|
Barriers
|
-
Societal
and cultural norms
-
Economic
dependence from younger women (sugar daddy)
-
Proving
a sense of manhood by taking on younger sex partners
-
Low
risk perception
|
-
Access
to male-friendly HTS services
-
Financial
implications (travel cost, loss of work wages to go for testing)
-
No
benefit for knowing status
-
Increased
emotional trauma from knowing status
-
Low
risk perception
-
Assuming
their partner’s result is their result
|
-
Adherence
-
Lack
of knowledge about where to access services
-
Stigma
of being seen at the clinic and everyone assuming the reasons
for HIV
-
Loss
of time and wages
-
Worries
about money and medication
-
Lack
of knowledge about viral load, etc.
|
|
Facilitating
Factors
|
-
Availability
of information about risks adult men pose to younger women
-
HIV
infection rates of men to younger women
-
Obligation
to protect women and not abuse their power as men
-
Shift
in social norms – unacceptability of older men to be with
younger women
|
|
-
Availability
of ART at any public facility
-
Women
supporting heath seeking behaviors
-
Differentiated
care model
|
|
Communications
Objectives
|
-
Increase
negative perceptions in the community about older men / young
women relationships
-
Increase
perception of HIV risk
|
-
Increase
self-efficacy for HTS and all HIV prevention, care and treatment
services
-
Increase
awareness on the benefits of early diagnosis and routine couple
testing
-
Increase
knowledge of where to access community HTS, including HIV
self-testing
|
-
Increase
knowledge about viral load, disease progression and how ART
interrupts disease progression
-
Increase
knowledge about where to access services
|
|
Key
Messages
|
-
A
real man doesn’t abuse his power to have sex with a young
woman.
-
Positive
African culture promotes protection of women and girls.
-
A
real man does not use force to get sexual pleasure.
-
Child
relations is a violation of human rights.
-
Would
you want an older man with your daughter? Then why are you with
his?
|
-
Real
men take responsibility for the risks they take, man up – get
tested.
-
Your
partner’s HIV status isn’t yours, get tested.
-
Life
doesn’t end with an HIV test, now I know what to do.
-
Real
men know their status, get tested today.
-
I’m
in charge of my life, I know my HIV status.
-
HIV
services are free, get tested.
-
*80%
of people with HIV have TB, get screened for TB.
-
Knowledge
is power, know your status.
-
Your
family and community are important – get tested, know your
status, protect them.
|
-
Staying
on medications keeps you healthy and able to work.
-
I
adhere to my treatment, I feel great, now I can get back to
work.
-
Now
I’m able to provide for my family, because I take my
medications consistently.
-
I
don’t have to do this alone, I can get support from family and
friends to stay on treatment.
Want
to stop HIV in its tracks? Take your medication.
|
|
Activities
|
-
Mass
media campaigns raising awareness of HTS, TB/HIV coinfection,
HIV prevention, care and treatment
-
Men’s
forum community dialogues with leaders to create safe spaces for
dialogue
-
Awareness
campaign (on benefits of disclosure)
-
Record
and air testimonials of people with lived experiences, i.e. life
after an HIV test, living with HIV, etc.
-
Community
mobilization events at places where older men gather through
leaders in the community
-
Develop
and implement bulk SMS messages
-
Distribution
of IEC material at social clubs, work place health days,
sporting events, bars
-
Improve
male-friendly clinic-based services
|
|
Indicators
|
-
%
of target audience expressing negative perceptions to older men
young women relationships.
-
%
of adult men who report increased HIV health risk perception
-
%
of adult men who report high self-efficacy for accessing HTS and
HIV prevention, care and treatment services
-
%
target audience who recall the benefits of early diagnosis and
routine couple testing
-
%
increase in the number of people testing for HIV as couples
-
%
of adult men who report that they know where to access HTS
(including HIV self-testing), HIV prevention and care and
treatment services
-
%
of target audience with accurate knowledge of HIV services and
benefits of ART
|
