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Grassroots participation, peer education, and HIV prevention by sex workers in South Africa

Author

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  • Campbell, C.
  • Mzaidume, Z.

Abstract

Objectives. This microqualitative case study of a community-based peer education program led by sex workers at a South African mine examined the role of grassroots participation in sexual health promotion. Methods. The study involved in-depth interviews with 30 members of the target community. The interviews were analyzed in terms of social capital, empowerment, and identity. Results. The study yielded a detailed analysis of the way in which community dynamics have shaped the peer education program's development in a deprived, violent community where existing norms and networks are inconsistent with ideal criteria for participatory health promotion. Conclusions. Much remains to be learned about the complexities of translating theoretically and politically vital notions of "community participation" into practice among hard-to-reach groups. The fabric of local community life is shaped by nonlocal structural conditions of poverty and sexual inequality in ways that challenge those seeking to theorize the role of social capital in community development in general and in sexual health promotion in particular.

Suggested Citation

  • Campbell, C. & Mzaidume, Z., 2001. "Grassroots participation, peer education, and HIV prevention by sex workers in South Africa," American Journal of Public Health, American Public Health Association, vol. 91(12), pages 1978-1986.
    • Handle: RePEc:aph:ajpbhl:2001:91:12:1978-1986_2
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    Cited by:

    1. Cornish, Flora & Ghosh, Riddhi, 2007. "The necessary contradictions of 'community-led' health promotion: A case study of HIV prevention in an Indian red light district," Social Science & Medicine, Elsevier, vol. 64(2), pages 496-507, January.
    2. Bright Opoku Ahinkorah & Eugene Budu & Abdul-Aziz Seidu & John Elvis Hagan Jr. & Ebenezer Agbaglo & Thomas Hormenu & Thomas Schack & Sanni Yaya, 2020. "Consistent condom use among men who pay for sex in sub-Saharan Africa: Empirical evidence from Demographic and Health Surveys," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-14, August.
    3. Evans, Catrin & Lambert, Helen, 2008. "Implementing community interventions for HIV prevention: Insights from project ethnography," Social Science & Medicine, Elsevier, vol. 66(2), pages 467-478, January.
    4. Mosavel, Maghboeba & Simon, Christian & van Stade, Debbie & Buchbinder, Mara, 2005. "Community-based participatory research (CBPR) in South Africa: Engaging multiple constituents to shape the research question," Social Science & Medicine, Elsevier, vol. 61(12), pages 2577-2587, December.

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