Combined Intimate Partner Violence and HIV/AIDS Prevention in Rural Uganda: Design of the SHARE Intervention Strategy

August 2015 - Combination Prevention

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Wagman, J.A., King, E.J., Namatovu, F., et al. Health Care for Women International (June 2015), e-publication ahead of print.

The Safe Homes and Respect for Everyone (SHARE) intervention was implemented by Rakai Health Services Programs (RHSP) between 2005 and 2009 in rural Uganda and combined HIV services with community outreach and messages on preventing intimate partner violence (IPV). The program reached 3,236 households in Rakai and was associated with significant declines in IPV. The authors of this article described how SHARE’s IPV prevention strategies were integrated into RHSP's existing HIV programming. SHARE partnered with RHSP’s Health Education and Community Mobilization (HECM) team to raise awareness in intervention regions about how IPV increases women’s risk for HIV infection, and contracting HIV increases women's vulnerability to abuse. SHARE also trained the HECM team to incorporate messages about HIV and IPV prevention within educational materials and during occasions when people gather. SHARE participants also received general medical and HIV prevention and treatment services via 17 mobile clinics. Additionally, SHARE established peer groups in each intervention region and implemented a 10-session learning program in schools and central locations on topics including sex and love, HIV and sexually transmitted infections, gender equality, and the importance of mutually consensual sex. The authors concluded that HIV programmers in other sub-Saharan African settings should consider adopting SHARE's approach as a standard of care for preventing IPV and HIV infection.

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