'Leaving no one behind': reflections on the design of community-based HIV prevention for migrants in Johannesburg's inner-city hostels and informal settlements

BMC Public Health
Fiona ScorgieSinead Delany-Moretlwe

Abstract

Unmanaged urban growth in southern and eastern Africa has led to a growth of informal housing in cities, which are home to poor, marginalised populations, and associated with the highest HIV prevalence in urban areas. This article describes and reflects on the authors' experiences in designing and implementing an HIV intervention originally intended for migrant men living in single-sex hostels of inner-city Johannesburg. It shows how formative research findings were incorporated into project design, substantially shifting the scope of the original project. Formative research activities were undertaken to better understand the demand- and supply-side barriers to delivering HIV prevention activities within this community. These included community mapping, a baseline survey (n = 1458) and client-simulation exercise in local public sector clinics. The intervention was designed and implemented in the study setting over a period of 18 months. Implementation was assessed by way of a process evaluation of selected project components. The project scope expanded to include women living in adjacent informal settlements. Concurrent sexual partnerships between these women and male hostel residents were common, and HIV prevalence was higher ...Continue Reading

References

Jan 1, 1991·International Journal of Health Services : Planning, Administration, Evaluation·K JochelsonJ P Leger
Mar 9, 2005·Journal of Community Health·Nicholas FreudenbergDavid Vlahov
Aug 23, 2006·Culture, Health & Sexuality·Jonathan Stadler, Sinead Delany
Mar 16, 2007·Journal of Urban Health : Bulletin of the New York Academy of Medicine·David VlahovSandro Galea
Feb 6, 2009·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Catherine CampbellYugi Nair

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