What Works for Women and Girls

A campaign in South Africa, One Man Can, by Sonke Gender Justice Network, whichprovided training over the period of one year to engage men in gender awareness, implementeda range of communication strategies to shift social norms about men’s roles andresponsibility, engaged in advocacy and worked with local government, and resulted inmen’s positive attitude shifts regarding gender based violence. Phone surveys with arandomly selected pool of previous One Man Can Campaign workshop participantswere conducted with 2,000 men and boys. Focus group discussion, in-depth interviewsand key informant interviews were also conducted. Following the training workshops,50% reported acts of gender-based violence that the men had witnessed so that appropriateaction could be taken to protect women. Workshops included 20 to 30 participantsand took place over four to five days, using interactive and experiential activities.The One Man Can Campaign used community events, workshops and peer educationto create positive models of masculinity around PPT, VCT, HIV prevention, home-basedcare, violence, multiple concurrent partnerships and alcohol abuse. Pre- and post-testsurveys showed positive changes toward gender equitable attitudes that would assistHIV prevention: prior to the workshop, 63% of the men believed that it is acceptablefor men to beat their partners; after the workshop, 83% disagreed with the statement;prior to the workshop, 96% of the men believed that they should not interfere in otherpeople’s relationships, even if there is violence; after the workshop, all believed theyshould interfere (Colvin, 2009). (Gray III) (men, gender norms, condom use, gender relations,violence, South Africa)2. Establishing comprehensive post-rape care protocols, which include PEP, can improveservices for women.Implementation of an intervention between 2003 and 2006 consisting of establishinga sexual violence advisory committee, instituting a hospital rape management policy,training for providers, centralizing and coordinating post-rape care in a designatedroom and community awareness campaigns in South Africa resulted in utilizationof services from 8 to 13 cases per month. Rape survivors who reported seeing six ormore providers on the first visit decreased from 86% to 54%. Chart reviews and patientinterview suggested improved quality of history, exam, provision of pregnancy testing,emergency contraception, STI treatment, VCT, PEP, following counseling and referrals.Following the intervention, patients were more likely to report having received PEP,to have received a full 28 day course on their first visit and to have completed the full28 day regimen. Providing anti-emetics for control of nausea, a common side effect ofPEP, may have increased completion of PEP as well. There was a reduction from 28hours to 18 hours between the assault and receiving the first dose of PEP and 49% ofsurvivors knew that PEP was given to prevent HIV infection, as compared to 13% priorto the intervention. Post-intervention, survivors were 27% more likely to have beengiven a pregnancy test and 37% more likely to have received any VCT. Project nurses304 CHAPTER 11 STRENGTHENING THE ENABLING ENVIRONMENT