Village-based AIDS prevention in a rural district in Uganda.

Hdl Handle:
http://hdl.handle.net/10144/21172
Title:
Village-based AIDS prevention in a rural district in Uganda.
Authors:
Schopper, D; Doussantousse, S; Ayiga, N; Ezatirale, G; Idro, W J; Homsy, J
Journal:
Health Policy and Planning
Abstract:
OBJECTIVE: To design, implement and evaluate a village-based AIDS prevention programme in a rural district in north-western Uganda. A baseline KAP survey of the general population was carried out to design a district-wide information campaign and condom promotion programme. Eighteen months later the impact achieved was measured through a second KAP survey, using the same methodology. METHODS: Anonymous structured interviews were conducted in March 1991 and October 1992 with 1486 and 1744 randomly selected individuals age 15-49, respectively. RESULTS: At 18 months, 60% of respondents had participated in an information session in the past year (47% women, 71% men) and 42% had received a pamphlet about AIDS (26% women, 58% men). Knowledge about AIDS, high initially (94%), reached 98%. More respondents knew that the incubation period is longer than one year (from 29% to 40%), and were willing to take care of a PWA (from 60% to 77%). Knowledge about condoms increased from 26 to 63% in women and 57 to 91% in men. Ever use of condoms among persons having engaged in casual sex in the past year increased from 6 to 33% in women, and 27 to 48% in men. Fifty per cent of condom users criticized lack of regular access to condoms. CONCLUSIONS: This is the first documented example of the impact a village-based AIDS prevention programme can achieve in a rural African community. Critical areas to be improved were identified, such as: women must be given better access to information, more attention must be paid to explain the asymptomatic state of HIV infection in appropriate terms, and condom social marketing must be developed.
Affiliation:
Médecins Sans Frontières, Geneva, Switzerland.
Publisher:
Oxford Journals
Issue Date:
Jun-1995
URI:
http://hdl.handle.net/10144/21172
PubMed ID:
10143455
Additional Links:
http://heapol.oxfordjournals.org/cgi/reprint/10/2/171?ijkey=YM5SXHoZFGGtY&keytype=ref&siteid=heapol
Language:
en
Description:
To access this article, click on "Additional Links"
ISSN:
0268-1080
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorSchopper, D-
dc.contributor.authorDoussantousse, S-
dc.contributor.authorAyiga, N-
dc.contributor.authorEzatirale, G-
dc.contributor.authorIdro, W J-
dc.contributor.authorHomsy, J-
dc.date.accessioned2008-03-19T14:09:14Z-
dc.date.available2008-03-19T14:09:14Z-
dc.date.issued1995-06-
dc.identifier.citationVillage-based AIDS prevention in a rural district in Uganda. 1995, 10 (2):171-80notHealth Policy Planen
dc.identifier.issn0268-1080-
dc.identifier.pmid10143455-
dc.identifier.urihttp://hdl.handle.net/10144/21172-
dc.descriptionTo access this article, click on "Additional Links"en
dc.description.abstractOBJECTIVE: To design, implement and evaluate a village-based AIDS prevention programme in a rural district in north-western Uganda. A baseline KAP survey of the general population was carried out to design a district-wide information campaign and condom promotion programme. Eighteen months later the impact achieved was measured through a second KAP survey, using the same methodology. METHODS: Anonymous structured interviews were conducted in March 1991 and October 1992 with 1486 and 1744 randomly selected individuals age 15-49, respectively. RESULTS: At 18 months, 60% of respondents had participated in an information session in the past year (47% women, 71% men) and 42% had received a pamphlet about AIDS (26% women, 58% men). Knowledge about AIDS, high initially (94%), reached 98%. More respondents knew that the incubation period is longer than one year (from 29% to 40%), and were willing to take care of a PWA (from 60% to 77%). Knowledge about condoms increased from 26 to 63% in women and 57 to 91% in men. Ever use of condoms among persons having engaged in casual sex in the past year increased from 6 to 33% in women, and 27 to 48% in men. Fifty per cent of condom users criticized lack of regular access to condoms. CONCLUSIONS: This is the first documented example of the impact a village-based AIDS prevention programme can achieve in a rural African community. Critical areas to be improved were identified, such as: women must be given better access to information, more attention must be paid to explain the asymptomatic state of HIV infection in appropriate terms, and condom social marketing must be developed.en
dc.language.isoenen
dc.publisherOxford Journalsen
dc.relation.urlhttp://heapol.oxfordjournals.org/cgi/reprint/10/2/171?ijkey=YM5SXHoZFGGtY&keytype=ref&siteid=heapolen
dc.rightsArchived on this site with kind permission from Oxford University Pressen
dc.subject.meshAcquired Immunodeficiency Syndromeen
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshCommunity Health Servicesen
dc.subject.meshCondomsen
dc.subject.meshDeveloping Countriesen
dc.subject.meshFemaleen
dc.subject.meshHealth Educationen
dc.subject.meshHealth Knowledge, Attitudes, Practiceen
dc.subject.meshHealth Policyen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshRural Healthen
dc.subject.meshUgandaen
dc.titleVillage-based AIDS prevention in a rural district in Uganda.en
dc.contributor.departmentMédecins Sans Frontières, Geneva, Switzerland.en
dc.identifier.journalHealth Policy and Planningen

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