Keeping our core values ALIV[H]E. Holistic, community-led, participatory and rights-based approaches to addressing the links between violence against women and girls, and HIV
“…For this reason, the Action Linking Initiatives on Violence Against Women and HIV Everywhere (ALIV[H]E) framework was developed by a team of global health experts as an applied research implementation framework that can be used to guide research with vulnerable populations experiencing sexual forms of violence (Salamander Trust et al, 2017). The framework includes the recommendation of a paradigm shift for researchers from “evidence-based” to “evidence-informed” research, as the former may often exclude participatory research approaches from the community of interest and the latter promotes approaches that are holistic and inclusive of diversities of survivors of sexual violence, promoting claiming of their sexual rights (Hale et al, 2018). In research with survivors, the ALIV[H]E framework may be implemented to guide research activities designed to promote recognition that emerging adults who have experienced sexual violence may have intersecting identities that may influence their experiences, how they process experiences, and is an assets-based approach illuminating how social identities intersect with structural and social systems of power (Hale et al, 2018).…”
Health researchers have had increasing calls to include vulnerable populations in research to tailor inclusive evidence-based practice interventions. The inclusion of vulnerable populations in research is sensitive and complex. Sensitive topics such as dating and sexual violence are especially complex, with emerging adults the highest risk group for all forms of sexual violence and an especially hard-to-reach population for inclusion in research. Impacts of trauma, including physiological and psychological, complex needs of survivors, and potential for revictimization during interactions when participating in research must be considered. Researchers must be equipped with specialized, trauma-informed skills to safely and ethically conduct all aspects of research. Using the trauma-informed framework, the purpose of this paper is to discuss the complexities of conducting research with emerging adult survivors of sexual violence and to explore evidence-based approaches that can safely include this vulnerable population through the application of trauma-informed approaches. The use of evidence-based, trauma-informed research approaches tailored to engage this population in research can further help to develop effective interventions that are context-sensitive to emerging adults.
“…For this reason, the Action Linking Initiatives on Violence Against Women and HIV Everywhere (ALIV[H]E) framework was developed by a team of global health experts as an applied research implementation framework that can be used to guide research with vulnerable populations experiencing sexual forms of violence (Salamander Trust et al, 2017). The framework includes the recommendation of a paradigm shift for researchers from “evidence-based” to “evidence-informed” research, as the former may often exclude participatory research approaches from the community of interest and the latter promotes approaches that are holistic and inclusive of diversities of survivors of sexual violence, promoting claiming of their sexual rights (Hale et al, 2018). In research with survivors, the ALIV[H]E framework may be implemented to guide research activities designed to promote recognition that emerging adults who have experienced sexual violence may have intersecting identities that may influence their experiences, how they process experiences, and is an assets-based approach illuminating how social identities intersect with structural and social systems of power (Hale et al, 2018).…”
Health researchers have had increasing calls to include vulnerable populations in research to tailor inclusive evidence-based practice interventions. The inclusion of vulnerable populations in research is sensitive and complex. Sensitive topics such as dating and sexual violence are especially complex, with emerging adults the highest risk group for all forms of sexual violence and an especially hard-to-reach population for inclusion in research. Impacts of trauma, including physiological and psychological, complex needs of survivors, and potential for revictimization during interactions when participating in research must be considered. Researchers must be equipped with specialized, trauma-informed skills to safely and ethically conduct all aspects of research. Using the trauma-informed framework, the purpose of this paper is to discuss the complexities of conducting research with emerging adult survivors of sexual violence and to explore evidence-based approaches that can safely include this vulnerable population through the application of trauma-informed approaches. The use of evidence-based, trauma-informed research approaches tailored to engage this population in research can further help to develop effective interventions that are context-sensitive to emerging adults.
