• 1.

    Kirby D, Obasi A, Laris BA, 2006. The effectiveness of sex education and HIV education interventions in schools in developing countries. World Health Organ Tech Rep Ser 938: 103150.

    • Search Google Scholar
    • Export Citation
  • 2.

    Eke A, Peersman G, Semaan S, Hylton K, Kiiti N, Sweat M, 2002. Acquisition and review of non-U.S.-based HIV risk reduction intervention studies. J Acquir Immune Defic Syndr 30 (Suppl 1): S51S55.

    • Search Google Scholar
    • Export Citation
  • 3.

    Eke AN, Neumann MS, Wilkes AL, Jones PL, 2006. Preparing effective behavioral interventions to be used by prevention providers: the role of researchers during HIV Prevention Research Trials. AIDS Educ Prev 18: 4458.

    • Search Google Scholar
    • Export Citation
  • 4.

    McKleroy VS, Galbraith JS, Cummings B, Jones P, Harshbarger C, Collins C, Gelaude D, Carey JW, ADAPT Team, 2006. Adapting evidence-based behavioral interventions for new settings and target populations. AIDS Educ Prev 18: 5973.

    • Search Google Scholar
    • Export Citation
  • 5.

    Kigotho W, 2008. Kenyan higher education comes to a halt as post-election violence continues. The Chronicle of Higher Education. Available at: https://chronicle.com/article/Kenyan-Higher-Education-Comes/114399/.

    • Search Google Scholar
    • Export Citation
  • 6.

    Flores SA, Crepaz N, for the HIV Prevention Research Synthesis Team, 2004. Quality of study methods in individual- and group-level HIV intervention research: critical reporting elements. AIDS Educ Prev 16: 341352.

    • Search Google Scholar
    • Export Citation
  • 7.

    Painter TM, Ngalame PM, Lucas B, Lauby JL, Herbst JH, 2010. Strategies used by community-based organizations to evaluate their locally developed HIV prevention interventions: lessons learned from the CDC's innovative interventions project. AIDS Educ Prev 22: 387401.

    • Search Google Scholar
    • Export Citation
  • 8.

    Stoneburner RL, Low-Beer D, 2004. Population-level HIV declines and behavioral risk avoidance in Uganda. Science 304: 714718.

Past two years Past Year Past 30 Days
Abstract Views 59 59 59
Full Text Views 516 347 46
PDF Downloads 115 45 3

Effectiveness Trial of Community-Based I Choose Life-Africa Human Immunodeficiency Virus Prevention Program in Kenya

Mary B. AdamMaternal Newborn Community Health Project, AIC Kijabe Hospital, Kijabe, Kenya

Search for other papers by Mary B. Adam in
Current site
Google Scholar
View More View Less
Restricted access

We measured the effectiveness of a human immunodeficiency virus (HIV) prevention program developed in Kenya and carried out among university students. A total of 182 student volunteers were randomized into an intervention group who received a 32-hour training course as HIV prevention peer educators and a control group who received no training. Repeated measures assessed HIV-related attitudes, intentions, knowledge, and behaviors four times over six months. Data were analyzed by using linear mixed models to compare the rate of change on 13 dependent variables that examined sexual risk behavior. Based on multi-level models, the slope coefficients for four variables showed reliable change in the hoped for direction: abstinence from oral, vaginal, or anal sex in the last two months, condom attitudes, HIV testing, and refusal skill. The intervention demonstrated evidence of non-zero slope coefficients in the hoped for direction on 12 of 13 dependent variables. The intervention reduced sexual risk behavior.

Author Notes

* Address correspondence to Mary B. Adam, Newborn Community Health Project, AIC Kijabe Hospital, PO Box 00220, Kijabe, Kenya. E-mail: mary.b.adam@gmail.com

Financial support: This study was supported in part by funding from the U.S. Agency for International Development via Family Health International to I Choose Life-Africa, which supported the peer education training program at Egerton University, and by a Fulbright Scholar Africa Regional Research Award that supported the author in Kenya.

Author's address: Mary B. Adam, Newborn Community Health Project, AIC Kijabe Hospital, Kijabe, Kenya, E-mail: mary.b.adam@gmail.com.