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1.    Full text document

Title: 15andCounting advocacy.
Author: International Planned Parenthood Federation [IPPF]
Source: [London, United Kingdom, IPPF, 2009]. 11 p.
Abstract: This document describes how individuals and community groups can raise awareness about the 15 and Counting campaign. The campaign focuses on meeting the youth-related goals of the 1994 International Conference on Population and Development. While it specifically focuses on 15 and Counting, the document's principles could be applied to the process of developing an advocacy plan for many other youth projects. Additional resources are available at: http://www.15andcounting.org/blog/?page_id=7.
Language: English

Keywords:
AFRICA | UGANDA | IRELAND | SUMMARY REPORT | YOUTH | ADOLESCENTS | LEADERSHIP | HEALTH POLICY | EDUCATION | COMMUNITY PARTICIPATION | ADVOCACY | REPRODUCTIVE HEALTH | HEALTH EDUCATION | PROMOTION | RECRUITMENT ACTIVITIES | SOCIAL NETWORKS | ABORTION | SAFETY | Developing Countries | Africa, Eastern | Africa, Sub Saharan | Developed Countries | Europe, Western | Europe | Age Factors | Population Characteristics | Demographic Factors | Population | Organization and Administration | Policy | Political Factors | Sociocultural Factors | Communication | Health | Marketing | Economic Factors | Program Activities | Programs | Friends and Relatives | Family and Household | Fertility Control, Postconception | Family Planning | Public Health
Document Number: 329083   Notification

2.    Full text document

Title: A strategic approach: HIV & AIDS and education.
Author: UNAIDS. Inter-Agency Task Team on Education
Source: Paris, France, UNESCO, 2009 May. 53 p. Also available: http://unesdoc.unesco.org/images/0016/001627/162723f.pdf (French) and http://unesdoc.unesco.org/images/0016/001627/162723s.pdf (Spanish).
Abstract: This publication provides a strategic vision of the role that education must play in addressing HIV and AIDS. It targets decision-makers and practitioners in the education sector, as well as colleagues who work on HIV and AIDS responses in other sectors. It can be used as an advocacy tool to build commitment to the role of education in the HIV and AIDS response and to generate multisectoral partnerships for implementation.
Language: English

Keywords:
DEVELOPING COUNTRIES | SUMMARY REPORT | PERSONS LIVING WITH HIV/AIDS | EDUCATION | AIDS | PREVENTION OF MOTHER-TO-CHILD TRANSMISSION | SCHOOLS | HIV PREVENTION | AIDS PREVENTION | TREATMENT | HIV TESTING | HEALTH EDUCATION | HEALTH SERVICES | PROGRAM ACCESSIBILITY | PROGRAM ACTIVITIES | HIV Infections | Viral Diseases | Diseases | Disease Transmission Control | Prevention and Control | Medical Procedures | Medicine | Delivery of Health Care | Health | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Program Evaluation | Programs | Organization and Administration
Document Number: 342035  

3.    Full text document

Title: TV soap operas in HIV education: Reaching out with popular entertainment.
Author: Adams S
Source: Eschborn, Germany, Deutsche Gesellschaft fur Technische Zusammenarbeit [GTZ], German HIV Peer Review Group, 2009 May. 38 p. (German HIV Practice Collection)
Abstract: This document provides an overview of why and how the German Development Cooperation supports soap operas as an integral component of national and regional HIV programs. It also describes three soap operas designed to reflect and respond to three very different epidemics in Kyrgyzstan, Dominican Republic, and Côte d’Ivoire. Characters and target audiences include young people.
Language: English

Keywords:
GERMANY | KYRGYZSTAN | DOMINICAN REPUBLIC | COTE D'IVOIRE | SUMMARY REPORT | YOUTH | ADOLESCENTS | HIV PREVENTION | EDUCATIONAL METHODS | TELEVISION PROGRAM | SOCIAL MARKETING | INFORMATION | EDUCATION | COMMUNICATION | HEALTH EDUCATION | CONDOM USE | SEX BEHAVIOR | MESSAGE DEVELOPMENT | Europe, Central | Europe | Developed Countries | Asia, Central | Asia | Developing Countries | Caribbean | Americas | Africa, Western | Africa, Sub Saharan | Africa | Age Factors | Population Characteristics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Educational Activities | Television | Broadcast Media | Mass Media | Marketing | Economic Factors | Risk Reduction Behavior | Behavior
Document Number: 331830  

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Peer Reviewed

Title: Household possession, use and non-use of treated or untreated mosquito nets in two ecologically diverse regions of Nigeria--Niger Delta and Sahel Savannah.
Author: Afolabi BM; Sofola OT; Fatunmbi BS; Komakech W; Okoh F; Saliu O; Otsemobor P; Oresanya OB; Amajoh CN; Fasiku D; Jalingo I
Source: Malaria Journal. 2009;8:30.
Abstract: BACKGROUND: Current use of treated mosquito nets for the prevention of malaria falls short of what is expected in sub-Saharan Africa (SSA), though research within the continent has indicated that the use of these commodities can reduce malaria morbidity by 50% and malaria mortality by 20%. Governments in sub-Sahara Africa are investing substantially in scaling-up treated mosquito net coverage for impact. However, certain significant factors still prevent the use of the treated mosquito nets, even among those who possess them. This survey examines household ownership as well as use and non-use of treated mosquito nets in Sahel Savannah and Niger Delta regions of Nigeria. METHODOLOGY: This survey employed cross-sectional survey to collect data from households on coverage and use of mosquito nets, whether treated or not. Fever episodes in previous two weeks among children under the age of five were also recorded. The study took place in August 1 - 14 2007, just five months after the March distribution of treated mosquito nets, coinciding with the second raining period of the year and a time of high malaria transmission during the wet season. EPI INFO version 2003 was used in data analysis. RESULTS: The survey covered 439 households with 2,521 persons including 739 under-fives, 585 women in reproductive age and 78 pregnant women in Niger Delta Region and Sahel Savannah Region. Of the 439 HHs, 232 had any mosquito nets. Significantly higher proportion of households in the Niger Delta Region had any treated or untreated mosquito nets than those in the Sahel Savannah Region. In the Niger Delta Region, the proportion of under-fives that had slept under treated nets the night before the survey exceeded those that slept under treated nets in the Sahel Savannah Region. Children under the age of five years in the Niger Delta Region were four times more likely to sleep under treated nets than those in the Sahel Savannah Region. CONCLUSION: This study found that despite the fact that treated nets were distributed widely across Nigeria, the use of this commodity was still very low in the Sahel Savannah region. Future campaigns should include more purposeful social and health education on the importance and advantages of the use of treated nets to save lives in the Sahel Savannah region of Nigeria.
Language: English

