Table 1.
Social barriers to TasP | ||||
---|---|---|---|---|
CM domains | Stigma related to testing, care, and treatment | Increased knowledge (diminish fears) about testing and treatment | Gender norms around testing and treatment | Social support around testing and treatment |
Building shared concerns and community consciousness |
*2-Day intensive and single session workshops -focus on community stigma around testing/treatment *Door to door outreach *Digital stories and film screening *Engaging with clinic staff |
*Street theater-focused on barriers to testing/treatment *Digital stories and films on testing and care experiences *Door to door outreach *Educational events |
*2-Day and intensive and single session workshops on gender norms and the benefits/barriers to men engaging in testing and care *Street theater addressing gender norms |
*2-Day intensive and single session group workshops-focused on community barriers to testing and treatment *Door to door outreach *Digital stories screening |
Engaging leadership and stakeholders (includes traditional leaders, religious leaders, clinic leaders, other community stakeholders) |
*Engaging leaders around importance of TasP and barriers in community *Intensive workshops with leaders on HIV stigma, testing/treatment *Pursuing leadership commitments to achieving village testing and treatment targets (goal setting) |
*Engaging leaders around importance of TasP and barriers in community *Monthly 1-day small group workshops focused on benefits of testing and treatment in community |
*Engaging leaders around the importance of men engaging in health care *Seek support from leadership to enter places of work, taverns, places where men congregate |
*Identifying home based care support groups in CAT development *Engaging leaders in creating support networks for testing and treatment as a community benefit *Goal setting with leadership |
Orgs/networks (includes NGOs, CBOs, CATs, other family or community groups/networks) | *Working with the key groups to openly support and include testing and treatment in their work in the communities | *Working with key groups to understand how testing and care can improve community well-being *Message dissemination through networks. |
*Working with the key groups (employers, small businesses, sport teams, etc..) to support engagement of men in testing/care *Dialogues with church leaders addressing support for male testing/care |
*Identifying home-based care groups and PLWH in CAT development *Partnering with support and treatment networks *Founding community support groups |
Collective action | *Murals that address stigma related to testing and treatment *Events to support testing campaigns/treatment access *Encouraging Tsima members and affiliates to HIV test together |
*Soccer tournaments that highlight importance of testing and treatment *Events to support testing campaigns/treatment access *Home education (open house) events for networks/groups |
*Community events/forums that address gender norms and accessing HIV care *Murals that address gender norms and HIV care | *Community events conducted by CATS, PLWH, and home-based care groups to increase community support around TaSP *Encouraging Tsima members and affiliates to HIV test together |
Social cohesion | *Visible community support (events/forums) to reduce stigma–working with PLWH *Community events to dialogue around how stigma affects the community and how communities can respond |
*Identifying home based care groups and PLWH in CAT development–providing safe space for discussion and support *Events to support stronger care and treatment networks |
*Dialogues with men’s groups or associations–addressing male support for testing/care. *Building CATs with men, including men LWH |
*Work with home-based care and CATS to establish PLWH support networks *Extend networks and activities to families *Join CATs, local leaders, and clinic staff in testing and treatment strategies. |