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Supporting community action on AIDS in developing countries




Keep the best, change the rest
Participatory tools for working with communities on gender and sexuality
Tool A1
Acknowledgements
                                                                                       Established in 1993, the International
                                            Final development and editing of
This toolkit was inspired, developed
                                                                                       HIV/AIDS Alliance (the Alliance) is a
                                            the toolkit was carried out by Sarah
and produced through the support
                                                                                       global partnership of nationally based
                                            Middleton-Lee. The communications
and expertise of a large number of
                                                                                       organisations working to support
                                            team at the Alliance secretariat co-
individuals, groups and organisations.
                                                                                       community action on HIV/AIDS. Our
                                            ordinated the design development,
                                                                                       shared vision is to reduce the spread of
                                            production and dissemination of this
Alan Greig was responsible for much of
                                                                                       HIV and meet the challenges of AIDS.
                                            toolkit.
the original design and development of
                                                                                       For more information about our work,
this toolkit. Input and guidance was also
                                                                                       please visit our website:
                                            Many thanks for permission from
provided by Sue Clay, Liz Dawn,
                                                                                       www.aidsalliance.org
                                            Engenderhealth who manage the Men
Gill Gordon, Lillian Kaoma, Chipo
                                                                                       Registered charity number: 1038860
                                            as Partners project in South Africa
Chiiya, James Nowland, Andrew Mlewa
                                            to adapt and use activities from their
and Simon Mutonyi.
                                                                                       To order Alliance publications please go
                                            manual on male involvement in sexual
                                                                                       to www.aidsalliance.org/publications
                                            health.
Comments on the tools and key inputs
                                                                                       or email publications@aidsalliance.org
into specific sections were provided by
                                            © International HIV/AIDS Alliance, 2007
the participants of workshops, seminars
                                                                                       This resource was made possible by
                                            © Illustrations by Petra Röhr-Rouendaal,
and field experiences, particularly in
                                                                                       the generous support of the American
                                            2007
Chibombo, Kabwe, Kasama, Lundazi
                                                                                       people through the United States
and Lusaka in Zambia. Feedback on the
                                                                                       Agency for International Development
                                            Published June 2007
tools was also provided by Thandizani
                                                                                       (USAID) and its support of the Zambia
Community-based HIV/AIDS Prevention
                                                                                       Integrated Health Program (ZIHP). The
                                            ISBN: 1-905055-29-3
and Care, Kabwe Adventist Family
                                                                                       contents are the responsibility of the
Health Institute, and Development Aid
                                                                                       authors and do not necessarily reflect
                                            Designed by Jane Shepherd
from People to People. Peter Gordon
                                                                                       the views of USAID or ZIHP.
                                            Printed by Dexter Graphics, UK
facilitated a workshop with the above
organisations to further develop and edit
the toolkit. Many thanks to Nchimunya
Hansonga and Dr Andrew Mukelabai for
their contribution to the toolkit review
workshop.
Contents
    Introduction                            Section B: Sex and relationships         Section D: Working together
    About this toolkit                 2    Introduction                     42      Introduction                          72
    Building support for your work     4    Tools                                    Tools
    Preparing the team                 5    B1 Community timeline               44   D1 Speaking my truth                  74
    Planning the work                  8    B2 If I knew then what I know now   46   D2 Maintaining energy                 76
    Using the tools                    11   B3 Keep, change, stop               48   D3 Creating structure                 78
    Skills for using the tools              B4 Agree-disagree                   50   D4 Building leadership                80
    with groups                        12
                                            B5 Sex and ‘goods’                  52   D5 Working with allies                82
                                            B6 Money and HIV                    54
    Section A: Gender, sexuality and
                                            B7 Body mapping                     56   Section E: Making a plan
    vulnerability
                                            B8 Turning it up, turning it down   58   Introduction                          84
    Introduction                     20
                                            B9 Condoms – safe and sexy          60   Tools
    Tools                                   B10 Sex talk                        62   E1 Deciding what to work on           86
    A1 Cartoon strip                   22
                                                                                     E2 Deciding how to do the work        88
    A2 Scenes from life                24   Section C: Sexual violence               E3 Deciding when to do the work       90
    A3 But why?                        26   Introduction                        66   E4 Deciding who will do the work      92
    A4 Chain of effects                28
                                            Tools                                    E5 Deciding how to monitor the work   94
    A5 Walking in each other’s shoes   30
                                            C1 Sexual violence and daily life 68
    A6 Working day                     32
                                            C2 Taking action against violence 70
    A7 Making decisions                34
    A8 Caring for others               36
    A9 Lifelines                       38
    A10 Gender boxes                   40




1
INTRODUCTION



    About this toolkit
2
                                                                                      Gender, sexuality and vulnerability

                                             Who this toolkit is for
    Aim of this toolkit
                                             This toolkit is aimed at individuals
    This toolkit aims to support community
                                             and organisations that support
    groups to work in a practical
                                             communities to address HIV and AIDS
    and thorough way on improving
                                             and related issues. Examples include
    understanding and relationships
                                             training organisations, ‘intermediary’
    between women and men. Through
                                             NGOs, NGO support programmes
    this, it aims to promote sexual well-
                                             and organisations implementing
    being, strengthen communities and
                                             interventions in communities.
    help them to prevent HIV.
What materials are needed to                What this toolkit contains                    Using this toolkit
    use this toolkit?                           Introduction: Explaining what this            This toolkit works best if it is used in
                                                toolkit is, who it is for and how it can be   the order that it is presented – going
    This toolkit is designed to make
                                                used most effectively with community          through sections A to E to identify
    maximum use of local resources. The
                                                groups.                                       and explore issues and then deciding
    majority of the tools involve community
                                                                                              how to work together and what action
    members holding discussions, doing          Section A: Gender, sexuality and
                                                                                              to take. It particularly suits on going
    role-plays or using the ground, sticks,     vulnerability: Providing tools to explore
                                                                                              work with community groups, involving
    stones, beans and everyday objects,         general, everyday issues about gender
                                                                                              regular sessions over several weeks or
    such as clothes and household items.        and sexuality and how they affect
                                                                                              months.
    A small number of the tools, particularly   women’s and men’s vulnerability to HIV.
    those to develop an action plan in          Section B: Sex and relationships:
    section E, benefit from the use of a                                                       However, it is also possible to ‘dip
                                                Providing tools to explore how gender
    blackboard and chalk or flipchart paper                                                    into’ this toolkit and select one or
                                                and sexuality affects people’s sexual
    and marker pens.                                                                          more tools for a specific purpose.
                                                relationships and women’s and men’s
                                                                                              As such, it can be used for one-off
                                                vulnerability to HIV.
                                                                                              sessions with community members,
                                                Section C: Sexual violence: Providing
                                                                                              such as awareness-raising meetings to
                                                tools to explore issues relating to
                                                                                              build people’s interest in gender and
                                                gender-based and sexual violence and
                                                                                              sexuality and assess their interest in
                                                how they affect women’s and men’s
                                                                                              further activities.
                                                vulnerability to HIV.
                                                Section D: Working together: Providing
                                                tools to help community groups to
                                                work well together on issues relating to
                                                gender and sexuality.
                                                Section E: Making a plan: Providing
                                                tools to help community groups to
                                                make an action plan for working
                                                together on issues relating to gender
                                                and sexuality.



3
INTRODUCTION
    INTRODUCTION


    Building support for your work
4
                                                                                              Gender, sexuality and vulnerability

                                                                                           Building relationships with allies
    Getting permission from key                 Work with key stakeholders has to be
                                                ongoing, not ‘one-off’. They need to
    stakeholders                                                                           Allies are people, groups and
                                                be regularly informed of the progress      institutions whose support can help
    Before we start working on gender
                                                of the work, for example by having         your work on gender and sexuality.
    and sexuality with a community, it is
                                                community members come to talk to          The most obvious allies may be local
    important to build relations and trust
                                                them about the tools and their impact.     service providers, such as health
    and work with the community to assess
                                                A good relationship with stakeholders      clinics and HIV testing and counselling
    and agree on how looking at gender
                                                will make it more likely that they will    centres. But, there may be others, such
    and sexuality can help to improve the
                                                support the Action Plan that comes         as the media or local businesses, that
    lives of different groups of people and
                                                from the use of the tools when it is put   you have not considered before.
    protect them from HIV.
                                                into action in the community.
                                                                                           It is important to build good
    Getting permission from key
                                                                                           relationships with allies from the
    stakeholders is an important step in this
                                                                                           start. This process might involve:
    process. These are people who have a
                                                                                           explaining your work to allies and
    particular influence, power or decision-
                                                                                           identifying common interests; talking
    making role in a community. Examples
                                                                                           about the contribution that allies can
    include chiefs, traditional teachers on
                                                                                           make and identifying what they need
    gender and sexuality, teachers, health
                                                                                           in order to make it; and maintaining
    workers, civil society organisations and
                                                                                           regular communication with allies and
    religious and other local leaders.
                                                                                           reviewing your relationship with them.
    The support of key stakeholders is
    particularly important for work on
    gender and sexuality because it
    involves addressing sensitive and
    controversial subjects. It is vital that
    they not only understand, but support
    the work.
Preparing the team
                                                                                             • providing training to assist
    Creating the right team                      Using community volunteers
                                                                                               volunteers who are interested in
    Work on gender and sexuality with            Community volunteers often play a vital
                                                                                               finding paid work
    community groups is usually best done        role in work on gender and sexuality.
                                                                                             • creating a team identity through
    by facilitation teams of staff and/or        This can include facilitating activities,
                                                                                               badges, materials or t-shirts.
    volunteers, rather than just one person.     using the community languages, visiting
    A team can support each other and            less visible community members to
    reach more people more quickly with          invite them to meetings, arranging a
    better activities.                           place and equipment for meetings and
                                                 doing follow-up after meetings.
    If possible, balance teams in terms
    of gender, age, social status, etc.          Engaging community volunteers in the
    Members will have their own views and        team and the activities makes the work
    experience of gender and sexuality.          more credible if they are trusted and
    They should also all have:                   respected people. The presence of
                                                 volunteers can also help the team be
    • good relationships with the
                                                 more accountable to the community.
        community
    • a basic level of literacy
                                                 It is important to find ways to value the
    • a basic understanding of HIV and
                                                 work of volunteers – to avoid exploiting
        AIDS
                                                 their interest and commitment. Good
    • enough time to do the work
                                                 ways to do this include:
    • commitment to working together as
                                                 • project staff visiting the communities
        a team
                                                     and working alongside the
    • members should be willing to reflect
                                                     volunteers to emphasise the
        on their values relating to gender and
                                                     importance of their work
        sexuality and be willing to change as
                                                 • providing incentives (such as food or
        they learn more.
                                                     money) for the work of the
                                                     volunteers
5
INTRODUCTION         SECTION A



    Tool A1
    Preparing the team
6
                                                                                              Gender, sexuality and vulnerability

