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Published in:

01-07-2012 | Original Paper

No “Magic Bullet”: Exploring Community Mobilization Strategies Used in a Multi-site Community Based Randomized Controlled Trial: Project Accept (HPTN 043)

Authors: Virginia A. Tedrow, Carla E. Zelaya, Caitlin E. Kennedy, Stephen F. Morin, Gertrude Khumalo-Sakutukwa, Michael D. Sweat, David D. Celentano

Published in: AIDS and Behavior | Issue 5/2012

Abstract

As community-level interventions become more common in HIV prevention, processes such as community mobilization (CM) are increasingly utilized in public health programs and research. Project Accept, a multi-site community randomized controlled trial, is testing the hypothesis that CM coupled with community-based mobile voluntary counseling and testing and post-test support services will alter community norms and reduce the incidence of HIV. By using a multiple-case study approach, this qualitative study identifies seven major community mobilization strategies used in Project Accept, including stakeholder buy-in, formation of community coalitions, community engagement, community participation, raising community awareness, involvement of leaders, and partnership building, and describes three key elements of mobilization success.

Parker RG. Empowerment, community mobilization and social change in the face of HIV/AIDS. AIDS (London, England). 1996;10(Suppl 3):S27–31.

Darrow WW, Montanea JE, Fernandez PB, Zucker UF, Stephens DP, Gladwin H. Eliminating disparities in HIV disease: community mobilization to prevent HIV transmission among Black and Hispanic young adults in Broward County, Florida. Ethn Dis. 2004;14(3 Suppl 1):S108–16.PubMed

King W, Nu’Man J, Fuller TR, Brown M, Smith S, Howell AV, et al. The diffusion of a community-level HIV intervention for women: lessons learned and best practices. JWomens Health(Larchmt). 2008;17(7):1055–66.

Person B, Cotton D. A model of community mobilization for the prevention of HIV in women and infants. Prevention of HIV in Women and Infants Demonstration Projects. Public Health Rep. 1996;111(Suppl 1):89–98.PubMed

Ramos RL, Hernandez A, Ferreira-Pinto JB, Ortiz M, Somerville GG. Promovision: designing a capacity-building program to strengthen and expand the role of promotores in HIV prevention. Health Promot Pract. 2006;7(4):444–9.PubMedCrossRef

Ziff MA, Harper GW, Chutuape KS, Deeds BG, Futterman D, Francisco VT, et al. Laying the foundation for Connect to Protect: a multi-site community mobilization intervention to reduce HIV/AIDS incidence and prevalence among urban youth. J Urban Health. 2006;83(3):506–22.PubMedCrossRef

Apinundecha C, Laohasiriwong W, Cameron MP, Lim S. A community participation intervention to reduce HIV/AIDS stigma, Nakhon Ratchasima province, northeast Thailand. AIDS Care. 2007;19(9):1157–65.PubMedCrossRef

Williams B, Campbell C. Community mobilization as an HIV prevention strategy: challenges and obstacles (South Africa). Sex Health Exch. 1999;2:4–6.PubMed

Jana S, Basu I, Rotheram-Borus MJ, Newman PA. The Sonagachi Project: a sustainable community intervention program. AIDS Educ Prev. 2004;16(5):405–14.PubMedCrossRef

10.

Kerrigan D, Telles P, Torres H, Overs C, Castle C. Community development and HIV/STI-related vulnerability among female sex workers in Rio de Janeiro, Brazil. Health Educ Res. 2008;23(1):137–45.PubMedCrossRef

11.

Ramesh BM, Beattie TSH, Shajy I, Washington R, Jagannathan L, Reza-Paul S, et al. Changes in risk behaviours and prevalence of sexually transmitted infections following HIV preventive interventions among female sex workers in five districts in Karnataka state, south India. Sex Transm Infect. 2010;86(Suppl 1):i17–24.PubMedCrossRef

12.

Reza-Paul S, Beattie T, Syed HUR, Venukumar KT, Venugopal MS, Fathima MP, et al. Declines in risk behaviour and sexually transmitted infection prevalence following a community-led HIV preventive intervention among female sex workers in Mysore, India. AIDS. 2008;22(Suppl 5):S91–100.PubMedCrossRef

13.

Khumalo-Sakutukwa G, Morin SF, Fritz K, Charlebois ED, van Rooyen H, Chingono A, et al. Project Accept (HPTN 043): a community-based intervention to reduce HIV incidence in populations at risk for HIV in sub-Saharan Africa and Thailand. J Acquir Immune Defic Syndr. 2008;49(4):422–31.PubMedCrossRef

14.

Denison JA, O’Reilly KR, Schmid GP, Kennedy CE, Sweat MD. HIV voluntary counseling and testing and behavioral risk reduction in developing countries: a meta-analysis, 1990–2005. AIDS Behav. 2008;12(3):363–73.PubMedCrossRef

15.

