RCT evaluation of Skhokho: A holistic school intervention to prevent gender-based violence among South African Grade 8s

Key Social Norms Take-aways: This study demonstrates that school- and family-based interventions can contribute to the prevention of intimate partner violence among adolescents by addressing the broader social norms that underpin gender inequality and the normalization of violence. Findings suggest that improving communication, promoting gender-equitable attitudes, and challenging the acceptance of corporal punishment and other […]

Effects of PREPARE, a Multi-component, School-Based HIV and Intimate Partner Violence (IPV) Prevention Programme on Adolescent Sexual Risk Behaviour and IPV: Cluster Randomised Controlled Trial

Key Social Norms Take-aways: This study measured social norms explicitly, focusing on perceived expectations from peers, family, and partners around condom use and delaying sex. The intervention addressed both descriptive and injunctive norms by attempting to shift young people’s perceptions of what behaviors are typical and appropriate in their communities. While the intervention improved knowledge […]

Family influences on oral PrEP use among adolescent girls and young women in Kenya and South Africa

Key Social Norms Take-aways: This study highlights the deep role of family—particularly mothers—in shaping adolescent girls’ and young women’s decisions around pre-exposure prophylaxis (PrEP) for HIV prevention. Though the study does not directly measure social norms, it provides insight into prevailing normative expectations about sexual behavior and health decision-making. Many young women feared judgment or […]

Female Condom Use among Female University Students in KwaZulu-Natal, South Africa: Results of a Randomized Behavioral Trial

Key Social Norms Take-aways: This study suggests that brief, group-based female condom (FC) promotion interventions can shift individual-level attitudes and peer norms regarding condom use among young women, even in contexts of entrenched gender inequalities. While broader social norms around male dominance in sexual decision-making remain a barrier, increasing women’s condom self-efficacy and improving peer […]

Effect of community-based voluntary counselling and testing on HIV incidence and social and behavioural outcomes (NIMH Project Accept; HPTN 043): a cluster-randomised trial.

Key Social Norms Take-aways: This study shows that community-based voluntary counseling and testing (CBVCT) interventions can positively influence social norms around HIV testing. Community mobilization led to more favorable attitudes toward testing, particularly among men, by reducing stigma and encouraging open discussion. While stigma reduction was limited—possibly due to low baseline levels—the intervention succeeded in […]

A qualitative exploration of the salience of MTV-Shuga, an edutainment programme, and adolescents’ engagement with sexual and reproductive health information in rural KwaZulu-Natal, South Africa

Key Social Norms Take-aways: MTV Shuga Down South demonstrates how mass media can catalyze shifts in social norms related to HIV, gender dynamics, and sexual health by sparking peer dialogue and promoting reflection among young people. The show’s impact hinged on its ability to normalize conversations about taboo topics and present relatable scenarios that challenged […]

“As young men we have a role to play in preventing sexual violence”: Development and relevance of the men with conscience intervention to prevent sexual violence

Key Social Norms Take-aways: This study illustrates how social norms tied to masculinity, leadership, and gender equity can be challenged through structured, reflective interventions with young men in positions of influence. It shows that gender-transformative programming can shift deeply held beliefs about power, control, and male privilege—especially when young men are engaged as allies in […]

HIV/STI Risk-Reduction Intervention Efficacy with South African Adolescents Over 54 Months

Key Social Norms Take-aways: This study provides compelling evidence that early, theory-based HIV/STI risk-reduction interventions can foster lasting shifts in sexual behaviors and the psychosocial drivers of behavior among South African adolescents. While not explicitly framed around social norms, the intervention indirectly influenced normative beliefs—particularly perceptions of parental approval and sexual negotiation self-efficacy—highlighting how targeting […]

The effects of the integration of an economic strengthening and HIV prevention education programme on the prevalence of sexually transmitted infections and savings behaviours among adolescents: a full-factorial randomised controlled trial in South Africa

Key Social Norms Take-aways: This study underscores that social norms, particularly those related to gender dynamics, communication about sex, and financial decision-making, play an important but complex role in shaping adolescent sexual health outcomes. While the integrated intervention aimed to shift norms around gender and economic autonomy, the study found limited evidence of behavioral change. […]

The DREAMS core package of interventions: A comprehensive approach to preventing HIV among adolescent girls and young women

Key Social Norms Take-aways: The DREAMS initiative highlights how shifting harmful gender norms—particularly those that disempower adolescent girls and young women and condone gender-based violence—is essential for reducing HIV risk. The program uses community mobilization and engagement of male partners and leaders to transform norms around gender, sexuality, and power dynamics. Safe spaces and mentor-led […]

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