Building partnerships to support community-led HIV/AIDS management: a case study from rural South Africa

Nair, Yugi; Campbell, Catherine

doi:10.2989/ajar.2008.7.1.6.434

Cited by 39 publications

(33 citation statements)

References 24 publications

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“…This finding emphasises the importance of the work conducted by NGOs and other organisations similar to the LSP (Ochieng, 2003). NGOs provide the support environment required for a successful empowerment process where alliances and partnerships between peer educators and influential community agencies (Campbell, 2004;Campbell & Mzaidume, 2002;Nair & Campbell, 2008) can be established. NGOs can also provide spaces where peer educators can fulfil their desires to belong to a group (Selikow et al, 2009) and simultaneously learn the positive norms that are essential when serving as peer role models.…”

Section: Discussionmentioning

confidence: 79%

“…Campbell and Mzaidume (2002) as well as Campbell (2004) argued that peer education should aim to create supportive social environments. This goal can be accomplished through: alliances between peer educators and influential groups (Campbell & Mzaidume, 2002); collaborations between stakeholder groups at local, national, and international levels (Campbell, 2004); and partnerships between marginalised communities and support agencies such as NGOs (Nair & Campbell, 2008). According to Campbell, Foulis, Maimane, and Sibiya (2005), health-supporting social environments encourage young people's social and political participation, facilitate their empowerment, and promote affirmative attitudes toward youth and their sexuality (see also, Campbell & Cornish, 2010).…”

Section: Peer Education and Empowermentmentioning

confidence: 99%

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Empowering Adolescents to Engage in Healthy Behaviours Through Peer Leadership Training in the Townships of Cape Town

Karlsson

Andersson

Johansson

2014

ijcyfs

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This paper investigated peer educators' perceptions of their selfempowerment, learning, and experiences of being a peer educator within the Leadership South Programme (LSP) in Cape Town, South Africa. The data about the peer educators' perceptions was gathered through open-ended questionnaires and qualitative interviews and analysed through thematic content analysis. The results showed that peer educators' self-esteem, confidence, and motivation increased, as did their knowledge and skills related to communication, supporting, and motivating peers and clients. Additionally, the results showed that education based on trainee resources and strengths successfully promoted healthy behaviours and fostered health promotion among the adolescents living in the townships of Cape Town.Keywords: empowerment, adolescents, peer education, training of trainers, health promotion, healthy behaviour, South Africa Acknowledgements: This article is dedicated to the memory of Graham Vivian Phippen (1948, who was the founder and leader of the LSP in Cape Town for 16 years. Graham continues to inspire us and we thank him for his support and assistance in implementing this study. We share the grief over his sudden death in 2012 with his relatives, colleagues, and friends.

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Section: Discussionmentioning

confidence: 79%

Section: Peer Education and Empowermentmentioning

confidence: 99%

Empowering Adolescents to Engage in Healthy Behaviours Through Peer Leadership Training in the Townships of Cape Town

Karlsson

Andersson

Johansson

2014

ijcyfs

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“…The Entabeni project struggled to develop linking social capital between the group and supportive external partners, despite the energetic efforts of the project's ECA (Nair and Campbell, ). As discussed later, although local and provincial government departments, such as the Department of Health, the Department of Social Welfare and the local municipality, were keen to become involved in the project in principle, in reality, resource constraints, inflexible hierarchical work structures and lack of staff confidence constrained their involvement.…”

Section: Resultsmentioning

confidence: 99%

“…As discussed later, although local and provincial government departments, such as the Department of Health, the Department of Social Welfare and the local municipality, were keen to become involved in the project in principle, in reality, resource constraints, inflexible hierarchical work structures and lack of staff confidence constrained their involvement. Two small, cash‐strapped NGOs became trusted partners but could only provide limited support to the group, given their resource and staffing limitations (Nair & Campbell, ).…”

Section: Resultsmentioning

confidence: 99%

Social Contexts and Building Social Capital for Collective Action: Three Case Studies of Volunteers in the Context of HIV and AIDS in South Africa