Keywords:
NIGERIA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | PREGNANT WOMEN | MALARIA PREVENTION | BED NETS | HEALTH EDUCATION | INTERVENTIONS | IMPACT | SEASONAL VARIATION | GEOGRAPHIC FACTORS | Developing Countries | Africa, Western | Africa, Sub Saharan | Africa | Research Methodology | Population Characteristics | Demographic Factors | Population | Malaria | Parasitic Diseases | Diseases | Parasite Control | Public Health | Health | Education | Programs | Organization and Administration | Communication | Population Dynamics
Document Number: 330812  

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Peer Reviewed

Title: Effects of school health nursing education interventions on HIV/AIDS-related attitudes of students in Akwa Ibom State, Nigeria.
Author: Akpabio II; Asuzu MC; Fajemilehin BR; Ofi AB
Source: Journal of Adolescent Health. 2009 Feb;44(2):118-123.
Abstract: Purpose: One of the greatest challenges facing school nurses is that of identifying and using appropriate strategies to meet the health education needs of adolescents in regard to prevention of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). This study examined the effects of HIV/AIDS preventive health education with parental involvement on students' attitude toward HIV/AIDS prevention in Akwa Ibom State, Nigeria. Methods: The study population comprised students from three of nine secondary schools in the study area. The three schools were randomly assigned as Intervention Group 1 (IG1), involving nurses only; Intervention Group 2 (IG2), involving both nurses and parents (IG2); and a control group. A pretest/ post-test intervention design was used. A 29-item, validated questionnaire was the instrument for data collection. Sampling involved multistage and stratified random technique to select 120 subjects from each of the three selected schools, with a total of 360 subjects representing 8.3% of the study population. From this number, 339 (94.2%) provided sufficient data for analysis. Data analysis involved analysis of covariance and the Scheffé post hoc test determined at the .05 significance level. Results: Results show significant effect of intervention on students attitudes toward preventive measures (F<234.27, p .001*). The intervention that involved nurses only was found to be a more potent strategy in providing favorable attitudes toward HIV/AIDS prevention (IG1 mean, 20.59; IG2 mean, 19.20; control mean, 12.34). Attitudes were influenced by older age but not by gender. Conclusion: Health education efforts aimed at improving HIV/AIDS-related attitudes should not only focus on children but also on parents so that they in turn could assist to improve on health workers' efforts in educating the children.
Language: English

Keywords:
NIGERIA | RESEARCH REPORT | INTERVENTIONS | STUDENTS | NURSES AND NURSING | HEALTH EDUCATION | ATTITUDES | HIV INFECTIONS | AIDS | PARENTAL INVOLVEMENT | Africa, Western | Africa, Sub Saharan | Africa | Developing Countries | Programs | Organization and Administration | Education | Health Personnel | Delivery of Health Care | Health | Psychological Factors | Behavior | Viral Diseases | Diseases | Child Rearing
Document Number: 330164  

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Peer Reviewed

Title: Effects of an Internet-based intervention for HIV prevention: the Youthnet trials.
Author: Bull S; Pratte K; Whitesell N; Rietmeijer C; McFarlane M
Source: AIDS and Behavior. 2009 Jun;13(3):474-87.
Abstract: Youth use the Internet and computers in unprecedented numbers. We have yet to identify interventions that can reach and retain large numbers of diverse youth online and demonstrate HIV prevention efficacy. We tested a single session condom promotion Internet intervention for 18-24 year olds in two RCTs: one sample recruited online and one recruited in clinics. All study elements were carried out on the Internet. Using repeated measures structural equation models we analyzed change in proportion of sex acts protected by condoms (PPA) over time. Among sexually active youth in the Internet sample, persons exposed to the intervention had very slight increases in condom norms, and this was the only factor impacting PPA. We saw no intervention effects in the clinic sample. Internet-based interventions need to be more intensive to see greater effects. We need to do more to reach high risk youth online and keep their attention for multiple sessions.
Language: English

Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | RANDOMIZED RESPONSE TECHNIC | RESPONDENTS | YOUTH | ADOLESCENTS | INTERNET | HIV PREVENTION | AIDS PREVENTION | HEALTH EDUCATION | SEX EDUCATION | EDUCATIONAL METHODS | Developed Countries | North America | Americas | Questionnaire Design | Survey Methodology | Surveys | Sampling Studies | Studies | Research Methodology | Age Factors | Population Characteristics | Demographic Factors | Population | Information Networks | Communication | HIV Infections | Viral Diseases | Diseases | AIDS | Education | Educational Activities
Document Number: 342107  

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Peer Reviewed

Title: A feeding education program to prevent mother-to-child transmission of HIV in Haiti.
Author: Deschamps MM; Devieux JG; Theodore H; Saint-Jean G; Antillus L; Cadot I; Pape JW; Malow RM
Source: AIDS Care. 2009 Mar;21(3):349-54.
Abstract: In Haiti, as in most of the developing world, vertical transmission of HIV from infected mother to infant through postpartum breastfeeding remains a significant mode of transmission. As part of their prevention of mother-to-child transmission program, the Groupe Haitien d'Etude du Sarcome de Kaposi et des Infections Opportunistes (GHESKIO) Centers developed a feeding education program in which over 83% of the HIV-positive pregnant women who were eligible to participate, enrolled. Bivariate and adjusted multivariate logistic regression analyses were used to compare feeding choices of the 290 women who participated in the feeding education program to 58 who did not. Of those who participated, 91.7% chose to use replacement formulas for their newborns, while 75.9% of those who did not participate chose replacement feeding. After adjustment for socio-demographic variables, analyses revealed that the no education group was less likely to adopt replacement feeding and more likely to use mixed feeding (OR=0.31, p=0.004; and OR=2.74, p=0.05, respectively). This suggests that a targeted and culturally appropriate education program can be effective in encouraging replacement feeding, even in those countries where breastfeeding is the norm.
Language: English

Keywords:
HAITI | RESEARCH REPORT | CONTROL GROUPS | PREGNANT WOMEN | PERSONS LIVING WITH HIV/AIDS | PREVENTION OF MOTHER-TO-CHILD TRANSMISSION | HEALTH EDUCATION | BREASTFEEDING, EXCLUSIVE | WEANING | SUPPLEMENTARY FEEDING | ANTIRETROVIRAL THERAPY | Developing Countries | Caribbean | Americas | Research Methodology | Population Characteristics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Disease Transmission Control | Prevention and Control | Education | Breastfeeding | Infant Nutrition | Nutrition | Health | HIV
Document Number: 341855  

