Browsing by Author "Durden, Emma."

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Cutting into perceptions : investigating men's understanding of protection - through medical male circumcision for HIV prevention, in Durban, KwaZulu-Natal.
(2012) Mathew, Wesley.; Durden, Emma.
Three recent Randomised Controlled Trials (RCTs) have been able to deduce that Medical Male Circumcision (MMC) can reduce a heterosexual man’s chances of acquiring HIV through vaginal sexual intercourse by approximately 60% (Auvert et al. 2005; Gray et al. 2007; Bailey et al. 2007). In 2010, based on WHO recommendations, South Africa commenced a nationwide roll-out of MMC services. However, in the wake of these findings have come concerns that decreases in men’s perceived risk of contracting HIV could spark increases in risky sexual behaviour (risk compensation), in turn, driving up HIV incidence as opposed to abating it (Cassell et al. 2006). Accordingly, the World Health Organisation has identified social change communication as one of the ten key elements critical to the success of a wide scale MMC roll out (WHO & UNAIDS, 2010). Aside from creating demand, the role of MMC health communication efforts in crafting messages delineating the scope of MMC’s protective ability is paramount; especially in South Africa, a country hamstrung by a weak public health sector that can ill afford any regression in the fight against HIV and AIDS. This thesis provides a small-scale qualitative study that investigates both the motivating and discouraging factors impacting on men’s choices to undergo MMC, as well as exploring how and what ‘key messages’ of Medical Male Circumcision media and information initiatives are being received. In this way, my study hopes to bring insight into not only risk compensation associated with MMC, but also to provide a glimpse into the condition of health communication for MMC in the South African context.
Problem solving theatre : a case study of the use of participatory forum theatre to explore HIV/AIDS issues in the workplace.
(2003) Durden, Emma.; Dalrymple, Lynn I.
This thesis examines the use of the participatory forum theatre methodology for HIVIAIDS education ina factory setting in Durban, 2003. The paper explores the field of Entertainment Education (EE), which is the strategic use of entertainment forms for health education and behaviour change. This thesis offers an overview of some of the modern theories of behaviour change and how EE is used in development communication. I investigate participatory communication theory, the work of Brazilian educationalist Paulo Freire, and the principles that inform Augusto Boats forum theatre methodology. EE strategies and communication and behavioural change theories inform the design and practice of the PST (problem solving theatre) projec( which is the case study for this thesis. This thesis outlines the process of the PST project, researching the environment at the chosen factory site, and the prevailing knowledge and attitudes towards HIV/AIDS, the creation of an appropriate forum theatre play, as well as observations and comments on the performance at the factory. Final summative research investigates the impact that the forum theatre had on the audience. The conclusion points to the tensions in theory and practice that were highlighted through the PST project, and suggests how forum theatre, as an EE strategy, can be further used in a factory setting.
Processes and participation in HIV and AIDS communication : using bodymapping to explore the experiences of young people.
(2013) Govender, Eliza Melissa.; Tomaselli, Keyan Gray.; Durden, Emma.; Dalrymple, Lynn I.
