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2004-2005 Toward Equality: The Global Empowerment of Women
Focus Group IV: Bridging the Gap
between People and Prevention/Policy: Social Science and
Sexual Health
Co-Chairs/Members: Bolane Adetoun, Kawango Agot,
Akosua Adomako Ampofo, Shanti Parikh
Goal Statement:
There is a widely recognized disconnect between HIV/AIDS
and sexual health policy and intervention and the experienced
realities and lives of the people and communities most
affected by the epidemic. As the spread of the epidemic
accelerates, it has become evident that the behavioral
health and risk reduction models used to understand
and address the epidemic are inadequate. These traditional
behavioral health models often assume that populations
are undifferentiated (by sex or class), that males and
females have equal control over their sexual health
decisions, that individuals act autonomously, and that
culture is an impediment to risk reduction. Such assumptions
narrowly define the spread of HIV as a problem of the
individual and fail to account for the political economy-or,
the socio-cultural and economic embeddedness and structural
inequalities-surrounding sexual and sexual health decisions.
In some ways, this failure to account for context and
structural inequalities is practical. Social scientists
often present theories and methods that appear too abstract
and too widely cast to be incorporated into a single
policy or intervention. Our challenge is to translate
social science theories and gender analysis into usable
terms for policy-makers and prevention programs.
The Sexuality/Health working group seeks to advance
the working relationship between social science theory
and methods and sexual health and HIV/AIDS policy-making
and intervention programs. We propose to address this
gap by developing conceptual frameworks that consider
both the social, economic, political, and gendered structures
on one hand, and people's understandings and lived experiences
of sexuality and sexual health decision-making on the
other. Through our individual NCS research projects
we will bridge the gap between feminist theory and HIV/AIDS
intervention by considering the multi-leveled socialization
of sexuality among young people in Ghana, how the analytic
concept of power can be used to investigate male/female
relationships in Nigeria, how widows in Kenya understand
the practice of widow inheritance and the associated
risk to HIV within the local gender and cultural landscapes,
and how a law intended to protect girls from preying
older males has been misappropriated by communities
in ways that strengthens patriarchal control over the
female body and reduces female sexual agency in Uganda.
The conceptual frameworks and findings from each of
these studies will be used as examples for how social
science can be used to inform and evaluate policy and
intervention in ways that brings the voices of people
and the realities of community unity and hierarchies
into the intervention creation and evaluation process.
Next Steps:
- Post our individual NCS project proposals to WebCT,
- Identify 1-2 research articles that effectively
illustrate how social science can inform
and /or evaluate HIV/AIDS and sexual health policy
and prevention efforts
- Begin designing a conceptual framework from our
individual NCS research projects that highlights how
social science methods and theory can inform HIV/AIDS
policy and prevention
Long-Term Projects:
- Facilitate a seminar that brings social scientists
working on issues of sex, gender, and power into dialogue
with sexual health policy makers and designers of
intervention programs. The site being discussed for
this seminar is Ghana and a collaborating organization
is CODESDA. The intention of this seminar is to foster
a longer-term mechanism through which social science
departments/scholars and HIV/AIDS agencies and policy-makers
can collaborate.
- Create a special edition of a journal available
in sub-Saharan Africa that provides analysis of how
social science theory and methods can be effectively
used to inform policy and intervention. Potential
Africa-based journals include African Journal of Reproductive
Health published in Nigeria and Feminist Africa published
by the African Gender Institute in Cape Town.
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