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Title: Compliance with mandated emergency contraception in New Mexico emergency departments.
Author: Espey E; Ogburn T; Leeman L; Buchen E; Angeli E; Qualls C
Source: Journal of Women's Health. 2009 May;18(5):619-23.
Abstract: OBJECTIVE: New Mexico enacted a law in 2003 requiring that emergency departments (EDs) offer emergency contraception (EC) to survivors of sexual assault and that both doses be administered in the ED. This investigation sought to examine practices and knowledge of ED providers about EC in the setting of sexual assault. METHODS: We visited hospitals in New Mexico from July 2005 to December 2005 and administered an 18-item questionnaire to three providers-a physician, a nurse, and a clerk-in the ED. The questionnaire included items related to characteristics of the hospital, knowledge of providers about EC and the law, and ED practices relevant to EC for sexual assault survivors as well as for women who had consensual unprotected intercourse. RESULTS: Surveys were completed at 33 of 38 hospitals (87%). Overall, 52% of respondents reported that EC was routinely offered to sexual assault survivors, and 33% reported that both doses were administered in the ED. Forty-one percent of RNs, MDs, and clerks reported that EC was offered to sexual assault survivors who were minors regardless of age. Overall, 64% of respondents knew that EC may prevent pregnancy up to 72 hours after unprotected intercourse, and only 12% of respondents reported awareness of any requirements to offer EC to sexual assault survivors. Respondents reported that physicians in the ED more often routinely offered EC to sexual assault survivors (52%) than to women who requested it after consensual sex (20%). Thirty-three percent of respondents indicated parental consent was necessary for minors in the setting of sexual assault, although there is no requirement for parental notification in New Mexico. CONCLUSIONS: EDs in New Mexico are not universally complying with the law. Better dissemination of the law and education about EC could improve care of sexual assault survivors in New Mexico.
Language: English

Keywords:
NEW MEXICO | UNITED STATES OF AMERICA | RESEARCH REPORT | SURVEYS | WOMEN | EMERGENCY SERVICES | SEXUAL ABUSE | RAPE | HEALTH SERVICES | EMERGENCY CONTRACEPTION | HEALTH EDUCATION | NEEDS | Developed Countries | North America | Americas | Sampling Studies | Studies | Research Methodology | Demographic Factors | Population | Delivery of Health Care | Health | Crime | Social Problems | Sociocultural Factors | Contraception | Family Planning | Education | Economic Factors
Document Number: 342561  

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Peer Reviewed

Title: What do young adults know about the HIV/AIDS epidemic? Findings from a population based study in Karachi, Pakistan.
Author: Farid-ul-Hasnain S; Johansson E; Krantz G
Source: BMC Infectious Diseases. 2009;9:38.
Abstract: BACKGROUND: HIVAIDS is spreading globally, hitting the younger generations. In Pakistan, the prevalence of HIV in high-risk subpopulations is five per cent or higher. This poses a serious threat of a generalised epidemic especially among the younger population. In the wake of HIVAIDS epidemic this is worrying as a well informed younger generation is crucial in restricting the spread of this epidemic. This study investigated Pakistani young adults' (male and female) knowledge and awareness of the HIV/AIDS disease. METHODS: A population-based, cross-sectional study of 1,650 male and female adults aged 17-21 years living in Karachi was conducted using a structured questionnaire. A multi-stage cluster sampling design was used to collect data representative of the general population in an urban area. Bivariate and multivariate analyses were performed separately for males and females. RESULTS: Of 1,650 subjects, 24 per cent (n = 390) reported that they had not heard of HIV/AIDS. Among the males, those with a poor knowledge were younger (AOR = 2.20; 95 per cent CI, 1.38, 3.49), with less than six years of schooling (AOR = 2.46; 1.29 4.68) and no computer at home (AOR = 1.88; 1.06 3.34). Among the females, the risk factors for poor knowledge were young age (AOR = 1.74; 1.22, 2.50), low socio-economic status (AOR = 1.54; 1.06, 2.22), lack of enrolment at school/college (AOR = 1.61; 1.09, 2.39) and being unmarried (AOR = 1.85; 1.05, 3.26). CONCLUSION: Alarming gaps in knowledge relating to HIV/AIDS were detected. The study emphasises the need to educate young adults and equip them with the appropriate information and skills to enable them to protect themselves from HIV/AIDS. However, taboos surrounding public discussions of sexuality remain a key constraint to preventive activities.
Language: English

Keywords:
PAKISTAN | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | ADULTS | YOUTH | NEEDS | INFORMATION | HEALTH EDUCATION | KNOWLEDGE | HIV INFECTIONS | RISK FACTORS | Developing Countries | Asia, Southern | Asia | Research Methodology | Age Factors | Population Characteristics | Demographic Factors | Population | Economic Factors | Education | Sociocultural Factors | Viral Diseases | Diseases | Health
Document Number: 341350  

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Peer Reviewed

Title: Adapting a multifaceted U.S. HIV prevention education program for girls in Ghana.
Author: Fiscian VS; Obeng EK; Goldstein K; Shea JA; Turner BJ
Source: AIDS Education and Prevention. 2009 Feb;21(1):67-79.
Abstract: We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affiliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. A pre-post evaluation of the intervention showed significant gains in three domains: HIV knowledge (p = .001) and self efficacy to discuss HIV and sex with men (p < .001) and with boys (p < .001). Responses to items about social norms of HIV risk behavior were also somewhat improved (p = .09). Subjects rated most program features highly. Although short-term knowledge and self-efficacy to address HIV improved significantly, longer term research is needed to address cultural and economic factors placing young women at risk of HIV infection.
Language: English

Keywords:
UNITED STATES OF AMERICA | GHANA | EVALUATION REPORT | THEORETICAL MODELS | ADOLESCENTS, FEMALE | SUGAR DADDIES | SEX WORKERS | FAITH-BASED ORGANIZATION | HEALTH EDUCATION | SEX EDUCATION | HIV PREVENTION | CULTURE | COMPUTER PROGRAMS AND PROGRAMMING | ABSTINENCE | BEHAVIOR CHANGE COMMUNICATION | Developed Countries | North America | Americas | Developing Countries | Africa, Western | Africa, Sub Saharan | Africa | Evaluation | Research Methodology | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Sex Behavior | Behavior | Organizations | Political Factors | Sociocultural Factors | Education | HIV Infections | Viral Diseases | Diseases | Information Processing | Information | Family Planning, Behavioral Methods | Family Planning | Communication Programs | Communication | Behavior Change
Document Number: 331081  

11.    Full text document

Title: Latin America: Cash transfers to support better household decisions.
Author: Glassman A; Todd J; Gaarder M
Source: In: Performance incentives for global health: potential and pitfalls, [by] Rena Eichler, Ruth Levine and the Performance-Based Incentives Working Group. Washington, D.C., Center for Global Development, 2009. :89-121.
Abstract: Conditional cash transfers (CCTs) in Latin America have been effective at increasing the use of preventive health services, increasing knowledge, improving attitudes and practices, enhancing nutritional status, and reducing morbidity, mortality, and fertility. Rigorous impact evaluations suggest that improved health results can be attributed to demand-side performance incentives. Better choice of health conditionalities in future CCT programs could strengthen the impact on health.
Language: English

