1. Integrating Gender and Gender-Based Violence Into Community-Based Organization (CBO) Capacity Building, HIV Prevention, and HIV Counselling and Testing Programs in Mozambique: A case study on success factors Presenter: Esperanca Colua, M&E Specialist, Capable Partners Program, FHI 360 Mozambique Study conducted by Chiqui Arregui, Katinka Cranenburgh, Rosalia Miguel, Mary Ellen Duke (Editor) July 2016

2. GBV, gender norms and HIV in Mozambique 1 in 3 Women experienced physical violence Risk Factors early marriage unprotected and coerced sexual intercourse transactional sex male dominance in decision-making physical, emotional and psychological violence 12% of women over 15 experienced sexual violence

3. Decision to integrate USAID/ PEPFAR interest Community response to complement clinical interventions Sustainability of response Community/ CSO interest Communities identified the link GBV and gender were central in communications strategies

4. Support at all stages HPP support Technical and Quality Project Management Linkages to Services AND Core Organizational systems

5. Community level interventions Small group debates with targeted groups (youth, couples, men or women) on barriers to preventing HIV, including gender norms and GBV Community leader engagement Community HIV Counseling and Testing Radio programs Referrals to services GBV screening when appropriate Films to promote debate sessions Using a mixture of participative techniques allowed participants to recognize their role in shaping gender norms.

6. Multi-level methdologies Appropriate, relevant methodologies Multi-level approach Included Men Proven methodologies – participatory and reflective Adapted to the nuances of each location Adapted to include gender norms and GBV New materials created -- Films

7. 2013 mid-term evaluation shows unexpected results Almost all of the 67 community leaders interviewed cited changes in gender norms or GBV in their community as a result of the CBO’s interventions.

8. CAP exposedNot exposed Condom use in last sexual encounter 20%5% Use of HIV Counseling and Testing services 45%20% Dialogue between partners around HIV 70%30% Prevention endline evaluation shows changes in risk behavior Cross-sectional household survey of 1531 households in July 2014 Analysis conducted using propensity score matching Cross-sectional household survey of 1531 households in July 2014 Analysis conducted using propensity score matching

9. Prevention end line evaluation shows changes in attitudes about gender norms, GBV

10. Results Qualitative Prevention endline focus groups show changes in attitudes about gender norms, GBV and risk behavior “In the past, there was neither communication nor dialogue between the couple; everything was solved based on violence. However, couples are now talking to solve their problems.” – Male community member, age 25- 49 years. “Also on sexual violence, the message I got was that if someone is violated, they have to be taken to hospital, run some tests and get treatment. After the treatment the hospital will give you a note to take to the authorities and they will know how to punish these individuals.” ~ Female community member, 15-24 years, Sofala Province.

11. 11 May 2016 Community based interventions that integrate GBV with HIV prevention are positively associated with more balanced community gender norms and lead to increased preventive behaviors Engaging local community institutions (CBOs, faith- based, and leaders) in a respectful, supportive manner can lead to rapid, sustainable results in behavior change. Conclusion

12. 12 May 2016 Obrigada Kanimambo