scholarly journals The role and effectiveness of School-based Extra-Curricular Interventions on children’s health and HIV related behaviour: the case study of Soul Buddyz Clubs Programme in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lebohang Letsela ◽  
Michael Jana ◽  
Rebecca Pursell-Gotz ◽  
Phinah Kodisang ◽  
Renay Weiner
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
Survey Data ◽  
Secondary Data ◽  
People Living With Hiv ◽  
Hiv Education ◽  
Hiv Knowledge ◽  
Medical Male Circumcision ◽  
School Based ◽  
Curricular Interventions

Abstract Background HIV education targeting children and adolescents is a key component of HIV prevention. This is especially important in the context of increasing HIV prevalence rates among adolescents and young people. The authors sought to examine the role and effectiveness of an extra-curricular school based programme, Soul Buddyz Clubs (SBC) on HIV knowledge, attitudes, behaviours and biomedical outcomes. Methods This paper employs a mixed methods approach drawing on data from independent qualitative and quantitative sources. Secondary data analysis was performed using survey data from a nationally representative sample that was restricted to 10-14 year-old males and females living in South Africa. Ten focus group discussions and ten in-depth interviews conducted with SBC members and facilitators from 5 provinces, as part of a process evaluation are used to triangulate the effectiveness of SBC intervention. Results The analysis of survey data from 2 198 children indicated that 12% of respondents were exposed to SBC with 4% reporting that they had ever belonged to a club. Children exposed to SBC were more likely to be medically circumcised (AOR 2.38; 95%CI 1.29 -4.40, p=0.006), had correct HIV knowledge (AOR 2.21; 95%CI 1.36 – 3.57, p<0.001) and had less HIV stigmatising attitudes (AOR 0.54; 95%CI 0.31-0.93, p=0.025), adjusting for age, sex, province and exposure to other media – in comparison to those not exposed. Propensity Score Matching findings were consistent with the regression findings. Qualitative findings also supported some of the quantitative results. SBC members reported having learnt about HIV prevention life skills, including condom use, positive attitudes towards people living with HIV, and alcohol abuse. Conclusions Participation in SBC is associated with accessing biomedical HIV prevention services, specifically MMC, correct HIV prevention knowledge and less HIV stigmatizing attitudes. This paper demonstrates the effectiveness of a school-based extracurricular intervention using a club approach targeting boys and girls ages 10-14 years on some of the key HIV prevention biomarkers as well as knowledge and attitudes. The article suggests that extra-curricular interventions can form an effective component of school-based comprehensive sexuality education in preventing HIV and promoting medical male circumcision.

scholarly journals The Role and Effectiveness of School-Based Extra-Curricular Interventions on Children’s Health and HIV Related Behaviour: The Case Study of Soul Buddyz Clubs Programme in South Africa

2021 ◽  
Author(s):  
Lebohang Letsela ◽  
Michael Jana ◽  
Rebecca Pursell-Gotz ◽  
Phinah Kodisang ◽  
Renay Weiner
Keyword(s):  
Hiv Prevention ◽  
Sexuality Education ◽  
Secondary Data ◽  
People Living With Hiv ◽  
Hiv Knowledge ◽  
Medical Male Circumcision ◽  
Biomedical Hiv Prevention ◽  
School Based ◽  
Nationally Representative ◽  
Curricular Interventions

Abstract This paper sought to examine the role and effectiveness of an extra-curricular school based programme, Soul Buddyz Clubs (SBC) on HIV knowledge, attitudes, behaviours and biomedical outcomes. Secondary data analysis was performed on survey data of a nationally representative sample that was restricted to 10 -14-year-old males and females, using bivariate and multivariate methods in Stata14. Fifteen focus group discussions and 24 in-depth interviews conducted with SBC members, programme implementers and stakeholders in five provinces were analysed using thematic analysis in ATLAS.ti. The results indicated that 12% of respondents were exposed to SBC. Children exposed to SBC were more likely to be medically circumcised (AOR 2.38; 95%CI 1.29 -4.40, p=0.006), had correct HIV knowledge (AOR 2.21; 95%CI 1.36 – 3.57, p<0.001) and had less stigmatising attitudes (AOR 0.54; 95%CI 0.31-0.93, p=0.025) – in comparison to those not exposed. Qualitative findings also supported some of the quantitative results. SBC members reported having learnt about HIV prevention life skills, including condom use, positive attitudes towards people living with HIV, and alcohol abuse. Participation in SBC is associated with accessing biomedical HIV prevention services, specifically MMC, correct HIV prevention knowledge and less stigmatizing attitudes. This paper demonstrates the effectiveness of a school-based extracurricular intervention using a club approach targeting boys and girls ages 10-14 years on some of the key HIV prevention biomarkers as well as knowledge and attitudes. The article suggests that extra-curricular interventions can form an effective component of school-based comprehensive sexuality education in preventing HIV and promoting medical male circumcision.

