Sexual practices, identities and health among women who have sex with women in Lesotho – a mixed-methods study (original) (raw)

Sex, sexuality, sickness: women, culture and HIV/AIDS in South Africa

Sex, sexuality, sickness: women, culture and HIV/AIDS in South Africa, 2004

Current HIV-prevention work indicates that simply providing HIV-related information plays a limited role in changing sexual practices, and instead stresses the need to address the social and cultural forces shaping individual behaviour. The aim of this study was thus to explore the social influences that shape women’s sexual behaviour with specific attention given to discourses of gender and HIV/AIDS. Material was generated through seven focus group discussions with black women living in a peri-urban area in Durban, and was interpreted using discourse analysis. The study clarified the ways in which women are not necessarily in a position to make purely rational, individual decisions about safe sex, since these decisions are intimately linked to social constructions of sexuality and the power relations that operate in cultures. It identified specific cultural practices linked to the organisation of gender roles and how these influence safe sex practices. The analysis then examined the implications of these findings for future HIV/AIDS education interventions.

Factors Affecting Health Equity among Sexual Minorities in Maseru, Leribe and Mokhotlong Districts of Lesotho

Journal of Medical Clinical Case Reports, 2024

Sexual minorities in Lesotho, similar to those in many other countries in Southern Africa, frequently encounter prejudice and discrimination when they access health care services. The World Health Organisation states that access to health care for urban dwellers differs from that in rural areas. Health equity is a fundamental principle of public health that states that all people should have equal access to healthcare, regardless of their characteristics. Health equity is providing healthcare services based on individual needs, without stigma, discrimination, or any personal and economic status. This research explores factors affecting health equity among sexual minorities or sexual minorities in Maseru, Leribe, and Mokhotlong, Lesotho. A qualitative research methodology with intepretivist research design was used for this study. The Researcher used qualitative research methodology as he wanted to understand the lived realities of sexual minorities in the three districts. Qualitative with an interpretivist paradigm provided a more nuanced understanding of the complex interaction of individual, cultural and legal elements impacting the lived realities of Lesotho's sexual minorities.

Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention

Journal of the International AIDS Society, 2010

Research shows that gender power inequity in relationships and intimate partner violence places women at enhanced risk of HIV infection. Men who have been violent towards their partners are more likely to have HIV. Men's behaviours show a clustering of violent and risky sexual practices, suggesting important connections. This paper draws on Raewyn Connell's notion of hegemonic masculinity and reflections on emphasized femininities to argue that these sexual, and male violent, practices are rooted in and flow from cultural ideals of gender identities. The latter enables us to understand why men and women behave as they do, and the emotional and material context within which sexual behaviours are enacted.In South Africa, while gender identities show diversity, the dominant ideal of black African manhood emphasizes toughness, strength and expression of prodigious sexual success. It is a masculinity women desire; yet it is sexually risky and a barrier to men engaging with HIV tr...

