Assessing barriers and facilitators of implementing an integrated HIV prevention and property rights program in Western Kenya

Tiffany Lu, Lindsey Zwicker, Zachary Kwena, Elizabeth Bukusi, Esther Mwaura-Muiru, Shari L. Dworkin

Research output: Contribution to journalArticle

8 Scopus citations


Despite the recognized need for structural HIV prevention interventions, few scientific programs have integrated women's property and inheritance rights with HIV prevention and treatment. The current study focused on a community-led land and property rights intervention that was implemented in two rural areas of Western Kenya with high HIV prevalence rates (24-30%). The program was designed to respond to women's property rights violations in order to reduce HIV risk at the local level. Through in-depth interviews with twenty program leaders, we identified several facilitators to program implementation, including the leadership of home-based HIV caregivers and involvement of traditional leaders in mediating property rights disputes. We also identified the voluntary basis of the intervention and its lack of integration with the formal justice system as implementation barriers. Our findings can guide future research and design of structural HIV prevention strategies that integrate women's economic empowerment through property and inheritance rights.

Original languageEnglish (US)
Pages (from-to)151-163
Number of pages13
JournalAIDS Education and Prevention
Issue number2
StatePublished - Jun 28 2013


ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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