    Preparing yourself                           matters. To prepare them to do this, it   To prepare for this, it is helpful for the
                                                 can be helpful for members to:            team to:
    Before working with communities,
    it is important for all team members         • choose someone they trust and who       • decide on issues that they may
    to consider their own feelings about           can listen and offer support               discuss with the community and
    gender and sexuality, as these might                                                      identify those that some members
                                                 • tell that person briefly about the
    affect how they do their work. It is vital                                                feel uncomfortable discussing or
                                                   experiences that they are concerned
    that members experience the tools for                                                     have strong views about
                                                   about, sharing as little or as much
    themselves and are able to respond to          information as feels comfortable        • discuss situations in which
    what they learn before using them with                                                    discomfort or strong views might
                                                 • tell that person how they think these
    others. If the team agrees as a group,                                                    make it hard for some members to
                                                   experiences could affect their work
    they can support each other to change                                                     facilitate a discussion. Then make a
                                                 • explain how they would like to
    and be good role models.                                                                  plan for dealing with such situations
                                                   be supported to deal with their
                                                                                           • make time to practice facilitating
                                                   experiences.
    One way to prepare to use the tools                                                       discussions of such issues and
    is to think about our own personal                                                        enable the members to get feedback
                                                 Looking at discomforts and
    experiences of gender and sexuality.                                                      on how well they handled their
                                                 strong views
    Some of these may have been, or                                                           discomfort or strong views
                                                 Some team members may feel
    may still be, physically or emotionally                                                • remember that it is right to have
                                                 uncomfortable talking openly about
    harmful, such as experiences of                                                           strong views against harmful
                                                 certain topics, such as masturbation.
    violence in personal relationships.                                                       behaviours such as rape, child abuse
                                                 Some may have strong views on certain
    It may be hard to talk about certain                                                      and violence and we should always
                                                 issues, such as sex before marriage.
    topics without being reminded of such                                                     challenge opinions that promote
                                                 It will be difficult for a team member
    experiences.                                                                              these.
                                                 to facilitate an open discussion with
                                                 community members if they feel
    This toolkit is based on the principle
                                                 uncomfortable or have such strong
    that the process of change begins with
                                                 views about the issues at hand.
    each of us as individuals. As such, it
    is important for the team to become
    used to talking openly about personal
to discuss these with team members as
    Improving teamwork                           Ways to give each other feedback and
                                                                                               part of the preparation for their work.
                                                 support
    An important part of preparing the team
                                                                                               This discussion can help to:
    to use these tools with communities is       It is important to help team members to
                                                                                               • connect roles and responsibilities
    to look at what it needs in order to work    support each other, especially because
                                                                                                  to skills and experience – to make
    well together. This might include:           working on gender and sexuality can
                                                                                                  sure that the members are able to do
                                                 raise painful personal issues, cause
                                                                                                  what is being asked of them
                                                 resistance among people’s friends
    Training in the use of the tools
                                                                                               • make clear agreements about how
                                                 and family and make people feel
    Training for team members should
                                                                                                  team members will work together
                                                 overwhelmed. Ways to provide support
    include:
                                                 include:                                      • ensure that responsibilities are
    • basic information about sexual
                                                                                                  distributed fairly across the team.
                                                 • structuring mutual support. For
       health, including HIV and AIDS.
                                                     example, group members can
       This toolkit does not include such
                                                     regularly meet together in pairs          Helping each other to ‘practise what
       information, but there are many other
                                                     or small groups to offer each other       they preach’
       resources that do and that can be
                                                     support                                   It is vital that the team ‘practises what
       used to refresh members’
                                                 • helping members to get to know              it is preaching’ and provides a good
       knowledge
                                                     each other better – by encouraging        example of the types of values that
    • opportunities to explore their own
                                                     them to share their interests and by      it is trying to promote, such as equal
       thoughts about gender and sexuality.
                                                     allowing time for social activities       and supportive relationships between
       Experiencing the tools themselves
                                                 • having supervision sessions with            men and women. To do this, it can be
       not only enables members to explore
                                                     staff to identify further needs for       useful to set clear, agreed standards
       their own feelings, but to understand
                                                     support                                   of behaviour that can be used to
       what it is like to be a participant and
                                                                                               hold team members to account for
                                                 • making it known what support
       to make any necessary adaptations
                                                                                               inappropriate behaviour (such as sexist
                                                     is/is not available and making clear
       to the tools
                                                                                               jokes or sexual harassment).
                                                     agreements about how team
    • time to practice and get feedback
                                                     members can ask for it.
       in their use of the tools. The best
       way to learn about the tools is to use
       them (with the same materials that        Clear roles and responsibilities
       will be available in the community)       Teamwork is better when everyone
       and to exchange feedback with             understands their own and each other’s
       peers.                                    roles and responsibilities. It is important

7
INTRODUCTION       SECTION A



    Planning
    Tool A1 the work
8
                                                                                   Gender, sexuality and vulnerability

    Deciding what to work on                                                    Deciding which community
                                              Steps for focusing the work
                                                                                members to work with
    The starting point for work on gender
    and sexuality will usually be some        Start with a general or specific   Developing these tools showed that it
    sense of concern about particular                       concern             is better to work with specific groups
    aspects of relationships between                                            of people when addressing gender and
    women and men that are increasing                                           sexuality, rather than offering an open
                                                  Form groups of relevant
    the spread of HIV and/or worsening its                                      invitation to everyone. For example,
                                              community members to discuss
    impact on the community. An example                                         if the community aims to create an
                                                       the concern
    might be many reports of husbands                                           environment in a local school that
    beating their wives. Community leaders,                                     prevents sexual violence, then it may
    officials or staff of non-governmental     Use tools with this group to      be important to work with Ministry
    organisations, or women and               identify issues to work on and    of Education inspectors, teachers,
    community members themselves might                   actions to take        students, parents and legal bodies.
    voice these concerns.
                                                                                Overall, it is important to work with
    Your team may have identified some                                           people who have:
    areas of concern as a result of working                                     • most concern about the issue
    with the community to identify problems                                       relating to gender and sexuality
    and concerns. This can help to reveal
                                                                                • most involvement in the issue
    problems that would otherwise be
                                                                                • most influence over the issue.
    hidden, such as rape within marriage.

                                                                                Selecting people who are able to attend
    The team and community can then
                                                                                a series of meetings over time makes
    bring relevant groups of community
                                                                                it easier to use the tools. It also makes
    members together to explore the issues
                                                                                it more likely that the work will be
    that underlie the concerns about an
                                                                                effective and long-lasting.
    aspect of gender and sexuality and
    identify actions to address it.
Making group sessions                      Building relationships with                 Planning how to progress the
    accessible                                 participants                                work
    It is usually easier to work regularly     To work on gender and sexuality,            Planning how long the group work
    with community members who either          it is vital that teams build trusting       will last, how many sessions will be
    already belong to groups (such as          relationships with the community            required and which tools will be used
    micro credit groups) or are linked to a    groups. Without this, participants          will depend on the objectives of the
    particular institution (such as teachers   may be unwilling to share their own         project and the circumstances of the
    in a school).                              experiences and discuss what needs to       participants. But, in general, it is helpful
                                               change.                                     to plan group-work sessions so as to
                                                                                           move:
    However, the most marginalised and
                                                                                           • from describing problems to
    vulnerable members of communities          Project staff and volunteers need to
                                                                                              understanding them more deeply
    are often less likely to be members        have something to offer groups and
    of such groups or institutions. So, to     the broader community and keep their        • from discussing less sensitive issues
    target these people, the team needs to     promises.                                      to exploring more sensitive ones
    think about how to do outreach – and                                                   • from addressing less controversial
    encourage them to participate fully in                                                    topics to dealing more controversial
                                               Participants at meetings may need food
    the group-work process.                                                                   ones.
                                               or other incentives to travel to the site
                                               and spend time away from economic
    The team also need to consider             activities. However, before doing so, the
    practical ways to make its group           team should check with others in the
    sessions as accessible as possible. For    area to discuss a common approach
    example, it will need to ensure that its   to incentives, so that they do not harm
    work is carried out at a time and place    existing agreements and relationships.
    that is appropriate, easy and safe for
    the relevant community members.




9
INTRODUCTION        SECTION A



     Planning
     Tool A1 the work
10
                                                                                            Gender, sexuality and vulnerability

     Planning group sessions                     Before beginning a session, it is         Typical group meeting
                                                 important for the team members that
     Usually, it is important to work with the
                                                 are involved to meet to plan it. The
     same group of people over time. How                                                   ✔ Welcome everyone, especially new
                                                 team may decide to adapt particular
     to arrange a series of sessions will                                                    members.
                                                 tools in order to better suit the group
     depend on local circumstances. But it
                                                                                           ✔ Remind everyone about why the
                                                 with whom they are working.
     can generally help to:
                                                                                             group is meeting, what it is working
     • work with informal peer leaders and
                                                                                             on and how it has agreed to work.
        ask them to convene meetings
                                                                                           ✔ Agree on confidentiality issues.
     • work with key stakeholders to ensure
        that target participants can come to                                               ✔ Invite group to recap on the previous
        the sessions                                                                         meeting’s discussion, review actions
     • appoint some of the participants                                                      taken since last meeting and discuss
        as conveners and give them                                                           any issues.
        the responsibility for making sure
                                                                                           ✔ Agree on the issues you will discuss
        participants come to meetings
                                                                                             and use one or more tools to explore
     • arrange meetings at places and
                                                                                             those issues.
        times where the participants already
        meet                                                                               ✔ Agree on recommendations for action
     • think about offering some kind of                                                     arising from the discussion.
        incentives to motivate people to                                                     Summarise the key points from the
        attend                                                                               discussion.
     • make any special arrangements                                                       ✔ Check on feelings about the meeting
        that may be needed to enable some                                                    and how to improve it.
        participants to attend, such as
                                                                                           ✔ Make a plan for the next session.
        childcare for women with children.
                                                                                             Fill in an Activity Chart to record the
                                                                                             session.
Using the tools
                                                                                              are important for any group process,
     Composition of the group                       feel more comfortable with each other.
                                                                                              but especially when discussing sensitive
                                                    This can involve thinking of fun ways
     The facilitation team and community will
                                                                                              subjects, such as gender and sexuality.
                                                    for group members to get to know each
     need to decide about the composition
                                                    other better, such as games.
     of the groups for each of the tools. For
     example, will they facilitate the tool with                                              Confidentiality
     single or mixed-sex groups, married            Making working agreements                 Making a clear working agreement on
     or unmarried people, or people of the                                                    confidentiality is essential. Participants
                                                    It is important to create working
     same or different age groups?                                                            should not tell people outside the group
                                                    agreements with the participants. These
                                                                                              details of what specific individuals in
                                                    are the ‘ground rules’ that people make
     In particular, experience has shown that                                                 the group say. However, this agreement
                                                    about how they will work together. They
     exploring problems relating to gender                                                    cannot be enforced and people should
                                                      Examples of working agreements
     and sexuality benefits from some work                                                     be careful about what they are willing to
     in single sex and age groups. So, in                                                     share and with whom they share it. It is
                                                      ✔ Listen to everyone.
     the ‘how to use it’ instructions for the                                                 safer to talk about ‘people like us’ rather
                                                      ✔ Participate fully.
     tools in this toolkit, it is often suggested                                             than disclosing an event as a personal
                                                      ✔ Stick to the point.
     that the work is carried out by single-                                                  experience.
     sex groups and, in some instances,               ✔ Respect everyone’s ideas.
     that those groups are further divided                                                    Energy and humour
                                                      ✔ Challenge each other, but do it
     according to age. After working in
                                                                                              Maintaining the energy of participants
                                                        respectfully.
     separate groups, the groups can share
                                                                                              during group work is important.
                                                      ✔ Try to speak up if you are quiet.
     their ideas as they wish so that people
                                                                                              Members may feel overwhelmed by
                                                      ✔ Try to listen more if you speak
     understand each other’s point of view.
                                                                                              difficult issues, reducing energy levels.
                                                        a lot.
                                                                                              However, humour is a useful learning
                                                      ✔ Be as honest as you can.
     Introductions                                                                            tool. People learn better when they feel
                                                      ✔ Keep confidentiality.
     Some groups may know each other                                                          more comfortable and relaxed. Ways to
     well, while others may not. Whatever                                                     maintain the energy and humour of the
                                                      ✔ Take care of yourself and others
     the case, it is helpful to begin any group                                               group include using energisers and ice-
                                                        in the group.
     work with activities that help people                                                    breakers.
11
INTRODUCTION        SECTION A



