A Surprising Prevention Success: Why Did the HIV Epidemic Decline in Zimbabwe?

Halperin, Daniel T.; Mugurungi, Owen; Hallett, Timothy B.; Muchini, Backson; Campbell, Bruce; Magure, Tapuwa; Benedikt, Clemens; Gregson, Simon

doi:10.1371/journal.pmed.1000414

Cited by 147 publications

(133 citation statements)

References 28 publications

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“…Experiences with IPV expose women to ill health. IPV also increases mental stress, which may potentially lower immune function making women more vulnerable tocontracting HIV if exposed 7,8 . Being in an abusive relationship may also lower a women's negation power to demand safe sex or seek and sustain treatment.…”

Section: Resultsmentioning

confidence: 99%

“…This study expands upon Fidan and Bui's study to move beyond a patriarchal explanation, 5 and employs an African feminist framework 6 to show the connection between IPV and HIV by examining partners' hypermasculinist traits and women's access to education and health services. To fully examine the relationship, we examine both proximate indicators and macro structural factors 7 . This analysis seeks to examine the relationship between IPV and HIV, and whether structural factors affect this association.…”

Section: Introductionmentioning

confidence: 99%

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Intimate Partner Violence and HIV Status among Ever-Married and Cohabiting Zimbabwean Women: An Examination of Partners’ Traits

Henderson

Zerai

Morrow

2017

Afr J Reprod Health

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This study examines the connection between intimate partner violence (IPV) and Human Immunodeficiency Virus status among married and cohabitating women in Zimbabwe using an African feminist framework. Stata 13.0 was used to analyze data from the 2010-2011 Zimbabwe Demographic and Health Survey, which used a national probability sample of households in the country of Zimbabwe. This study used logistic regression to analyze the 2,830 ever-married or cohabitating women who also answered the violence and spousal traits questionnaire as well as provided blood samples. RésuméCette étude examine le lien entre la violence conjugale (VPI) et le statut VIH chez les femmes zimbabwéennes mariées et les femmes qui vivent maritalement en utilisant un cadre féministe africain. Stata 13.0 a été utilisé pour analyser les données de l'enquête démographique et de santé du Zimbabwe 2010-2011, qui a utilisé un échantillon aléatoire national de ménages dans le pays du Zimbabwe. Cette étude a utilisé la régression logistique pour analyser les 2 830 femmes déjà mariées ou qui vivent maritalement ont également répondu au questionnaire sur la violence et les traits conjugaux, ainsi que des échantillons de sang. La régression logistique a révélé que les femmes qui avaient subi de la violence (odds ratio = 1,29, IC [1,00, 1,67]) ou des fractures (odds ratio = 2,39, IC [1,19,4,77]) étaient plus susceptibles d'être séropositives; tandis que ceux avec des contusions (odds ratio = -.64 CI [.41, .99]) étaient moins susceptibles. Les femmes avec des partenaires qui sont des suiveurs (odds ratio = 1,28, IC [1,04, 1,59]) étaient plus susceptibles d'être séropositifs. La culture patriarcale et hypermasculiste, démontrée par la violence, contribue à la probabilité du VIH chez les femmes et les partenaires. Un changement culturel au plus haut niveau sera nécessaire pour prévenir le VPI et réduire la propagation du VIH. (Afr J Reprod Health 2017; 21[4]: 45-54).

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intimate Partner Violence and HIV Status among Ever-Married and Cohabiting Zimbabwean Women: An Examination of Partners’ Traits

Henderson

Zerai

Morrow

2017

Afr J Reprod Health

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“…The country’s success in tackling the HIV/AIDS epidemic is a case in point. Despite a harsh political and economic climate, Zimbabwe reduced HIV prevalence from 29% in 1997 to 16% in 2007, largely due to community awareness and behavior change [11,12]. This demonstrated community resilience makes it possible for us to rebuild and strengthen the health system rather than starting from scratch.…”

mentioning

confidence: 99%

The future of health in Zimbabwe

Kidia¹

2018

Global Health Action

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In November 2017, following a military intervention, Robert Mugabe was forced to resign as president of Zimbabwe – where he had ruthlessly ruled since 1980. Mugabe’s regime was responsible for destroying the country’s excellent health system. I argue that this is a unique moment for health reform in Zimbabwe. This reform should focus on three areas: (1) repairing relationships with the international community by focusing on human rights and eliminating corruption, (2) strengthening the health workforce through retention strategies, training, and non-specialist providers, and (3) community engagement. The future of Zimbabwe’s health system is in limbo, and now is a unique opportunity to make positive change.

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“…In Table 3 an analysis that was pub lished in 2011 [10] is reexamined from the perspective of plausibility and complex adaptive systems.…”

Section: Other Plausible Examples Of Complex Adaptive Change Processesmentioning

confidence: 99%

“…One thing is certain, the 2011 account was developed by highlevel academics and despite deliberate attempts to identify specific rational causes of the overall decline, none was identified, which goes some way to plausibly suggest that the perspective we have presented may have the potential to be applied on a national scale. [10] analysis of the Zimbabwean decline in prevalence.…”

Section: Other Plausible Examples Of Complex Adaptive Change Processesmentioning

confidence: 99%

Complex adaptive HIV/AIDS risk reduction: Plausible implications from findings in Limpopo Province, South Africa

Burman

Aphane

2016

S Afr Med J

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A Surprising Prevention Success: Why Did the HIV Epidemic Decline in Zimbabwe?

Abstract: Daniel Halperin and colleagues examine reasons for the remarkable decline in HIV in Zimbabwe, in the context of severe social, political, and economic disruption.

Cited by 147 publications

References 28 publications

Intimate Partner Violence and HIV Status among Ever-Married and Cohabiting Zimbabwean Women: An Examination of Partners’ Traits

Intimate Partner Violence and HIV Status among Ever-Married and Cohabiting Zimbabwean Women: An Examination of Partners’ Traits

The future of health in Zimbabwe

Complex adaptive HIV/AIDS risk reduction: Plausible implications from findings in Limpopo Province, South Africa

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