Communication, Culture, and the Sexual Behaviours of FSWs and MSM: Incongruence in HIV/AIDS Interventions in Kenya
Abstract
Female sex workers (FSWs) and men who have sex with men (MSM) are categorised among the most-at-risk populations (MARPS) in HIV and AIDS interventions. Because of their risky sexual behaviours, the success of HIV and AIDS interventions targeting these MARPS must be largely hinged on the outcomes of behaviour change programmes. Whereas the behaviour change programmes appear effective in promoting the health, rights and general wellbeing of the key populations, the dilemma arises when the messaging in these programmes is inconsistent with and completely negates the values and norms of the general population. Yet, cultural appropriateness is a central pillar in successful health communication interventions. The present study analysed the messages conveyed by the programmers in a variety of interventions targeting FSWs and MSM in Kisii County in Kenya, and also, the responses to the interventions by the target audience and those of the general population and faith-based organisations. These responses were analysed based on the arguments of the Ethnography of Communication. The programmes were deficient in two critical areas: promoting the achievement of long-term outcomes for the key populations and getting the support of all stakeholders by encouraging respect for the rights, norms and values of the general population.
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