Keywords:
LATIN AMERICA | SUMMARY REPORT | EVALUATION | LOW INCOME POPULATION | POVERTY | HEALTH EDUCATION | HEALTH SERVICES | QUALITY OF HEALTH CARE | VACCINES | CHILD HEALTH | MATERNAL HEALTH | MORBIDITY | MORTALITY | KNOWLEDGE | ATTITUDES | BEHAVIOR | PREVENTIVE MEDICINE | PROGRAM ACCESSIBILITY | Americas | Developing Countries | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Education | Delivery of Health Care | Health | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Medical Procedures | Medicine | Diseases | Population Dynamics | Demographic Factors | Population | Sociocultural Factors | Psychological Factors
Document Number: 331454  

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Peer Reviewed

Title: A human immunodeficiency virus risk reduction intervention for incarcerated youth: a randomized controlled trial.
Author: Goldberg E; Millson P; Rivers S; Manning SJ; Leslie K; Read S; Shipley C; Victor JC
Source: Journal of Adolescent Health. 2009 Feb;44(2):136-45.
Abstract: PURPOSE: To evaluate, by gender, the impact of a structured, comprehensive risk reduction intervention with and without boosters on human immunodeficiency virus (HIV) knowledge, attitudes and behaviors in incarcerated youth; and to determine predictors of increasing HIV knowledge and reducing high-risk attitudes and behaviors. METHODS: This randomized controlled trial involved participants completing structured interviews at 1, 3, and 6 months. Repeated measures analysis of variance was used to analyze changes over time. The study was conducted in secure custody facilities and in the community. The study sample comprising 391 incarcerated youth, 102 female and 289 male aged 12-18, formed the voluntary sample. Participants were randomly assigned to one of three conditions: education intervention; education intervention with booster; or no systematic intervention. The outcome and predictor measures included the Rosenberg Self-Esteem Scale, Youth Self Report, Drug Use Inventory, and HIV Knowledge, Attitudes and Behavior Scale. RESULTS: The 6-month retention rate was 59.6%. At 6 months, males in the education and booster groups sustained increases in knowledge scores (p < 0.001). Females in these groups sustained increased condom attitude scores (p = 0.004). Males in the booster group sustained increased prevention attitude scores (p = 0.017). Females in the booster group reported more consistent condom use (odds ratio [OR] = 4.20; 95% confidence interval [CI] = 1.81, 9.77). Age, gender, drug use, and psychological profiles were predictive of outcome. CONCLUSIONS: The intervention and boosters led to gender-specific improvements in knowledge, attitudes, and condom use. Result variations by gender underline the importance of gender issues in prevention interventions. Predictors of success were identified to inform future HIV education interventions.
Language: English

Keywords:
CANADA | RESEARCH REPORT | CLINICAL TRIALS | KAP SURVEYS | PRISONERS | YOUTH | HIV PREVENTION | SEX FACTORS | KNOWLEDGE | ATTITUDES | SEX BEHAVIOR | RISK BEHAVIOR | TIME FACTORS | HEALTH EDUCATION | SEX EDUCATION | Developed Countries | North America, Northern | Americas | Clinical Research | Research Methodology | Surveys | Sampling Studies | Studies | Crime | Social Problems | Sociocultural Factors | Age Factors | Population Characteristics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Psychological Factors | Behavior | Population Dynamics | Education
Document Number: 331072  

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Title: Appreciative inquiry into lifeskills-based HIV/AIDS education in South African schools.
Author: Govender S; Edwards S
Source: African Journal of AIDS Research. 2009 Apr;8(1):115-121.
Abstract: With a steady rise in the prevalence of HIV and AIDS throughout the world it has become vital for programme implementers at all levels to ensure that all HIV intervention programmes are effectively put into practice. The present research used qualitative and quantitative data to evaluate the lifeskills-based HIV/AIDS education programme being implemented in primary and secondary schools in South Africa, with special reference to KwaZulu-Natal. A qualitative questionnaire gathered information from nine respondents at three levels: Department of Education district officials, educators and learners. Six key themes were consequently identified to guide the evaluation: communication, empowerment, resources, networking, motivation, and evaluation and feedback. A quantitative questionnaire completed by 30 educators revealed an overall positive attitude towards the programme, regardless of the educator's gender, age or level of formal education. The results are discussed with special reference to continuation and improvement of the lifeskills-based HIV/AIDS education programme.
Language: English

Keywords:
SOUTH AFRICA | RESEARCH REPORT | SAMPLING STUDIES | HIV PREVENTION | AIDS PREVENTION | HEALTH EDUCATION | SCHOOL-BASED SERVICES | PROGRAM EVALUATION | SCHOOLS | COMMUNICATION | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Studies | Research Methodology | HIV Infections | Viral Diseases | Diseases | AIDS | Education | Programs | Organization and Administration
Document Number: 341293  

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Title: The impact of HIV education on the lives of Ugandan nurses and nurse-midwives.
Author: Harrowing JN
Source: Advances in Nursing Science. 2009 Apr-Jun;32(2):E94-E108.
Abstract: In this ethnography, I explored the impact of an HIV/AIDS education program on the lives of 24 Ugandan nurses and nurse-midwives. Nurses who previously had viewed themselves simply as providers of advice and sympathy now saw themselves as more holistic, collaborative caregivers. They voiced an increased awareness of their role as leaders and advocates in the community with respect to policy. The education program had positive and synergistic effects on the nurses' professional practice, communication and problem-solving skills, confidence, and engagement in political and social change activities.
Language: English

Keywords:
UGANDA | RESEARCH REPORT | NURSE-MIDWIVES | HIV INFECTIONS | HEALTH EDUCATION | HIV TESTING | COUNSELING | DELIVERY OF HEALTH CARE | AWARENESS | IMPACT | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Health Personnel | Health | Viral Diseases | Diseases | Education | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Clinic Activities | Program Activities | Programs | Organization and Administration | Knowledge | Sociocultural Factors | Communication
Document Number: 342437  

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Title: Application of evidence-based teaching in maternal and child health in remote Vietnam.
Author: Hirst JE; Jeffery HE; Morris J; Foster K; Elliott EJ
Source: International Journal of Gynaecology and Obstetrics. 2009 Feb;104(2):152-5.
Abstract: OBJECTIVE: To develop, implement, and evaluate an evidence-based multidisciplinary teaching program to improve maternal and infant health in remote Vietnam. METHODS: Needs assessments identified prevention of infection, neonatal resuscitation, and prevention of postpartum hemorrhage as primary targets. A 3-day workshop based on the small group, interactive, skills-based SCORPIO method was developed. Participants underwent formative written and performance-based assessments. Qualitative and quantitative evaluation of course content and teaching method was conducted. RESULTS: Two annual workshops were conducted for 58 health professionals, all of whom demonstrated skills acquisition to an adequate standard on completion. The workshops were rated as good or excellent overall by 100% of the participants, who reported that the content would help with their clinical work and that the teaching method was acceptable and easy to understand. CONCLUSION: We demonstrated the SCORPIO method can be adapted to teach knowledge and clinical skills in remote Vietnam. Further work is needed to demonstrate an effect on health outcomes.
Language: English

