Angelique Jenney

Risky Business: An Ecological Analysis of Intimate Partner Violence Disclosure.

Objective: A multistage, mixed-methods study using grounded theory with descriptive data was conducted to examine factors in disclosure of intimate partner violence (IPV). Method: In-depth interviews with individuals and focus groups were undertaken to collect data from 98 IPV survivors and service providers to identify influential factors. Quantitative data were also collected on adult trauma levels and child concerns from 20 women. Results: An ecological analysis revealed that IPV disclosure occurs within a complex interplay of distinct individual and environmental considerations. Specific system level factors of the ecological framework—ontogenic, micro, exo, and macro—emerged as influencing disclosure and ultimately shaped womens’ disclosure processes. Conclusion: IPV disclosure remains a “risky business” with perceived negative outcomes outweighing benefits. Results reinforce that social work interventions need to occur at all levels of the human ecology in order to provide effective responses.

Dilemmas and tensions facing a faith-based organisation promoting HIV prevention among young people in South Africa

Faith-based organisations (FBOs) are receiving growing attention for their roles in addressing HIV and AIDS in southern Africa. These roles, however, are not without philosophical challenges. Yet, to date, most references to the successes or limitations of FBOs have remained the domain of theoretical and, often, ideological debate. In this context, discussions about the roles of faith and FBOs in responding to HIV and AIDS often evoke extreme positions—either advocating for or critiquing their involvement. In place of this there is a need for empirical evidence and analyses that shed light on both the challenges and opportunities of faith-based HIV-prevention programming. This article presents a critical sociological analysis of the complexities confronting one FBO in its effort to deliver an abstinence-focused HIV-prevention programme to school-going adolescents in a poor peri-urban area of South Africa. As one aspect of a larger mixed-methods evaluation, this analysis is based on 11 focus group discussions, variously held with parents, teachers, learners and programme facilitators, in an effort to determine how and why the participants perceived the programme to work. We present and analyse four sources of tension appearing within the data which relate to the programmes faith-based orientation: a) enthusiasm for sexual abstinence despite awareness of the structural constraints; b) a dichotomous framing of behaviours (i.e. good versus bad); c) mixed messages about condoms; and d) administering faith-based programming within secular public schools. Through this analysis we aim to identify opportunities and challenges for faith-based HIV-prevention efforts more broadly. We argue that any assessment of faith-based HIV-prevention programming ought to respect and reflect its complexity as well as the complexity of the context within which it operates.

Survivor’s Costs of Saying No: Exploring the Experience of Accessing Services for Intimate Partner Violence

Intimate partner violence (IPV) is a crucial public health concern with substantial detrimental effects, including poorer physical and mental health as well as increased difficulties accessing formal services. Most research to date has focused on frequencies, barriers, and facilitators of service use among IPV survivors. However, what remains poorly understood is the perspectives of IPV survivors on their experiences of accessing multiple services after leaving the abusive situations. To answer this, six one-on-one semi-structured interviews were conducted with survivors using expanded definition of “services,” which included social services, shelters, health care, police, legal assistance, and so forth. Data were analyzed using Constant Comparison. Four resulting themes were (a) Positive Aspects, (b) Negative Aspects, (c) Impact of Experiences With Services, and (d) Contextual Factors. Within each of these categories, several sub-categories emerged and are discussed within the context of the literature and recommendations are made for improving services for IPV survivors.