HIV and AIDS is one of the biggest challenges facing South African young people today (Govender, 2010). Young people are at risk, partly through their own behaviour and partly through the attitudes, expectations and limitations of the societies in which they grow up (Panos AIDS Briefing, 1996).The are many HIV prevention programmes developed globally and nationally, specifically for young people but the pandemic still escalates rapidly. The fourth decade now calls for multidimensional approaches when communicating HIV prevention for young people. This thesis explores how young people can contribute to this multidimensional approach through their active participation in the various phases of developing HIV projects. The study does this through a sample of eight youth-focused HIV organisations in KwaZulu-Natal and a sample of students from the University of KwaZulu-Natal, to gain more insight into participation of young people in the development of HIV programmes. Bodymapping, a visual and art-based method, was used to explore young people’s understanding of HIV, their perceptions of HIV programmes and the possibilities of their participation in the developing of further HIV projects. The study used a grounded approach and applied principles of participatory action research to collect data in four phases. The first phase used interviews and focus group discussions with eight sample organisations to give insight into the programmes offered to young people and how they engage and make sense of their participation within these programmes. The second phase draws on previous bodymapping workshops that have been conducted with students from UKZN and young people in various communities to explore the application and relevance of bodymapping. In the third phase, data is presented on two bodymapping workshops conducted, to engage with young people about their contribution to the development of HIV programmes. The final phase draws on two focus group discussions, conducted with bodymapping participants, to examine their experiences and interpretation of the bodymapping process. Some of the key findings indicate that a blanket approach to HIV programmes will not always work, as young people’s sexual behaviour needs to be explored within a wider socio-ecological framework that recognises the inter-relational and interconnected system in which they make their sexual choices. The data indicates that youth and organisations strongly support the importance of participation and the inclusion of participants when developing HIV projects. However, discussions about participation indicated that while young people could identify the importance of participation, they still lacked an understanding of how to participate and how they could learn more about their lived experiences through participation. This was evident in the data where there was a distinction in how participation was defined from those in the UKZN group and those from rural KZN. In understanding what constitutes participation, young people are better positioned to aid the process of developing effective HIV related projects that are participant specific. I argue that bodymapping can be used as a process to initiate and aid the participation of young people in the various phases of developing HIV projects. A three level model for applying bodymapping and planning processes has been developed to encourage participation with young people where the first step ensures that young people define what participation means to them. This becomes the foundation for how communication practitioners and academics make sense and theorise participation from a participant informed perspective. Bodymapping was pivotal in this process of engaging young people in self-reflection and introspection which encouraged a process of dialogue towards better understanding and defining participation from a participant perspective. Bodymapping in this way can be identified as a catalyst that encourages dialogue as part of communication for participatory development.
Staging empowerment? An investigation into participation and development in HIV and AIDS theatre projects.
(2010) Durden, Emma.; Dalrymple, Lynn I.
This thesis is an exploration of contemporary practice in the field of theatre for development as HIV and AIDS communication. The thesis explores the theoretical fields of communication for development, entertainment education and empowerment, in an attempt to understand how different approaches to communicating about HIV and AIDS can influence personal and social change, and impact on both personal empowerment and community development. An examination of the literature on using theatre as a means to bring about development leads to the identification of key areas for investigation, including how participation is envisioned and implemented in theatre projects that focus on HIV and AIDS, and how participants are empowered through these processes. My study includes a broad survey of practitioners who use theatre in this way, the results of which inform an examination of three specific case studies. The research data reflects that participation is used as a strategy in different ways in theory-driven interventions that are consciously designed to meet specific goals. While many practitioners highlight participation, this is often in interventions that are guided by the modernisation approach to development, where external organisations attempt to bring about pre-determined change within a beneficiary community. The low levels of participation in essential decision-making processes in these projects mean that these projects preclude some of the elements essential to bringing about empowerment, such as the development of a greater critical consciousness and encouraging community-based problem solving. Such practice cannot bring about substantial long-term changes and empowerment for the project beneficiaries or for society more broadly. My research identifies a need to reconsider HIV and AIDS communication within the context of development, if change is to be brought about. In my concluding chapter, I suggest a number of ways to bring practice closer to the paradigm of meaningful participation as informed by empowerment theory.
Umbumbulu taxi drivers' attitudes concerning condom use and dual contraceptive use by their female partners.
(2015) Mbatha, Zamashandu Jeanette.; Durden, Emma.
Sub-Saharan Africa remains most severely affected by HIV/AIDS, with nearly one in every 20 adults living with HIV and accounting for 71% of people living with the disease worldwide However, according to UNAIDS at least 86% of people living with HIV in the Sub-Saharan know their status. And in the past three years alone, new HIV infections fell by 13%. (UNAIDS, 2014; WHO, 2012). An abiding concern in the HIV and AIDS narrative has been the relative absence of men in interventions and responses to the disease. This study seeks, among other things, to unearth whether patriarchy or hegemonic masculinity influences dual contraceptive use. While there is a wealth of information around condom use and the knowledge, attitudes and perceptions that prevail thereof with women, little is known about the same from a male perspective. This study therefore explores the attitudes of taxi drivers who in male circles are considered the ‘other’, and by academics as risk populations. The conceptual bases of this study are the Social Ecology Model and the Health Belief Model. The study reveals that despite knowledge of STIs, HIV and AIDS transmission, many individuals do not feel personally vulnerable to contracting and transmitting a disease to their sexual partners. Findings of this study highlight the need for research to be conducted with the taxi drivers’ female partners on the use of dual contraceptive methods.