Getting the right message: a content analysis and application of the health literacy INDEX tool to online HIV resources in Australia

2020 ◽  
Author(s):  
Corie Gray ◽  
Gemma Crawford ◽  
Roanna Lobo ◽  
Bruce Maycock
Keyword(s):  
Content Analysis ◽  
Health Literacy ◽  
Hiv Prevention ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Average Score ◽  
People Living With Hiv ◽  
Literacy Assessment ◽  
Hiv Knowledge ◽  
Missed Opportunities

Abstract Health literacy is considered by some as a determinant of health. Research suggests that different levels of health literacy may be associated with human immunodeficiency virus (HIV) knowledge and behaviour, including willingness to test. This study assessed the health literacy demands of existing Australia HIV prevention resources available online using a health literacy assessment and content analysis. Two reviewers assessed 66 resources using the Health Literacy INDEX. Sixty-one (92%) scored below 50%, with an average score of 35.5%. A coding frame was developed to conduct a content analysis of the resources excluding videos, multiple webpages and booklets (n = 52). We coded for six categories of knowledge: HIV knowledge (100% of resources), transmission (96%), acquired immune deficiency syndrome (AIDS) knowledge (88%), testing (87%), consequence of infection (85%) and prevention (77%). We found that resources required a reading grade above grade 8, and very few resources considered audience appropriateness. There were missed opportunities to encourage HIV prevention or testing. Some resources used incorrect language to refer towards people living with HIV, and transmission and prevention messages were often inconsistent. Guidelines for developing HIV prevention resources are warranted to improve health literacy, accessibility and appropriateness of resources and ensure consistent messages and framing of HIV risk.

HIV- and hypertension-related knowledge and medication adherence in HIV seropositive persons with hypertension

2020 ◽  
Author(s):  
I L Jackson ◽  
J M Okonta ◽  
C V Ukwe
Keyword(s):  
Blood Pressure ◽  
Pressure Control ◽  
People Living With Hiv ◽  
Hiv Education ◽  
Hiv Knowledge ◽  
Antihypertensive Medications ◽  
Knowledge Questionnaire ◽  
Level Scale ◽  
Living With Hiv ◽  
Hypertension Knowledge

Abstract Background There is increasing prevalence of diseases associated with ageing such as hypertension, among people living with HIV (PLWHV). This study sought to assess: (1) knowledge related to HIV infection and hypertension, (2) adherence to prescribed medications and (3) clinical outcomes among HIV-positive persons with hypertension at a Nigerian hospital. Methods The Patient’s HIV Knowledge Questionnaire (PHKQ), Hypertension Knowledge-Level Scale (HK-LS) and Adherence to Refills and Medication Scale (ARMS) were administered to 220 eligible patients through the HIV clinic. Demographic and clinical data were also obtained. Results Participants were predominantly females (57.3%), with a median (IQR) age of 46 (38–58) years; majority were married (67.8%) and employed (60.8%). Participants reported a higher hypertension-related knowledge compared with HIV-related knowledge (63.6% versus 33.3%, Z = −10.263, P &lt; 0.001), but better adherence to antiretroviral medications compared to antihypertensives (100.0% versus 89.3%, Z = −9.118, P &lt; 0.001). Of the 98 participants with documented viral load, 55 (56.1%) had undetectable (&lt;40 copies/ml) values; however, only four (2.0%) of the entire sample had controlled (&lt;140/90 mmHg) blood pressure. Conclusions Despite having a higher hypertension-related knowledge, adherence to antihypertensive medications and blood pressure control were poor. There is a need for increased attention to HIV education and comorbidities in PLWHV.

scholarly journals Implementation of Adolescent-Friendly Voluntary Medical Male Circumcision Using a School Based Recruitment Program in Rural KwaZulu-Natal, South Africa

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e96468 ◽  
Author(s):  
Carl Montague ◽  
Nelisiwe Ngcobo ◽  
Gethwana Mahlase ◽  
Janet Frohlich ◽  
Cheryl Pillay ◽  
...  
Keyword(s):  
South Africa ◽  
Male Circumcision ◽  
Voluntary Medical Male Circumcision ◽  
Medical Male Circumcision ◽  
School Based ◽  
Kwazulu Natal