     Skills for
     Tool A1 using the tools with groups
12
                                                                                                 Gender, sexuality and vulnerability

     Key skills                                                                              • asking probing questions that follow
                                                • summarising the discussions to
                                                                                               people’s answers with further
                                                  check understanding of what has
     A critical part of the process of using
                                                                                               questions that look deeper into the
                                                  been said.
     tools on gender and sexuality is helping
                                                                                               issue or problem
     a group of people to work together
                                                                                             • asking clarifying questions by re-
     productively. To do this, Facilitator’s    Participants also need listening skills in
                                                                                               wording a previous question
     particularly need skills in:               order to gain the most benefit from this
                                                                                             • asking questions about personal
                                                toolkit. From the start, it is important
                                                                                               points of view by asking about how
                                                to make it clear that the purpose of the
     Active listening
                                                                                               people feel and not just about what
                                                tools is to encourage discussion among
     This means more than just hearing
                                                                                               they know.
                                                participants, rather than between
     what is said. It means letting people
                                                participants and the facilitator.            Again, this skill is as important for
     know that they are being heard
                                                                                             participants as Facilitator’s and is an
     and understood. Active listening
                                                                                             important idea to introduce early in the
                                                Effective questioning
     encourages people to be more open in
                                                                                             process.
     sharing their experiences, thoughts and    Effective questioning involves:
     feelings. This is crucial when it comes    • asking open-ended questions, for
     to encouraging groups to talk more                                                      Facilitating group discussions
                                                   example using Why? What? When?
     openly about gender and sexuality.                                                      Facilitating discussions is another basic
                                                   Where? Who? and How?
     Active listening involves:                                                              skill for using this toolkit. It is needed to
                                                                                             increase the participation of people in
     • using body language and facial
                                                                         Why do you          their group discussions and to ensure
        expressions to show interest and
                                                                         think that          that members are given the opportunity
        understanding
                                                                          happened?          to express their range of views and
     • listening not only to what is said,
                                                                                             interests. Good facilitation helps to
        but also to how it is said – by
                                                                                             improve the quality of discussions and
        paying attention to the speaker’s
                                                                                             problem-solving. It also helps groups to
        body language
                                                                                             agree on changes that are needed and
     • asking questions of the person
                                                                                             commit to taking action on them.
        who is speaking – to show a desire
        to understand
Introducing each tool                       talkative, you can ask them to allow          Managing conflict
                                                 others to take part. Encourage the
     Facilitator’s need to provide an                                                          Talking about gender and sexuality
                                                 group to share responsibility for group
     introduction and explanation for each                                                     may give rise to disagreements in the
                                                 dynamics. One way to encourage full
     tool that they use. This should be clear                                                  group. Facilitator’s need to welcome
                                                 participation is to ask every member
     and concise and followed by simple                                                        this. But they also need to anticipate it,
                                                 to say something in turn or else to
     instructions.                                                                             identifying safe ways to respond and
                                                 break into pairs or very small groups.        move forward.
                                                 Also provide a minute or two for quiet
     It is important to check that the
                                                 reflection before asking people to speak
     participants have understood what you                                                     Often it is through disagreement
                                                 as this helps people to increase their
     have said and whether they have any                                                       with others that we come to better
                                                 confidence.
     questions. If there are specific tasks to                                                  understand our own thoughts and
     be completed in small groups, take time                                                   feelings. But there may be situations
                                                 Guiding the discussion
     at the beginning – before they have                                                       when disagreement turns into conflict.
     immersed themselves in the task – to        The key tasks of a facilitator are to         When this is the case, people put
     go around to each group and check           open up discussion and encourage              their energy into defending their own
     that they are clear about what to do.       full participation by using the tools.        positions rather than exploring the
                                                 They should also help the group to            issues with each other. Helping the
                                                 explore the issues raised in more             group to manage conflict is a key role
     Involving everyone
                                                 depth by asking probing questions and         for the facilitator. Examples of how to
     Helping all participants to take part
                                                 encouraging the expression of different       do this include:
     in discussions is an important part of
                                                 points of view. Finally, they should          • getting people to state clearly their
     facilitating meetings. It involves paying
                                                 summarise the discussion (checking for           concerns and the reasons for them –
     attention to each member’s level of
                                                 areas of agreement and conflict) and              to reduce the danger of other people
     participation. There may be many
                                                 note any action points that have arisen.         making assumptions
     reasons why someone is quiet during a
                                                                                               • getting people to listen to others
     discussion. For example, they may be
                                                 A key task for a facilitator is to help the      carefully and, if necessary, repeating
     shy or ill or just thinking deeply.
                                                 group stay focused. If the group seems           what others said to make sure they
                                                 to be losing its focus, it is important to       heard it correctly
     In general, it is a good idea to try to
                                                 remind its members of the objectives          • helping people identify areas
     bring quiet group members into the
                                                 for the activity and the issues that are         of agreement and shared concern –
     discussion, for example by asking them
                                                 being looked at. This will help to get           to create common ground to come
     direct questions. If someone is very
                                                 them back on track.                              together to work out a conflict.
13
INTRODUCTION         SECTION A



     Skills for
     Tool A1 using the tools with groups
14
                                                                                                 Gender, sexuality and vulnerability

     Achieving agreement                          Dealing with challenges                     Dealing with distressed
     It will often not be possible or desirable                                               individuals
                                                  Facilitating a group meeting will almost
     to achieve agreement among group             certainly mean dealing with negative or     Facilitator’s need to consider how they
     members. It is helpful to ask people to      disruptive behaviours, such as chatting     will respond to group members who
     reflect on areas of ‘common ground’           between participants or domination of       become distressed. Participants can
     for the group, as well as points of          discussions by a few vocal individuals.     form ‘support pairs’ or small groups –
     difference that need further discussion                                                  agreeing to meet regularly throughout
     or people can agree to differ.                                                           the programme (and perhaps in the
                                                  Reminding the group of its working
                                                                                              months afterwards) to provide each
                                                  agreements and asking everyone to be
                                                                                              other with support.
     The facilitator or group should also sum     responsible for maintaining them is a
     up the main points of the discussion         good way to deal with such disruptions.
     and any action points that they have         It is important to try and involve the      When it is not possible to support
     agreed. Encourage people to thank            group when asking a disruptive group        people in this way, the facilitator may
     each other for their contributions and       member to help, rather than hinder,         need to take time after a session to talk
     to celebrate the achievements of the         the work that the group is trying to do.    to the individual one-to-one and either
     meeting.                                     In the most extreme circumstances,          provide support or refer them to a local
                                                  when a participant continues to be          service.
                                                  disruptive, the group (or the facilitator
                                                  acting on their behalf) may need to ask
                                                                                              Personal disclosure
                                                  them to leave the group session. In this
                                                                                              Over the course of the sessions,
                                                  situation, it is important to arrange to
                                                                                              participants may reveal personal
                                                  talk with this person later in order to
                                                                                              information about themselves and their
                                                  understand their position and work with
                                                                                              lives, for example disclosing their HIV
                                                  both them and the other participants
                                                                                              status. Acknowledge those who do
                                                  to reach a decision about whether they
                                                                                              so for their courage in sharing such
                                                  should continue to participate in the
                                                                                              information. Remember that stigma and
                                                  programme.
                                                                                              discrimination towards those of us living
                                                                                              with HIV is still a problem and the costs
                                                                                              of disclosure can be high. Remind the
group of agreements they have made           to follow these agreements, but to             messages of the toolkit, but also to
     about confidentiality.                        remind them that they cannot be                give the person a chance to think more
                                                  enforced.                                      deeply about their point of view and the
                                                                                                 impact that it has. The facilitator should
     Those of us who are living with HIV may
                                                                                                 also encourage everyone to listen more
     decide to talk about our own personal        Group members may talk about
                                                                                                 closely to different points of view in the
     experience when we facilitate. We may        personal concerns because they are in
                                                                                                 group. This can be difficult, but it is vital
     decide before the session about how          a crisis and urgently need help. In such
                                                                                                 in helping members to work towards
     disclosure could help the group to           a situation, the facilitator may need
                                                                                                 positive change.
     achieve its objectives or we may use an      to take time during a break or, in the
     opportunity that arises naturally from       most serious cases, during the session
     the content of a discussion.                 itself, to deal with it. This will involve     A common example of a harmful
                                                  assessing the group member’s situation         point of view is blaming the victims of
                                                  and making a referral where relevant           violence. For example, a group member
     Creating the right environment
                                                  services exist.                                might say: “If a woman is wearing a
     and dealing with crises                                                                     short skirt and gets raped, it is her own
     The first task for any facilitator is to                                                     fault”. The following is one suggested
                                                  Dealing with harmful points of
     try to create a safe and supportive                                                         way to deal with such a group member:
                                                  view
     environment within the group. This will
                                                                                                 1. Ask for clarification. For example,
     help members to decide for themselves        Members of the group are likely to have
                                                                                                 say: “I appreciate you sharing your
     whether and when to talk about any           strong views about the issues in this
                                                                                                 opinion with us. Can you tell us why you
     personal issues.                             toolkit. It is important for the facilitator
                                                                                                 feel that way?”
                                                  to welcome disagreement, but there
                                                                                                 2. Seek a different point of view. For
                                                  may be some members whose views
     Creating such an environment begins                                                         example, say: “Thank you. So at least
                                                  make the problems worse.
     at the point of telling people about the                                                    one person feels that way. What do the
     group and recruiting people to join it. At                                                  rest of you think?”
     this point, it is important to encourage     Everyone has a right to their opinion,
                                                                                                 3. If another point of view is not offered,
     people living with HIV to participate.       but it is the role of the facilitator to
                                                                                                 provide one. For example, say: “I know
                                                  see that harmful points of view are
                                                                                                 that a lot of people disagree with that
                                                  challenged - ideally by participants
     The group’s working agreements also                                                         statement. Most women and men I
                                                  themselves, but, failing that, by the
     play an important role in creating a safe                                                   know feel that the only person to blame
                                                  facilitator. The best way to do this is
     environment. One of the tasks of the                                                        for a rape is the rapist.”
                                                  not only to repeat the core values and
     facilitator is to encourage participants
15
INTRODUCTION         SECTION A



