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Exploring the role of cognitive and structural forms of social capital in HIV/AIDS trends in the Kagera region of Tanzania - a grounded theory study

Frumence, Gasto; Eriksson, Malin; Nystrom, Lennarth; Killewo, Japhet and Emmelin, Maria LU (2011) In African Journal of AIDS Research 10(1). p.1-13
Abstract
The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews were carried out to represent the range of experiences of existing social capital. Both structural and cognitive social capital were active avenues for community members to come together, empower each other, and develop norms, values, trust and reciprocal relations. This empowerment created an... (More)
The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews were carried out to represent the range of experiences of existing social capital. Both structural and cognitive social capital were active avenues for community members to come together, empower each other, and develop norms, values, trust and reciprocal relations. This empowerment created an enabling environment in which members could adopt protective behaviours against HIV infection. On the one hand, we observed that involvement in formal and informal organisations resulted in a reduction of numbers of sexual partners, led people to demand abstinence from sexual relations until marriage, caused fewer opportunities for casual sex, and gave individuals the agency to demand the use of condoms. On the other hand, strict membership rules and regulations excluded some members, particularly excessive alcohol drinkers and debtors, from becoming members of the social groups, which increased their vulnerability in terms of exposure to HIV. Social gatherings (especially those organised during the night) were also found to increase youths' risk of HIV infection through instances of unsafe sex. We conclude that even though social capital may at times have negative effects on individuals' HIV-prevention efforts, this study provides initial evidence that social capital is largely protective through empowering vulnerable groups such as women and the poor to protect against HIV infection and by promoting protective sexual behaviours. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Africa, behaviour change, community empowerment, health behaviour, HIV, AIDS, sexual behaviour
in
African Journal of AIDS Research
volume
10
issue
1
pages
1 - 13
publisher
Taylor & Francis
external identifiers
  • wos:000291805500001
  • scopus:84860401163
ISSN
1608-5906
DOI
10.2989/16085906.2011.575543
language
English
LU publication?
yes
id
4f5d16bf-797c-488b-9401-ab0520baf60a (old id 2056889)
date added to LUP
2011-08-02 09:02:15
date last changed
2017-11-05 03:16:54
@article{4f5d16bf-797c-488b-9401-ab0520baf60a,
  abstract     = {The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews were carried out to represent the range of experiences of existing social capital. Both structural and cognitive social capital were active avenues for community members to come together, empower each other, and develop norms, values, trust and reciprocal relations. This empowerment created an enabling environment in which members could adopt protective behaviours against HIV infection. On the one hand, we observed that involvement in formal and informal organisations resulted in a reduction of numbers of sexual partners, led people to demand abstinence from sexual relations until marriage, caused fewer opportunities for casual sex, and gave individuals the agency to demand the use of condoms. On the other hand, strict membership rules and regulations excluded some members, particularly excessive alcohol drinkers and debtors, from becoming members of the social groups, which increased their vulnerability in terms of exposure to HIV. Social gatherings (especially those organised during the night) were also found to increase youths' risk of HIV infection through instances of unsafe sex. We conclude that even though social capital may at times have negative effects on individuals' HIV-prevention efforts, this study provides initial evidence that social capital is largely protective through empowering vulnerable groups such as women and the poor to protect against HIV infection and by promoting protective sexual behaviours.},
  author       = {Frumence, Gasto and Eriksson, Malin and Nystrom, Lennarth and Killewo, Japhet and Emmelin, Maria},
  issn         = {1608-5906},
  keyword      = {Africa,behaviour change,community empowerment,health behaviour,HIV,AIDS,sexual behaviour},
  language     = {eng},
  number       = {1},
  pages        = {1--13},
  publisher    = {Taylor & Francis},
  series       = {African Journal of AIDS Research},
  title        = {Exploring the role of cognitive and structural forms of social capital in HIV/AIDS trends in the Kagera region of Tanzania - a grounded theory study},
  url          = {http://dx.doi.org/10.2989/16085906.2011.575543},
  volume       = {10},
  year         = {2011},
}