“I will take PrEP because that’s what will help me not to get infected with HIV”: barriers to and facilitators of pre-exposure prophylaxis and condom use among adolescent girls and young women enrolled in a school-based HIV prevention program in South Africa
Key Social Norms Take-aways: Social norms and gendered relationship dynamics strongly influence HIV prevention behaviors among adolescent girls and young women (AGYW). Condom use is often constrained by norms linking condom negotiation with distrust, reduced male pleasure, and potential conflict or violence. In contrast, PrEP offers women greater agency because it can be used without […]
“Out there it’s YOLO”: Youth perspectives on a mass media HIV- and gender-based violence campaign in South Africa
Key Social Norms Take-aways: The ZAZI intervention demonstrates that using culturally relevant, multimedia campaigns—such as music videos—can challenge and shift social norms that constrain young women’s agency in South Africa. By positioning young women as active agents in their own narratives and confronting norms around sexual silence, gender inequality, and stigma, the campaign promoted collective […]
Shifting gender norms to improve HIV service uptake: Qualitative findings from a large-scale community mobilization intervention in rural South Africa
Key Social Norms Take-aways: Social norms around HIV testing and treatment—particularly those tied to stigma, secrecy, and gendered power—are significant barriers to service uptake for adolescent girls and young women (AGYW) in South Africa. The Tsima intervention showed that transforming these norms—by promoting open communication, supportive male involvement, and reframing testing as a collective responsibility—can […]
Gaining traction: Promising shifts in gender norms and intimate partner violence in the context of a community-based HIV prevention trial in South Africa
Key Social Norms Take-aways: This study demonstrates that community mobilization efforts that target harmful gender norms—such as male dominance, IPV tolerance, and communication taboos—can lead to measurable shifts in attitudes, behaviors, and relationship dynamics. Norms change was facilitated by improved access to gender-equitable messages through media, and greater openness in couple communication, helping to reshape […]
Sociocognitive Predictors of Condom Use and Intentions Among Adolescents in Three Sub-Saharan Sites
Key Social Norms Take-aways: This study reinforces the importance of beliefs about what others expect and approve of as key predictors of condom use intentions among adolescents in sub-Saharan Africa. The findings highlight that in collectivist settings, social approval from peers and family may exert a stronger influence than individual attitudes. The results suggest that […]
Exploring young women’s reproductive decision-making, agency and social norms in South African informal settlements
Key Social Norms Take-aways: This study highlights that focusing solely on individual agency overlooks the powerful role of social norms — particularly the expectation that young women should prove their fertility early. Programs aiming to reduce early, unplanned pregnancies must challenge these community and family pressures, while also supporting women’s increasing desire for reproductive control […]
Stepping Stones and Creating Futures intervention: shortened interrupted time series evaluation of a behavioural and structural health promotion and violence prevention intervention for young people in informal settlements in Durban, South Africa
Key Social Norms Take-aways: This study highlights that integrating economic empowerment with gender-transformative interventions can effectively shift social norms among young people in informal settlements. Notably, it found that material improvements in young women’s lives—such as increased income and reduced financial dependence—enabled them to better apply knowledge from gender-transformative programming, leading to reduced experience of […]
Extracurricular School-Based Social Change Communication Program Associated with Reduced HIV Infection Among Young Women in South Africa
Key Social Norms Take-aways: This study highlights the potential of extracurricular, school-based interventions to shift social norms related to sexual behavior and health among young women. The Soul Buddyz Clubs fostered collective action, built self-esteem, and emphasized responsible health behaviors—components that appear to influence norms around condom use and sexual partnerships. The intervention’s emphasis on […]
Effectiveness of a multi-level intervention to reduce men’s perpetration of intimate partner violence: a cluster randomized controlled trial
Key Social Norms Take-aways: This study underscores the complexity of transforming deeply entrenched social norms and masculinities that sustain intimate partner violence in informal peri-urban contexts. While the Sonke CHANGE intervention aimed to shift gender norms through community mobilization and reflective dialogue, it was more effective among men with less violent behavior at baseline. The […]
Using soccer to build confidence and increase HCT uptake among adolescent girls: a mixed-methods study of an HIV prevention programme in South Africa
Key Social Norms Take-aways: The SKILLZ Street intervention highlights how challenging harmful gender norms in a girls-only, sport-based setting can enhance adolescent girls’ confidence, communication, and health-seeking behavior. By creating a safe space and using female community coaches as role models, the program addressed stigma, gender inequality, and the perception of soccer as male-only, fostering […]