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Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention.

Publication ,  Journal Article
Maman, S; Kajula, L; Balvanz, P; Kilonzo, M; Mulawa, M; Yamanis, T
Published in: Global public health
December 2016

Gender inequality is at the core of the HIV patterns that are evident in sub-Saharan Africa. Gender-based violence (GBV) and lack of economic opportunity are important structural determinants of HIV risk. We piloted a microfinance and health promotion intervention among social networks of primarily young men in Dar es Salaam. Twenty-two individuals participated in the microfinance component and 30 peer leaders were recruited and trained in the peer health leadership component. We collected and analysed observational data from trainings, monitoring data on loan repayment, and reports of peer conversations to assess the feasibility and acceptability of the intervention. Eighteen of the loan recipients (82%) paid back their loans, and of these 15 (83%) received a second, larger loan. Among the loan defaulters, one died, one had chronic health problems, and two disappeared, one of whom was imprisoned for theft. The majority of conversations reported by peer health leaders focused on condoms, sexual partner selection, and HIV testing. Few peer leaders reported conversations about GBV. We demonstrated the feasibility and acceptability of this innovative HIV and GBV prevention intervention. The lessons learned from this pilot have informed the implementation of a cluster-randomised trial of the microfinance and peer health leadership intervention.

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Published In

Global public health

DOI

EISSN

1744-1706

ISSN

1744-1692

Publication Date

December 2016

Volume

11

Issue

10

Start / End Page

1202 / 1215

Related Subject Headings

  • Young Adult
  • Women's Rights
  • Tanzania
  • Social Support
  • Small Business
  • Sexual Behavior
  • Public Health
  • Pilot Projects
  • Peer Group
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
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Maman, S., Kajula, L., Balvanz, P., Kilonzo, M., Mulawa, M., & Yamanis, T. (2016). Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention. Global Public Health, 11(10), 1202–1215. https://doi.org/10.1080/17441692.2015.1094105
Maman, Suzanne, Lusajo Kajula, Peter Balvanz, Mrema Kilonzo, Marta Mulawa, and Thespina Yamanis. “Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention.Global Public Health 11, no. 10 (December 2016): 1202–15. https://doi.org/10.1080/17441692.2015.1094105.
Maman S, Kajula L, Balvanz P, Kilonzo M, Mulawa M, Yamanis T. Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention. Global public health. 2016 Dec;11(10):1202–15.
Maman, Suzanne, et al. “Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention.Global Public Health, vol. 11, no. 10, Dec. 2016, pp. 1202–15. Epmc, doi:10.1080/17441692.2015.1094105.
Maman S, Kajula L, Balvanz P, Kilonzo M, Mulawa M, Yamanis T. Leveraging strong social ties among young men in Dar es Salaam: A pilot intervention of microfinance and peer leadership for HIV and gender-based violence prevention. Global public health. 2016 Dec;11(10):1202–1215.

Published In

Global public health

DOI

EISSN

1744-1706

ISSN

1744-1692

Publication Date

December 2016

Volume

11

Issue

10

Start / End Page

1202 / 1215

Related Subject Headings

  • Young Adult
  • Women's Rights
  • Tanzania
  • Social Support
  • Small Business
  • Sexual Behavior
  • Public Health
  • Pilot Projects
  • Peer Group
  • Male