     Skills for
     Tool A1 using the tools with groups
16
                                                                                                 Gender, sexuality and vulnerability

                                                                                              • being aware that role-plays can bring
                                                   are such a key part of who we all are as
     4. Offer facts that support a different
                                                                                                up a lot of emotions for those playing
                                                   people.
     point of view. For example, say: “The
                                                                                                the roles and those watching – and
     facts are clear. The law states that every
                                                                                                being prepared to stop the process if
     individual has a right to say ‘no’ to sex.    Dealing with HIV and AIDS calls
                                                                                                people appear to be upset
     Whatever a woman wears or does, she           for people to have new skills. For
     has a right not to be raped. The rapist is                                               • ensuring that people do not get
                                                   example, people need skills in talking
     the only person to be blamed.”                                                             ‘stuck’ in the role they have been
                                                   to sexual partners, using condoms and
                                                                                                playing and ‘de-role’ participants.
     It is important to remember that              preventing sexual violence. To develop
                                                                                                For example, after the role-play
     changing deeply held views is difficult.       these skills, people need to practice
                                                                                                is complete, you can ask them to
     Even after the facilitator has used           and get feedback – and role-play can
                                                                                                state their real name and some trivial
     these four steps, it is unlikely that the     be a good way to do this.
                                                                                                personal facts – to remind
     group member will openly change
                                                                                                themselves and the others about
     their opinion. But, by challenging the        Ways to ensure that role-plays are
                                                                                                who they really are and to separate
     statement, the facilitator has provided       useful and effective include:
                                                                                                them from their role.
     another point of view that the member
                                                   • staying aware of not only what is
     will be more likely to think about and, it
                                                     happening in the scene, but how the
     is hoped, adopt later.
                                                     rest of the group is reacting
                                                   • pausing a role-play when there is
     Using role-play                                 an opportunity to discuss a key
     Role-play – including acting, singing           issue. Then asking questions of the
     and dancing – is involved in many of            actors and the other participants
     the tools in this toolkit. It is a good way     about what is happening, why it is
     to reveal thoughts and feelings about           happening and the implications –
     gender and sexuality. Playing a role            and using those questions to make
     demands more from people than just              key learning points
     talking about an issue. It involves going     • supporting humour as a way to relax
     deeper into what they think and feel.           people, but ensuring that it does not
     This is critical because our beliefs about      take over and lose the point of the
     gender and sexuality go very deep and           role-play
Recording and monitoring your                   minutes at the end of every meeting
     Using drawings
                                                                                                 to ask each participant to answer
                                                 work
     Drawing is also involved in many of
                                                                                                 some basic feedback questions
     the tools in this toolkit. Again, this is   One role of the facilitation team is to
                                                                                               • interviewing the friends and family
     because it is a good way to encourage       take responsibility for recording the
                                                                                                 of participants at the beginning
     people to reveal their real thoughts and    work that it supports in the community.
                                                                                                 and the end of the process to assess
     feelings about gender and sexuality.        One way to do this is to fill in an Activity
                                                                                                 what difference the discussions have
                                                 Record Sheet after each meeting.
                                                                                                 made to the members’ behaviours
                                                 This provides a brief and simple way
     Drawing can be carried out on the
                                                                                                 and attitudes
                                                 to document the key facts about a
     ground, a blackboard or paper,
                                                                                               • asking participants to keep a
                                                 session, such as where it was held, who
     depending on the materials available
                                                                                                 daily/weekly diary of their thoughts
                                                 attended, what issues were discussed
     and the preferences of the participants.
                                                                                                 and feelings during the process and
                                                 and what decisions were reached.
                                                                                                 then asking them to use the
     It is important for facilitator’s to help
                                                                                                 information in these diaries to assess
                                                 An example of an Activity Record Sheet
     participants to feel relaxed about
                                                                                                 what difference the work has made
                                                 is provided on the following page.
     drawing. This involves explaining that
                                                                                               • holding group discussions with
                                                 Activity Record Sheets, or similar tools,
     the quality of the drawing does not
                                                                                                 some or all of the group members
                                                 are vital for monitoring the work that
     matter – as it is the issues that are
                                                                                                 before the beginning and after the
                                                 is being carried out – as they tell the
     raised that are important.
                                                                                                 end of the process and comparing
                                                 ‘story’ of what it has involved and how
                                                                                                 the findings from these discussions.
                                                 it has progressed.

                                                 Other ways to assess the impact of
                                                 your work on gender and sexuality
                                                 include:
                                                 • asking for regular feedback from
                                                    participants on their thoughts and
                                                    feelings about the group work
                                                    process and how it is affecting their
                                                    lives. Ask them for their suggestions
                                                    on improving the meetings. A very
                                                    simple way to do this is to take 5-10

17
INTRODUCTION      SECTION A



     Example:
     Tool A1 Activity record sheet
18
                                                                                        Gender, sexuality and vulnerability

     Activity record sheet: Group meeting on gender and sexuality
     1. Details of group meeting
     Date of meeting                         Location of meeting
     Number of participants
     Type of participants (e.g. men/women, younger/older people)




     2. Tools used and issues covered during the meeting
     Tools used during the meeting




     Issues covered during the meeting




     3. Areas of agreement and disagreement among the group
     Areas of agreement among the group                            Areas of disagreement among the group
4. Decisions made by the group




     5. Next steps for the facilitator (e.g. issues to cover in the next meeting)




19
SECTION A



     Introduction to Section A: Gender, sexuality and vulnerability and vulnerability
20
                                                        Gender, sexuality

                                                                                       Vulnerability relates to the risks of HIV
     Overview                             Gender, sexuality and
                                                                                       and AIDS that are faced by different
                                          vulnerability
     This section of ‘Keep the best,
                                                                                       kinds of people in different kinds of
     change the rest’ provides tools to   Gender refers to the social, cultural
                                                                                       situations. It helps in understanding
     explore general, everyday issues     and economic roles, characteristics,
                                                                                       the reasons behind those risks and
     about gender and sexuality and       opportunities and expectations that
                                                                                       the extent to which people do or do
     how they affect women and men’s      are linked to being female or male.
                                                                                       not have control over them. Looking at
     vulnerability to HIV.                The situation in relation to gender
                                                                                       people’s vulnerability is a good way to
                                          varies widely in different societies. But,
                                                                                       see how issues of gender and sexuality
                                          because it is ‘constructed’ (made) by a
     This section includes ten tools:
                                                                                       affect HIV and AIDS.
                                          society, gender can be changed over
                                          time – to make that society more just
     A1   Cartoon strip
                                                                                       What influences vulnerability?
                                          and equal.
     A2   Scenes from life                                                             Vulnerability involves a combination of
     A3   But why?                                                                     several different factors:
                                          Sexuality is a key aspect of being
                                          a human and affects people                   • Bodies: Some people are physically
     A4   Chain of effects
                                          throughout their life. It involves             more vulnerable to HIV than others.
     A5   Walking in each other’s shoes
                                          issues relating to gender, sex, sexual         For example, girls and young women
     A6   Working day
                                          orientation, pleasure, relationships           are more vulnerable because the
     A7   Making decisions                and reproduction. Sexuality can be             genital tract is not as developed
                                          expressed by some or all of a person’s         (strong) as it is in older women.
     A8   Caring for others
                                          thoughts, beliefs, desires, fantasies,         Meanwhile, women or men with
     A9   Lifelines
                                          attitudes, values, behaviours, practices,      other sexually transmitted infections
     A10 Gender boxes
                                          roles and relationships. It is influenced       (STIs) may be more vulnerable, if
                                          by the relationship between a wide             they have cuts in the skin that make
                                          range of different factors, including          it easier for HIV to enter. Research
                                          those that are social, biological,             has shown that uncircumcised men
                                          psychological, economic, political,            are more vulnerable to HIV infection
                                          cultural, ethical, legal, historical,          than circumcised men.
                                          religious and spiritual.
• Choices: Some people are more                                                           • Some women feel a double
                                                 Changing gender roles – keep
       vulnerable to HIV because they                                                            pressure – to conform to traditional
                                                 the best, change the rest
       have fewer choices than others when                                                       roles when back home in their
                                                 This section of ‘Keep the best, change
       it comes to their sexual behaviour                                                        village, and to be independent
                                                 the rest’ focuses on women and men’s
       and dealing with the risk of infection.                                                   modern women when at work in the
                                                 social and sexual lives, how they are
       For example, some women                                                                   town.
                                                 changing and how they are affected by
       exchange sex for money due to their
                                                 HIV and AIDS.
       economic needs and may not                                                              ‘Keep the best, change the rest’ is an
       be able to choose whether to use a                                                      important principle of this toolkit. It
                                                 It helps communities to look at how
       condom with their sexual partners.                                                      is based on the view that people can
                                                 changes in gender roles are creating
     • Abilities: Some people are more                                                         make choices about which of their
                                                 both opportunities and confusion for
       vulnerable to HIV because they have                                                     values, beliefs and practices they want
                                                 people today. As just some examples:
       fewer abilities to deal with their risk                                                 to keep and which they want to change.
                                                 • Children learn from school and the
       of infection. For example, if a woman                                                   The tools are designed to help people
                                                     media about human rights and
       has experienced sexual violence,                                                        to make these choices for themselves.
                                                     girls can see women moving into
       she may have low self-esteem and
                                                     positions of authority. But, at the
       confidence and not be able to
                                                     same time, young people are also
       negotiate safer sex with her
                                                     under pressure to follow the culture
       husband.
                                                     of older generations.
     • Pressures: Some people are more
                                                 • There are signs that changes in
       vulnerable to HIV because they face
                                                     women’s roles are creating a
       more pressure than others to take
                                                     negative response from some
       risks. For example, young men
                                                     women and men, putting pressure
       might feel under pressure to have
                                                     on people to return to more
       many different sexual partners and
                                                     traditional ways.
       not use condoms to ‘prove’
                                                 • Men are under pressure to live up to
       that they are men to their peers.
                                                     their traditional roles as provider and
                                                     head of the house. But, where there
                                                     is rising male unemployment, this can
                                                     become a problem for those who lack
                                                     the economic means to play this role.

