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This study compares the behavioral impact of informational vs enhanced small-group educational interventions among 407 drug users in a 21-day detoxification and rehabilitation program in Massachusetts, U.S.A. Sexual and drug-related behavior were analyzed using logistic regression at a follow-up visit after the program. Among users at lower risk, the enhanced approach was more effective at reducing injection-related risks associated with HIV transmission. Among users at higher risk, the informational approach was more effective. …
This study aimed to identify effective methods to train medical personnel to educate drug users on HIV prevention. One hundred and sixty-one participants from 13 provinces were recruited at a drug relief hospital in Beijing, China. Average age was about 35.21 years, years of drug addiction was 7, and number of drug relief treatments received in past was 5.5. Participants knowledge of HIV transmission and prevention was tested before and after the HIV awareness training. Results show that there was a statistically significant increase in knowledge on these issues after education. …
Unsafe injection practices can lead to HIV and HCV transmission as well as other bacterial and viral infections. Vancouver established North America's first supervised injection facility (SIF) to address such harms among injecting drug users (IDU). This study looks at their experiences receiving safer injecting education within the SIF. Through semi-structured, qualitative interviews, the experiences of 50 IDU were collected. Their testimonies indicate that gaps in knowledge exist among local IDU, often leading to unsafe injecting. …
Peer education has long been used to promote HIV awareness and reduce risk. However, little has been written about its use in refugee settings. This study aimed to assess whether refugee peer education could improve HIV knowledge, attitudes and practices among Guinean refugees. The study also assessed whether gender, age or formal education were more strongly associated to improved HIV outcomes than peer education. Data was collected through a cross-sectional survey of 889 men and women in 23 camps throughout the Forest Region, Guinea. …
This analysis looks at aáprocess evaluation of four channels of delivery (drama, video, community education and leaflets) used in an Information, Education and Communication (IEC) intervention on HIV/AIDS in rural Uganda. Semi-structured interviews (n=37) and focus groups (n=3) were conducted among field staff. Two questionnaires (n=105 and n=69) and focus groups were conducted with community members. More than 85% of the community had seen at least one drama or video and saw them as relevant and realistic. However, the overall message of the plays was often not well understood. …
Peer education is increasingly being used to combat the spread of HIV and AIDS. However, results are inconsistent. This study systematically compares the context and implementation of two peer educational approaches among sex workers in India and South Africa, which had contrasting outcomes, to identify factors leading to success or failure. The Indian intervention's success was enabled by: a stable, supportive social, material and political context; and an ethos of community development which committed resources to sex worker empowerment, ownership and involvement. …
This qualitative study aimed to understand how knowledge of HIV and risk perceptiosn influence safer sex practices among female sex workers in Port Moresby, Papua New Guinea. Focus group discussions and semistructured interviews were used to gather data on female sex workers (FSW) (n=174) from 19 sites. FSWs also completed a structured, demographic questionnaire. Although some FSWs had misconceptions, the majority knew about HIV risk, transmission and prevention methods. …
The aim of this randomized, pre-post test study was to evaluate the impact of AIDS education programs (Streetwize UK) on adolescents. Participants were identfied from six youth training centers in Nottingham, England. The participants were aged 16-19 years and each centre ws randomly allocated to experimental (n=173) or control (n=164) group. Sixty-six percent of the sample was sexually active. No differences were observed between groups at pre-test. …
The multitude of ethnic communities in Canada means different approaches and methods must be used for health education. Canadian AIDS educators have used a range of approaches, including an AIDS bingo game for indigenous populations in northern Manitobaáand AIDS education messages in the streets of Toronto.
This study evaluated an AIDS education program in Hungary. Four evaluations were undertaken - process and outcome evaluations of the peer educator training and activities used for students. Results indicate that peer educator characteristics, as well as teachers' attitudes and the cultural aspects of transferability of programs need to beáconsidered in designing effective peer education programs.
This paper describes an evaluation of a workplace HIV/AIDS peer-educational program. A cross-sectional study of 900 employees was conducted in 2001 across three areas in South Africa and measured the impact of a peer-education program on knowledge, attitudes towards people living with HIV/AIDS, perceptions of risk and condom use. Peer-education had no impact on any outcome. Some 59% of subjects had good knowledge, 62% positive attitude towards people living with HIV/AIDS, 34% reported frequently using condoms, 73% perceived themselves at low risk for infection. …
Peer education is increasingly being used to increase HIV and AIDS awareness among youth. This pilot cohort study tested the effectiveness of this approach among high school students in 10 schools in Athens, Greece. Over one year, 702 students were followed (n = 493 experimental group, n = 209 control group) and knowledge, attitudes, behaviors, and practices assessed through a pre and post intervention questionnaire. Students in the intervention group were moderately more empowered to take personal responsibility and adopt safer sexual practices. …
In this qualitative study, members of the HIV and AIDS community were recruited through AIDS service organizations to test whether web environments could serve as educational platforms on treatment-related topics. The research team collected demographic characteristics andádata on Internet use. Group interviews were used to gather data on usability of the study environment, preferences for information formats, use of the message forum, and other sources for learning on treatment information. …
This paper describes an intervention designed to provide HIV education at three levels: to students in a registered nurse baccalaureate-nursing program, lay health advisors, and African Americans in high risk communities. Students conducted needs assessments and prepared teaching plans, contributed to funding proposals and implemented and evaluated their programs. Lay health workers were trained as peer educators and were drawn from the high risk community, to increase their credibility. Of the 168 community participants, 151 completed both pre and post-test HIV knowledge exams. …
This study compares the approaches of Taiwan and the Philippines in mitigating their HIV epidemics using non-formal educational programs. The Philippines has an HIV prevalence of 6,000-11,000 cases out of a population of 91 million. Their approach was to target female sex workers and their managers, before expanding to men in the community, and relying heavily on NGOs to provide sex education. Taiwan was a prevalence of 40,000 cases out of a 23 million person population. …