New Perspectives on Sexualities in Africa

Introduction New Perspectives on Sexualities in Africa Marc Epprecht, Queen’s University Sexualités africaines contemporaines: nouvelles perspectives. Charles Gueboguo, Université de Yaoundé 1. Articles “The widow, the will, and widow-inheritance in Kampala: revisiting victimisation arguments,” Stella Nyanzi, Maragaret Emodu, Wilberforce Serwaniko 7100 words Faith in God, but not in Condoms: Churches and Competing Visions of HIV Prevention in Namibia, Nicole Rigillo 8537 words Deaf, gay, HIV positive and proud: Narrating an alternative identity in post apartheid South Africa, Ruth Morgan, Karin Willemse with John Meletse 8529 “Mombasa Morans:” Embodiment, Sexual Morality and Samburu Men in Kenya, George Paul Meiu 8932 Transactions sexuelles: sur les rétributions des pratiques homosexuelles à Bamako Christophe Broqua 7977 Penser les ‘droits’ des homosexuels/les en Afrique: du sens et de la puissance de l’action associative militante au Cameroun Charles Gueboguo 7550 Book Review Essays “African feminists on sexualities” Signe Arnfred 3000 Feminist Africa, issues 5 (2005) and 6 (2006) Agenda, issues 62 (2004), 63 (2005), 67 (2006) “Sexualities, Pleasure and Politics in Southern Africa” Bodil Fredericksen 2200 Graeme Reid and Liz Walker, guest editors, Sex and Secrecy, special issue of Culture, Health and Sexualty, 7 (3), 2005 Deevia Bhana, Robert Morrell, Jeff Hearn and Relebohile Moletsane, guest editors, Sexualities in Southern Africa, special issue of Sexualities 10 (2), 2007 “Southern African Homosexualities and Denials” Stephen O. Murray 1945 Gays and Lesbians of Zimbabwe. Unspoken Facts: A History of African Homosexualities Harare: GALZ 2007. 321+xi pp. Hoad, Neville. African Intimacies: Race, Homosexuality, and Globalization. Minneapolis: University of Minnesota Press 2007. 187 + xxxiii pp. Spurlin, William J. Imperialism within the Margins: Queer Representations and the Politics of Culture in Southern Africa. New York: Palgrave Macmillan 2006. 182+ ix pp. Contre l’homophobie en Afrique (version française) Patrick Awondo 1289 Charles Gueboguo, La question homosexuelle en Afrique. Le cas du Cameroun. Paris: l’Harmattan, 2006. 187 pp. Eboussi Boulaga (ed.), Terroirs, « L’homosexualité est bonne à penser », n°1-2/2007 Yaoundé: Académia Africana, 2007. 311 pp. “African Perspectives on Female Circumcision” Amy Kaler 1733 Mary Nyangweso Wangila. Female Circumcision: The Interplay of Religion, Culture and Gender in Kenya. Maryknoll NY: Orbis Books, 2007. 206 pp. Obioma Nnaemeka ed. Female Circumcision and the Politics of Knowledge: African Women in Imperialist Discourses. New York: Praeger, 2005. 296 pp. “Same sex-sexuality issues in some African popular media” Unoma Azuah 1100 Dibia, Jude. Walking with Shadows. Sands Press, Lagos, Nigeria, 2005. Aidoo, Ama, Ata (ed.) African Love Stories, Ayebia Clarke Publishing, London, 2006. Book Reviews Sévérin Cécile Abéga, Violence Sexuelle et l’État au Cameroun (Karthala 2007). Sybille N. Nyeck Julia Carter The Heart of Whiteness (Duke UP: 2007). Barrington Walker Catherine M Cole, Takyiwa Manuh and Stephan F Miescher (eds.) Africa After Gender (2007) Brigitte Bagnol Cary Alan Johnson. Off the Map: How HIV/AIDS Programming is Failing Same-Sex Practicing People in Africa. (New York: International Gay and Lesbian Human Rights Commission, 2007). 124 pp. Amanda Swarr Ruth Morgan and Saskia Wieringa (eds). Tommy Boys, Lesbian Men and Ancestral Wives: Female Same-Sex Practices in Africa. (Johannesburg: Jacana, 2005). Sam Bullington 997 Eleanor Maticka-Tyndale, Richmond Tiemoko and Paulina Makinwa-Adebusoye (eds), Human Sexuality in Africa: Beyond reproduction (Auckland Park, Fanele Jacana Media, 2007). Robert Morrell 1280 Nattrass, Nicoli. Mortal Combat: AIDS Denialism and the Struggle for Antiretrovirals in South Africa. (Scottsville: University of KwaZulu-Natal Press, 2007). Mary Caesar 800 Stephanie Newell. The Forgers Tale: The Search for Odeziaku. (Athens: Ohio University Press, 2007). Taiwo Oluntorubo-Oju Alexander Rödlach. Witches, Westerners and HIV: AIDS and Cultures of Blame in Africa. (Walnut Creek, CA: Left Coast Press, 2006). Allison Goebel T. Shefer, K. Ratele, A. Strebel, N. Shabalala and R. Buikema (eds.) From Boys to Men: Social constructions of masculinity in contemporary society. (Cape Town, South Africa: UCT Press, 2007). Mikki van Zyl 921 WORKS CITED

The determinants of HIV infection and related sexual behaviors : evidence from Lesotho

2007

This paper analyzes the socioeconomic determinants of HIV infection and related sexual behaviors using the 2004 Lesotho Demographic and Health Survey. The authors find that in Lesotho education appears to have a protective effect: it is negatively associated with HIV infection (although not always significantly) and it strongly predicts preventive behaviors. The findings also show that married women who have

More than just talk: Implications of different discourses on transactional sex for women’s vulnerability to HIV/AIDS in Lesotho, Madagascar and South Africa

Globalization and Health

Background 'Transactional sex' was regarded by the mid-1990s as an important determinant of HIV transmission, particularly in sub-Saharan Africa. Little attention has been paid to what the terms used to denote transactional sex suggest about how it is understood. This study provides a nuanced set of descriptions of the meaning of transactional sex in three settings. Furthermore, we discuss how discourses around transactional sex suggest linkages to processes of globalization and hold implications for vulnerability to HIV. Methods The analysis in this article is based on three case studies conducted as part of a multi-country research project that investigated linkages between economic globalization and HIV. In this analysis, we contextualize and contrast the 'talk' about transactional sex through the following research methods in three study sites: descriptions revealed through semi-structured interviews with garment workers in Lesotho; focus groups with young women ...