Cross-generational relationships: using a ‘Continuum of Volition’ in HIV prevention work among young people

2006 ◽  
Vol 14 (1) ◽  
pp. 81-94 ◽  
Author(s):  
Amy Weissman ◽  
Janine Cocker ◽  
Lisa Sherburne ◽  
Mary Beth Powers ◽  
Ronnie Lovich ◽  
...  
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Generational Relationships

‘If You Cannot Control Yourself’

2014 ◽  
Author(s):  
Anaïs Bertrand-Dansereau
Keyword(s):  
Public Health ◽  
Young People ◽  
Hiv Prevention ◽  
Condom Use ◽  
Southern Africa ◽  
Sexuality Education ◽  
Health Messages ◽  
Aids Patients ◽  
Faith Based ◽  
Public Health Messages

In Malawi, as elsewhere in southern Africa, faith-based organisations (FBOs) have been integrated in the official response to HIV/AIDS. This new role, and the funding that accompanies it, has professionalised their traditional care activities around AIDS patients, widows and orphans, and it has also put them in charge of HIV prevention. As HIV preventers, they are asked to bridge epistemic differences between conflicting notions of sexuality and morality by reconciling public health messages, Christian teachings and local cosmologies. This becomes challenging when it comes to the question of sexuality education, specifically the promotion of abstinence, and condom use. Many FBO leaders’ response to this challenge is nuanced and defies stereotypes, as they try to balance their concern for young people, the demands of donors and the moral imperatives of their faith.

scholarly journals Adapting an evidence-based gender, livelihoods, and HIV prevention intervention with street-connected young people in Eldoret, Kenya

2019 ◽  
Vol 14 (12) ◽  
pp. 1703-1717 ◽  
Author(s):  
Lonnie Embleton ◽  
Erica Di Ruggiero ◽  
Evans Odep Okal ◽  
Adrienne K. Chan ◽  
Carmen H. Logie ◽  
...  
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Evidence Based ◽  
Prevention Intervention ◽  
Hiv Prevention Intervention

Personal Involvement of Young People in HIV Prevention Campaign Messages: The Role of Message Format, Culture, and Gender

2006 ◽  
Vol 35 (2) ◽  
pp. 190-206 ◽  
Author(s):  
Cynthia Waszak Geary ◽  
Holly M. Burke ◽  
Laura Johnson ◽  
Jennifer Liku ◽  
Laure Castelnau ◽  
...  
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Personal Involvement ◽  
Prevention Campaign ◽  
Campaign Messages ◽  
Message Format ◽  
And Gender

HIV Prevention in Young People in Sub-Saharan Africa: A Systematic Review

2011 ◽  
Vol 49 (6) ◽  
pp. 568-586 ◽  
Author(s):  
Sue M. Napierala Mavedzenge ◽  
Aoife M. Doyle ◽  
David A. Ross
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Hiv Prevention ◽  
Sub Saharan Africa ◽  
Sub Saharan

Peer-Led or Expert-Led Intervention in HIV Prevention Efficacy? A Randomized Control Trial Among Spanish Young People to Evaluate Their Role

2017 ◽  
Vol 19 (2) ◽  
pp. 277-286
Author(s):  
Cristina Giménez-García ◽  
Rafael Ballester-Arnal ◽  
María Dolores Gil-Llario ◽  
Pedro Salmerón-Sánchez
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Behavioral Interventions ◽  
Associated Factors ◽  
Safe Sex ◽  
Sex Behavior ◽  
Anal Sex ◽  
The World ◽  
Vaginal Sex ◽  
Randomized Control

HIV new infections still affect young people around the world. In this context, behavioral interventions seem to be effective in promoting safe sex although some conditions are still inconclusive in different regions. For example, there is insufficient evidence about who may be the best facilitator. For this reason, this study evaluates the effectiveness of peer and expert facilitators for HIV prevention aimed at Spanish young people. For this purpose 225 Spanish college students, aged between 18 and 25 (74.20% women and 25.80% men), were involved in an experimental design to evaluate the facilitators’ effect in a brief intervention for HIV prevention. Participants’ results were measured by three HIV preventive variables (knowledge, beliefs, and protective sex behavior in vaginal sex, anal sex, and sex after drugs consumption). Our findings reveal that both facilitators, experts and peers, have improved the HIV-associated factors and safe sex behaviors. Therefore, facilitators’ status would not be so relevant for effectiveness in HIV prevention aimed at Spanish young people. To facilitate decision making in HIV prevention, we should study in depth what other variables make more effective facilitators.

Lessons Learned from the PMI Case Study: The Community Perspective

2000 ◽  
Vol 6 (1) ◽  
pp. 54-65 ◽  
Author(s):  
Martha L. Hare ◽  
Carlyn E. Orians ◽  
May G. Kennedy ◽  
Kenneth J. Goodman ◽  
Shyanika Wijesinha ◽  
...  
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Prevention Program ◽  
Qualitative Case Study ◽  
Prevention Programs ◽  
Lessons Learned ◽  
Demonstration Project ◽  
Local Site ◽  
Over Time

Individuals from the five sites that participated in the Prevention Marketing Initiative (PMI) Local Site Demonstration Project, an HIV prevention program targeting adolescents, were interviewed in a two-part qualitative case study. This article summarizes lessons learned from 179 community participants on topics ranging from organizing initial planning committees to financially sustaining federal demonstration programs over time. The insights of participants involved in the process may help ensure the success of future Prevention Marketing efforts. Overall, they found the process to be challenging but worthwhile, and felt that the resulting multifaceted HIV prevention programs for young people were successful.

