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Table 2 Coding framework

From: The role of community conversations in facilitating local HIV competence: case study from rural Zimbabwe

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