The Use of National Youth Service Corp Members to Build AIDS Competent Communities in Rural Edo State Nigeria

Francisca Omorodion(1), Ese Akpede(2), Eleanor Maticka-Tyndale(3), Kokunre Agbontean- Eghafona(4), Andrew Onokerhoraye(5), HP4RY Team(6),


(1) 
(2) 
(3) 
(4) 
(5) 
(6) 
Corresponding Author

Abstract


This paper focuses on the community component of a larger action research project on HIV Prevention for Rural

Youth (HP4RY), funded by the Global Health Research Initiative (Canada). It began with ethnographic research in

10 communities selected using geographic representative sampling and random assignment to one of three research arms. Using the AIDS Competent Community (ACC) model developed by Catherine Campbell, the ethnographic research identified factors in six domains that contributed to youth vulnerability to HIV infection. This was followed by recruitment, training and deployment of three overlapping cohorts of young adults (n=40) serving in Nigeria’s National Youth Service Corp (NYSC),  to mobilize youth and adults in the communities to increase communities’

AIDS competence over a nearly 2 year period. Monthly reports of these Corpers, observations of a Field Coordinator, and community feedback supported the conclusion that communities moved towards greater AIDS competence and reduction in youth vulnerability to HIV infection (Afr J Reprod Health 2012 (Special Edition); 16[2]: 71-85).

 

Résumé

Cet article se concentre sur la partie communautaire d’un plus grand projet de recherche d’action sur la prévention du VIH en faveur de la jeunesse rurale, financé par le Global Health Initiative (Canada).  L’étude a commencé avec la recherche ethnographique dans 10 communautés choisies à l’aide d’un échantillon représentatif géographique et une attribution aléatoire à une des trois sections de recherche.  A l’aide du modèle de la Communauté Compétente du SIDA (CCA), élaboré par Catherine Campbell, la recherche ethnographique a identifié des facteurs dans six domaines qui ont contribué à la vulnérabilité des jeunes à l’infection du VIH.  Ensuite, il y a eu le recrutement, la formation et le déplacement de trois cohortes de jeunes adultes qui se recoupent (n=40), engagés dans le service national de jeunes, pour mobiliser les jeunes et les adultes dans la communauté du SIDA au cours de d’environ deux ans.  Des rapports mensuels de ces jeunes en service national, les observations d’un coordinateur sur le terrain et une réaction communautaire  ont soutenu la conclusion que les communautés ont avancée vers une meilleure compétence du SIDA et une réduction dans la vulnérabilité des jeunes  à l’infection du VIH (Afr J Reprod Health 2012 (Special Edition); 16[2]: 71-85).

 

  Keywords: HIV prevention, youth, community mobilization, NYSC, AIDS Competent Community Framework 


References


UNAIDS. AIDS Report on the Global AIDS Epidemic. New York: UNAIDS; 2010.

Monasch R, Mahy M. Young people: the centre of the HIV epidemic, in Ross D., Dick B. & Ferguson J.(eds.), Preventing HIV/AIDS in Young People. A Systematic Review of the Evidence from Developing Countries. Geneva: WHO; 2006.

UNAIDS/WHO. AIDS Epidemic Update: December, 2005. Geneva: WHO; 2005.

World Bank. Education and HIV/AIDS: a Window of Hope, Washington, DC: World Bank; 2002.

Johnson B, Carey M, March K, Levin K, Scot-Sheldon L. Interventions to reduce sexual risk for the human immunodeficiency virus in adolescents, 1985-2000. Archives of Pediatrics & Adolescent Medicine. 2003; 157(4): 381-388.

Gallant M, Maticka-Tyndale E. School-based HIV prevention programmemes for African youth. Social Science & Medicine.2004; 58(7): 1337-1351.

Maticka-Tyndale E, Barnett JP. Peer educators: A synthesis of the research. Evaluation and Programme Planning. 2010; 33: 98-112.

Maticka-Tyndale E, Brouillard-Coyle C. The Effectiveness of Community Interventions Targeting HIV and AIDS Prevention at Young

People in Developing countries. :In Ross D, Dick B, Ferguson J, editors. Preventing HIV/AIDS in Young People: A Systematic review of the evidence from developing countries. Geneva: WHO; 2006.