Gibbs

Campbell

Akintola

et al. 2014

Community & Applied Soc Psy

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Social capital is increasingly conceptualised in academic and policy literature as a panacea for a range of health and development issues, particularly in the context of HIV. In this paper, we conceptualise social capital as an umbrella concept capturing processes including networks, norms, trust and relationships that open up opportunities for participation and collective action that allow communities to address issues of common concern. We specifically outline social capital as comprising three distinct forms: bonding, bridging and linking social capital. Rather than presenting original data, we draw on three well-documented and previously published case studies of health volunteers in South Africa. We explore how social contexts shape the possibility for the emergence and sustainability of social capital. We identify three cross-cutting contextual factors that are critical barriers to the emergence of social capital: poverty, stigma and the weakness of external organisations' abilities to support small groups. Our three case studies suggest that the assumption that social capital can be generated from the ground upwards is not reasonable. Rather, there needs to be a greater focus on how those charged with supporting small groups-non-governmental organisations, bureaucracies and development agencies-can work to enable social capital to emerge.

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“…Aveling argues that while this provides local actors with important material and social capital in the HIV response, such representations and professionalising activities simultaneously perpetuate the inequalities that exist between international NGOs and local actors, undermining community leadership and recognition of local strengths. Nair and Campbell [24], reflecting on their experiences as facilitators of partnership-formations in South Africa, note both a misrecognition of local strengths (the capacity of community health volunteers to address challenges of the HIV epidemic), and the limited capacity of external change agents (who in turn are steered by their donors) to work productively with local actors in support of a community response, obstructing goals of local ownership and equal stakeholder involvement. They go on to argue that rather than focusing on the capacity needs of local actors, there is an equal need to strengthen the skills and competencies of HIV service providers to work with community structures.…”

Section: Introductionmentioning

confidence: 99%

Getting off on the wrong foot? How community groups in Zimbabwe position themselves for partnerships with external agencies in the HIV response

et al. 2017

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BackgroundPartnerships are core to global public health responses. The HIV field embraces partnership working, with growing attention given to the benefits of involving community groups in the HIV response. However, little has been done to unpack the social psychological foundation of partnership working between well-resourced organisations and community groups, and how community representations of partnerships and power asymmetries shape the formation of partnerships for global health. We draw on a psychosocial theory of partnerships to examine community group members’ understanding of self and other as they position themselves for partnerships with non-governmental organisations.MethodsThis mixed qualitative methods study was conducted in the Matobo district of Matabeleland South province in Zimbabwe. The study draws on the perspectives of 90 community group members (29 men and 61 women) who participated in a total of 19 individual in-depth interviews and 9 focus group discussions (n = 71). The participants represented an array of different community groups and different levels of experience of working with NGOs. Verbatim transcripts were imported into Atlas.Ti for thematic indexing and analysis.ResultsGroup members felt they played a central role in the HIV response. Accepting there is a limit to what they can do in isolation, they actively sought to position themselves as potential partners for NGOs. Partnerships with NGOs were said to enable community groups to respond more effectively as well as boost their motivation and morale. However, group members were also acutely aware of how they should act and perform if they were to qualify for a partnership. They spoke about how they had to adopt various strategies to become attractive partners and ‘supportable’ – including being active and obedient.ConclusionsMany community groups in Zimbabwe recognise their role in the HIV response and actively navigate representational systems of self and other to showcase themselves as capable actors. While this commitment is admirable, the dynamics that govern this process reflect knowledge encounters and power asymmetries that are conditioned by the aid architecture, undermining aspiring efforts for more equitable partnerships from the get-go.

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Building partnerships to support community-led HIV/AIDS management: a case study from rural South Africa

Cited by 39 publications

References 24 publications

Empowering Adolescents to Engage in Healthy Behaviours Through Peer Leadership Training in the Townships of Cape Town

Empowering Adolescents to Engage in Healthy Behaviours Through Peer Leadership Training in the Townships of Cape Town

Social Contexts and Building Social Capital for Collective Action: Three Case Studies of Volunteers in the Context of HIV and AIDS in South Africa

Getting off on the wrong foot? How community groups in Zimbabwe position themselves for partnerships with external agencies in the HIV response

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