Past

Strategic Framework and Implementation Guidelines for Reducing HIV-related Stigma in India

Globally, stigma and discrimination impede HIV prevention, testing and treatment efforts. Yet research by ICRW and others shows that stigma and discrimination can be reduced in different contexts, such as the community and health facilities, thus contributing to the success of HIV programs and services.

India’s National AIDS Control Organisation (NACO) recognizes HIV-related stigma as a key challenge to controlling the epidemic. With support from the United Nations Development Program (UNDP) and in collaboration with NACO, ICRW designed and tested a strategic framework and implementation guidelines for stigma reduction in multiple settings in India. The framework built on one previously developed by a global working group made up of stigma experts and led by ICRW. The framework for India identifies key entry points for stigma-focused programming and measurement.  

ICRW also provided technical support to select organizations in applying the framework and guidelines for stigma reduction.  ICRW then collected data on the organizations’ experiences in applying the tools and used the information to finalize the strategic framework and implementation guidelines. The final tools as well as study outcome was widely disseminated to guide policymakers and practitioners in addressing HIV-related stigma and discrimination at the local and national levels.

Overall, ICRW found that the global framework was relevant to the Indian context and feasible for use by organizations and institutions in guiding stigma-reduction program development, implementation and measurement. Learning from the pilot interventions offers guidelines for broader implementation.

Duration: 
November 2011 to March 2013
Location(s): 
India

Examining Men’s Attitudes toward Son Preference

Son preference is well-documented in many countries of the Asia-Pacific region. Sons are seen as essential for the survival of the family and are given greater value than daughters, resulting in skewed sex ratios, female feticide and higher child mortality.

Previous ICRW research has shown that solutions to limit son preference must address the underlying parental motivations for son preference and sex selection. Men can play lead roles in transforming harmful cultural and traditional norms and practices, and it is critical to better understand their unique role in sex selection in order to form effective policies and programs to reduce this practice.

ICRW will partner with the United Nations Population Fund's (UNFPA) Asia and the Pacific Regional Office (APRO) to conduct a quantitative survey in Nepal and Vietnam of men’s attitudes towards gender equity, gender-based violence and son preference. The study will adapt the International Men and Gender Equality Survey (IMAGES), a comprehensive survey designed to measure men’s attitudes and behavior on gender, health, violence, family dynamics, fatherhood and other issues. The results of the survey will be widely disseminated to guide policies and programs that aim to reduce son preference practices.

Duration: 
2011 – 2012
Location(s): 
Nepal
Location(s): 
Vietnam

Measuring Women's Economic Empowerment

Women’s economic empowerment is critical for reducing poverty and achieving broader health and development objectives. However, there is limited evidence on how programs can economically empower women and which measures can be used to know whether programs are effective.  

ICRW, with funding from the U.K. Department for International Development, created a conceptual framework for measuring women’s economic empowerment that takes into account their capacity to earn income as well as their ability to make decisions and control resources.

The framework reflects the latest thinking on economic empowerment, ICRW’s experience and discussions ICRW had with staff and participants during site visits to economic development programs in Bangladesh, Cambodia, India, Laos and Nepal. The framework also incorporates feedback from a workshop that ICRW convened with donors, multilateral institutions and implementing partners to discuss the applicability of the framework for measuring women’s economic empowerment.

Duration: 
2010 – 2011
Location(s): 
Bangladesh
Location(s): 
Cambodia
Location(s): 
India
Location(s): 
Laos
Location(s): 
Nepal

Universal Access to HIV/AIDS Services

Women and girls face unique barriers to accessing HIV prevention, treatment and care. As part of the Universal Access for Women and Girls Now! project, led by the United Nations Development Program (UNDP), ICRW will examine the lives of women and girls in two unique settings in India: female sex workers in Maharashtra and wives of migrant men in Orissa. Research shows that these women are particularly vulnerable to HIV and AIDS, but there is still a need to know more about how best to minimize their risk and increase their access to services.  

Through surveys and in-depth interviews with these women, their spouses or partners and the health practitioners in the region, ICRW will explore the factors that prevent the women from accessing HIV and AIDS services. ICRW will coordinate with India’s National AIDS Control Organisation (NACO) to develop an action plan to respond to the epidemic, and make recommendations on how to help women overcome legal, economic and social barriers to health services. 

Duration: 
2009 - 2011
Location(s): 
India
Location(s): 
Related Publications: 

Action Research in Tanzania on HIV Prevention and Protection for Older Girls

ICRW, in collaboration with Pact Tanzania, TAMASHA and ViiV Healthcare's Positive Action, aims to understand and address the multiple HIV-related risks and vulnerabilities of girls ages 12-17 in four wards of Newala district in southern Tanzania.

Young women from these wards are trained in participatory research methods to conduct a situation analysis in their communities. The aim of this analysis is to better understand the gender-specific vulnerabilities of older girls to HIV.

Based on this information, ICRW and its partners work with the young researchers and community stakeholders to develop and assess a program model to meet the needs of older girls. The extent to which program activities are meeting these needs, and the opportunities and resources available to enhance programming is also assessed.

