What we have learned Questions for discussion Summary of what I learned Constance Ambasa-Shisanya, CLOUT firstname.lastname@example.org
Questions for discussion 1. Did our papers effectively engage social capital in a world with AIDS? Which conceptualization of social capital should guide the discourse of AIDS 2031? 2. How should states establish meaningful political, economic & social relationships with citizens/donors/NGOs for better management of HIV & AIDS? What % of national budgets should be spend on HIV & AIDS to foster sustainability? 3. How should we strengthen the M&E component with a view to measuring health outcomes of AIDS programs?
Questions for discussion 5. What effect will integration/mainstreaming of HIV & AIDS activities have on groups to the left? 6. How should the challenges of inter-generational sex & concurrent partners be addressed? 7. Should an Afrocentric approach to HIV & AIDS be the norm in SSA? i.e couple/group testing, PMTCT & drug adherence support groups
What was learned • Social capital is an essentially contested phenomenon. It is better understood from three perspectives: bonding, bringing and linking social capital • Material & technical inputs cannot translate into positive health outcomes. Instead, focus must be put on the quality & quantity of human relationships.
What was learned • In the African context, collective centered approach to relationships is important. Such a model could lead to effective uptake of HIV prevention measures e.g PMTCT, VCT • A gap exists in literature with regard to the link between social capital and HIV interventions
What was learned • Public health institutions should be reclaimed by changing policy & allocation of funds • Religious organizations support PLWHAs but also exclude them by linking infection to sin • Culture either enhances or hinders adoption of HIV prevention measures
What was learned • Empowerment of women through access to land and female condoms could protect them from HIV infection • Culture of AIDS response is problematic; it rewards PLWHAs at the expense of those who have attempted to avoid infections • Need to focus on prevention than treatment & care
What was learned • Governments should develop long-term plans to engage the epidemic rather than continue relying on donor support • Measurement of HIV stigma and the work of NGOs is crucial • Funding distorts management of the epidemic in many settings • Need arises to focus interventions on the whole population rather than on PLWHAs
What was learned • Must be cognizant to cultural & structural constraints that hinder men to apply safer drug injecting practices & safer sexual behavior • Effective leadership is essential in determining the success of programs such as the response of civil societies to HIV/AIDS • Donors- support TASO
What was learned • NGOs reduce HIV prevalence rates & roll out ARVs in SSA • Community based cash transfer could be a viable strategy in strengthening resilience of orphans & vulnerable children • Micro-enterprises empower FSWs by giving them alternative livelihood when they wish to exit sex work