Use of Western-based HIV risk-reduction interventions targeting adolescents in an African setting

Fitzgerald, Ann; Stanton, Bonita; Terreri, Nancy; Shipena, Hannu; Li, Xiaoming; Kahihuata, Joshua; Ricardo, Izabel; Galbraith, Jennifer; Jaeger, Anna

doi:10.1016/s1054-139x(98)00120-7

Cited by 56 publications

(42 citation statements)

References 15 publications

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“…Findings in this study which suggest that the intervention was contextually appropriate are consistent with findings in other school-based studies in sub-Saharan Africa [21][22][23][24]. In these studies western change theories were integrated with qualitative information from local experts and the resulting interventions were perceived contextually relevant.…”

Section: Discussionsupporting

confidence: 86%

Cameroonian Preadolescents’ Perspectives of an HIV Prevention Intervention

Enah¹,

Moneyham²,

Childs³

et al. 2011

WJA

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Section: Discussionsupporting

confidence: 86%

Cameroonian Preadolescents’ Perspectives of an HIV Prevention Intervention

Enah¹,

Moneyham²,

Childs³

et al. 2011

WJA

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“…27 43-45 48 The greatest postintervention condom use (78% use in last sex) was reported in an individual-RCT among secondary school students in Namibia who had received HIV/AIDS education, and training in communication and decision-making skills. 27 Otherwise, a cluster-RCT observed a significant difference in ''some'' condom use at follow-up (39% vs 32%), 47 and two other studies reported high levels of ''ever use'' (97% and 55% postintervention). 29 74 Partner type is aggregated or unspecified Twenty intervention studies combined partnership types or did not specify the type of partnership in which condoms were used.…”

Section: Adolescent and Youth Sexmentioning

confidence: 90%

“…It was hoped that, by focusing on peerreviewed publications, the quality of studies reviewed would be assured, although in practice, the quality of the evidence varied widely. Only six of the 42 studies presented in table 2 were RCTs, 27 29 40 47 51 78 and two others randomised communities to intervention or control conditions 69 82 . Unfortunately, four of the RCTs 29 40 51 69 and four of the NRCTs 31 32 73 79 presented only pre-post comparisons rather than significance testing of the male condom intervention group versus the control group at follow-up.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia

Foss

Hossain

Vickerman

et al. 2007

Sexually Transmitted Infections

136

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“…Ongoing public health initiatives and a functional public health system are in place, resulting in high levels of awareness and knowledge about HIV and AIDS. Prevention programmes in Namibia, as elsewhere in the developing world, have followed the KABP model (knowledge-attitudes-beliefs-practises) that assumes that health related decisions are based on knowledge and attitudes (Fitzgerald et al 1999). Nevertheless, even people with high levels of knowledge about HIV/AIDS often engage in high-risk sexual behaviours (Campbell and Williams 1996), emphasizing that information is just one determinant in the complex process of bringing about behavioural change.…”

Section: The Namibian Contextmentioning

confidence: 99%

An exploratory study of constructions of masculinity, sexuality and HIV/AIDS in Namibia, Southern Africa

Brown

Sorrell

Raffaelli

2005

Culture, Health & Sexuality

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Abstract:The goal of the current study was to explore notions of masculinity and their linkages to HIV/AIDS among Owambo men and women in Namibia, where an estimated one-fi fth of 15-49 year-olds have acquired HIV. Thirteen open-ended interviews and three focus groups were conducted with 50 male and female participants aged 19-50 in rural and urban Namibia. Qualitative analysis revealed six central themes: the evolving meanings of masculinity, power dynamics between men and women, women as active agents, the tension between formal and informal education and HIV transmission, alcohol and masculinity, and the blending of masculinity and explanations of HIV and AIDS. The fi ndings suggest both direct and indirect linkages between notions of masculinity and AIDS, and highlight the need for prevention efforts that focus on providing alternative avenues for attaining culturally recognized markers of masculinity.Résumé: L'objectif de cette étude était d'explorer les notions de masculinité et leurs liens avec le VIH/sida chez les hommes et les femmes Owambo de Namibie, où l'on estime que un cinquie`me des personnes de 15 à 49 ans sont infectées par le VIH. Treize entretiens ouverts et trois groupes focus ont été menés avec 50 participants de sexe masculin et féminin, aˆgés de 19 à 50 ans et vivant dans des zones rurales et urbaines de la Namibie. Une analyse qualitative fait ressortir six thèmes centraux: l'évolution des signifi cations de la masculinité, la dynamique de pouvoir entre hommes et femmes, le rôle actif des femmes en tant qu'intermédiaires, la tension entre l'éducation formelle, informelle, et la transmission du VIH, l'alcool et la masculinité, la combinaison entre la masculinité et les explications sur le VIH/ sida. Les résultats suggèrent à la fois des liens directs et indirects entre les notions de masculinitéet le sida, et soulignent les besoins en efforts de préven-tion concentrés sur des alternatives permettant d'acquérir des marqueurs de la masculinité culturellement reconnus.Resumen: El objetivo de este estudio fue analizar las nociones de masculinidad y sus vínculos con VIH/sida entre los hombres y las mujeres Owambo de Namibia, donde aproximadamente una quinta parte de la población entre 15 y 49 años es seropositiva. Se llevaron a cabo trece entrevistas abiertas y tres grupos de discusión con 50 participantes masculinos y femeninos, con edades comprendidas entre 19 y 50 años de zonas rurales y urbanas de Namibia. Los análisis cualitativos sacaron a la luz seis temas centrales: los cambios de signifi cado de masculinidad, dinámicas de poder entre hombres y mujeres, mujeres en el rol de representantes activas, la tensión entre educación formal e informal, la transmisión de VIH, el alcohol, la masculinidad, la fusión entre la masculinidad y las explicaciones acerca de VIH y sida . Los resultados indican que existen vínculos directos e indirectos entre las nociones de masculinidad y el sida y señalan que es necesaria la prevención enfocada en ofrecer vías alternativas para alcanzar marcadores cultural...

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Use of Western-based HIV risk-reduction interventions targeting adolescents in an African setting

Cited by 56 publications

References 15 publications

Cameroonian Preadolescents’ Perspectives of an HIV Prevention Intervention

Cameroonian Preadolescents’ Perspectives of an HIV Prevention Intervention

A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia

An exploratory study of constructions of masculinity, sexuality and HIV/AIDS in Namibia, Southern Africa

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