Keywords:
VIETNAM | RESEARCH REPORT | NEEDS ASSESSMENT | POSTPARTUM WOMEN | BLEEDING | HEALTH EDUCATION | CHILD HEALTH | MATERNAL HEALTH | Asia, Southeastern | Asia | Developing Countries | Evaluation | Puerperium | Reproduction | Signs and Symptoms | Diseases | Education | Health
Document Number: 330824  

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Peer Reviewed

Title: HIV/AIDS behavioral interventions in China: a literature review and recommendation for future research.
Author: Hong Y; Li X
Source: AIDS and Behavior. 2009 Jun;13(3):603-13.
Abstract: In the past two decades, China has witnessed an alarming increase of HIV/AIDS epidemic. Meanwhile, a number of HIV prevention interventions have been conducted. This study reviews existing studies in literature on behavioral interventions on HIV/AIDS in China. Of 25 studies we identified, most have been concentrated in South and South-West China, mainly targeting injection drug users and female sex workers. The most commonly used intervention strategy was individual-oriented HIV-related knowledge education and behavioral skill training. All studies reported positive intervention effects including improved HIV-related knowledge, increased condom use, reduced needle sharing, and reduced STI. Literature also suggests a lack of intervention among other at-risk populations such as MSM, migrant workers, and non-injecting drug users, lack of studies with rigorous evaluation design, inadequate follow-up, limited outcome measurement, and lack of multi-faceted structural interventions. The existing intervention studies document strong evidence of controlling HIV/AIDS epidemic through effective behavioral intervention. More efforts are needed to control the growing HIV/AIDS epidemic in China. Future studies need to employ more rigorous methodology and incorporate environmental or structural factors for different populations at risk of HIV infection in China.
Language: English

Keywords:
CHINA | LITERATURE REVIEW | IV DRUG USERS | SEX WORKERS | EPIDEMICS | HIV PREVENTION | AIDS PREVENTION | INTERVENTIONS | HEALTH EDUCATION | KNOWLEDGE | RISK REDUCTION BEHAVIOR | Asia, Eastern | Asia | Developing Countries | Drug Use and Abuse | Behavior | Sex Behavior | Diseases | HIV Infections | Viral Diseases | AIDS | Programs | Organization and Administration | Education | Sociocultural Factors
Document Number: 342110  

17.
Title: A randomised controlled trial of peer-adult-led intervention on improvement of knowledge, attitudes and behaviour of university students regarding HIV/AIDS in Malaysia.
Author: Jahanfar S; Lye MS; Rampal L
Source: Singapore Medical Journal. 2009 Feb;50(2):173-80.
Abstract: INTRODUCTION: The aim of this study was to investigate the knowledge, attitudes and behaviour of university students regarding acquired immunodeficiency syndrome (AIDS) and the human immunodeficiency virus (HIV). METHODS: A randomised controlled trial of 530 university students was done using peer-adult facilitators. Participants completed a questionnaire before and after the intervention, which was a four-hour group session. A prevention programme was developed by local experts, health educators and peer facilitators. The peer-adult-led programme was designed to provide a conceptual model of HIV risk reduction through information, motivational and behavioural skills, a harm reduction module and health promotion theme. RESULTS: The main outcome measured was the level of knowledge, attitudes and behaviour scores. The results suggest that relative to the control group, participants in the intervention group had higher levels of knowledge (30.37 vs. 25.40; p-value is 0.001) and a better attitude (12.27 vs. 10.84; p-value is 0.001). However, there was no difference in the behavioural score (9.47 vs. 9.41; p-value is 0.530). The correlation between the level of knowledge and age and the level of education was found in the intervention group, but not in the control group (p-value is 0.01). Attitude and gender were found to be correlated in the intervention group only (p-value is 0.01). CONCLUSION: Our programme was successful in increasing knowledge and improving attitudes towards AIDS and HIV. However, it did not improve risk-taking behaviour. Peer-adult-led educational programmes for youth using various interactional activities, such as small group discussions, poster activity and empathy exercises, can be successful in changing the prevailing youth perceptions of AIDS and HIV.
Language: English

Keywords:
MALAYSIA | RESEARCH REPORT | STUDENTS | UNIVERSITIES | KNOWLEDGE | ATTITUDES | BEHAVIOR | HIV TRANSMISSION | SEXUALLY TRANSMITTED DISEASES | AIDS | HEALTH EDUCATION | EDUCATIONAL ACTIVITIES | Asia, Southeastern | Asia | Developing Countries | Education | Schools | Sociocultural Factors | Psychological Factors | HIV Infections | Viral Diseases | Diseases | Reproductive Tract Infections | Infections
Document Number: 342091  

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Title: A pilot study of HIV education on readiness to change on substance use, AIDS knowledge, self-efficacy for risk reduction among male drug-dependent inmates.
Author: Ko NY; Hsu ST; Chen CH; Tsai CY; Chu PJ; Huang CJ; Yen CF
Source: Substance Use and Misuse. 2009;44(3):322-31.
Abstract: Taiwan is experiencing an outbreak of human immunodeficiency virus infection among injection drug users. The purpose of the study was to determine the impact of a Transtheoretical Model-based HIV education program among drug-dependent inmates. A single group pre/post design was used to evaluate shortened impacts among 136 inmates who were arrested for illicit drug use and had attended a brief HIV education program in 2005. A repeated-measures analysis of variance indicated positive changes in AIDS knowledge (F > = 104.16, p < 0.001), self-efficacy to reduce HIV-risk behaviors (F = 26.5, p < 0.001), and readiness of change on substance use (F = 4.83, p = 0.03). The study findings showed that a brief TTM-based HIV education program can be effective for drug-dependent inmates.
Language: English

Keywords:
TAIWAN | RESEARCH REPORT | PILOT PROJECTS | MEN | PRISONERS | IV DRUG USERS | DRUG USE AND ABUSE | AIDS | KNOWLEDGE | RISK REDUCTION BEHAVIOR | HEALTH EDUCATION | NEEDS | Asia, Eastern | Asia | Developed Countries | Studies | Research Methodology | Demographic Factors | Population | Crime | Social Problems | Sociocultural Factors | Behavior | HIV Infections | Viral Diseases | Diseases | Education | Economic Factors
Document Number: 341356  

