Community Mobilization (CM) is…

Essential in South Africa – where by her early 20s, a women has a 1 in 3 chance of being HIV infected. A critical enabler for HIV programs?

Promising but underconceptualizedKey to increase testing, engagement in care, uptake of bio-medical interventions

CM Programming in 11 RCT villages

“One Man Can” – engaging men to question traditional norms related to manhood and masculinity, including norms limiting male engagement in health care (men don’t go to the clinic). Cluster-randomized trial Intervention conducted in 11 villages (only data collection in 11 control villages)Included:

Two-day intensive workshops Outreach activities - door-to-door

campaigns, street soccer, murals, street theater, mini-workshops in taverns and bars, digital stories, photo voice

Leadership engagement Local Community Action Teams (CATs)

established in each intervention village - trained to carry out activities and workshops with mobilizers

CM increases self-reported HIV testing

For every SD increase in CM score, the odds of reported HIV testing increased in intervention village participants (OR: 2.2, p=<.01) but not for control village participants (OR 1.2, p=.39).

-1.4 -1.2 -1 -0.8 -0.6 -0.4 -0.2 0 0.2 0.4 0.6 0.8 10.3

0.4

0.5

0.6

0.7

0.8

0.9

Probability of HIV Testing by Community Mobi-lization and Study Arm

ControlIntervention

Village Community Mobilization Score

Prob

abili

ty o

f Rep

ortin

g HI

V te

sting

Poster # MOPDC0101: Lippman, Pettifor, Neilands, MacPhail, Peacock, Maman, Twine, Selin, Kahn