“…Yet as other work by women living with HIV and partners has repeatedly shown, there is a chronic need to feed diverse community perspectives into evaluation and research frameworks and to broaden what constitutes the evidence base. 80 Far from ‘biasing’ research findings, it will make them much more relevant and useful to the women themselves who may be using the medications. Calling for meaningful involvement of women living with HIV in clinical trials should not be seen as a call to jeopardise or abandon the technique of double blinding in trials, which of course applies even to the clinicians, who do not know which individual is on which drug.…”
Section: Ensuring Our Srhr and Our Priorities: The Perspective Of A Global Hiv Gender And Srhr Activistmentioning
2journals.sagepub.com/home/tai black women were under-recruited by around 35%. They also found that despite most of the global burden of HIV being in low and low-middle-income countries, most of the trials were carried out in high and high-middle-income countries. A systematicreview 5 of HIV cure research published in 2015 found that women, as well as older people and those of non-white ethnicities were profoundly under-represented.This pattern of under-recruitment is not only seen in HIV, but in many disease areas including cardiovascular disease, 7 cancer, 8 and mental health conditions. 9 Sex and gender differences 10 in the prevalence,incidence, 11 symptomatology, andprogression 12 of a range of diseases have been described, as have differences in responses to treatment. These differences in treatment responses are likely to be attributable to differences in how the body deals with a drug (pharmacokinetics) and the effect of the drug on the body (pharmacodynamics). This may affect the efficacy and tolerability of thedrug. 13 Importantly, sex 14 and gender 15 inequalities 16 in social and economic power also have a large impact on health outcomes, affecting health-seeking behaviour, access to, and utilisation of healthcare services.journals.sagepub.com/home/tai 13Visit SAGE journals online journals.sagepub.com/ home/tai
“…Box 2 summarises guiding principles for social norms programmes, based on evidence from diverse sources that have been useful in our experience. 1 , 14–22 Guiding principles gathered from a selection of social norms programmes Do no harm 1 , 18 , 19 Use intersectional, gender-power analysis 1 , 15 , 17 , 19 , 20 Ensure sustained commitment in communities 1 , 15 , 19 , 20 Support theory- and evidence-informed innovations 1 , 17 , 19 , 20 , 22 , 23 Promote personal and collective critical reflection through aspirational programming 1 , 19 Support and invest in staff and community activists/facilitators 14 , 18 , 21 Promote meaningful involvement of community 1 , 20 , 21 Work across the ecological model and change matrixsup 1 , 17 , 19 Original organisation* to provide technical support 19 Use a whole-society approach (as opposed to e.g. single-sex interventions) 1 , 15 , 16 * “Original organisation” refers to the organisation that developed the methodology …”
Section: Background On Scale and Social Normsmentioning
confidence: 99%
“…While several other evaluation approaches – such as whole systems action research, realist evaluation, qualitative comparative analysis, and outcome mapping – are better suited to address the complexity of social change, donors and academics still look to RCTs as the primary evaluation tool. 20 , 41 …”
Section: Lessons For Implementation At Scalementioning
In the past decades, donors and development actors have been increasingly mindful of the evidence to support long-term, dynamic social norms change. This paper draws lessons and implications on scaling social norms change initiatives for gender equality to prevent violence against women and girls (VAWG) and improve sexual and reproductive health and rights (SRHR), from the Community for Understanding Scale Up (CUSP). CUSP is a group of nine organisations working across four regions with robust experience in developing evidence-based social norms change methodologies and supporting their scale-up across various regions and contexts. More specifically, the paper elicits learning from methodologies and experiences from five CUSP members-GREAT, IMAGE, SASA!, Stepping Stones, and Tostan. The discussion raises political questions around the current donor landscape including those positioned to assume leadership to take such methodologies to scale, and the current evaluation paradigm to measure social norms change at scale. CUSP makes the following recommendations for donors and implementers to scale social norms initiatives effectively and ethically: invest in longer-term programming, ensure fidelity to values of the original programmes, fund women's rights organisations, prioritise accountability to their communities and demands, critically examine the government and marketplace's role in scale, and rethink evaluation approaches to produce evidence that guides scale-up processes and fully represents the voices of activists and communities from the Global South.
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