Kirby D, Obasi A, Laris BA. The effectiveness of sex education and HIV education: Interventions in schools in developing countries. In: Ross D, Dick B, Ferguson J, editors. Preventing HIV/AIDS in Young People: A Systematic review of the evidence from developing countries. Geneva: WHO; 2006.

Magnussen L, Ehiri J, Ejere H, Jolly P. Interventions to prevent HIV/AIDS among adolescents in less developed countries: Are they effective? International Journal of Adolescent Medicine & Health. 2004; 16: 303-23.

Speizer I, Magnani R, Colvin C. The effectiveness of adolescent reproductive health interventions in developing countries: a review of the evidence. Journal of Adolescent Health. 2003; 33(5): 324348.

Aggleton P, Campbell C. Working with young people— towards an agenda for sexual health. Sexual and Relationship Therapy. 2000; 15: 283–296.

Michielson K, Bosmans M, Temmerman M. Reducing HIV/AIDS in young people in sub-Sahara Africa; gaps in research and the role of theory. Africa Focus. 2008; 21(1): 31- 43.

Kiirya KS. Scaling-up responses to HIV/AIDS using the Community-led HIV/AIDS Initiative (CHAI) Strategy in Uganda: Lessons Learned. International Conf AIDS. 2004 Jul 11-16.

Campbell C. Letting them die: why HIV prevention programmemes often fail. Oxford: James Currey. Bloomington: Indiana University Press; 2003.

Campbell C, Foulis CA, Maimane S, Sibiya Z. The impact of social environments on the effectiveness of youth HIV prevention: A South African case study. AIDS Care. 2005; 17 (4): 471-478.

Campbell C, MacPhail C. Peer education, gender and the development of critical consciousness: Participatory HIV prevention by South African Youth, Social Science and Medicine. 2002; 55 (2): 331-345.

Lamboray J L, Skevington S. Defining AIDS competence: A working model for practical

purposes. Journal of International Development. 2001; 13(4): 513-521.

Onokerhoraye A, Maticka-Tyndale E. HIV Prevention for Rural Youth in Nigeria: Background Overview. African Journal of Reproductive Health. 2012; 12(6): 25-38.

Family Health International. Nigeria HIV/AIDS Behavioural Surveillance. 2003.

Okonofua FE, Ogbomwan S, Alutu AN, Okop K, Aghaghowa E. Knowledge, attitudes and experiences of sex trafficking by young women in Benin City, South-south Nigeria. Social Science and Medicine. 2004; 59(6): 1315-1327.

Dlamini N, Okoro F, Ekhosuehi UO, Esiet A. Combating Youth Vulnerability to HIV/AIDS: Evaluating

Teacher Delivery and Responses to Family Life and HIV Education in Edo State, Nigeria. African Journal of Reproductive Health.2012; 12(6): 86102.

Dlamini N, Maticka-Tyndale E, Omorodion F, Anucha U. What does a decolonizing/ decentralizing methodology in examining sexual lives entails? A critical reflective case study. African Journal of Reproductive Health. 2012; 12(6): 55-70.

Arnold R, Maticka-Tyndale E, Tenkorang E, Holland D, Gaspard A, Luginaah I. Evaluation of School- and Community-Based HIV Prevention Interventions with Junior Secondary School Students in Edo State, Nigeria. African Journal of Reproductive Health. 2012; 12(6): 103-125.

Fee N, Youssef M. Young people, AIDS and STD prevention: experiences of pee approaches in developing countries. Geneva, World Health Organization, GlobalProgrammeme on AIDS; 1993.

Shiner M. Defining peer education. Journal of Adolescence. 1999; 22: 555-566.

Turner G, Shepherd J. A method in search of theory: peer education and health promotion. Health Education research: Theory and Practice. 1999; 14(2): 235-247.

Kim C, Free C. Recent evaluations of the peer-led approach in adolescent sexual heatlh education: A systematic review. International Family Planning Perspectives. 2008; 34 (2): 89-96.

HP4RY. Corper Programme Evaluation. University of Windsor: Ontario, Canada. 2011.

Barnett JP, Maticka-Tyndale E, the HP4RY team. The gift of agency: Sexual exchange scripts among Nigerian youth. Journal of Sex Research. 2010; 48: 349-355.

Ross DA, Dick B, Ferguson J. (Eds). Preventing HIV/AIDS in Young People: A Systematic Review of the Evidence from Developing Countries. Geneva: WHO. 2006..


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