World Health Organization. Community Mobilization and HIV Counseling and Testing. World Health Organization; 2010. http://www.who.int/hiv/topics/vct/toolkit/components/community/en/index.html. Accessed 22 Feb 2010.

16.

Rogers EM. Diffusion of innovations. New York: Free Press; 1995.

17.

Coates TJ, Richter L, Caceres C. Behavioural strategies to reduce HIV transmission: how to make them work better. Lancet. 2008;372(9639):669–84.PubMedCrossRef

18.

Sweat MD, Denison JA. Reducing HIV incidence in developing countries with structural and environmental interventions. AIDS. 1995;9(Suppl A):S251–7.PubMed

19.

Yin RK. Case study research: design and methods. 4th ed. Los Angeles: Sage Publications; 2009.

20.

Stake RE. The art of case study research. Thousand Oaks: Sage Publications; 1995.

21.

Lincoln YS, Guba EG. Naturalistic inquiry. Thousand Oaks: Sage Publications; 1985.

22.

Altman DG. Sustaining interventions in community systems: on the relationship between researchers and communities. Health Psychol. 1995;14(6):526–36.PubMedCrossRef

23.

Cornish F, Ghosh R. The necessary contradictions of ‘community-led’ health promotion: a case study of HIV prevention in an Indian red light district. Soc Sci Med. 2007;64(2):496–507.PubMedCrossRef

24.

McHunu GG. The levels of community involvement in health (CIH): a case of rural and urban communities in Kwazulu-Natal. Curationis. 2009;32(1):4–13.PubMed

25.

Nhamo M, Campbell C, Gregson S. Obstacles to local-level AIDS competence in rural Zimbabwe: putting HIV prevention in context. AIDS Care. 2010;22(Suppl 2):1662–9.PubMedCrossRef

26.

Beeker C, Guenther-Grey C, Raj A. Community empowerment paradigm drift and the primary prevention of HIV/AIDS. Soc Sci Med. 1998;46(7):831–42.PubMedCrossRef

27.

Campbell C, Cornish F. Towards a “fourth generation” of approaches to HIV/AIDS management: creating contexts for effective community mobilisation. AIDS Care. 2010;22(Suppl 2):1569–79.PubMedCrossRef

28.

Narayan D, Cassidy MF. A dimensional approach to measuring social capital: development and validation of a social capital inventory. Curr Sociol. 2001;49(2):59–102.CrossRef

29.

Draper AK, Hewitt G, Rifkin S. Chasing the dragon: developing indicators for the assessment of community participation in health programmes. Soc Sci Med. 2010;71(6):1102–9.PubMedCrossRef

30.

Newman PA. Towards a science of community engagement. Lancet. 2006;367(9507):302.PubMedCrossRef

31.

Sweat M, Morin S, Celentano D, Mulawa M, Singh B, Mbwambo J, et al. Community-based intervention to increase HIV testing and case detection in people aged 16–32 years in Tanzania, Zimbabwe, and Thailand (NIMH Project Accept, HPTN 043): a randomised study. Lancet Infect Dis. 2011;11(7):525–32.PubMedCrossRef

32.

Spire B, de Zoysa I, Himmich H. HIV prevention: what have we learned from community experiences in concentrated epidemics? J Int AIDS Soc. 2008;11(1):5.PubMedCrossRef

33.

Nakibinge S, Maher D, Katende J, Kamali A, Grosskurth H, Seeley J. Community engagement in health research: two decades of experience from a research project on HIV in rural Uganda. Tropical Medicine & International Health: TM & IH. 2009;14(2):190–5.CrossRef

34.

Tindana PO, Singh JA, Tracy CS, Upshur RE, Daar AS, Singer PA, et al. Grand challenges in global health: community engagement in research in developing countries. PLoS Med. 2007;4(9):e273.PubMedCrossRef

35.

Campbell C, Foulis CA, Maimane S, Sibiya Z. The impact of social environments on the effectiveness of youth HIV prevention: a South African case study. AIDS Care. 2005;17(4):471–8.PubMedCrossRef

Title: No “Magic Bullet”: Exploring Community Mobilization Strategies Used in a Multi-site Community Based Randomized Controlled Trial: Project Accept (HPTN 043)
Authors: Virginia A. Tedrow
Carla E. Zelaya
Caitlin E. Kennedy
Stephen F. Morin
Gertrude Khumalo-Sakutukwa
Michael D. Sweat
David D. Celentano
Publication date: 01-07-2012
Publisher: Springer US
Published in: AIDS and Behavior / Issue 5/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-011-0009-9

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No “Magic Bullet”: Exploring Community Mobilization Strategies Used in a Multi-site Community Based Randomized Controlled Trial: Project Accept (HPTN 043)

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