Duration: 
2009 - 2011
Location(s): 
Tanzania

Promoting Action-Oriented Research on Violence

Evaluations of programs working to end violence against women note that there is a need for greater coherence between evidence, policy and programs. Although global research studies have shed light on intimate-partner violence, there are still many forms of violence against women which are not well documented or understood.

To address this, ICRW, worked in partnership with the Medical Research Council (MRC) of South Africa and the Gender-Based Violence Prevention Network, to promote action-oriented research on violence against women in East and Southern Africa. The initiative linked local implementing organizations with research institutions to conduct joint research on violence against women and apply the findings to improve programs. ICRW and MRC supported the research institutions as they provided technical assistance and oversight, mentoring and training for implementing organizations.

The initiative aimed to increase the capacity of local organizations to conduct rigorous research to improve their programs. Additionally, the research studies established a regional evidence base to inform policies and programs to eliminate violence against women. 

Duration: 
2008 - 2012
Location(s): 
Ethiopia
Location(s): 
Kenya
Location(s): 
Malawi
Location(s): 
Rwanda
Location(s): 
South Africa
Location(s): 
Tanzania
Location(s): 
Uganda

Making Public Spaces Safe for Women

Women and girls are frequently subject to violence and abuse – from physical and verbal harassment to assault and rape – on city streets, public transportation or in their own neighborhoods. Such daily occurrences limit the rights and freedoms of women as equal citizens to enjoy their neighborhoods and cities.

ICRW worked with UNIFEM to develop ways to make public spaces safer for women and girls. The program, Safe Cities Free of Violence Against Women and Girls, was the first-ever global comparative effort to develop a model that was rigorously evaluated for its processes and impact across different settings. The goal of the program was to develop and test a global model which can be replicated and tailored to the specificities of local contexts.

ICRW collaborated with local partners on project design and the impact evaluation strategy. The project aimed to improve women’s safety by empowering women within the community, encouraging community advocacy for safer spaces, partnering with local governments, working with men and boys, and raising public awareness through the media.

Duration: 
2009 - 2010
Location(s): 
Egypt
Location(s): 
Papua New Guinea
Location(s): 
India
Location(s): 
Ecuador
Location(s): 
Rwanda

Empowering Communities to Empower Girls

ICRW collaborated with the Nike Foundation, Tostan and the Centre for Research in Human Development to improve the well-being of adolescent girls in 55 communities in Kaolack and Thiès, Senegal. This project is part of Tostan's Community Empowerment Program (CEP), which provides communities with the skills and knowledge to improve their living conditions in a sustainable way. The project involved adolescent girls in CEP program activities that included modules on democracy, human rights, problem solving, hygiene, health, literacy and management skills.

ICRW conducted an evaluation of the project and provided support to Tostan to integrate gender throughout the life of the project. ICRW also worked with Tostan to build its capacity to conduct future evaluations to measure the effects of its programs on social change and gender equity.

Duration: 
2009 - 2012
Location(s): 
Senegal

Monitoring and Evaluation Assistance for the World Bank Development Marketplace

The World Bank’s Development Marketplace program in South Asia funds innovative approaches to reduce stigma and discrimination associated with HIV and AIDS. Since few successful stigma programs have been monitored and well documented, ICRW worked with the World Bank to record lessons learned and promising approaches from the 26 grant recipients of the Development Marketplace program.

ICRW worked intensively with grantees to help them develop a monitoring and evaluation plan for their projects. Throughout the grantees’ implementation phase, we provided tailored technical guidance on program design, effective messaging, and measurement and evaluation tools. ICRW then led a global monitoring and evaluation workshop in New Delhi to further strengthen the capacity of the grantees. We also encouraged them to reflect on the implementation process and discuss challenges and potential solutions.

In the report, Tackling HIV-Related Stigma and Discrimination in South Asia, published by the World Bank, the research team summarizes monitoring, evaluation and case study data, revealing that a number of strategies were particularly effective in raising awareness about stigma and discrimination, and shifting, albeit slowly, attitudes, norms and behaviors.

Duration: 
2008 - 2010
Location(s): 
Bangladesh
Location(s): 
Nepal
Location(s): 
India
Location(s): 
Afghanistan
Location(s): 
Pakistan
Location(s): 
Sri Lanka

HIV Stigma Reduction in Cambodia

HIV-related stigma and discrimination hampers the effective prevention, treatment and care of people living with the virus. ICRW worked with Pact Cambodia’s REACH project to customize a toolkit for communities designed to combat HIV stigma and discrimination and adapted to reflect local realities. ICRW and Pact also created two new toolkits to address stigma and discrimination against entertainment workers and men who have sex with men. Material for the new modules was developed through participatory workshops with local nongovernmental organizations (NGOs) and other stakeholders. These local NGOs field-tested the toolkits, providing feedback for finalization of the materials before widely distributing the toolkits.

Duration: 
2009 - 2010
Location(s): 
Cambodia
Location(s): 
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