Under-the-Mango-Tree: a theatre-based male EMTCT engagement intervention in post-conflict northern Uganda

Glob Health Promot. 2020 Sep;27(3):113-121. doi: 10.1177/1757975919873653. Epub 2019 Dec 9.

Abstract

Male involvement in human immunodeficiency virus (HIV) care cascades is identified as a critical prerequisite for the successful elimination of mother-to-child transfer of HIV. Scant evidence exists on efficacious culturally appropriate and male-inclusive elimination of mother-to-child transfer interventions. This reflection-in-action paper highlights field notes and observations of the development of Under-the- Mango-Tree, a theatre-based male-inclusive intervention pilot tested in northern Uganda. The intervention included: (a) traditional drama, dances and songs and (b) expert testimonies and group dialogue. Observations in this pilot showed that a theatre-based intervention was suitable for social persuasion; role modelling and moderating mastery of experience through effectively combining simple songs, dances and drama; testimonies of successful adherence by expert clients; and through reflective group discussions. These observations have implications for male-inclusive elimination of mother-to-child transfer intervention development.

Keywords: EMTCT; adherence; male participation; masculinity; theatre-based intervention.

MeSH terms

  • Female
  • HIV Infections
  • Health Promotion*
  • Humans
  • Infectious Disease Transmission, Vertical
  • Male
  • Uganda