21
SECTION A



     Tool A1 Cartoon strip
22
                                                                                                  Gender, sexuality and vulnerability

     What is it?                                       How to use it
     This tool involves acting out a ‘cartoon          1 Explain the purpose of the tool to participants.
     strip’ – a series of scenes about an issue or     2 Ask the group to identify four issues or problems relating to gender and
     situation relating to gender and sexuality.         sexuality in their community. Examples might include ‘young people are
                                                         starting to have sex at a young age’ or ‘there are many cases of husbands
                                                         beating their wives’.
     Why use it?
                                                       3 Divide the participants into four small groups. Ask each group to choose a
     To explore people’s real life experiences in
                                                         different one of the issues to work on. Ask each one to:
     relation to gender and sexuality.
                                                         • think of a story about this problem, based on their knowledge and
                                                          experience of the local community
          Facilitator’s notes
                                                         • tell the story by acting out a ‘cartoon strip’, involving a series of five
     • Encourage the participants to think
                                                           scenes.
       of stories that are realistic for their local
                                                         Inform them that the final scene (picture 5) should show an ‘incident’ of
       community, rather than ones that are too
                                                         the problem (such as a couple having unsafe sex or a wife being beaten
       exaggerated.
                                                         by her husband). The previous scenes (pictures 1-4) should show the
     • Inform the participants that ‘cartoon
                                                         steps that lead up to the ‘incident’.
       strips’ work best when the story leading
                                                       4 Bring all of the participants back together. Ask each group to act out its
       up to the ‘incident’ (picture 5) takes
                                                         ‘cartoon strip’. Encourage everyone to discuss the stories and support
       place over quite a short space of time
                                                         them to draw up a list of the most common issues, events and
       (hours/days) rather than a longer period
                                                         experiences that lead up to the final scenes.
       (months/years).
                                                       5 At the end, fill in an Activity Record Sheet. In particular, note any decisions
                                                         and action points made by the group and identify next steps. For example,
                                                         people might want to identify ways to prevent these situations occurring.
2       3
     1




     4       5
23
SECTION A



     Tool A2 Scenes from life
24
                                                                                                Gender, sexuality and vulnerability

     What is it?                                      How to use it
     This tool involves performing ‘scenes from       1 Explain the purpose of the tool to participants.
     life’ – role-plays, songs or poems about         2 Ask the group to identify four issues or problems relating to gender and
     situations relating to gender and sexuality.       sexuality in their community.
                                                      3 Divide the participants into four groups. Divide by age and gender. Ask
     Why use it?                                        each group to choose a different one of the issues to work on.
     To explore the underlying causes of              4 Ask each group to prepare some ‘scenes from life’ – a role-play, song or
     problems relating to gender and sexuality –        poem about the issue that is based on characters, events and attitudes
     helping people to ‘go deeper’ and express          that are similar to those in their community.
     what they really think and feel.
                                                      5 Bring all of the participants back together. Ask each group to present its
                                                        ‘scenes from life’. Ask the actors to talk about what it was like to perform
          Facilitator’s notes                           the role-play, song or poem and what they learned from it. Ask the other
                                                        participants to talk about how they felt watching the performance and what
     • Be aware that this activity can bring
                                                        they learned from it. Encourage discussions about:
       up strong feelings – as it might remind
       people of painful experiences in their own       • What was happening in the ‘scenes from life’? Does this happen in the
       lives. Encourage the participants to take          community?
       care of themselves and each other.
                                                        • Why did each character behave as they did?
     • Inform the participants that ‘scenes from
                                                        • What power did each character have in the situation, and why?
       life’ work best if they are typical of their
                                                        • Who was most affected by the situation, how and why?
       community, rather than too dramatic.
                                                        • How were the different people vulnerable to HIV?
     • Ensure that the role-plays, songs or
                                                        • What could each of the people do to reduce their vulnerability to HIV?
       poems keep to the point of the activity.
                                                      6 At the end, fill in an Activity Record Sheet. In particular, note any decisions
     • This tool can be used in a number of
                                                        and action points made by the group and identify next steps.
       different ways. For example, you can:
       present some ‘scenes from life’ showing
       a problem that the participants might feel
       uncomfortable to talk about.
Example 1
     ‘Scenes of life’ as a song


     ▼ Example 2
     ‘Scenes of life’ as a role-play




25
SECTION A



     Tool A3 But why?
26
                                                                                               Gender, sexuality and vulnerability

     What is it?                                     How to use it
     This tool involves creating a ‘but why?’        1 Explain the purpose of the tool to participants.
     diagram – by drawing a problem relating
                                                     2 Ask the group to identify four issues or problems relating to gender and
     to gender and sexuality in the centre,
                                                       sexuality in their community.
     repeating the question ‘but why?’ and
                                                     3 Divide the participants into four groups. Ask each group to choose a
     drawing the answers in circles around the
                                                       different one of the issues to work on.
     problem.
                                                     4 Ask each group to draw a ‘but why?’ diagram. Ask them to start by
                                                       drawing or writing their issue in a circle in the middle of a space on the
     Why use it?
                                                       floor, blackboard or sheet of flipchart paper.
     To explore the underlying causes of
                                                     5 Ask each group to:
     problems relating to gender and sexuality.
                                                       • Discuss ‘but why does this happen?’ Then write each of the immediate
                                                         answers in separate circles around the problem.
          Facilitator’s notes
                                                       • Look at the first of the immediate answers and again discuss ‘but why
     • Be aware that this tool can be quite
                                                         does this happen?’ Then write the answer in a new circle and join it to
       complicated. Support the participants
                                                         the first circle with a line. Repeat this a few times.
       to use it by giving them clear, step-by-
                                                     6 Ask each group to repeat the activity for each of the other immediate
       step instructions and explaining how the
                                                       answers and to keep asking ‘but why does this happen?’ until they can
       end result shows the different ‘levels’ of
                                                       think of no more answers.
       reasons for the main problem. It may help
       to put arrows on the lines that link the      7 Bring all of the participants back together. Ask each group to share their
       circles – with them all pointing inwards to     diagram. Support the participants to develop a list of the most common
       show how they contribute to the central         reasons for problems relating to gender and sexuality and to discuss why
       problem.                                        they are the most common.
     • Encourage the participants to allow           8 At the end, fill in an Activity Record Sheet. In particular, note any decisions
       plenty of space for this tool – so that the     and action points made by the group and identify any next steps. For
       diagram can spread out as much as is            example, discuss what the group and others can do about each cause.
       needed.
27
Gender Sexuality Toolkit
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Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit
Gender Sexuality Toolkit

