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Process evaluation of the Intervention with Microfinance for AIDS and Gender Equity (IMAGE) in rural South Africa

Hargreaves, J, Hatcher, A, Strange, V, Phetla, G, Busza, J, Kim, J, Watts, C, Morison, L, Porter, J, Pronyk, P and Bonell, C (2010) Process evaluation of the Intervention with Microfinance for AIDS and Gender Equity (IMAGE) in rural South Africa HEALTH EDUCATION RESEARCH, 25 (1). pp. 27-40.

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Abstract

The Intervention with Microfinance for AIDS and Gender Equity (IMAGE) combines microfinance, gender/HIV training and community mobilization (CM) in South Africa. A trial found reduced intimate partner violence among clients but less evidence for impact on sexual behaviour among clients' households or communities. This process evaluation examined how feasible IMAGE was to deliver and how accessible and acceptable it was to intended beneficiaries during a trial and subsequent scale-up. Data came from attendance registers, financial records, observations, structured questionnaires (378) and focus group discussions and interviews (128) with clients and staff. Gender/HIV training and CM were managed initially by an academic unit ('linked' model) and later by the microfinance institution (MFI) ('parallel' model). Microfinance and gender/HIV training were feasible to deliver and accessible and acceptable to most clients. Though participation in CM was high for some clients, others experienced barriers to collective action, a finding which may help explain lack of intervention effects among household/community members. Delivery was feasible in the short term but both models were considered unsustainable in the longer term. A linked model involving a MFI and a non-academic partner agency may be more sustainable and is being tried. Feasible models for delivering microfinance and health promotion require further investigation.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
AuthorsEmailORCID
Hargreaves, JUNSPECIFIEDUNSPECIFIED
Hatcher, AUNSPECIFIEDUNSPECIFIED
Strange, VUNSPECIFIEDUNSPECIFIED
Phetla, GUNSPECIFIEDUNSPECIFIED
Busza, JUNSPECIFIEDUNSPECIFIED
Kim, JUNSPECIFIEDUNSPECIFIED
Watts, CUNSPECIFIEDUNSPECIFIED
Morison, LUNSPECIFIEDUNSPECIFIED
Porter, JUNSPECIFIEDUNSPECIFIED
Pronyk, PUNSPECIFIEDUNSPECIFIED
Bonell, CUNSPECIFIEDUNSPECIFIED
Date : 1 February 2010
Identification Number : 10.1093/her/cyp054
Uncontrolled Keywords : Social Sciences, Science & Technology, Life Sciences & Biomedicine, Education & Educational Research, Public, Environmental & Occupational Health, INTIMATE-PARTNER VIOLENCE, WOMENS EMPOWERMENT, HEALTH KNOWLEDGE, CREDIT PROGRAMS, BANGLADESH, TRIALS, IMPACT, POOR, HIV
Related URLs :
Additional Information : This is a pre-copy-editing, author-produced PDF of an article accepted for publication in HEALTH EDUCATION RESEARCH following peer review. The definitive publisher-authenticated version HEALTH EDUCATION RESEARCH 25(1):27-40 is available online at http://her.oxfordjournals.org/content/25/1/27.
Depositing User : Symplectic Elements
Date Deposited : 27 Jun 2014 16:02
Last Modified : 27 Jun 2014 16:02
URI: http://epubs.surrey.ac.uk/id/eprint/800152

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