Partnering for Care in HIV Prevention Trials.

QUALITATIVE CASE STUDIES WERE conducted at seven international sites conducting HIV prevention research in Africa, Asia, and the Americas to identify strategies for ensuring that health needs of research participants identified in the course of research are adequately addressed. Key factors were identified that contribute to the balance between direct care and healthcare referrals at a research site, as well as the overall quality of the healthcare made available to research participants. The case studies exemplify the concept of "moral negotiation" in research (Weijer & LeBlanc, 2006), that is, a process where researchers and sponsors negotiate with increasingly empowered local communities and host countries to achieve meaningful and substantive benefits from biomedical research for all stakeholders.

A qualitative study of condom use among married couples in Kampala, Uganda.

Twenty-five years into the HIV/AIDS epidemic, condom use among married/stable couples remains low and under-researched in developing countries, even countries with high HIV prevalence. Introducing condoms into a long-standing relationship, in spite of HIV risk, is likely to be awkward. We conducted a qualitative study in Kampala, Uganda, with 39 couples reporting 100% condom use in the previous three months. The women were recruited from among women in a clinical trial who were using condoms and whose partners also agreed to participate. Twenty-two of the women and six of the men reported having taken the initiative to suggest condom use; the remaining couples disagreed who raised the subject first. Women used insistence, refusal to have sex, persuasion, and condoms for family planning or to protect children, which helped to deflect distrust and get their partner to agree. Some men resisted initially but their reactions were often more positive than expected. Men's reasons for accepting condoms were to please their partner, protect her from HIV, protect their children, protect themselves and, in some cases, continue having other partners. Although condom use is a couple behaviour, an encouraging environment and condom availability are all crucial to increasing condom use by couples in settings like Uganda.

Adult roles in community-based youth empowerment programs: implications for best practices.

Current literature on community-based youth empowerment programs provides few specific operational descriptions of adult roles. This research addressed that gap by exploring the perspectives and experiences of adults actively engaged with youth empowerment programs. Data were gathered through in-depth interviews, field observations, and interactive group discussions with adult program leaders. The following dimensions of adults' work were identified: putting youth first; raising the bar for youth performance; creating the space and making things happen; being in relationships; exerting influence, control, and authority; and communicating and connecting with the broader community. These findings provide guidance for the development of best practices in community-based youth empowerment programs.

Being involved and making a difference: empowerment and well-being among women living in poverty.

BACKGROUND: The relationships between poverty, empowerment, and health are of theoretical and practical interest to nurses, yet few researchers have examined volunteerism in poor communities from a holistic health perspective. PURPOSE: This study explores the experiences of women engaged in community volunteer work in the context of economic poverty. METHOD: Individual, in-depth interviews were conducted with 8 women, ages 21 to 77 years, who qualified for federal assistance or self-identified as low-income and were currently involved in volunteer community work. FINDINGS: Participants' stories of being involved and making a difference illustrated women making connections, developing relationships, gaining knowledge and skills, increasing self-esteem and confidence, reaching out to help others, and strengthening communities. CONCLUSION: At both the individual and community level, well-being was enhanced through women's community volunteerism in the context of economic poverty. IMPLICATIONS: At the individual and community levels, well-being was enhanced through women's community volunteerism in the context of economic poverty. From a holistic nursing perspective, the findings provide support for community volunteerism as a health-promoting strategy among women living in economic poverty.