A/HRC/26/17
E/CN.6/2014/8
methodology. The team leads a series of workshops in which participants question
harmful constructs of masculinity and femininity and build positive alternatives.
15. The Coalition has detailed, in its second annual report to the Trust Fund, how
the programme has decreased stigma, increased the use of condoms and reduced the
number of men with concurrent sexual partners, all of which lessen the risk of
contracting and spreading HIV/AIDS. Women report an increased ability to
negotiate sexual practices, while couples report more fluid communication and a
decrease in the use of physical and emotional violence as a means to settle conflict.
In addition, village chiefs have banned harmful practices such as “sexual
cleansing”. 6 These results demonstrate that, when owned by communities, sustained
activities decrease the social acceptability of violence against women and of
discrimination against people living with HIV/AIDS.
16. The Uganda-based civil society organizations Raising Voices and the Centre
for Domestic Violence Prevention used community-led activism and mobilization to
help bring about changes in behaviour and attitudes towards violence against
women and girls. Support from the Trust Fund allowed the successful SASA!
methodology, designed by Raising Voices, to be scaled up. This community-focused
violence and HIV prevention programme challenges power imbalances between men
and women through a series of sustained activities that support community members
through different stages of behaviour change, from awareness of the issue, to
support for women and men in creating change, to action against violence. For three
years, the programme, which was recently the subject of an external evaluation in
terms of its processes, provided technical assistance and mentored 13 grass-roots
organizations in Botswana, Burundi, Ethiopia, Kenya, Uganda and the United
Republic of Tanzania. In feedback provided as part of the evaluation, participating
organizations reported that the partnership gave them vital tools to continue rolling
out the methodology in their communities. Grass-roots activists, women and men,
also acknowledged that their own attitudes and behaviours towards gender-based
violence and HIV/AIDS were positively transformed.
17. A separate evaluation of the impact of the SASA! programme was conducted
by the London School of Hygiene and Tropical Medicine and included a randomized
controlled trial in four intervention sites and four control sites in Uganda, which
showed the impact of the initiatives over a period of 2.8 years. In communities
where the programme had been implemented (intervention sites), 76 per cent of
women and men believe that physical violence against a partner is not acceptable;
the corresponding figure in the control communities is 26 per cent. In addition,
28 per cent more women and men in participating communities than in control
communities consider that it is acceptable for a woman to refuse sex. Levels of
physical partner violence against women are 52 per cent lower in intervention sites
than in control communities. Finally, 27 per cent of men in participating
communities reported having multiple concurrent sexual partners; the corresponding
figure in the control communities is 45 per cent. These figures suggest that
supporting systematic and sustained interventions can help to significantly reduce
the social acceptability of intimate partner violence, the levels of physical violence
and the prevalence of concurrent sexual partners among men.
__________________
6
13-61736
Known as kulowa kufa, this practice involves having unprotected sexual relations with a man
appointed by the community when a woman’s husband dies (according to the Coalition’s
“Baseline report on intimate partner violence amongst people living with HIV/AIDS” p. 22).
5/16
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