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The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique

Author

Listed:
  • Cornish, Flora
  • Priego-Hernandez, Jacqueline
  • Campbell, Catherine
  • Mburu, Gitau
  • McLean, Susie

Abstract

While community mobilisation (CM) is increasingly advocated for HIV prevention, its impact on measurable outcomes has not been established. We performed a systematic review of the impact of CM within HIV prevention interventions (N = 20), on biomedical, behavioural and social outcomes. Among most at risk groups (particularly sex workers), the evidence is somewhat consistent, indicating a tendency for positive impact, with stronger results for behavioural and social outcomes than for biomedical ones. Among youth and general communities, the evidence remains inconclusive. Success appears to be enhanced by engaging groups with a strong collective identity and by simultaneously addressing the socio-political context. We suggest that the inconclusiveness of the findings reflects problems with the evidence, rather than indicating that CM is ineffective. We discuss weaknesses in the operationalization of CM, neglect of social context, and incompatibility between context-specific CM processes and the aspiration of review methodologies to provide simple, context-transcending answers.

Suggested Citation

  • Cornish, Flora & Priego-Hernandez, Jacqueline & Campbell, Catherine & Mburu, Gitau & McLean, Susie, 2014. "The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique," LSE Research Online Documents on Economics 56364, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:56364
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    Citations

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    Cited by:

    1. Altman, Lara & Kuhlmann, Anne K. Sebert & Galavotti, Christine, 2015. "Understanding the black box: A systematic review of the measurement of the community mobilization process in evaluations of interventions targeting sexual, reproductive, and maternal health," Evaluation and Program Planning, Elsevier, vol. 49(C), pages 86-97.
    2. Bidhubhusan Mahapatra & Ruchira Bhattacharya & Yamini Atmavilas & Niranjan Saggurti, 2018. "Measuring vulnerability among female sex workers in India using a multidimensional framework," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-13, September.
    3. Campbell, Catherine, 2020. "Social capital, social movements and global public health: Fighting for health-enabling contexts in marginalised settings," Social Science & Medicine, Elsevier, vol. 257(C).
    4. Lippman, Sheri A. & Neilands, Torsten B. & Leslie, Hannah H. & Maman, Suzanne & MacPhail, Catherine & Twine, Rhian & Peacock, Dean & Kahn, Kathleen & Pettifor, Audrey, 2016. "Development, validation, and performance of a scale to measure community mobilization," Social Science & Medicine, Elsevier, vol. 157(C), pages 127-137.
    5. Hoon Chuah, Fiona Leh & Srivastava, Aastha & Singh, Shweta Rajkumar & Haldane, Victoria & Huat Koh, Gerald Choon & Seng, Chia Kee & McCoy, David & Legido-Quigley, Helena, 2018. "Community participation in general health initiatives in high and upper-middle income countries: A systematic review exploring the nature of participation, use of theories, contextual drivers and powe," Social Science & Medicine, Elsevier, vol. 213(C), pages 106-122.
    6. Hatcher, Abigail M & McBride, Ruari-Santiago & Rebombo, Dumisani & Munshi, Shehnaz & Khumalo, Mzwakhe & Christofides, Nicola, 2020. "Process evaluation of a community mobilization intervention for preventing men’s partner violence use in peri-urban South Africa," Evaluation and Program Planning, Elsevier, vol. 78(C).

    More about this item

    Keywords

    community mobilisation; community participation; HIV prevention; HIV/AIDS; systematic review;
    All these keywords.

    JEL classification:

    • N0 - Economic History - - General

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