The last week (oh it’s only wednesday) has been very interesting as I’m in the planning stages of a new production I’m working on (can’t wait to announce it), but after conversations with several people, I realise there are some very serious problems in prevention initiatives and no surprises that people are still getting infected.

Ok, I’m obviously simplifying the issues, but some of the things I see or hear really does make me think hmmmm.

I was looking at the messaging we’re focusing on for this show and it struck me that none of it is new. Not the messages of use a condom, or you can live long, healthy, productive lives if you test positive, or don’t have sex or don’t exchange sex for gifts blah blah blah. So my question to the people debriefing us was, why aren’t these messages working? I don’t want to flog a dead horse and make no impact by focussing on the same messages.

It made me think about the paper my sister wrote for her thesis (ok I didn’t read the whole paper – don’t hate me Tasha!), but I know it was along the lines of how our interpersonal relationships and emotions affect the risks we take. In other words, we know on a rational level the risks involved, but when you’re emotionally invested, you might do something stupid.

Yet rarely in HIV prevention campaigns do we talk about the emotional side of risk taking. I think there are other dynamics as well, such as low self-esteem, lack of personality personal identity and lack of a level of selfishness that puts ourselves first. Some of these are learnt as children and also developed as you mature (but usually post your early 20s). So if the foundation is weak, how can we try and rebuild from the middle of the structure?

And we can’t forget the environments we live in, if we can change the society then maybe we can find a way to get through these messages. But we also have to be honest and not judge people. For example, we need to be clear about the you can live a long and productive life if you test positive, as long as you take care of your health and have the healthcare infrastructure to support this, because let’s be honest, we’ve seen some people who have died within a few years of testing positive. Of course these can be explained, in most cases, but too often we want to gloss over any potentially uncomfortable or ‘sad’ information that might scare people or make them question what you’re telling them. But people aren’t stupid. If you give them all the information they can process it and make informed decisions or understand what happens when things don’t go as planned.

Or if you’re involved in multiple concurrent relationships, don’t tell people they are bad people for being in the relationship – make them safe, not ashamed.

If you tell them the nice, comfortable message and gloss over some of the facts, they don’t trust you – because it doesn’t add up. I’m losing my trail of thought here…

Anyway my point was that when it comes to HIV messaging, we’ve got to look beneath the layers and keep asking why until we get to the core. We need to stop jumping on the bandwagon of what the west powers that be in the HIV field say is the problem, or is the silver bullet. And there are some things that statistics can’t answer or capture – those are the issues of feelings and emotions that we need to learn to incorporate in everything we do. That is if we want to have impact and start making a difference in the HIV/AIDS response.

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