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AIDS and Behavior
Published in: AIDS and Behavior 4/2014

Open Access 01-04-2014 | Original Paper

Investing in Communities: Evaluating the Added Value of Community Mobilization on HIV Prevention Outcomes Among FSWs in India

Authors: Anne Sebert Kuhlmann, Christine Galavotti, Philip Hastings, Pradeep Narayanan, Niranjan Saggurti

Published in: AIDS and Behavior | Issue 4/2014

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Abstract

Community mobilization often requires greater time and resource investments than typical interventions, yet few evaluations exist to justify these investments. We evaluated the added benefit of community mobilization on HIV prevention outcomes among female sex workers (FSWs) using a composite measure of volunteer participation in program committees by FSWs. After adjusting for treatment propensity, we used multilevel structural equation modeling (MSEM) to test our program theory. We hypothesized that stronger community mobilization would be associated with increased levels of consistent condom use and with increased levels of perceived fairness, mediated by psychosocial processes. Community mobilization had an indirect effect on consistent condom use mediated through social cohesion and an indirect effect on perceived fairness mediated by collective efficacy. Our results suggest higher levels of community mobilization help improve condom use and reduce perceived discrimination beyond the effects of the core HIV intervention program. We recommend further testing of this model.
Footnotes
1
HIV/AIDS Alliance was the state lead implementing partner.
 
2
Calculated from reported mean sum divided by reported number of items.
 
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Metadata
Title
Investing in Communities: Evaluating the Added Value of Community Mobilization on HIV Prevention Outcomes Among FSWs in India
Authors
Anne Sebert Kuhlmann
Christine Galavotti
Philip Hastings
Pradeep Narayanan
Niranjan Saggurti
Publication date
01-04-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0626-6

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