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Int Health. 2013 Mar;5(1):72-7. doi: 10.1093/inthealth/ihs007. Epub 2012 Dec 4.

Addressing gender inequity in HIV care in rural Lesotho: the 'Male Initiative'.

Author information

1
Partners In Health, Lesotho, Private Bag A239, Maseru, Lesotho.

Abstract

BACKGROUND:

Lesotho is a nation in Southern Africa with an HIV prevalence of 25%. Males are less likely to access HIV services and there is a need for strategies to improve male participation in HIV care. This paper describes the development and implementation of the Male Initiative to increase male participation in HIV services.

METHODS:

A combination of qualitative and quantitative methods were used to describe the components, process, organization, participation and potential impact of the Male Initiative.

RESULTS:

The Male Initiative was developed in partnership with local village chiefs, traditional healers and spiritual leaders. It used the traditional male meeting structure known as the Pitso-ea-banna to deliver messages about HIV care. 1311 men participated in five Male Initiative meetings over a 30 month period from June 2006-31 December, 2008. Male enrollment increased from 32% in 2006 to 36.8% in 2008, a trend which approached statistical significance (p = 0.07) and suggests potential programmatic impact that merits further study.

CONCLUSION:

Gender inequalities in enrollment in HIV care can be addressed through programs developed in partnership with local leaders and delivered in culturally accepted settings.

KEYWORDS:

HIV; Lesotho; Male

PMID:
24029849
DOI:
10.1093/inthealth/ihs007
[Indexed for MEDLINE]

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