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Explication of Barriers to Effective HIV Prevention: Using Counterarguments as Indicators of Barriers to Behavior Change in Malawi

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Abstract:

The widespread recognition about the importance of behavior change in stemming the tide of HIV infections and AIDS-related deaths in Sub-Saharan Africa has only recently been translated into theoretically informed campaigns. Across a variety of health domains, self-efficacy has been found to be one of the most consistent predictors of behavior change, but only a few HIV prevention interventions are focused explicitly on improving people’s efficacy beliefs. This paper is based on a formative evaluation conducted in Malawi to understand people’s barriers to enact HIV prevention behaviors. It is based on the assumption that barriers restrict people’s efficacy perceptions and that, in the absence of barriers, everyone would be perfectly efficacious. We have little theoretical guidance, however, on how to study barriers and how they can be meaningfully extracted from people. In this paper, through focus group discussions, we demonstrated the utility of a novel technique – called the Prompts for Eliciting Counterarguments (PEC) – to elicit relevant barriers to action. Barriers that emerged through the use of this technique were classified into three categories: sex as a desire and source of pleasure (at the individual level), difficulties in communicating about sex (at the interpersonal level), and larger societal issues around poverty in Malawi (at the societal level). Implications of this finding for HIV prevention efforts are also discussed in the context of a functional approach.

Most Common Document Word Stems:

hiv (100), behavior (99), sex (78), efficaci (59), barrier (54), malawi (51), particip (45), self (43), self-efficaci (37), femal (32), need (31), chang (31), peopl (31), prevent (30), sexual (29), engag (28), individu (27), discuss (26), one (26), male (25), group (24),

Author's Keywords:

HIV prevention, self-efficacy, barriers, discussion
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Name: International Communication Association
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MLA Citation:

Rimal, Rajiv., Gibson, Sarah. and Smith, Katherine. "Explication of Barriers to Effective HIV Prevention: Using Counterarguments as Indicators of Barriers to Behavior Change in Malawi" Paper presented at the annual meeting of the International Communication Association, TBA, Montreal, Quebec, Canada, May 22, 2008 <Not Available>. 2009-05-23 <http://www.allacademic.com/meta/p231655_index.html>

APA Citation:

Rimal, R. N., Gibson, S. L. and Smith, K. C. , 2008-05-22 "Explication of Barriers to Effective HIV Prevention: Using Counterarguments as Indicators of Barriers to Behavior Change in Malawi" Paper presented at the annual meeting of the International Communication Association, TBA, Montreal, Quebec, Canada Online <PDF>. 2009-05-23 from http://www.allacademic.com/meta/p231655_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Abstract: The widespread recognition about the importance of behavior change in stemming the tide of HIV infections and AIDS-related deaths in Sub-Saharan Africa has only recently been translated into theoretically informed campaigns. Across a variety of health domains, self-efficacy has been found to be one of the most consistent predictors of behavior change, but only a few HIV prevention interventions are focused explicitly on improving people’s efficacy beliefs. This paper is based on a formative evaluation conducted in Malawi to understand people’s barriers to enact HIV prevention behaviors. It is based on the assumption that barriers restrict people’s efficacy perceptions and that, in the absence of barriers, everyone would be perfectly efficacious. We have little theoretical guidance, however, on how to study barriers and how they can be meaningfully extracted from people. In this paper, through focus group discussions, we demonstrated the utility of a novel technique – called the Prompts for Eliciting Counterarguments (PEC) – to elicit relevant barriers to action. Barriers that emerged through the use of this technique were classified into three categories: sex as a desire and source of pleasure (at the individual level), difficulties in communicating about sex (at the interpersonal level), and larger societal issues around poverty in Malawi (at the societal level). Implications of this finding for HIV prevention efforts are also discussed in the context of a functional approach.

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Document Type: PDF
Page count: 30
Word count: 8009
Text sample:
Explication of Barriers to Effective HIV Prevention: Using Counterarguments as Indicators of Barriers to Behavior Change in Malawi (Identity removed for blind review) HIV Self-Efficacy in Malawi 2 Abstract The widespread recognition about the importance of behavior change in stemming the tide of HIV infections and AIDS-related deaths in Sub-Saharan Africa has only recently been translated into theoretically informed campaigns. Across a variety of health domains self-efficacy has been found to be one of the most consistent predictors of
and sex in Balaka. Social Science & Medicine 64 1090-1101. Terry P. E. Mhloyi M. Masvaure T. B. & Adlis S. A. (2005). Gender equity and HIV/AIDS prevention: Comparing gender differences in sexual practice and beliefs among Zimbabwe university students. International Quarterly of Community Health Education 24 29-43. UNAIDS (2004). Report on the global AIDS epidemic: 4th global report. Retrieved October 15 2007 from http://www.unaids.org/bangkok2004/GAR2004_html/GAR2004_00_en.htm. HIV Self-Efficacy in Malawi 30 UNAIDS (2007). Uniting the world against AIDS. Malawi. Retrieved


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