Combining and adapting American school-based alcohol and HIV prevention programmes in South Africa: The HAPS project

2008 ◽  
Vol 3 (2) ◽  
pp. 134-142 ◽  
Author(s):  
Pamela K. Cupp ◽  
Rick S. Zimmerman ◽  
Arvin Bhana ◽  
Sonja Feist-Price ◽  
Olga Dekhtyar ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Prevention ◽  
American School ◽  
School Based ◽  
Prevention Programmes

scholarly journals How Do People Living With HIV Acquire HIV Related Information: A Qualitative Evaluation of Jakarta Setting

Jurnal NERS ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 126
Author(s):  
Mahathir Mahathir ◽  
Wiwin Wiarsih ◽  
Henny Permatasari
Keyword(s):  
Qualitative Study ◽  
Qualitative Evaluation ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
People Living With Hiv ◽  
Sufficient Information ◽  
Hiv Education ◽  
Hiv Knowledge ◽  
Treat All ◽  
Living With Hiv

Introduction: People living with HIV are fully aware of their risk behavior and future threats that might arise. The rapid progress of HIV serves the population with many options of healthcare services and treatments. Insufficient knowledge and information will only lower the outcomes of HIV eradication efforts. The ultimate goals to eradicate HIV are to upscale status notification and treat all with appropriate antiretroviral and viral suppression, but it needs sufficient information to administer. Programs and interventions have already been proposed, but an inquiry is needed to ensure all the information is actually there. The study aimed to explore the experience of people living with HIV acquiring HIV-related information.Methods: This study used phenomenological qualitative study and in-depth interviews were conducted to 12 people living with HIV. Semi-structured questions were delivered to all participants which explored their tangible experience in terms of nurturing sufficient HIV-related information.Results: The study found four consequential themes:  non-government organizations play a major role in HIV education, peers are a comfortable platform to discuss, it is all over the media and healthcare personnel are a source of knowledge. Conclusion: The distribution of HIV information and knowledge is now widespread. This situation marks   part of the success in fighting HIV. Remarkable attempts can be maintained by optimizing the viable option of information delivery.  Keyword: HIV knowledge; people living with HIV; qualitative study

scholarly journals Impact evaluation of scripted lesson plans for HIV-related content in a life orientation curriculum: results from two provinces in South Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ilene S. Speizer ◽  
Mahua Mandal ◽  
Khou Xiong ◽  
Ndinda Makina ◽  
Aiko Hattori ◽  
...  
Keyword(s):  
South Africa ◽  
Young People ◽  
Hiv Prevention ◽  
Longitudinal Data ◽  
Condom Use ◽  
Genital Herpes ◽  
Life Orientation ◽  
School Based ◽  
Kwazulu Natal ◽  
And Control

Abstract Background Young people under age 25 years are a key population at risk of unintended pregnancies, HIV and other sexually transmitted infections. School-based programming, focusing on youth under 17 years is strategic given that many in this age group are in school or are required to be in school and spend a considerable amount of their time at school. Prior evaluations of school-based HIV prevention programs for young people often employed weak study designs or lacked biomarkers (e.g., HIV or STI testing) to inform outcomes. Methods This study used longitudinal data collected in 2016 from a cohort of grade-8 girls from Mpumalanga and KwaZulu-Natal Provinces in South Africa. We followed them for 2 years to examine the impact of the South African Department of Basic Education’s revised scripted lesson plans for the HIV and sexual content of a “life orientation” curriculum on knowledge, attitudes, condom use behaviors, pregnancy incidence, and genital herpes incidence. Schools were randomized to intervention and control arms. Multivariable analyses were undertaken using hazard modeling for incidence-based outcomes (genital herpes and pregnancy) and generalized linear latent and mixed modeling for outcomes measured at each time period (knowledge, attitudes, and condom use). Results At end line, 105 schools were included from the two provinces (44 from Mpumalanga and 61 from KwaZulu-Natal). Fifty-five were intervention and fifty were control schools. A total of 2802 girls were surveyed at both time periods (1477 intervention and 1325 control). At baseline, participating girls were about 13.6 years; by end line, they were about 2 years older. Longitudinal data demonstrated few differences between intervention and control groups on knowledge, attitudes, condom use, genital herpes, and pregnancy experience. Monitoring data demonstrated that the program was not implemented as intended. Our results demonstrated 7% incidence of genital herpes in the two-year follow-up period indicating sexual risk-taking among our cohort. Conclusions We did not find significant effects of the revised life orientation curriculum on key outcomes; however, this may reflect poor implementation. Future HIV prevention programs for young people need to be implemented with fidelity to ensure they meet the crucial needs of the next generation. Trial Registration: This study has been registered at ClinicalTrials.gov. The trial registration number is: NCT04205721. The trial was retrospectively registered on December 18, 2019.

