Basic themes | Issues discussed in CCs | Organising themes | Global themes |
---|---|---|---|
Condom distribution | • Improving HIV services | (1) CCs allow community members to develop concrete action plans to cope with HIV | Community conversations (CCs) facilitate HIV competence |
• How best to care for PLWHA | |||
Distributing food | |||
Strategies to reduce stigma | (Part I) | ||
Keeping vegetable gardens | |||
Home based care | |||
Engaging with the Church | |||
Participants felt motivated | • Participants want to play a role in the HIV response | (2) CCs provide community members with an opportunity to work with outside facilitators | |
• Careful and respectful facilitation by outsiders | |||
encouraged to action their plans | |||
• Facilitators enabled new ways of thinking | |||
Valued by facilitators | |||
Challenging damaging norms | |||
Local strengths | • Recognition of the importance of a common purpose | (3) CCs allow community members to work towards a common goal | |
Local barriers to action | |||
• Importance of taboo subjects to be discussed and ways to collectively overcome stigma | |||
Collective action for more openness | |||
Recognition of lack of individual agency | • Need to act, develop solutions and translation information into action | (4) CCs can facilitate problem solving | |
Potential of the collective to turn information into action | |||
Sharing of personal stories | • Recognition that HIV is not a family issue but a community responsibility | (5) CCs can overcome HIV-related silence and stigma | |
Recognising the scale of HIV | |||
• Improvements in HIV communication | |||
Easier to talk about HIV | |||
Good health because of ART | • ART has enabled local efforts to implement action plans | (6) Facilitators of HIV competence | Contextual factors influencing HIV competence |
ART has meant HIV is no longer a death sentence | |||
(Part II) | |||
Poverty | • Poverty, droughts and inflation made it sometimes difficult for community members to respond to HIV as they wanted. | (7) Barriers to HIV competence | |
Poor harvests | |||
Risky behaviours | • Poverty and hunger fuelled risky sexual behaviour | ||
• Political situation meant some community members feared meeting in groups | |||
Political upheaval | Â | Â | Â |