,加强对艾滋违法犯罪人员羁押监管场所的建设;坚持预防为主,努力消除艾滋病传播的危险因素,特别要加强公安民警职业暴露的防护工作。     

对我国《艾滋病防治条例》颁布之感想

国务院的《艾滋病防治条例》于2006年3月1日起实施。社会对《艾滋病防治条例》的反应不一,积极评价与消极评价并存。本文认为,虽然存在不足,但《艾滋病防治条例》制定的意义重大,它标志着中国艾滋病防治法制的建立。     

Community mobilisation and HIV activism in Zimbabwe

ABSTRACT

Community mobilisation and activism is thought to encourage HIV testing and treatment and assist patient recovery. This article draws on interviews conducted with 60 people living with, and affected by HIV, in four marginalised areas of Harare, Zimbabwe. The lenses of civil society and social movements are used to analyse how people living with HIV draw on, and construct, systems of support based on the ways in which their communities know and understand the epidemic. I consider how neighbourhoods negotiate and assert community and individual needs in relation to HIV and how such systems can develop into community networks and wider coalitions. The article concludes by positing that, by interrogating official responses to the epidemic, HIV-related activism and social movements can help to domesticate formal commitments to international health protocols and compliance, particularly in terms of the intent, as well as the participatory rhetoric, of health based rights.     

Self-Esteem Enhancing Reasons for Having Sex and The Sexual Behaviors of African American Adolescents

A sample of 146 African American adolescents living in impoverished neighborhoods with high HIV rates participated in the Chicago HIV Prevention and Adolescent Mental Health Project (CHAMP), a longitudinal study of adolescent HIV risk exposure. The current study examined self-reported reasons why African American adolescents may participate in risky sexual behavior. Adolescents completed a questionnaire regarding their sexual behaviors and reasons for having sex at Wave 3 of data collection. Findings from the study revealed that females used condoms less consistently while males had more sexual partners and sexually debuted earlier. Regression analyses also indicated that males were more likely to endorse self-esteem enhancing reasons for having sex and those who did also reported a higher number of sexual partners. Males were more likely to endorse power-related reasons for having sex and those who did tended to sexually debut earlier. Across both genders, results suggested that those adolescents who endorsed more self-esteem enhancing reasons for having sex were less likely to use condoms consistently. Implications for prevention programs and future research are discussed. Doctoral candidate in the Clinical Psychology Program at Loyola University Chicago. She received her Master of Arts from Loyola University Chicago in Clinical Psychology. Her research interests are in HIV/AIDS prevention in African American communities, particularly amongst adolescent girls. Professor of Clinical Psychology and Director of Clinical Training at Loyola University. He received his Ph.D. in Clinical Psychology from Virginia Commonwealth University. His interests lie in family relations during early and late adolescence, developmental psychopathology, the interface between developmental psychology and clinical child psychology, pediatric psychology (e.g., adolescents with physical disabilities), statistical applications in psychology, and research design. Associate Professor of Psychology in Psychiatry at the University of Illinois at Chicago. She received her Ph.D. in Child Psychology from the University of Minnesota at Minneapolis Her research interests lie in normative developmental processes during the transition to adolescence.     

A Case Control Study of Adolescent Risky Sexual Behavior and Its Relationship to Personality Dimensions,Conduct Disorder,and Substance Use

In comparison to the general adolescent population, adolescents with a history of externalizing behaviors including substance use and conduct disorder are younger at first intercourse, have a larger number of sexual partners, and use condoms less often when they engage in intercourse, placing them at higher risk for sexually transmitted diseases as well as unplanned pregnancy (Morris, R. E., Baker, C. J., Valentine, M., and Pennisi, A. J. (1998). J. Adolesc. Health 23: 39–48). A primary goal of this paper was to examine linkages between Cloninger's novelty-seeking, harm avoidance, and reward dependence dimensions and risky sexual behavior among 200 boys in treatment for substance abuse and delinquency compared to 200 boys recruited from the community, and matched on age, ethnicity, and geographic location. Analyses indicated that though there were mean differences on all personality constructs examined, these differences in personality failed to account for observed differences in risky sexual behavior. The structure of problem behavior also differed in the 2 groups.