scholarly journals 1657. Notes From the Field: A Survey of Mobile Device Usage Among Individuals in KwaZulu-Natal, South Africa

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S606-S606
Author(s):  
Breanna R Campbell ◽  
Koeun Choi ◽  
Megan Gray ◽  
Chelsea Canan ◽  
Anthony Moll ◽  
...  
Keyword(s):  
South Africa ◽  
Health Information ◽  
Cell Phone ◽  
Data Access ◽  
People Living With Hiv ◽  
Medical Male Circumcision ◽  
Condomless Sex ◽  
Private Data ◽  
Kwazulu Natal ◽  
To Receive

Abstract Background mHealth (mobile health) is a promising tool to deliver healthcare interventions to underserved populations. Across low- and middle-income countries (LMIC), the prevalence of smartphones has risen to 42%. Effective mHealth deployment in LMIC requires an understanding of how LMIC populations use mobile technology. We characterized the use of mobile devices in rural KwaZulu-Natal, South Africa to tailor mHealth interventions for people living with HIV and at risk for acquiring HIV. Methods We surveyed participants in community settings and offered free HIV counseling and testing. Participants self-reported their gender, age, relationship status, living distance from preferred clinic, receipt of monthly grant, condomless sex frequency, and circumcision status (if male). Outcomes included cell phone and smartphone ownership, private data access, health information seeking, and willingness to receive healthcare messages. We performed multivariable logistic regression to assess the relationship between demographic factors and outcomes. Results Among 788 individuals surveyed, the median age was 28 (IQR 22–40) years, 75% were male, and 86% owned personal cell phones, of which 43% were smartphones. The majority (59%) reported having condomless sex and most (59%) males reported being circumcised. Although only 10% used the phone to seek health information, 93% of cell phone owners were willing to receive healthcare messages. Being young, female, and in a relationship were associated with cell phone ownership. Smartphone owners were more likely to be young and female, less likely to live 10–30 minutes from preferred clinic, and less likely to receive a monthly grant. Those reporting condomless sex or lack of circumcision were significantly less likely to have private data access. Conclusion Most participants were willing to receive healthcare messages via phone, indicating that mHealth interventions may be feasible in rural KwaZulu-Natal. Smartphone-based mHealth interventions specifically geared to prevent or support the care of HIV in young women in KwaZulu-Natal may be feasible. mHealth interventions encouraging condom use and medical male circumcision should consider the use of non-smartphone SMS and be attuned to mobile data limitations. Disclosures All authors: No reported disclosures.

Leveraging microfinance to impact HIV and financial behaviors among adolescents and their mothers in West Bengal: a cluster randomized trial

2013 ◽  
Vol 25 (2) ◽  
pp. 157-166 ◽  
Author(s):  
Freya Spielberg ◽  
Benjamin T. Crookston ◽  
Sheila Chanani ◽  
Jaewhan Kim ◽  
Sean Kline ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Hiv Testing ◽  
West Bengal ◽  
Control Group ◽  
Hiv Education ◽  
Multilevel Regression ◽  
Hiv Knowledge ◽  
Positive Direction ◽  
Cluster Randomized ◽  
The Impact

Abstract Microfinance can be used to reach women and adolescent girls with HIV prevention education. We report findings from a cluster-randomized control trial among 55 villages in West Bengal to determine the impact of non-formal education on knowledge, attitudes and behaviors for HIV prevention and savings. Multilevel regression models were used to evaluate differences between groups for key outcomes while adjusting for cluster correlation and differences in baseline characteristics. Women and girls who received HIV education showed significant gains in HIV knowledge, awareness that condoms can prevent HIV, self-efficacy for HIV prevention, and confirmed use of clean needles, as compared to the control group. Condom use was rare and did not improve for women. While HIV testing was uncommon, knowledge of HIV-testing resources significantly increased among girls, and trended in the positive direction among women in intervention groups. Conversely, the savings education showed no impact on financial knowledge or behavior change.

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