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Can social network analysis help to include marginalised young women in structural support programmes in Botswana? A
David Loutfi1, Neil Andersson2,3, Susan Law4,5
1Department of Family Medicine, McGill University, 5858 chemin de la Côte-des-Neiges, 3rd floor, Montreal, Quebec, H3S 1Z1, Canada. david.loutfi@mail.mcgill.ca.
International Journal for Equity in Health
|January 20, 2019
Summary
Understanding social networks can improve HIV prevention outreach for young women in Botswana. Leveraging peer networks and community connections is key to engaging at-risk individuals, complementing traditional recruitment methods.
Area of Science:
- Public Health
- Social Sciences
- Network Analysis
Background:
- Botswana faces a high HIV prevalence, disproportionately affecting young women due to socioeconomic and gender-based factors.
- Structural barriers like poverty and gender inequality limit young women's ability to protect themselves from HIV.
- A national trial aims to improve young women's access to education and livelihood programs, but traditional recruitment methods are inefficient.
Purpose of the Study:
- To investigate the social networks of marginalized young women in Botswana.
- To determine if understanding social networks can improve recruitment for HIV prevention and support programs.
- To identify effective strategies for engaging young women aged 16-29 not in education, employment, or training.
Main Methods:
- A mixed-methods study utilizing social network analysis (SNA) and discussion groups.
- SNA employed in-degree centrality to identify key individuals and descriptive statistics/mixed models to analyze support networks.
- Recruitment methods (door-to-door, peers, community informants) were tracked for 307 marginalized young women.
Main Results:
- Marginalized young women primarily seek support from other women, often within their own communities and who also have children.
- Rural women demonstrated stronger interconnections compared to urban women, though isolated individuals existed in all settings.
- Peer recruitment was most effective in rural areas, while door-to-door recruitment performed better in urban settings.
Conclusions:
- Outreach programs should utilize women's social networks to identify and engage marginalized young women for government support.
- A combination of recruitment strategies, including peer outreach, door-to-door methods, and community informants, is recommended.
- Relying solely on social networks may be insufficient; integrated approaches are crucial for effective intervention delivery.
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