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Gender Sexuality Toolkit

  • 1. www.aidsalliance.org Supporting community action on AIDS in developing countries Keep the best, change the rest Participatory tools for working with communities on gender and sexuality
  • 2. Tool A1 Acknowledgements Established in 1993, the International Final development and editing of This toolkit was inspired, developed HIV/AIDS Alliance (the Alliance) is a the toolkit was carried out by Sarah and produced through the support global partnership of nationally based Middleton-Lee. The communications and expertise of a large number of organisations working to support team at the Alliance secretariat co- individuals, groups and organisations. community action on HIV/AIDS. Our ordinated the design development, shared vision is to reduce the spread of production and dissemination of this Alan Greig was responsible for much of HIV and meet the challenges of AIDS. toolkit. the original design and development of For more information about our work, this toolkit. Input and guidance was also please visit our website: Many thanks for permission from provided by Sue Clay, Liz Dawn, www.aidsalliance.org Engenderhealth who manage the Men Gill Gordon, Lillian Kaoma, Chipo Registered charity number: 1038860 as Partners project in South Africa Chiiya, James Nowland, Andrew Mlewa to adapt and use activities from their and Simon Mutonyi. To order Alliance publications please go manual on male involvement in sexual to www.aidsalliance.org/publications health. Comments on the tools and key inputs or email publications@aidsalliance.org into specific sections were provided by © International HIV/AIDS Alliance, 2007 the participants of workshops, seminars This resource was made possible by © Illustrations by Petra Röhr-Rouendaal, and field experiences, particularly in the generous support of the American 2007 Chibombo, Kabwe, Kasama, Lundazi people through the United States and Lusaka in Zambia. Feedback on the Agency for International Development Published June 2007 tools was also provided by Thandizani (USAID) and its support of the Zambia Community-based HIV/AIDS Prevention Integrated Health Program (ZIHP). The ISBN: 1-905055-29-3 and Care, Kabwe Adventist Family contents are the responsibility of the Health Institute, and Development Aid authors and do not necessarily reflect Designed by Jane Shepherd from People to People. Peter Gordon the views of USAID or ZIHP. Printed by Dexter Graphics, UK facilitated a workshop with the above organisations to further develop and edit the toolkit. Many thanks to Nchimunya Hansonga and Dr Andrew Mukelabai for their contribution to the toolkit review workshop.
  • 3. Contents Introduction Section B: Sex and relationships Section D: Working together About this toolkit 2 Introduction 42 Introduction 72 Building support for your work 4 Tools Tools Preparing the team 5 B1 Community timeline 44 D1 Speaking my truth 74 Planning the work 8 B2 If I knew then what I know now 46 D2 Maintaining energy 76 Using the tools 11 B3 Keep, change, stop 48 D3 Creating structure 78 Skills for using the tools B4 Agree-disagree 50 D4 Building leadership 80 with groups 12 B5 Sex and ‘goods’ 52 D5 Working with allies 82 B6 Money and HIV 54 Section A: Gender, sexuality and B7 Body mapping 56 Section E: Making a plan vulnerability B8 Turning it up, turning it down 58 Introduction 84 Introduction 20 B9 Condoms – safe and sexy 60 Tools Tools B10 Sex talk 62 E1 Deciding what to work on 86 A1 Cartoon strip 22 E2 Deciding how to do the work 88 A2 Scenes from life 24 Section C: Sexual violence E3 Deciding when to do the work 90 A3 But why? 26 Introduction 66 E4 Deciding who will do the work 92 A4 Chain of effects 28 Tools E5 Deciding how to monitor the work 94 A5 Walking in each other’s shoes 30 C1 Sexual violence and daily life 68 A6 Working day 32 C2 Taking action against violence 70 A7 Making decisions 34 A8 Caring for others 36 A9 Lifelines 38 A10 Gender boxes 40 1
  • 4. INTRODUCTION About this toolkit 2 Gender, sexuality and vulnerability Who this toolkit is for Aim of this toolkit This toolkit is aimed at individuals This toolkit aims to support community and organisations that support groups to work in a practical communities to address HIV and AIDS and thorough way on improving and related issues. Examples include understanding and relationships training organisations, ‘intermediary’ between women and men. Through NGOs, NGO support programmes this, it aims to promote sexual well- and organisations implementing being, strengthen communities and interventions in communities. help them to prevent HIV.
  • 5. What materials are needed to What this toolkit contains Using this toolkit use this toolkit? Introduction: Explaining what this This toolkit works best if it is used in toolkit is, who it is for and how it can be the order that it is presented – going This toolkit is designed to make used most effectively with community through sections A to E to identify maximum use of local resources. The groups. and explore issues and then deciding majority of the tools involve community how to work together and what action members holding discussions, doing Section A: Gender, sexuality and to take. It particularly suits on going role-plays or using the ground, sticks, vulnerability: Providing tools to explore work with community groups, involving stones, beans and everyday objects, general, everyday issues about gender regular sessions over several weeks or such as clothes and household items. and sexuality and how they affect months. A small number of the tools, particularly women’s and men’s vulnerability to HIV. those to develop an action plan in Section B: Sex and relationships: section E, benefit from the use of a However, it is also possible to ‘dip Providing tools to explore how gender blackboard and chalk or flipchart paper into’ this toolkit and select one or and sexuality affects people’s sexual and marker pens. more tools for a specific purpose. relationships and women’s and men’s As such, it can be used for one-off vulnerability to HIV. sessions with community members, Section C: Sexual violence: Providing such as awareness-raising meetings to tools to explore issues relating to build people’s interest in gender and gender-based and sexual violence and sexuality and assess their interest in how they affect women’s and men’s further activities. vulnerability to HIV. Section D: Working together: Providing tools to help community groups to work well together on issues relating to gender and sexuality. Section E: Making a plan: Providing tools to help community groups to make an action plan for working together on issues relating to gender and sexuality. 3
  • 6. INTRODUCTION INTRODUCTION Building support for your work 4 Gender, sexuality and vulnerability Building relationships with allies Getting permission from key Work with key stakeholders has to be ongoing, not ‘one-off’. They need to stakeholders Allies are people, groups and be regularly informed of the progress institutions whose support can help Before we start working on gender of the work, for example by having your work on gender and sexuality. and sexuality with a community, it is community members come to talk to The most obvious allies may be local important to build relations and trust them about the tools and their impact. service providers, such as health and work with the community to assess A good relationship with stakeholders clinics and HIV testing and counselling and agree on how looking at gender will make it more likely that they will centres. But, there may be others, such and sexuality can help to improve the support the Action Plan that comes as the media or local businesses, that lives of different groups of people and from the use of the tools when it is put you have not considered before. protect them from HIV. into action in the community. It is important to build good Getting permission from key relationships with allies from the stakeholders is an important step in this start. This process might involve: process. These are people who have a explaining your work to allies and particular influence, power or decision- identifying common interests; talking making role in a community. Examples about the contribution that allies can include chiefs, traditional teachers on make and identifying what they need gender and sexuality, teachers, health in order to make it; and maintaining workers, civil society organisations and regular communication with allies and religious and other local leaders. reviewing your relationship with them. The support of key stakeholders is particularly important for work on gender and sexuality because it involves addressing sensitive and controversial subjects. It is vital that they not only understand, but support the work.
  • 7. Preparing the team • providing training to assist Creating the right team Using community volunteers volunteers who are interested in Work on gender and sexuality with Community volunteers often play a vital finding paid work community groups is usually best done role in work on gender and sexuality. • creating a team identity through by facilitation teams of staff and/or This can include facilitating activities, badges, materials or t-shirts. volunteers, rather than just one person. using the community languages, visiting A team can support each other and less visible community members to reach more people more quickly with invite them to meetings, arranging a better activities. place and equipment for meetings and doing follow-up after meetings. If possible, balance teams in terms of gender, age, social status, etc. Engaging community volunteers in the Members will have their own views and team and the activities makes the work experience of gender and sexuality. more credible if they are trusted and They should also all have: respected people. The presence of volunteers can also help the team be • good relationships with the more accountable to the community. community • a basic level of literacy It is important to find ways to value the • a basic understanding of HIV and work of volunteers – to avoid exploiting AIDS their interest and commitment. Good • enough time to do the work ways to do this include: • commitment to working together as • project staff visiting the communities a team and working alongside the • members should be willing to reflect volunteers to emphasise the on their values relating to gender and importance of their work sexuality and be willing to change as • providing incentives (such as food or they learn more. money) for the work of the volunteers 5
  • 8. INTRODUCTION SECTION A Tool A1 Preparing the team 6 Gender, sexuality and vulnerability Preparing yourself matters. To prepare them to do this, it To prepare for this, it is helpful for the can be helpful for members to: team to: Before working with communities, it is important for all team members • choose someone they trust and who • decide on issues that they may to consider their own feelings about can listen and offer support discuss with the community and gender and sexuality, as these might identify those that some members • tell that person briefly about the affect how they do their work. It is vital feel uncomfortable discussing or experiences that they are concerned that members experience the tools for have strong views about about, sharing as little or as much themselves and are able to respond to information as feels comfortable • discuss situations in which what they learn before using them with discomfort or strong views might • tell that person how they think these others. If the team agrees as a group, make it hard for some members to experiences could affect their work they can support each other to change facilitate a discussion. Then make a • explain how they would like to and be good role models. plan for dealing with such situations be supported to deal with their • make time to practice facilitating experiences. One way to prepare to use the tools discussions of such issues and is to think about our own personal enable the members to get feedback Looking at discomforts and experiences of gender and sexuality. on how well they handled their strong views Some of these may have been, or discomfort or strong views Some team members may feel may still be, physically or emotionally • remember that it is right to have uncomfortable talking openly about harmful, such as experiences of strong views against harmful certain topics, such as masturbation. violence in personal relationships. behaviours such as rape, child abuse Some may have strong views on certain It may be hard to talk about certain and violence and we should always issues, such as sex before marriage. topics without being reminded of such challenge opinions that promote It will be difficult for a team member experiences. these. to facilitate an open discussion with community members if they feel This toolkit is based on the principle uncomfortable or have such strong that the process of change begins with views about the issues at hand. each of us as individuals. As such, it is important for the team to become used to talking openly about personal
  • 9. to discuss these with team members as Improving teamwork Ways to give each other feedback and part of the preparation for their work. support An important part of preparing the team This discussion can help to: to use these tools with communities is It is important to help team members to • connect roles and responsibilities to look at what it needs in order to work support each other, especially because to skills and experience – to make well together. This might include: working on gender and sexuality can sure that the members are able to do raise painful personal issues, cause what is being asked of them resistance among people’s friends Training in the use of the tools • make clear agreements about how and family and make people feel Training for team members should team members will work together overwhelmed. Ways to provide support include: include: • ensure that responsibilities are • basic information about sexual distributed fairly across the team. • structuring mutual support. For health, including HIV and AIDS. example, group members can This toolkit does not include such regularly meet together in pairs Helping each other to ‘practise what information, but there are many other or small groups to offer each other they preach’ resources that do and that can be support It is vital that the team ‘practises what used to refresh members’ • helping members to get to know it is preaching’ and provides a good knowledge each other better – by encouraging example of the types of values that • opportunities to explore their own them to share their interests and by it is trying to promote, such as equal thoughts about gender and sexuality. allowing time for social activities and supportive relationships between Experiencing the tools themselves • having supervision sessions with men and women. To do this, it can be not only enables members to explore staff to identify further needs for useful to set clear, agreed standards their own feelings, but to understand support of behaviour that can be used to what it is like to be a participant and hold team members to account for • making it known what support to make any necessary adaptations inappropriate behaviour (such as sexist is/is not available and making clear to the tools jokes or sexual harassment). agreements about how team • time to practice and get feedback members can ask for it. in their use of the tools. The best way to learn about the tools is to use them (with the same materials that Clear roles and responsibilities will be available in the community) Teamwork is better when everyone and to exchange feedback with understands their own and each other’s peers. roles and responsibilities. It is important 7
  • 10. INTRODUCTION SECTION A Planning Tool A1 the work 8 Gender, sexuality and vulnerability Deciding what to work on Deciding which community Steps for focusing the work members to work with The starting point for work on gender and sexuality will usually be some Start with a general or specific Developing these tools showed that it sense of concern about particular concern is better to work with specific groups aspects of relationships between of people when addressing gender and women and men that are increasing sexuality, rather than offering an open Form groups of relevant the spread of HIV and/or worsening its invitation to everyone. For example, community members to discuss impact on the community. An example if the community aims to create an the concern might be many reports of husbands environment in a local school that beating their wives. Community leaders, prevents sexual violence, then it may officials or staff of non-governmental Use tools with this group to be important to work with Ministry organisations, or women and identify issues to work on and of Education inspectors, teachers, community members themselves might actions to take students, parents and legal bodies. voice these concerns. Overall, it is important to work with Your team may have identified some people who have: areas of concern as a result of working • most concern about the issue with the community to identify problems relating to gender and sexuality and concerns. This can help to reveal • most involvement in the issue problems that would otherwise be • most influence over the issue. hidden, such as rape within marriage. Selecting people who are able to attend The team and community can then a series of meetings over time makes bring relevant groups of community it easier to use the tools. It also makes members together to explore the issues it more likely that the work will be that underlie the concerns about an effective and long-lasting. aspect of gender and sexuality and identify actions to address it.