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Title: Use of the internet by patients attending specialist clinics in Sri Lanka: a cross sectional study.
Author: Kommalage M
Source: BMC Medical Informatics and Decision Making. 2009;9:12.
Abstract: BACKGROUND: The internet is a relatively new medium of disseminating health information. Studies on Internet usage for health information are mainly done in developed countries and very few studies have been carried out in developing countries. METHODS: The Internet usage of patients who were attending specialist clinics in Teaching Hospital Karapitiya and Southern Hospital in Galle, Sri Lanka was investigated. The study was carried out on the following specialities; General Medicine, Pediatrics, General Surgery and Cardiothoracic surgery. Information was collected using an investigator-administered questionnaire while patients were waiting for a consultation. RESULTS: Three hundred and fifty five patients (or guardians in the Pediatric clinic) participated in the study. One hundred seventy two (48.3%) participants have heard about the Internet. There was a relationship between awareness of the Internet and age, educational level and the clinic attended. There was no difference of awareness depending on the gender or the hospital. Only three participants (0.97%) have used the Internet to find information about their disease conditions. Close relatives searched the Internet about the conditions of two participants. Altogether, the Internet was used to search information on the disease condition of five participants (1.4%). CONCLUSION: Very low usage of the Internet for health information retrieval in this study is probably due to low awareness of the Internet and low educational level. This low usage of Internet and the associated reasons shown in this study can be generalized to Sri Lanka and probably to other low-income countries that have lower educational level than Sri Lanka.
Language: English

Keywords:
SRI LANKA | RESEARCH REPORT | KAP SURVEYS | CROSS SECTIONAL ANALYSIS | TARGET POPULATION | INTERNET | INFORMATION SOURCES | AGE FACTORS | EDUCATIONAL STATUS | CLINIC ACTIVITIES | EXAMINATIONS AND DIAGNOSES | HEALTH EDUCATION | Developing Countries | Asia, Southern | Asia | Surveys | Sampling Studies | Studies | Research Methodology | Program Design | Programs | Organization and Administration | Information Networks | Communication | Information | Population Characteristics | Demographic Factors | Population | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Program Activities | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Education
Document Number: 331071  

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Peer Reviewed

Title: Outputs and cost of HIV prevention programmes for truck drivers in Andhra Pradesh, India.
Author: Kumar SG; Dandona R; Schneider JA; Ramesh YK; Dandona L
Source: BMC Health Services Research. 2009;9:82.
Abstract: BACKGROUND: HIV prevention programmes for truck drivers form part of the HIV control efforts, but systematic data on the outputs and cost of providing such services in India are not readily available for further planning and use of resources. METHODS: Detailed cost and output data were collected from written records and interviews for 2005-2006 fiscal year using standardized methods at six sampled HIV prevention programmes for truck drivers in the Indian state of Andhra Pradesh. The total economic cost for these programmes was computed and the relation of unit cost of services per truck driver with programme scale was assessed using regression analysis. RESULTS: A total of 120,436 truck drivers were provided services by the six programmes of which 55.9% were long distance truck drivers. The annual economic cost of providing services to a truck driver varied between programmes from US$ 1.52 to 4.56 (mean US$ 2.49). There was an inverse relation between unit economic cost of serving a truck driver and scale of the programme (R2 = 0.63; p = 0.061). The variation between programmes in the average number of contacts made by the programme staff with truck drivers was 1.3 times versus 5.8 times for contacts by peer educators. Only 1.7% of the truck drivers were referred by the programmes for counseling and HIV testing. CONCLUSION: These data provide information for further planning of HIV prevention programmes for truck drivers and estimating the resources needed for such programmes. The findings suggest the need to strengthen the role of peer educators and increase referral of truck drivers for HIV testing.
Language: English

Keywords:
INDIA | RESEARCH REPORT | INTERVIEWS | TRUCK DRIVERS | HIV PREVENTION | PROGRAM ACTIVITIES | PEER EDUCATORS | HEALTH EDUCATION | PROGRAM EFFECTIVENESS | Asia, Southern | Asia | Developing Countries | Data Collection | Research Methodology | Labor Force | Human Resources | Economic Factors | HIV Infections | Viral Diseases | Diseases | Programs | Organization and Administration | Education | Program Evaluation
Document Number: 342438  

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Title: Influencing risk behavior of sexually transmitted infection clinic visitors: efficacy of a new methodology of motivational preventive counseling.
Author: Kuyper L; de Wit J; Heijman T; Fennema H; van Bergen J; Vanwesenbeeck I
Source: AIDS Patient Care and STDs. 2009 Jun;23(6):423-31.
Abstract: A quasi-experimental study was conducted at a Dutch sexually transmitted infection (STI) clinic to compare the effects of educational counseling and motivational interviewing (MI)-based HIV/STI counseling on determinants of condom use and partner notification at 6-month follow-up. It also examined the feasibility of MI-based counseling in a busy real-life clinic. The counseling approaches were historically compared: respondents in the control condition were recruited between April and July 2005, those in the experimental condition between September and December 2005. The study involved 428 participants. These were all high-risk clients of the STI clinic. Their mean age was 33.7 years, and 39.6% were female. The study showed that MI-based counseling had a more positive effect on self-efficacy, intentions to use condoms with casual partners, and long-term condom use with steady partners. It had no adversarial outcomes on other social cognitions or behaviors compared to educational counseling. Furthermore, MI-based counseling is experienced as a more respectful and structured way of counseling. MI-based counseling was relatively easily implemented into the current clinic procedures. In addition to the implementation of the training, neither specialized staff nor additional or longer client visits were needed. However, some nurses indicated that the new method required more personal investment and effort. Limitations of the current study are the low response rates, the high educational level of most participants, and the small sample size regarding partner notification. Nonetheless, we conclude that MI-based counseling was a more effective approach to preventive counseling compared to educational counseling and feasible in the busy real-life setting.
Language: English

Keywords:
NETHERLANDS | RESEARCH REPORT | CONTROL GROUPS | CLIENTS | NURSES AND NURSING | COUNSELING | SAFER SEX | HIV PREVENTION | SEXUALLY TRANSMITTED DISEASE PREVENTION | CONDOM USE | HEALTH EDUCATION | MOTIVATION | PARTNER COMMUNICATION | Europe, Western | Europe | Developed Countries | Research Methodology | Program Activities | Programs | Organization and Administration | Health Personnel | Delivery of Health Care | Health | Clinic Activities | Sex Behavior | Behavior | HIV Infections | Viral Diseases | Diseases | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Risk Reduction Behavior | Education | Psychological Factors | Interpersonal Relations
Document Number: 342409  

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Title: Knowledge about breastfeeding among a group of primary care physicians and residents in Puerto Rico.
Author: Leavitt G; Martinez S; Ortiz N; Garcia L
Source: Journal of Community Health. 2009 Feb;34(1):1-5.
Abstract: Physicians have an essential role in promoting, protecting, and supporting breastfeeding as the ideal method of infant feeding. They are in an important position to promote breastfeeding but report difficulty in advising mothers with lactation problems. The purpose of this study is to assess knowledge about breastfeeding among primary care physicians and residents and identify potential barriers to its promotion. One hundred seventy-seven residents and physicians answered an anonymous questionnaire. The participants recognized breastfeeding benefits but 26% did not encourage exclusive breastfeeding. Mastitis, breast abscess, and the use of medications by the mother were considered contraindications to breastfeeding. Temporary breastfeeding discontinuation and bilirubin levels measurement were the preferred recommendations for the jaundiced infant. Most physicians received training in breastfeeding benefits although they report fair knowledge in myths, techniques, and contraindications. Physicians demonstrated to recognize breastfeeding benefits, but formal education is needed to eliminate barriers to breastfeeding promotion and support.
Language: English

