HIV Testing Uptake in a Sexual and Reproductive Health Service for Youth and Impact on Population-Level Prevalence of Undiagnosed HIV in Zimbabwe.
Key Social Norms Take-aways: Social norms—particularly those related to gender, sexual behavior, and violence—operate as important community-level determinants of HIV outcomes among youth, influencing both access to testing and the likelihood of remaining undiagnosed. The discussion highlights that harmful norms, including stigma around HIV and sexual activity and norms tolerating violence against women, can discourage […]
Enablers of and barriers to ART adherence among female sex workers in mid-western Uganda: a qualitative study
Key Social Norms Take-aways: Social norms—particularly subjective norms such as peer approval, social support, stigma, and expectations around disclosure—play a critical role in shaping antiretroviral therapy (ART) adherence among female sex workers (FSWs). The discussion highlights that supportive norms (e.g., encouragement from peers, seeing others adhere to ART, and acceptance following disclosure) can enable adherence, […]
Geographies of adolescent heterosexual dating and intimacy in a rural community in South Africa
Key Social Norms Take-aways: Social norms around gender and respectability strongly shape adolescent dating practices, positioning boys as initiators with greater power while expecting girls to uphold chastity and respect. However, girls actively negotiate relationships, demonstrating agency, particularly in early stages and around sexual health decisions. Importantly, norms shift across spaces: public spaces allow more […]
Adolescents’ agency in negotiating social norms governing sexual and reproductive health services among the Nyasa people of Rural Tanzania
Key Social Norms Take-aways: Adolescents are not passive recipients of restrictive social and gender norms but actively navigate them through strategies of reproduction, resistance, and negotiation. Social norms—particularly stigma adolescent sexuality, gendered expectations, and fear of community judgement—strongly constrain access to sexual and reproductive health services (SRHS). However, adolescents exercise agency through covert service use, […]
Tackling the Triple Threat in Kenya: Factors Associated with Protection against HIV Risk, Gender-Based Violence, and Pregnancy among Adolescent Girls and Young Women
Key Social Norms Take-aways: Gender norms—specifically gender-equitable attitudes—play a central protective role in reducing multiple risks faced by adolescent girls and young women (AGYW), including intimate partner violence and adolescent pregnancy. When combined with supportive relational norms (parental monitoring) and structural conditions (food security), these factors act synergistically as “development accelerators,” highlighting that shifting norms […]
Social scripts of violence among adolescent girls and young women in Zambia: Exploring how gender norms and social expectations are activated in the aftermath of violence
Key Social Norms Take-aways: Social and gender norms deeply shape both the occurrence of gender-based violence (GBV) and responses to it among adolescent girls and young women in Zambia. Norms around male authority, female submissiveness, and maintaining marital harmony normalize violence, discourage reporting, and enforce silence through stigma and community sanctions. However, the study also […]
They’ll think you’re infected’: perceived barriers and facilitators of HIV/STI awareness and testing among young Rohingya refugee women in Bangladesh
Key Social Norms Take-aways: Social norms—particularly those linking HIV/STI testing to immorality, reinforcing male gatekeeping, and embedding stigma through religious and community surveillance—are central barriers to care. These norms operate across levels, shaping knowledge, restricting mobility, and discouraging service use. However, norms are also malleable: trusted female health workers, peer networks, and faith-aligned messaging can […]
The role of community-level men’s and women’s inequitable gender norms on women’s empowerment in India: A multilevel analysis using India’s National Family Health Survey-5
Key Social Norms Take-aways: Community-level gender norms—held by both men and women—play a critical and independent role in shaping women’s empowerment. Inequitable norms that justify wife-beating reflect broader patriarchal expectations and are associated with reduced mobility, decision-making power, and health knowledge among women. Importantly, the similar effects of men’s and women’s norms highlight that the […]
“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 […]
Caregiver attitudes towards HIV testing and contraceptive services for adolescents in Tanzania
Key Social Norms Take-aways: Social norms around adolescent sexuality, parental authority, and family communication strongly shape adolescents’ access to sexual and reproductive health (SRH) services. Caregivers widely endorsed norms that adolescents are “too young for sex” and should not seek SRH services without parental knowledge, which discourages independent access to contraception. In contrast, HIV testing […]