  • 11. Making group sessions Building relationships with Planning how to progress the accessible participants work It is usually easier to work regularly To work on gender and sexuality, Planning how long the group work with community members who either it is vital that teams build trusting will last, how many sessions will be already belong to groups (such as relationships with the community required and which tools will be used micro credit groups) or are linked to a groups. Without this, participants will depend on the objectives of the particular institution (such as teachers may be unwilling to share their own project and the circumstances of the in a school). experiences and discuss what needs to participants. But, in general, it is helpful change. to plan group-work sessions so as to move: However, the most marginalised and • from describing problems to vulnerable members of communities Project staff and volunteers need to understanding them more deeply are often less likely to be members have something to offer groups and of such groups or institutions. So, to the broader community and keep their • from discussing less sensitive issues target these people, the team needs to promises. to exploring more sensitive ones think about how to do outreach – and • from addressing less controversial encourage them to participate fully in topics to dealing more controversial Participants at meetings may need food the group-work process. ones. or other incentives to travel to the site and spend time away from economic The team also need to consider activities. However, before doing so, the practical ways to make its group team should check with others in the sessions as accessible as possible. For area to discuss a common approach example, it will need to ensure that its to incentives, so that they do not harm work is carried out at a time and place existing agreements and relationships. that is appropriate, easy and safe for the relevant community members. 9
  • 12. INTRODUCTION SECTION A Planning Tool A1 the work 10 Gender, sexuality and vulnerability Planning group sessions Before beginning a session, it is Typical group meeting important for the team members that Usually, it is important to work with the are involved to meet to plan it. The same group of people over time. How ✔ Welcome everyone, especially new team may decide to adapt particular to arrange a series of sessions will members. tools in order to better suit the group depend on local circumstances. But it ✔ Remind everyone about why the with whom they are working. can generally help to: group is meeting, what it is working • work with informal peer leaders and on and how it has agreed to work. ask them to convene meetings ✔ Agree on confidentiality issues. • work with key stakeholders to ensure that target participants can come to ✔ Invite group to recap on the previous the sessions meeting’s discussion, review actions • appoint some of the participants taken since last meeting and discuss as conveners and give them any issues. the responsibility for making sure ✔ Agree on the issues you will discuss participants come to meetings and use one or more tools to explore • arrange meetings at places and those issues. times where the participants already meet ✔ Agree on recommendations for action • think about offering some kind of arising from the discussion. incentives to motivate people to Summarise the key points from the attend discussion. • make any special arrangements ✔ Check on feelings about the meeting that may be needed to enable some and how to improve it. participants to attend, such as ✔ Make a plan for the next session. childcare for women with children. Fill in an Activity Chart to record the session.
  • 13. Using the tools are important for any group process, Composition of the group feel more comfortable with each other. but especially when discussing sensitive This can involve thinking of fun ways The facilitation team and community will subjects, such as gender and sexuality. for group members to get to know each need to decide about the composition other better, such as games. of the groups for each of the tools. For example, will they facilitate the tool with Confidentiality single or mixed-sex groups, married Making working agreements Making a clear working agreement on or unmarried people, or people of the confidentiality is essential. Participants It is important to create working same or different age groups? should not tell people outside the group agreements with the participants. These details of what specific individuals in are the ‘ground rules’ that people make In particular, experience has shown that the group say. However, this agreement about how they will work together. They exploring problems relating to gender cannot be enforced and people should Examples of working agreements and sexuality benefits from some work be careful about what they are willing to in single sex and age groups. So, in share and with whom they share it. It is ✔ Listen to everyone. the ‘how to use it’ instructions for the safer to talk about ‘people like us’ rather ✔ Participate fully. tools in this toolkit, it is often suggested than disclosing an event as a personal ✔ Stick to the point. that the work is carried out by single- experience. sex groups and, in some instances, ✔ Respect everyone’s ideas. that those groups are further divided Energy and humour ✔ Challenge each other, but do it according to age. After working in Maintaining the energy of participants respectfully. separate groups, the groups can share during group work is important. ✔ Try to speak up if you are quiet. their ideas as they wish so that people Members may feel overwhelmed by ✔ Try to listen more if you speak understand each other’s point of view. difficult issues, reducing energy levels. a lot. However, humour is a useful learning ✔ Be as honest as you can. Introductions tool. People learn better when they feel ✔ Keep confidentiality. Some groups may know each other more comfortable and relaxed. Ways to well, while others may not. Whatever maintain the energy and humour of the ✔ Take care of yourself and others the case, it is helpful to begin any group group include using energisers and ice- in the group. work with activities that help people breakers. 11
  • 14. INTRODUCTION SECTION A Skills for Tool A1 using the tools with groups 12 Gender, sexuality and vulnerability Key skills • asking probing questions that follow • summarising the discussions to people’s answers with further check understanding of what has A critical part of the process of using questions that look deeper into the been said. tools on gender and sexuality is helping issue or problem a group of people to work together • asking clarifying questions by re- productively. To do this, Facilitator’s Participants also need listening skills in wording a previous question particularly need skills in: order to gain the most benefit from this • asking questions about personal toolkit. From the start, it is important points of view by asking about how to make it clear that the purpose of the Active listening people feel and not just about what tools is to encourage discussion among This means more than just hearing they know. participants, rather than between what is said. It means letting people participants and the facilitator. Again, this skill is as important for know that they are being heard participants as Facilitator’s and is an and understood. Active listening important idea to introduce early in the Effective questioning encourages people to be more open in process. sharing their experiences, thoughts and Effective questioning involves: feelings. This is crucial when it comes • asking open-ended questions, for to encouraging groups to talk more Facilitating group discussions example using Why? What? When? openly about gender and sexuality. Facilitating discussions is another basic Where? Who? and How? Active listening involves: skill for using this toolkit. It is needed to increase the participation of people in • using body language and facial Why do you their group discussions and to ensure expressions to show interest and think that that members are given the opportunity understanding happened? to express their range of views and • listening not only to what is said, interests. Good facilitation helps to but also to how it is said – by improve the quality of discussions and paying attention to the speaker’s problem-solving. It also helps groups to body language agree on changes that are needed and • asking questions of the person commit to taking action on them. who is speaking – to show a desire to understand
  • 15. Introducing each tool talkative, you can ask them to allow Managing conflict others to take part. Encourage the Facilitator’s need to provide an Talking about gender and sexuality group to share responsibility for group introduction and explanation for each may give rise to disagreements in the dynamics. One way to encourage full tool that they use. This should be clear group. Facilitator’s need to welcome participation is to ask every member and concise and followed by simple this. But they also need to anticipate it, to say something in turn or else to instructions. identifying safe ways to respond and break into pairs or very small groups. move forward. Also provide a minute or two for quiet It is important to check that the reflection before asking people to speak participants have understood what you Often it is through disagreement as this helps people to increase their have said and whether they have any with others that we come to better confidence. questions. If there are specific tasks to understand our own thoughts and be completed in small groups, take time feelings. But there may be situations Guiding the discussion at the beginning – before they have when disagreement turns into conflict. immersed themselves in the task – to The key tasks of a facilitator are to When this is the case, people put go around to each group and check open up discussion and encourage their energy into defending their own that they are clear about what to do. full participation by using the tools. positions rather than exploring the They should also help the group to issues with each other. Helping the explore the issues raised in more group to manage conflict is a key role Involving everyone depth by asking probing questions and for the facilitator. Examples of how to Helping all participants to take part encouraging the expression of different do this include: in discussions is an important part of points of view. Finally, they should • getting people to state clearly their facilitating meetings. It involves paying summarise the discussion (checking for concerns and the reasons for them – attention to each member’s level of areas of agreement and conflict) and to reduce the danger of other people participation. There may be many note any action points that have arisen. making assumptions reasons why someone is quiet during a • getting people to listen to others discussion. For example, they may be A key task for a facilitator is to help the carefully and, if necessary, repeating shy or ill or just thinking deeply. group stay focused. If the group seems what others said to make sure they to be losing its focus, it is important to heard it correctly In general, it is a good idea to try to remind its members of the objectives • helping people identify areas bring quiet group members into the for the activity and the issues that are of agreement and shared concern – discussion, for example by asking them being looked at. This will help to get to create common ground to come direct questions. If someone is very them back on track. together to work out a conflict. 13
  • 16. INTRODUCTION SECTION A Skills for Tool A1 using the tools with groups 14 Gender, sexuality and vulnerability Achieving agreement Dealing with challenges Dealing with distressed It will often not be possible or desirable individuals Facilitating a group meeting will almost to achieve agreement among group certainly mean dealing with negative or Facilitator’s need to consider how they members. It is helpful to ask people to disruptive behaviours, such as chatting will respond to group members who reflect on areas of ‘common ground’ between participants or domination of become distressed. Participants can for the group, as well as points of discussions by a few vocal individuals. form ‘support pairs’ or small groups – difference that need further discussion agreeing to meet regularly throughout or people can agree to differ. the programme (and perhaps in the Reminding the group of its working months afterwards) to provide each agreements and asking everyone to be other with support. The facilitator or group should also sum responsible for maintaining them is a up the main points of the discussion good way to deal with such disruptions. and any action points that they have It is important to try and involve the When it is not possible to support agreed. Encourage people to thank group when asking a disruptive group people in this way, the facilitator may each other for their contributions and member to help, rather than hinder, need to take time after a session to talk to celebrate the achievements of the the work that the group is trying to do. to the individual one-to-one and either meeting. In the most extreme circumstances, provide support or refer them to a local when a participant continues to be service. disruptive, the group (or the facilitator acting on their behalf) may need to ask Personal disclosure them to leave the group session. In this Over the course of the sessions, situation, it is important to arrange to participants may reveal personal talk with this person later in order to information about themselves and their understand their position and work with lives, for example disclosing their HIV both them and the other participants status. Acknowledge those who do to reach a decision about whether they so for their courage in sharing such should continue to participate in the information. Remember that stigma and programme. discrimination towards those of us living with HIV is still a problem and the costs of disclosure can be high. Remind the
  • 17. group of agreements they have made to follow these agreements, but to messages of the toolkit, but also to about confidentiality. remind them that they cannot be give the person a chance to think more enforced. deeply about their point of view and the impact that it has. The facilitator should Those of us who are living with HIV may also encourage everyone to listen more decide to talk about our own personal Group members may talk about closely to different points of view in the experience when we facilitate. We may personal concerns because they are in group. This can be difficult, but it is vital decide before the session about how a crisis and urgently need help. In such in helping members to work towards disclosure could help the group to a situation, the facilitator may need positive change. achieve its objectives or we may use an to take time during a break or, in the opportunity that arises naturally from most serious cases, during the session the content of a discussion. itself, to deal with it. This will involve A common example of a harmful assessing the group member’s situation point of view is blaming the victims of and making a referral where relevant violence. For example, a group member Creating the right environment services exist. might say: “If a woman is wearing a and dealing with crises short skirt and gets raped, it is her own The first task for any facilitator is to fault”. The following is one suggested Dealing with harmful points of try to create a safe and supportive way to deal with such a group member: view environment within the group. This will 1. Ask for clarification. For example, help members to decide for themselves Members of the group are likely to have say: “I appreciate you sharing your whether and when to talk about any strong views about the issues in this opinion with us. Can you tell us why you personal issues. toolkit. It is important for the facilitator feel that way?” to welcome disagreement, but there 2. Seek a different point of view. For may be some members whose views Creating such an environment begins example, say: “Thank you. So at least make the problems worse. at the point of telling people about the one person feels that way. What do the group and recruiting people to join it. At rest of you think?” this point, it is important to encourage Everyone has a right to their opinion, 3. If another point of view is not offered, people living with HIV to participate. but it is the role of the facilitator to provide one. For example, say: “I know see that harmful points of view are that a lot of people disagree with that challenged - ideally by participants The group’s working agreements also statement. Most women and men I themselves, but, failing that, by the play an important role in creating a safe know feel that the only person to blame facilitator. The best way to do this is environment. One of the tasks of the for a rape is the rapist.” not only to repeat the core values and facilitator is to encourage participants 15
