Lu Tiffany, Zwicker Lindsey, Kwena Zachary, Bukusi Elizabeth, Mwaura-Muiru Esther, Dworkin Shari L
Department of Medicine Residency Training Program, Massachusetts General Hospital, Boston, MA 02114, USA.
AIDS Educ Prev. 2013 Apr;25(2):151-63. doi: 10.1521/aeap.2013.25.2.151.
Despite the recognized need for structural HIV prevention interventions, few scientific programs have integrated women's property and inheritance rights with HIV prevention and treatment. The current study focused on a community-led land and property rights intervention that was implemented in two rural areas of Western Kenya with high HIV prevalence rates (24-30%). The program was designed to respond to women's property rights violations in order to reduce HIV risk at the local level. Through in-depth interviews with twenty program leaders, we identified several facilitators to program implementation, including the leadership of home-based HIV caregivers and involvement of traditional leaders in mediating property rights disputes. We also identified the voluntary basis of the intervention and its lack of integration with the formal justice system as implementation barriers. Our findings can guide future research and design of structural HIV prevention strategies that integrate women's economic empowerment through property and inheritance rights.
尽管人们认识到需要开展结构性的艾滋病预防干预措施，但很少有科学项目将妇女的财产和继承权与艾滋病预防及治疗相结合。当前的研究聚焦于一项由社区主导的土地和财产权干预措施，该措施在肯尼亚西部两个艾滋病高流行率（24%-30%）的农村地区实施。该项目旨在应对侵犯妇女财产权的行为，以便在地方层面降低艾滋病风险。通过对20名项目负责人进行深入访谈，我们确定了项目实施的几个促进因素，包括家庭艾滋病护理人员的领导作用以及传统领导人参与调解财产权纠纷。我们还确定了干预措施的自愿性质及其与正式司法系统缺乏整合是实施障碍。我们的研究结果可为未来研究以及设计通过财产和继承权增强妇女经济权能的结构性艾滋病预防策略提供指导。
