Bridging Theory and Practice in HIV Prevention for Rural Youth, Nigeria
), HP4RY Team(2),
(1)
(2)
Corresponding Author
Abstract
Thirty years into combating the spread of HIV through behaviour change interventions experience has grown in the application of multiple approaches from one-for-one counseling and small group workshops, information sessions, and activities to large-scale rallies and mass media campaigns with reducing the spread of HIV. These approaches have been variously guided by best field practice and theoretical frameworks developed to understand health-related behaviours and behaviour change. This article reviews the dominant theoretical approaches used to develop behaviour change interventions and strategies and presents the theoretical frameworks guiding the multi-level strategy to reduce youth vulnerability in Edo State, Nigeria known as HIV Prevention for Rural Youth (HP4RY). HP4RY is set within the multi-level Ecological Framework and specifically uses Sexual Scripting Theory and the AIDS Competent Community theoretical framework to guide an Action Research project that uses research to enhance the Family Life and HIV Education (FLHE) programme delivered in Junior Secondary Schools and a Community Mobilization programme led by members of the National Youth Service Corps. The benefits to using these theories and their fit with contemporary thinking in the field of HIV prevention through behaviour change are reviewed here (Afr J Reprod Health 2012 (Special Edition); 16[2]: 39-53).
Résumé
Après trente ans de la lutte contre la propagation du VIH à travers des interventions basées sur la modification du comportement, l’expérience s’est accrue dans l’application de multiples approches partant des conseils seul à seul et des ateliers à petits groupes, des sessions et des activités d’information jusqu'à des rassemblements et des campagnes à grande échelle pour réduire la progression du VIH. Ces approches ont été guidées par de meilleures pratiques sur le terrain et des cadres théoriques qui ont été élaborés pour comprendre les comportements associés à la santé ainsi que la modification dans le comportement. Cet article passe en revue les approches théoriques prédominantes dont on se sert pour élaborer des interventions et des stratégies qui visent la modification de comportement et présente des structures théoriques qui dirigent la stratégie à plusieurs niveaux pour réduire la vulnérabilité de la jeunesse dans l’état d’Edo, Nigeria, connu comme la Prévention du VIH pour la jeunesse rurale (HP4RY). HP4RY se situe au sein d’un cadre écologique à plusieurs niveaux et utilise la Théorie du Scripting Sexuel et le cadre théorique de la communauté Compétente du VIH pour guider un projet de Recherche d’Action qui se sert de la recherche pour améliorer les programmes de la Vie Familiale et l’Education du VIH (VFEV) assurés aux Collèges et un programme de la mobilisation d’une Communauté mené par les membres du Corps du Service National de jeunes. Les benefices tirés de l’utilisation de ces théories et leur place dans le contexte de la pensée dans le domaine de la prévention du VIH à travers des modifications de comportement font l’objet de cette étude (Afr J Reprod Health 2012 (Special Edition); 16[2]: 39-53).
Keywords: HIV prevention, behaviour change theory, Nigeria, youth
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