scholarly journals Thetha Nami: Participatory development of a peer-navigator intervention to deliver biosocial HIV prevention for adolescents and young men and women in rural South Africa

2020 ◽  
Author(s):  
Maryam Shahmanesh ◽  
Nonhlanhla Okesola ◽  
Natsayi Chimbindi ◽  
Thembelihle Zuma ◽  
Sakhile Mdl ◽  
...  
Keyword(s):  
South Africa ◽  
Health Promotion ◽  
Young People ◽  
Hiv Prevention ◽  
Sexual Health ◽  
Young Men ◽  
Theory Of Change ◽  
Hiv Care ◽  
High Morbidity ◽  
Men And Women

Abstract BackgroundDespite effective biomedical tools, adolescents and young men and women carry the dual burden of high HIV incidence and high morbidity/mortality in South Africa. We integrated community-based participatory research (CBPR) with biomedical interventions to develop a peer-led biosocial intervention for HIV care and prevention in young people living in rural KwaZulu-Natal (KZN).MethodsBetween March 2018 and September 2019 we used CBPR to iteratively co-create and contextually adapt a biosocial peer-led intervention to support HIV prevention. Men and women aged 18–30 years were selected by community leaders of 21 intervention implementation areas (izigodi) and underwent 20 weeks of training as peer-navigators. We synthesised quantitative and qualitative data collected between 2016 and 2018 into 17 vignettes illustrating the local drivers of HIV. During two participatory intervention development workshops and community mapping, the peer-navigators discussed the vignettes in small groups, brainstormed solutions and mapped the components to their own izigodi. The intervention components were plotted to a Theory of Change (ToC). Following a six-month pilot, the peer-navigators used process evaluation data and experience to refine the ToC in a third workshop.ResultsFollowing written and oral assessments 57 of the 108 initially selected participated in the two workshops to discuss the vignettes and co-create the Thetha Nami (talk to me) intervention. During the pilot the peer-navigators approached 6871 young people, of whom 6141 (89%) accepted health promotion and 438 linked to care. During semi-structured interviews peer-navigators described the appeal of providing sexual health information to peers of a similar age and background but wanted to provide more than just “onward referral”. In the third participatory workshop 54 peer-navigators refined the Thetha Nami intervention to include:· Structured assessment tool to tailor support.· Safe spaces and community advocacy to create an enabling environment for HIV prevention.· Peer-led sexual health promotion to improve self-efficacy and demand for HIV prevention.· Accessible youth-friendly clinical services to improve uptake of HIV prevention.· Peer-mentorship to navigate resources and improve retention in HIV prevention.ConclusionLocal youth were able to use evidence to develop a contextually adapted peer-led intervention to deliver biosocial HIV prevention and care.

scholarly journals Thetha Nami : Participatory development of a peer-navigator intervention to deliver biosocial HIV prevention for adolescents and youth in rural South Africa

2021 ◽  
Author(s):  
Maryam Shahmanesh ◽  
Nonhlanhla Okesola ◽  
Natsayi Chimbindi ◽  
Thembelihle Zuma ◽  
Nondumiso Mthiyane ◽  
...  
Keyword(s):  
South Africa ◽  
Health Promotion ◽  
Young People ◽  
Hiv Prevention ◽  
Assessment Tool ◽  
Controlled Trial ◽  
Intervention Development ◽  
Participatory Development ◽  
Theory Of Change ◽  
Structured Interviews

Abstract Background: Despite effective biomedical tools, HIV remains the largest cause of morbidity/mortality in South Africa – especially among adolescents and young people. We used community-based participatory research (CBPR) informed by principles of social justice, to develop a peer-led biosocial intervention for HIV prevention in rural KwaZulu-Natal (KZN). Methods: Between March 2018 and September 2019 we used CBPR to iteratively co-create and contextually adapt a biosocial peer-led intervention to support HIV prevention. Men and women aged 18-30 years were selected by community leaders of 21 intervention implementation areas (izigodi) and underwent 20 weeks of training as peer-navigators. We synthesised quantitative and qualitative data collected during a 2016-2018 study into 17 vignettes illustrating the local drivers of HIV. During three participatory intervention development workshops and community mapping sessions, the peer-navigators critically engaged with vignettes, brainstormed solutions and mapped the components to their own izigodi. The intervention components were plotted to a Theory of Change which, following a six-month pilot and process evaluation, the peer-navigators refined. The intervention will be evaluated in a randomised controlled trial (NCT04532307).Results: Following written and oral assessments, 57 of the 108 initially selected participated in two workshops to discuss the vignettes and co-create the Thetha Nami (`talk to me’). The intervention. included peer-led health promotion to improve self-efficacy and demand for HIV prevention, referrals to social and educational resources, and aaccessible youth-friendly clinical services to improve uptake of HIV prevention. During the pilot the peer-navigators approached 6871 young people, of whom 6141 (89%) accepted health promotion and 438 linked to care. During semi-structured interviews peer-navigators described the appeal of providing sexual health information to peers of a similar age and background but wanted to provide more than just “onward referral”. In the third participatory workshop 54 peer-navigators refined the Thetha Nami intervention to add three components structured assessment tool to tailor health promotion and referrals; safe spaces and community advocacy to create an enabling environment; peer-mentorship and navigation of resources to improve retention in HIV prevention. Conclusion: Local youth were able to use evidence to develop a contextually adapted peer-led intervention to deliver biosocial HIV prevention.

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