Original paper

AIDS and Behavior

, Volume 14, Issue 2, pp 431-439

First online:

Integrating HIV Prevention into Services for Abused Women in South Africa

  • Kathleen J. SikkemaAffiliated withDepartment of Psychology and Neuroscience, Duke University Email author 
  • , Sharon A. NeufeldAffiliated withSchool of Medicine, Yale UniversityDepartment of Social and Developmental Psychology, University of Cambridge
  • , Nathan B. HansenAffiliated withSchool of Medicine, Yale University
  • , Rakgadi MohlahlaneAffiliated withCentre for the Study of AIDS, University of Pretoria
  • , Madri Jansen Van RensburgAffiliated withPeople Opposing Women Abuse
  • , Melissa H. WattAffiliated withGlobal Health Institute, Duke University
  • , Ashley M. FoxAffiliated withMailman School of Public Health, Columbia University
  • , Mary CreweAffiliated withCentre for the Study of AIDS, University of Pretoria

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The relationship between intimate partner violence (IPV) and HIV risk is well documented, but few interventions jointly address these problems. We developed and examined the feasibility of an intervention to reduce HIV risk behaviors among 97 women seeking services for IPV from a community-based NGO in Johannesburg, South Africa. Two versions of the intervention (a 6-session group and a 1-day workshop) were implemented, both focusing on HIV prevention strategies integrated with issues of gender and power imbalance. Attendance was excellent in both intervention groups. Assessments were conducted at baseline, post-intervention and two-month follow-up to demonstrate the feasibility of an intervention trial. Women in both groups reported reductions in HIV misperceptions and trauma symptoms, and increases in HIV knowledge, risk reduction intentions, and condom use self-efficacy. The 6-session group showed greater improvements in HIV knowledge and decreases in HIV misperceptions in comparison to the 1-day workshop. The study demonstrated the feasibility and potential benefit of providing HIV prevention intervention to women seeking assistance for IPV.


Intimate partner violence HIV prevention Women Group intervention South Africa