title: Assessing barriers and facilitators of implementing an integrated HIV prevention and property rights program in Western Kenya.
abstract: Despite the recognized need for structural HIV prevention interventions, few scientific programs have integrated women's property and inheritance rights with HIV prevention and treatment. The current study focused on a community-led land and property rights intervention that was implemented in two rural areas of Western Kenya with high HIV prevalence rates (24-30%). The program was designed to respond to women's property rights violations in order to reduce HIV risk at the local level. Through in-depth interviews with twenty program leaders, we identified several facilitators to program implementation, including the leadership of home-based HIV caregivers and involvement of traditional leaders in mediating property rights disputes. We also identified the voluntary basis of the intervention and its lack of integration with the formal justice system as implementation barriers. Our findings can guide future research and design of structural HIV prevention strategies that integrate women's economic empowerment through property and inheritance rights.
authors.affiliation: Department of Medicine Residency Training Program, Massachusetts General Hospital, Boston, MA 02114, USA. TLu4@partners.org
authors.forename: Tiffany
authors.initials: T
authors.lastname: Lu
authors.forename: Lindsey
authors.initials: L
authors.lastname: Zwicker
authors.forename: Zachary
authors.initials: Z
authors.lastname: Kwena
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bukusi
authors.forename: Esther
authors.initials: E
authors.lastname: Mwaura-Muiru
authors.forename: Shari L
authors.initials: SL
authors.lastname: Dworkin
mesh_terms: D000328:Adult; D055812:Community-Based Participatory Research; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006284:Health Plan Implementation / Q000379:methods; D006801:Humans; D007407:Interviews as Topic; D007630:Kenya; D008297:Male; D008875:Middle Aged; D010067:Ownership; D011209:Power, Psychological; D016730:Program Development; D036301:Qualitative Research; D012424:Rural Population; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014933:Women's Rights; D055815:Young Adult