Date of Conferral

2021

Degree

Ph.D.

School

Public Health

Advisor

Peter B. Anderson

Abstract

AbstractSub-Saharan African communities bear the highest burden of HIV/AIDS in the world. Because of identifiable cultural links and local beliefs, people are more likely to engage in sexual mores that could negatively impact their lives. Starting in early 2000, Congolese HIV+ patients have undergone a variety of inputs designed to decrease HIV risk behaviors among people. The purpose of this inquiry was to understand the impact of those actions within the community. Data grounded on the socioecological model were collected regarding any changes in (1) behavioral rejection of condoms, (2) Kintwidi phenomenon, (3) levirate and (4) sororate marriage, (5) sexual cleansing, (6) stigma and discrimination, (7) sexual gender-based violence and female genital mutilation, and (8) unprotected receptive vaginal or anal intercourse throughout a decade of community-based interventions (CBIs) implemented since 2004. Out of the holistic approach employed to tackle HIV in communities, the main query was to understand the meaning and impact of the comprehensive strategy in the Democratic Republic of Congo (DRC). From snowball sampling, nine in-depth interviews, three focus groups, and two key-informant interviews were conducted in DRC. Data collected in Kinshasa and Bandundu cities were coded, synthesized, and analyzed through NVivo R1 and Microsoft Excel. All eight key-cultural components above were stated to be significant negative sentiments for Congolese people living with HIV (PLHIVs) under CBIs. Findings could be used to inform further preventive activities to alleviate any HIV individual and community burdens in sub-Saharan Africa, leading to positive social change and better lives for PLHIVs, family members, and their communities.

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