Evaluation of School- and Community-Based HIV Prevention Interventions with Junior Secondary School Students in Edo State, Nigeria
), Eleanor Maticka-Tyndale(2), Eric Tenkorang(3), Daniel Holland(4), Adeline Gaspard(5), Isaac Luginaah(6), HP4RY Team(7),
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Corresponding Author
Abstract
This study examined the impact of two interventions delivered in rural communities and schools in Edo State, Nigeria designed to decrease youth vulnerability to HIV infection. The Ministry of Education approved Family Life and HIV Education (FLHE) programme delivered in Junior Secondary Schools and a community-based initiative to raise AIDS Competency of rural communities were evaluated using a clustered randomized control trial and mixed qualitative-quantitative methods. Ten schools were assigned to each of three research arms: FLHE programme only, FLHE and community programme, and control. Results demonstrated positive effects on rejection of myths, attitudes related to abstinence and use of condoms, and sexual activity. Confidence in these results is supported by both levels of statistical significance and consistency in patterns of results across different levels of schooling. Results support expansion of delivery of the FLHE programme and development of community-based initiatives as effective methods of reducing youth vulnerability to HIV infection (Afr J Reprod Health 2012 (Special Edition); 16[2S]: 103-125).
Résumé
Cette étude a examiné l’impact de deux interventions réalisées dans des communautés rurales et dans des écoles dans l’état d’Edo, Nigéria, qui étaient conçues pour réduire la vulnérabilité des jeunes à l’infection du VIH. Le ministère de l’éducation a approuvé le programme de la Vie Familiale et l’Education du VIH (VFEV) assuré dans les collèges et une initiative basée sur la communauté pour augmenter la compétence du SIDA dans les communautés rurales a été évaluée à l’aide d’un groupe d’essais contrôlé randomisé et des méthodes qualitativequantitatives mixtes. Dix écoles ont été attachées à chacune des trois sections de recherche : le programme de la VFEV, la VFEV et le programme communautaire et le contrôle. Les résultats ont démontré les effets positifs sur le refus de mythes, des attitudes associées à l’abstinence et à l’utilisation des préservatifs ainsi que l’activité sexuelle. La confiance en ces résultats est soutenue par les deux niveaux de la signification statistique et la consistance dans les modèles des résultats à travers les différents niveaux d’études. Les résultats soutiennent l’expansion de l’assurance du programme de la VFEV et l’élaboration des initiatives basées sur la communauté comme des méthodes efficaces pour la réduction de la vulnérabilité de l’infection du VIH (Afr J Reprod Health 2012 (Special Edition); 16[2]: 103-125).
Keywords: HIV Intervention, School-Based Programme, Community-Based Programme, Nigeria, Youth
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