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尼日利亚西南部失学青年女性中的暴力与艾滋病预防:从针对小贩和学徒的干预措施中吸取的经验教训

Violence and HIV/AIDS prevention among female out-of-school youths in southwestern Nigeria: lessons learnt from interventions targeted at hawkers and apprentices.

作者信息

Fawole O I, Ajuwon A J, Osungbade K O

机构信息

Department of Epidemiology, Medical Statistics and Environmental Health, College of Medicine, University of Ibadan, Nigeria.

出版信息

Afr J Med Med Sci. 2004 Dec;33(4):347-53.

PMID:15977443
Abstract

Between 1997 and 2003, four studies on hawkers and apprentices in motor parks and work shops in south west, Nigeria were carried out to evaluate the effectiveness of interventions aimed at preventing HIV infection and gender based violence (GBV). The studies were in 3 phases namely baseline survey, intervention and end line survey. Interventions consisting of:--development and distribution of education materials and training programmes for the police, judiciary, instructors, drivers, traders and apprentices/hawkers, including micro-credit facilities were implemented in some of the studies. The major lessons learnt were that: Young girls working in the informal sector of the Nigerian economy face dual risks of HIV infection and GBV and yet they are seldom targets of intervention; Many had been victims of GBV and did not seek redress either because they accept it is their lot, are afraid of being stigmatized or are put off the prolonged legal system; Perpetrators tend to deny their involvement in violence; Despite the challenges involved, interventions implemented among female apprentices and hawkers, especially those that involve multiple stakeholders, made a difference in protecting this group from dual risks of GBV and HIV/AIDS infection. We recommend more intervention programmes for this population, and regulation of activities in the informal sector of the Nigerian economy.

摘要

1997年至2003年间,在尼日利亚西南部的汽车停车场和车间对小贩及学徒开展了四项研究,以评估旨在预防艾滋病毒感染和性别暴力(GBV)的干预措施的有效性。这些研究分三个阶段进行,即基线调查、干预措施实施和终线调查。部分研究实施了以下干预措施:为警察、司法人员、教员、司机、商贩及学徒/小贩编写和分发教育材料并开展培训项目,其中包括小额信贷机制。从中得到的主要经验教训包括:在尼日利亚经济的非正规部门工作的年轻女孩面临艾滋病毒感染和性别暴力的双重风险,但她们很少成为干预目标;许多人曾是性别暴力的受害者,却未寻求补救,原因或是她们认为这是自己的命运,或是害怕被污名化,或是被漫长的法律程序所阻碍;犯罪者往往否认自己参与了暴力行为;尽管存在诸多挑战,但在女学徒和女小贩中实施的干预措施,尤其是那些涉及多个利益相关方的措施,在保护这一群体免受性别暴力和艾滋病毒/艾滋病感染的双重风险方面发挥了作用。我们建议针对这一人群开展更多干预项目,并对尼日利亚经济非正规部门的活动进行监管。

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