Promoting gender equity as a strategy to reduce HIV risk and gender-based violence among young men in India

The Horizons Program, CORO for Literacy, MAMTA, and Instituto Promundo developed, piloted, and scaled-up a behavior-change intervention in India to examine the effectiveness of interventions to improve young men’s attitudes toward gender roles and sexual relationships, and to reduce HIV risk behaviors and partner violence. The results of this study suggest that young men became less supportive of inequitable gender norms after participating in the interventions. Similarly, there were significant improvements among intervention participants in key outcome indicators, including condom use, partner communication, partner violence, and attitudes toward PLHIV. To maximize the chances of long-term sustainability of these positive changes, there is a need to regularly reinforce the messages related to alternative forms of masculinity and to further facilitate a supportive environment for these changes. While findings suggest that the interventions were successful in a variety of ways, the study showed that change in attitudes and behaviors is a complex process. Promoting gender equity takes ongoing effort, but led to some important changes that resulted in reduced HIV risk for the young men and their partners

Shifting support for inequitable gender norms among young Indian men to reduce HIV risk and partner violence

India accounts for the second largest population of people living with HIV/AIDS (5.1 million), and almost half of new infections occur in young men below age 30. While there are multiple factors influencing young men’s HIV risk in India, one that is receiving increasing attention is early socialization about masculinity. Young men in India mature and develop in a male-dominated context, having little contact with female peers and virtually no sex education. In this context, most boys develop a sense of masculinity characterized by male dominance in the sexual arena and other areas. Although there is increasing awareness of the role that norms that encourage gender inequality play in fostering HIV risk behaviors and partner violence, few studies have attempted to influence these norms and measure changes in support for them among young men exposed to an intervention. As detailed in this research summary, the Horizons Program, CORO for Literacy, and Instituto PROMUNDO conducted operations research to examine the impact on young men of promoting gender equity as part of an HIV-prevention program

Challenging and changing gender attitudes among young men in Mumbai, India

This article presents findings from a pilot intervention in 2005–6 to promote gender equity among young men from low-income communities in Mumbai, India. The project involved formative work on gender, sexuality and masculinity, and educational activities with 126 young men, aged 18–29, over a six-month period. The programme of activities was called Yari-dosti, which is Hindi for friendship or bonding among men, and was adapted from a Brazilian intervention. Pre- and post-intervention surveys, including measures of attitudes towards gender norms using the Gender Equitable Men (GEM) Scale and other key outcomes, qualitative interviews with 31 participants, monitoring and observations were used as evaluation tools. Almost all the young men actively participated in the activities and appreciated the intervention. It was often the first time they had had the opportunity to discuss and reflect on these issues. The interviews showed that attitudes towards gender and sexuality, as reported behaviour in relationships, had often changed. A survey two months later also showed a significant decrease in support for inequitable gender norms and sexual harassment of girls and women. The results suggest that the pilot was successful in reaching and engaging young men to critically discuss gender dynamics and health risk, and in shifting key gender-related attitudes