TY - JOUR
T1 - A response to edzi (AIDS)
T2 - Malawi faith-based organizations' impact on hiv prevention and care
AU - Lindgren, Teri
AU - Schell, Ellen
AU - Rankin, Sally
AU - Phiri, Joel
AU - Fiedler, Rachel
AU - Chakanza, Joseph
N1 - Funding Information:
This research was supported by NIH HD R01 050147 : principal investigator, Sally H. Rankin, PhD. The authors gratefully acknowledge the assistance of their Malawi consultants and research team.
PY - 2013/5
Y1 - 2013/5
N2 - African faith-based organization (FBO) leaders influence their members' HIV knowledge, beliefs, and practices, but their roles in HIV prevention and care are poorly understood. This article expands the work of Garner (2000) to test the impact of FBO influence on member risk and care behaviors, embedding it in the Theory of Planned Behavior. Qualitative interviews and quantitative surveys were collected from five FBOs (Christian and Muslim) in Malawi and analyzed using mixed methods. Contrary to Garner, we found that the level of power and influence of the FBO had no significant impact on the risk-taking behaviors of members; however, leaders' HIV knowledge predicted members' behaviors. Stigmatizing attitudes of leaders significantly decreased members' care behaviors, but FBO hierarchy tended to increase members' care behaviors. The power of local church and mosque leaders to influence behavior could be exploited more effectively by nurses by providing support, knowledge, and encouragement to churches and mosques.
AB - African faith-based organization (FBO) leaders influence their members' HIV knowledge, beliefs, and practices, but their roles in HIV prevention and care are poorly understood. This article expands the work of Garner (2000) to test the impact of FBO influence on member risk and care behaviors, embedding it in the Theory of Planned Behavior. Qualitative interviews and quantitative surveys were collected from five FBOs (Christian and Muslim) in Malawi and analyzed using mixed methods. Contrary to Garner, we found that the level of power and influence of the FBO had no significant impact on the risk-taking behaviors of members; however, leaders' HIV knowledge predicted members' behaviors. Stigmatizing attitudes of leaders significantly decreased members' care behaviors, but FBO hierarchy tended to increase members' care behaviors. The power of local church and mosque leaders to influence behavior could be exploited more effectively by nurses by providing support, knowledge, and encouragement to churches and mosques.
KW - Africa
KW - Care
KW - HIV
KW - Prevention
KW - Religious organizations
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U2 - 10.1016/j.jana.2012.05.004
DO - 10.1016/j.jana.2012.05.004
M3 - Article
C2 - 22959480
AN - SCOPUS:84876335115
SN - 1055-3290
VL - 24
SP - 227
EP - 241
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 3
ER -