Cross-Cultural Adaptation of an Adolescent HIV Prevention Program: Social Validation of Social Contexts and Behavior Among Botswana Adolescents

Abstract

An evidence-based HIV prevention intervention was adapted for Botswana youth with qualitative interviews, input from an adolescent panel, and social validation. Qualitative interviews were conducted with 40 boys and girls ages 13-19. An adolescent panel then drafted scenarios reflecting social situations described in the interviews that posed risk for HIV. A social validation sample (N = 65) then indicated the prevalence and difficulty of each situation. Youth described informational needs, pressures to use alcohol and drugs, peer pressure for unprotected sex, and intergenerational sex initiations as risk-priming situations. From 17% to 57% of the social validation sample had personally experienced the situations drafted by the adolescent panel. There were no differences in the ratings of boys versus girls, but youth over age 16 more often reported that they had experienced these risky situations. The results were embedded into the intervention. Major changes to the intervention resulted from this three-phase process.HIV and AIDS disproportionately affect sub-Saharan Africa, an area that comprises less than 10% of the world's population, yet contains 68% of the world's adults and 90% of the world's children who are living with HIV/AIDS (UNAIDS, 2010). Botswana is one of the two countries in the world hardest hit by HIV and AIDS

A designathon to co-create community-driven HIV self-testing services for Nigerian youth: findings from a participatory event

“…Youth typically contribute to research as participants, key informants, and assistants [10,11]. While some studies have expanded youth engagement in HIV research by creating youth advisory boards (YABs), the extent of meaningful engagement varies [12][13][14][15][16][17][18][19][20][21]. Providing youth with opportunities to create solutions to health problems that affect them can enhance program implementation and build capacity for youth as co-creators [10,22].…”

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“…Living as a Safer Teen (LAST) is an adapted version of BART. From a validation study with 65 teens in Botswana, BART was revised to include additional information on intergenerational sex and reproductive health 13. Similar to BART, LAST consists of eight sessions with interactive group discussions and role-playing.…”

Development and evaluation of appropriate, culturally adapted educational tools for Ivoirian patients with haemophilia, haemophilia carriers and their families

“…Several therapeutic patient education programmes, primarily focused on HIV, have been successfully culturally adapted and administered in African countries. [10][11][12] In the setting of the WFH Twinning Program, a partnership was established in 2015 between the Ivoirian haemophilia treatment centre (HTC) of Yopougon in Abidjan and the international HTC of the Cliniques Universitaires Saint-Luc in Brussels, Belgium. Regular onsite multidisciplinary visits enabled us to ascertain the awareness of haemophilia among Ivoirian PWH, carriers and their families.…”

“…incorrectly answered are as follows: the possibility of playing in the playground for boys with haemophilia and the need to screen the brothers of PWH. Concerning PWH, the need for physiotherapy in case of joint bleeds and the relevance of HTC consultations outside bleeding episodes proved problematic.Overall, the participants' motivation to improve their knowledge about haemophilia was high, with a mean score of 18.4/20 ± 2.5(range:[8][9][10][11][12][13][14][15][16][17][18][19][20]. The mean score of how well they rated their disease knowledge was 3.4/5 ± 1.3 (range:[1][2][3][4][5].…”