  • 18. INTRODUCTION SECTION A Skills for Tool A1 using the tools with groups 16 Gender, sexuality and vulnerability • being aware that role-plays can bring are such a key part of who we all are as 4. Offer facts that support a different up a lot of emotions for those playing people. point of view. For example, say: “The the roles and those watching – and facts are clear. The law states that every being prepared to stop the process if individual has a right to say ‘no’ to sex. Dealing with HIV and AIDS calls people appear to be upset Whatever a woman wears or does, she for people to have new skills. For has a right not to be raped. The rapist is • ensuring that people do not get example, people need skills in talking the only person to be blamed.” ‘stuck’ in the role they have been to sexual partners, using condoms and playing and ‘de-role’ participants. It is important to remember that preventing sexual violence. To develop For example, after the role-play changing deeply held views is difficult. these skills, people need to practice is complete, you can ask them to Even after the facilitator has used and get feedback – and role-play can state their real name and some trivial these four steps, it is unlikely that the be a good way to do this. personal facts – to remind group member will openly change themselves and the others about their opinion. But, by challenging the Ways to ensure that role-plays are who they really are and to separate statement, the facilitator has provided useful and effective include: them from their role. another point of view that the member • staying aware of not only what is will be more likely to think about and, it happening in the scene, but how the is hoped, adopt later. rest of the group is reacting • pausing a role-play when there is Using role-play an opportunity to discuss a key Role-play – including acting, singing issue. Then asking questions of the and dancing – is involved in many of actors and the other participants the tools in this toolkit. It is a good way about what is happening, why it is to reveal thoughts and feelings about happening and the implications – gender and sexuality. Playing a role and using those questions to make demands more from people than just key learning points talking about an issue. It involves going • supporting humour as a way to relax deeper into what they think and feel. people, but ensuring that it does not This is critical because our beliefs about take over and lose the point of the gender and sexuality go very deep and role-play
  • 19. Recording and monitoring your minutes at the end of every meeting Using drawings to ask each participant to answer work Drawing is also involved in many of some basic feedback questions the tools in this toolkit. Again, this is One role of the facilitation team is to • interviewing the friends and family because it is a good way to encourage take responsibility for recording the of participants at the beginning people to reveal their real thoughts and work that it supports in the community. and the end of the process to assess feelings about gender and sexuality. One way to do this is to fill in an Activity what difference the discussions have Record Sheet after each meeting. made to the members’ behaviours This provides a brief and simple way Drawing can be carried out on the and attitudes to document the key facts about a ground, a blackboard or paper, • asking participants to keep a session, such as where it was held, who depending on the materials available daily/weekly diary of their thoughts attended, what issues were discussed and the preferences of the participants. and feelings during the process and and what decisions were reached. then asking them to use the It is important for facilitator’s to help information in these diaries to assess An example of an Activity Record Sheet participants to feel relaxed about what difference the work has made is provided on the following page. drawing. This involves explaining that • holding group discussions with Activity Record Sheets, or similar tools, the quality of the drawing does not some or all of the group members are vital for monitoring the work that matter – as it is the issues that are before the beginning and after the is being carried out – as they tell the raised that are important. end of the process and comparing ‘story’ of what it has involved and how the findings from these discussions. it has progressed. Other ways to assess the impact of your work on gender and sexuality include: • asking for regular feedback from participants on their thoughts and feelings about the group work process and how it is affecting their lives. Ask them for their suggestions on improving the meetings. A very simple way to do this is to take 5-10 17
  • 20. INTRODUCTION SECTION A Example: Tool A1 Activity record sheet 18 Gender, sexuality and vulnerability Activity record sheet: Group meeting on gender and sexuality 1. Details of group meeting Date of meeting Location of meeting Number of participants Type of participants (e.g. men/women, younger/older people) 2. Tools used and issues covered during the meeting Tools used during the meeting Issues covered during the meeting 3. Areas of agreement and disagreement among the group Areas of agreement among the group Areas of disagreement among the group
  • 21. 4. Decisions made by the group 5. Next steps for the facilitator (e.g. issues to cover in the next meeting) 19
  • 22. SECTION A Introduction to Section A: Gender, sexuality and vulnerability and vulnerability 20 Gender, sexuality Vulnerability relates to the risks of HIV Overview Gender, sexuality and and AIDS that are faced by different vulnerability This section of ‘Keep the best, kinds of people in different kinds of change the rest’ provides tools to Gender refers to the social, cultural situations. It helps in understanding explore general, everyday issues and economic roles, characteristics, the reasons behind those risks and about gender and sexuality and opportunities and expectations that the extent to which people do or do how they affect women and men’s are linked to being female or male. not have control over them. Looking at vulnerability to HIV. The situation in relation to gender people’s vulnerability is a good way to varies widely in different societies. But, see how issues of gender and sexuality because it is ‘constructed’ (made) by a This section includes ten tools: affect HIV and AIDS. society, gender can be changed over time – to make that society more just A1 Cartoon strip What influences vulnerability? and equal. A2 Scenes from life Vulnerability involves a combination of A3 But why? several different factors: Sexuality is a key aspect of being a human and affects people • Bodies: Some people are physically A4 Chain of effects throughout their life. It involves more vulnerable to HIV than others. A5 Walking in each other’s shoes issues relating to gender, sex, sexual For example, girls and young women A6 Working day orientation, pleasure, relationships are more vulnerable because the A7 Making decisions and reproduction. Sexuality can be genital tract is not as developed expressed by some or all of a person’s (strong) as it is in older women. A8 Caring for others thoughts, beliefs, desires, fantasies, Meanwhile, women or men with A9 Lifelines attitudes, values, behaviours, practices, other sexually transmitted infections A10 Gender boxes roles and relationships. It is influenced (STIs) may be more vulnerable, if by the relationship between a wide they have cuts in the skin that make range of different factors, including it easier for HIV to enter. Research those that are social, biological, has shown that uncircumcised men psychological, economic, political, are more vulnerable to HIV infection cultural, ethical, legal, historical, than circumcised men. religious and spiritual.
  • 23. • Choices: Some people are more • Some women feel a double Changing gender roles – keep vulnerable to HIV because they pressure – to conform to traditional the best, change the rest have fewer choices than others when roles when back home in their This section of ‘Keep the best, change it comes to their sexual behaviour village, and to be independent the rest’ focuses on women and men’s and dealing with the risk of infection. modern women when at work in the social and sexual lives, how they are For example, some women town. changing and how they are affected by exchange sex for money due to their HIV and AIDS. economic needs and may not ‘Keep the best, change the rest’ is an be able to choose whether to use a important principle of this toolkit. It It helps communities to look at how condom with their sexual partners. is based on the view that people can changes in gender roles are creating • Abilities: Some people are more make choices about which of their both opportunities and confusion for vulnerable to HIV because they have values, beliefs and practices they want people today. As just some examples: fewer abilities to deal with their risk to keep and which they want to change. • Children learn from school and the of infection. For example, if a woman The tools are designed to help people media about human rights and has experienced sexual violence, to make these choices for themselves. girls can see women moving into she may have low self-esteem and positions of authority. But, at the confidence and not be able to same time, young people are also negotiate safer sex with her under pressure to follow the culture husband. of older generations. • Pressures: Some people are more • There are signs that changes in vulnerable to HIV because they face women’s roles are creating a more pressure than others to take negative response from some risks. For example, young men women and men, putting pressure might feel under pressure to have on people to return to more many different sexual partners and traditional ways. not use condoms to ‘prove’ • Men are under pressure to live up to that they are men to their peers. their traditional roles as provider and head of the house. But, where there is rising male unemployment, this can become a problem for those who lack the economic means to play this role. 21
  • 24. SECTION A Tool A1 Cartoon strip 22 Gender, sexuality and vulnerability What is it? How to use it This tool involves acting out a ‘cartoon 1 Explain the purpose of the tool to participants. strip’ – a series of scenes about an issue or 2 Ask the group to identify four issues or problems relating to gender and situation relating to gender and sexuality. sexuality in their community. Examples might include ‘young people are starting to have sex at a young age’ or ‘there are many cases of husbands beating their wives’. Why use it? 3 Divide the participants into four small groups. Ask each group to choose a To explore people’s real life experiences in different one of the issues to work on. Ask each one to: relation to gender and sexuality. • think of a story about this problem, based on their knowledge and experience of the local community Facilitator’s notes • tell the story by acting out a ‘cartoon strip’, involving a series of five • Encourage the participants to think scenes. of stories that are realistic for their local Inform them that the final scene (picture 5) should show an ‘incident’ of community, rather than ones that are too the problem (such as a couple having unsafe sex or a wife being beaten exaggerated. by her husband). The previous scenes (pictures 1-4) should show the • Inform the participants that ‘cartoon steps that lead up to the ‘incident’. strips’ work best when the story leading 4 Bring all of the participants back together. Ask each group to act out its up to the ‘incident’ (picture 5) takes ‘cartoon strip’. Encourage everyone to discuss the stories and support place over quite a short space of time them to draw up a list of the most common issues, events and (hours/days) rather than a longer period experiences that lead up to the final scenes. (months/years). 5 At the end, fill in an Activity Record Sheet. In particular, note any decisions and action points made by the group and identify next steps. For example, people might want to identify ways to prevent these situations occurring.
  • 25. 2 3 1 4 5 23
  • 26. SECTION A Tool A2 Scenes from life 24 Gender, sexuality and vulnerability What is it? How to use it This tool involves performing ‘scenes from 1 Explain the purpose of the tool to participants. life’ – role-plays, songs or poems about 2 Ask the group to identify four issues or problems relating to gender and situations relating to gender and sexuality. sexuality in their community. 3 Divide the participants into four groups. Divide by age and gender. Ask Why use it? each group to choose a different one of the issues to work on. To explore the underlying causes of 4 Ask each group to prepare some ‘scenes from life’ – a role-play, song or problems relating to gender and sexuality – poem about the issue that is based on characters, events and attitudes helping people to ‘go deeper’ and express that are similar to those in their community. what they really think and feel. 5 Bring all of the participants back together. Ask each group to present its ‘scenes from life’. Ask the actors to talk about what it was like to perform Facilitator’s notes the role-play, song or poem and what they learned from it. Ask the other participants to talk about how they felt watching the performance and what • Be aware that this activity can bring they learned from it. Encourage discussions about: up strong feelings – as it might remind people of painful experiences in their own • What was happening in the ‘scenes from life’? Does this happen in the lives. Encourage the participants to take community? care of themselves and each other. • Why did each character behave as they did? • Inform the participants that ‘scenes from • What power did each character have in the situation, and why? life’ work best if they are typical of their • Who was most affected by the situation, how and why? community, rather than too dramatic. • How were the different people vulnerable to HIV? • Ensure that the role-plays, songs or • What could each of the people do to reduce their vulnerability to HIV? poems keep to the point of the activity. 6 At the end, fill in an Activity Record Sheet. In particular, note any decisions • This tool can be used in a number of and action points made by the group and identify next steps. different ways. For example, you can: present some ‘scenes from life’ showing a problem that the participants might feel uncomfortable to talk about.
  • 27. Example 1 ‘Scenes of life’ as a song ▼ Example 2 ‘Scenes of life’ as a role-play 25
  • 28. SECTION A Tool A3 But why? 26 Gender, sexuality and vulnerability What is it? How to use it This tool involves creating a ‘but why?’ 1 Explain the purpose of the tool to participants. diagram – by drawing a problem relating 2 Ask the group to identify four issues or problems relating to gender and to gender and sexuality in the centre, sexuality in their community. repeating the question ‘but why?’ and 3 Divide the participants into four groups. Ask each group to choose a drawing the answers in circles around the different one of the issues to work on. problem. 4 Ask each group to draw a ‘but why?’ diagram. Ask them to start by drawing or writing their issue in a circle in the middle of a space on the Why use it? floor, blackboard or sheet of flipchart paper. To explore the underlying causes of 5 Ask each group to: problems relating to gender and sexuality. • Discuss ‘but why does this happen?’ Then write each of the immediate answers in separate circles around the problem. Facilitator’s notes • Look at the first of the immediate answers and again discuss ‘but why • Be aware that this tool can be quite does this happen?’ Then write the answer in a new circle and join it to complicated. Support the participants the first circle with a line. Repeat this a few times. to use it by giving them clear, step-by- 6 Ask each group to repeat the activity for each of the other immediate step instructions and explaining how the answers and to keep asking ‘but why does this happen?’ until they can end result shows the different ‘levels’ of think of no more answers. reasons for the main problem. It may help to put arrows on the lines that link the 7 Bring all of the participants back together. Ask each group to share their circles – with them all pointing inwards to diagram. Support the participants to develop a list of the most common show how they contribute to the central reasons for problems relating to gender and sexuality and to discuss why problem. they are the most common. • Encourage the participants to allow 8 At the end, fill in an Activity Record Sheet. In particular, note any decisions plenty of space for this tool – so that the and action points made by the group and identify any next steps. For diagram can spread out as much as is example, discuss what the group and others can do about each cause. needed.
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