Keywords:
PUERTO RICO | RESEARCH REPORT | PHYSICIANS | KNOWLEDGE | PRIMARY HEALTH CARE | HEALTH FACILITIES | BREASTFEEDING | HEALTH EDUCATION | MATERNAL HEALTH | Caribbean | Americas | Developed Countries | Health Personnel | Delivery of Health Care | Health | Sociocultural Factors | Health Services | Infant Nutrition | Nutrition | Education
Document Number: 330862  

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Title: The role of nursing in the management of unintended pregnancy.
Author: Levi AJ; Simmonds KE; Taylor D
Source: Nursing Clinics of North America. 2009 Sep;44(3):301-14.
Abstract: This article explores the role of nurses in the prevention, management, and treatment of unintended pregnancy. All nurses have a responsibility to understand the importance of reproductive health care in the primary care of women and their families, and to be prepared to respond to patients' needs for the prevention and management of unintended pregnancy. A public health framework provides an opportunity to identify the role of the nurse in primary, secondary, and tertiary prevention strategies that can contribute to the management of unintended pregnancy for the health of women and their families. Nursing education and the role of nurses in advocacy for reproductive health concerns are also addressed.
Language: English

Keywords:
UNITED STATES OF AMERICA | CRITIQUE | NURSES AND NURSING | PREGNANCY, UNPLANNED | REPRODUCTIVE HEALTH | PRIMARY HEALTH CARE | FAMILY PLANNING PROGRAMS | ABORTION | COUNSELING | PREGNANCY TESTS | HEALTH EDUCATION | ADVOCACY | Developed Countries | North America | Americas | Health Personnel | Delivery of Health Care | Health | Reproductive Behavior | Fertility | Population Dynamics | Demographic Factors | Population | Health Services | Family Planning | Fertility Control, Postconception | Clinic Activities | Program Activities | Programs | Organization and Administration | Laboratory Procedures | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Education | Communication
Document Number: 342606   Notification

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Peer Reviewed

Title: The DREAM model's effectiveness in health promotion of AIDS patients in Africa.
Author: Magnano San Lio M; Mancinelli S; Palombi L; Buonomo E; Altan AD; Germano P; Magid NA; Pesaresi A; Renzi E; Scarcella P; Zimba I; Marazzi MC
Source: Health Promotion International. 2009 Mar;24(1):6-15.
Abstract: This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.
Language: English

Keywords:
AFRICA | RESEARCH REPORT | PROSPECTIVE STUDIES | CLIENTS | PERSONS LIVING WITH HIV/AIDS | HIV INFECTIONS | TREATMENT | ANTIRETROVIRAL THERAPY | USER COMPLIANCE | PROMOTION | HEALTH EDUCATION | Developing Countries | Studies | Research Methodology | Program Activities | Programs | Organization and Administration | Viral Diseases | Diseases | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | HIV | Behavior | Marketing | Economic Factors | Education
Document Number: 330817  

25.
Title: Setting up a nurse-led contraceptive clinic for young parents.
Author: Mansey J
Source: Nursing Times. 2009 Mar 24-30;105(11):12-4.
Abstract: This article describes the development of a nurse-led contraceptive and sexual health drop-in clinic, which runs alongside an existing young parents' drop-in service provided by a charity called Key to the Door. The clinic provides young parents, whose average age is 16-25, with access to a variety of first-issue contraceptive methods and screening for sexually transmitted infections (STIs). The article explains how the service was developed and provides information from an audit, which shows the clinic's effectiveness and positive outcomes for service users.
Language: English

Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | PARENTS | REPRODUCTIVE HEALTH | SEXUALITY | CONTRACEPTION | HEALTH EDUCATION | PROMOTION | Developed Countries | North America | Americas | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Health | Personality | Psychological Factors | Behavior | Family Planning | Education | Marketing | Economic Factors
Document Number: 331148  

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Title: The Male Involvement Programme and men's sexual and reproductive health in northern Namibia.
Author: Mufune P
Source: Current Sociology. 2009 Mar;57(2):231-248.
Abstract: Sexual and reproductive health (SRH) issues affect both males and females and relate to gender inequalities and HIV/AIDS. In the past, the focus of SRH has not been on men but on women, who get pregnant and nurture the young. This is despite evidence showing that males exercise decision-making power in different social-cultural spheres including the transmission of sexually transmitted diseases (STDs). This article describes research on the impact of the Male Involvement programme in Namibia. The objectives of the programme were to train groups of males (nurses, clergy, police, soldiers and sportsmen) in SRH knowledge and communication skills. The research investigated the extent to which male participants gained SRH knowledge from the programme and the extent to which the knowledge gained affected their views on cultural conceptions of masculinity and femininity that influence their orientation towards SRH. The research utilized focus group interviews with participating males exposed to the programme. The findings showed that male participants increased their knowledge of human sexuality and sexual health. There were, however, differences in the extent of knowledge gained among the different male groups. The implications of these findings for gender relations were noted. Many of the males consequently appreciated the tensions existing in their own relationships with spouses as partly due to lack of appreciation of the other. They now saw that wives were not simply appendages of their husbands and that women are not quite as inferior as their culture had taught them to believe. They appreciated the reality of `emotional abuse' (a concept de-emphasized in their culture). They could perceive the benefits that accrued to them personally as males from greater female empowerment and from changing their attitudes towards them. This study raises the possibility that masculine behaviours driven by culture can be changed through education.
Language: English

Keywords:
NAMIBIA | RESEARCH REPORT | FOCUS GROUPS | MEN'S INVOLVEMENT | REPRODUCTIVE HEALTH | HEALTH EDUCATION | TRAINING ACTIVITIES | PROGRAM EVALUATION | HIV INFECTIONS | AIDS | CONTRACEPTIVE USAGE | KNOWLEDGE | SOCIAL BEHAVIOR | Africa, Southern | Africa, Sub Saharan | Africa | Developing Countries | Data Collection | Research Methodology | Programs | Organization and Administration | Health | Education | Training Programs | Viral Diseases | Diseases | Contraception | Family Planning | Sociocultural Factors | Behavior
Document Number: 341976  

