Home delivery of results revealed significantly higher demand to know HIV status than stubbornly low uptake figures from the past would suggest. Integrating VCT into other services, locating testing centres in less visible surroundings, or directly confronting stigma surrounding testing may be less expensive ways to reproduce increased uptake with home VCT.
In order to examine the sexual behaviour of a highly mobile social group, qualitative data and quantitative data were elicited from 212 private motorbike taxi-men, locally called bodabodamen, from two study sites in Masaka, Uganda. Selection criteria were availability and willingness to participate in the study. Research techniques employed were a questionnaire, focus group discussions, in-depth interviews and case studies. Findings indicate that bodabodamen are a highly mobile group who engage in frequent seasonal rural-urban migration. Consequent to this, bodabodamen have a wide network of both occasional and regular sexual partnerships. Both serial and concurrent multiple partnerships are with adults, youths, widows, students, sugar-mummies, barmaids, commercial sex workers, tailors. Exchange plays a significant role in sexual negotiations but the act of giving to a sexual partner is ambivalent in its social interpretation. Since bodabodamen have regular access to cash, they have higher bargaining power for sex. Implications for HIV/AIDS prevention are discussed.
Market trading requires access to cash, independent decision-making, mobility and social interaction. This study sought to explore whether market work empowers women with respect to spending decisions and negotiation over sex and condom-use. A semi-structured questionnaire was administered to 212 market women; and 12 focus group discussions and 52 in-depths interviews were conducted among market women in southwestern Uganda. Market women reported high levels of independence, mobility, assertiveness and social interaction. Access to cash was not synonymous with control over it, however. Spending decisions were limited by men's ability to selectively withdraw finances for expenditures central to women's concerns including household and children's needs. Trading in markets earns women masculine labels such as kiwagi, characterized variously as independent, rebellious and insubordinate. Earning money does not change expectations of correct behaviour for wives, making it difficult for women to initiate, deny sex or ask for condoms. Independence and income from market work may make it easier for women to enter and exit new sexual relationships. However, unable to protect themselves within partnerships, HIV risk may increase as a result.
Although constitutionally illegal, induced abortion is a vital reproductive health option in Uganda. This paper analyses men's narratives about meanings of, and experiences with, abortion. Men play significant roles in abortion as instigators, facilitators, collaborators, transporters, advisors, informers, supporters or punishment givers. Many participants were knowledgeable about abortion. Attitudes were ambivalent, with initial reactions of denial and relegation of abortion to women's private domains. Further exploration, however, revealed active support and involvement of men. Interpretations of abortion ranged from 'dependable saviour' to 'deceptive sin'. Though a private action, abortion is socially scripted and often collectively determined by wider social networks of kinsmen, the community, peers, law and religion. A disjuncture exists between dominant public health discourse and the reality of local men who interact with women and girls as wives, lovers, sex sellers, mothers, daughters and sisters. Interventions targeting men about abortion should include safe sex education, provide safe abortion services and create stronger social support mechanisms. Policy and law should incorporate local knowledge and practice. RÉSUMÉ "L'avortement? Cela c'est pour les femmes!" Narrations et témoignages des auto-cyclistes commerciaux au sud-ouest de l'Ouganda. Quoique l'avortement provoqué soit constitutionnellement illégal, il demeure une option importante de la santé de reproduction en Ouganda. Cet article fait une analyse des narrations de la part des hommes sur la signification de l'avortement et leurs expériences face à l'avortement. Les hommes jouent des rôles importants en tant qu'instigateurs, animateurs, collaborateurs, transports, conseillers, informateurs, soutiens ou donateurs de punition. Beaucoup de participants étaient renseignés sur l'avortement. Les attitudes étaient ambivalentes et il y avaient des réactions initiales des dénégations et du renvoi de l'avortement au domains privés de la femme alors qu'une exploration davantage, a révélé un soutien et une implication actifs. Les interprétations de l'avortement variaient d'un sauveur sur qui l'on peut compter "jusqu'à un péché déceptif ". Quioqu'une action privée, l'avortement est préparé d'avance et souvent collectivement déterminé par un réseau social plus large de parents de la communauté, des pairs, la loi et la religion. Il y a une disparité entre le discours de la santé publique dominante et la réalité des hommes locaux qui entretiennent des rapports entre les femmes et les jeunes filles en tant qu'épouses, amantes, vendeuses de sexe, mères, filles et soeurs. L'intervention qui vise les hommes à l'égard de l'avortement doit comprendre l'éducation sexuelle sans danger, assurer les services de l'avortement sans danger et créer des mécanismes de soutien social plus forts. La politique générale et la loi doivent incorporer la connaissance et la politique locales. (Rev Afr Santé Reprod 2005; 9[1]: 142-161 )
This article reports findings from a study conducted among 212 private motorbike-taxi riders, locally called bodabodamen, from two study sites-a slum area and the urban center of Masaka town. Qualitative and quantitative methods were triangulated; a questionnaire, focus group discussions, in-depth interviews, case studies, and interactive workshops were all used. There were high levels of awareness of HIV, much more than sexually transmitted diseases (STDs), because many participants had closely experienced HIV/AIDS. Knowledge about sexual health contained several misconceptions, misinformation, and myths rooted in both the historical and contemporary social cultural context. Due to high illiteracy levels, bodabodamen cannot access many standard health education materials issued by government and private health organizations through the print and electronic media, as well as those published in languages other than the local vernacular. These (and possibly other) disadvantaged groups remain at risk of HIV and STDs. Especial efforts need to be made to provide appropriate health education.
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