27.
Title: [Epidemiology of women suffering from obstetric fistula in Niger] Parcours de la femme souffrant de fistule obstetricale au Niger.
Author: Ndiaye P; Amoul Kini G; Abdoulaye I; Diagne Camara M; Tal-Dia A
Source: Medecine Tropicale. 2009 Feb;69(1):61-5.
Abstract: OBJECTIVE: The purpose of this epidemiological study was to determine factors influencing management of obstetrical fistula (OF) by attempting to understand the itinerary followed by women suffering from OF in Niger. Study was carried out during the surgery session that took place at the Niamey National Hospital from April 18 to 29, 2006. Study variables were socioeconomic profile, obstetric/surgical history, support resources, and level of education. Four trained investigators using a specially designed questionnaire carried out patient interviews. Data were analyzed using the Epi Info 3.3.1 software package. A total of 91 patients with average age of 27.30 years (+/- 8.94) were interviewed. Most patients had no schooling (95%), came from the southwest region of the country (85%), and belonged to the Djerma ethnic group (52%). Most were married (76%) or divorced (19%). In the majority of cases the age at the time of marriage and first childbirth was under 18 years (76% and 55% respectively). The delivery that resulted in OF was the first in 59%, took place in a health care facility in 88%, lasted more than 24 hours in 97%, and took place by the vaginal route in 71%. The delay for the first medical visit was at least 3 months in most cases (66%) usually due to a lack of awareness of treatment availability, or to unavailability of transportation. Most patients had a history of surgery (63%) and were unaware of the probable date of the treatment (99%) with many waiting more than 3 months (44%). Prevention of gainful activity was 4.79 times more frequent after occurrence of OF. Management of OF requires not only qualified personnel but also and especially access to the quality obstetric care and greater awareness among the population. Education for girls is a crucial factor for a better health in Niger.
Language: French

Keywords:
NIGER | RESEARCH REPORT | EPIDEMIOLOGY | WOMEN | FISTULA | OBSTETRICAL SURGERY | SOCIOECONOMIC FACTORS | SOCIOECONOMIC STATUS | HEALTH EDUCATION | AWARENESS | TREATMENT | Africa, Western | Africa, Sub Saharan | Africa | Developing Countries | Public Health | Health | Demographic Factors | Population | Diseases | Surgery | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Economic Factors | Education | Knowledge | Sociocultural Factors
Document Number: 342501  

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Peer Reviewed

Title: "If you don't abstain, you will die of AIDS": AIDS education in Kenyan public schools.
Author: Njue C; Nzioka C; Ahlberg BM; Pertet AM; Voeten HA
Source: AIDS Education and Prevention. 2009 Apr;21(2):169-79.
Abstract: This article explores the constraints of implementing AIDS education in public schools in Kenya. The authors conducted 60 interviews with teachers and 60 focus group discussions with students in 21 primary and nine secondary schools. System and school-level constraints included lack of time in the curriculum, limited reach of secondary-school students (because AIDS education is embedded in biology, which is not compulsory), and disapproval of openness about sex and condoms by the Ministry of Education and parents. Alternative strategies to teach about AIDS had their own constraints. Teachers lacked training and support and felt uncomfortable with the topic. They were not used to interactive teaching methods and sometimes breached confidentiality. Teachers' negative attitudes constrained students from seeking information. The authors conclude that training interventions should be provided to teachers to increase their self-confidence, foster more positive attitudes, and stimulate interactive teaching methods. The Ministry of Education needs to have a clear policy toward the promotion of condoms.
Language: English

Keywords:
KENYA | RESEARCH REPORT | TEACHERS | STUDENTS | HEALTH EDUCATION | AIDS PREVENTION | ATTITUDES | ABSTINENCE | CURRICULUM | PRIMARY SCHOOLS | SECONDARY SCHOOLS | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Education | AIDS | HIV Infections | Viral Diseases | Diseases | Psychological Factors | Behavior | Family Planning, Behavioral Methods | Family Planning | Schools
Document Number: 341679  

29.    Full text document

Peer Reviewed

Title: Family life and HIV/AIDS Education (FLHE) in schools in Enugu State: baseline study of reproductive health issues among In-School adolescents in Enugu State.
Author: Nwaorgu OC; Onyeneho NG; Onyegegbu N; Okolo M; Ebele O
Source: African Journal of Reproductive Health. 2009 Jun;13(2):17-32.
Abstract: The authors studied the sexual and reproductive health (SRH) knowledge and practices among students in junior secondary school grades 1 and 3 in Enugu State, Nigeria. Results show that over 90% of the respondents were regularly involved in sexual activities. More than 17% indicated that they would definitely have sex in the next two years, while 19.2% said they might have sex in the next two years. The students lacked proper knowledge of protection, and knowledge scores on SRH issues were low especially among the urban dwellers. Approximately 64% of respondents did not know if condoms prevent pregnancy. Some indicated that charms and herbs are effective ways of preventing pregnancy.
Language: English

Keywords:
NIGERIA | RESEARCH REPORT | SAMPLING STUDIES | STUDENTS | HIV INFECTIONS | KNOWLEDGE | FAMILY LIFE EDUCATION | HEALTH EDUCATION | SECONDARY SCHOOLS | CURRICULUM | BELIEFS | SEX BEHAVIOR | Developing Countries | Africa, Western | Africa, Sub Saharan | Africa | Studies | Research Methodology | Education | Viral Diseases | Diseases | Sociocultural Factors | Schools | Culture | Behavior
Document Number: 339908  

30.
Title: [Actions of education health for child and adolescents in the city of Vitoria] As acoes de educacao em saude para criancas e adolescentes nas unidades basicas
Author: Oliveira CB; Frechiani JM; Silva FM; Maciel EL
Source: Ciencia and Saude Coletiva. 2009 Mar-Apr;14(2):635-44.
Abstract: This was a cross-sectional study carried in six Family Health Units, for direct observation of educative activities. The objective was to evaluate the actions of Education Health carried through in the informative sessions that approached the following subjects: family planning, breast feeding, families registered in Nutrition Programmes and children in nutritional risk. For the study proposed we establish that al action developed out side the individual approach to resolved heath problems will be considerer as health education. The unprepared of some professionals for the full functioning of the activities can still be observed. The findings of this study disclose the little participation of these Units in the accomplishment of educative activities on family planning come back toward the adolescents. Concerning the activities developed for the families registered in Nutrition Programmes, excellent subjects as the importance to appear the educative activities of the unit had been boarded in the most part of the lectures. The social activities for children in nutritional risk are carried out together with the families of the Nutrition Programmes. Although we observed several activities we still need to improved the multidisciplinary work to implement the heath promotion.
Language: Portuguese

Keywords:
BRAZIL | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | CHILDREN | ADOLESCENTS | FAMILY PLANNING | BREASTFEEDING | CHILD NUTRITION | HEALTH EDUCATION | PROMOTION | NEEDS | PROGRAM ACTIVITIES | South America, Eastern | South America | Latin America | Americas | Developing Countries | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Infant Nutrition | Nutrition | Health | Education | Marketing | Economic Factors | Programs | Organization and Administration
Document Number: 342096  
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