Abstract
OBJECTIVES: The purpose of this study was to test the effects of an education program in Tanzania designed to reduce children's risk of human immunodeficiency virus (HIV) infection and to improve their tolerance of and care for people with acquired immunodeficiency syndrome (AIDS). METHODS: A randomized controlled community trial including baseline and 12-month follow-up surveys was employed. Public primary schools in the Arusha and Kilimanjaro regions of Tanzania were stratified according to location and randomly assigned to intervention (n = 6) or comparison (n = 12) conditions. Of the 1063 sixth-grade students (average age: 13.6 years) who participated at baseline, 814 participated in the follow-up survey. RESULTS: At follow-up, statistically significant effects favoring the intervention group were observed for exposure to AIDS information and communication, AIDS knowledge, attitudes toward people with AIDS, and subjective norms and behavioral intentions toward having sexual intercourse. A consistent positive but nonsignificant trend was seen for attitudes toward having sexual intercourse and for initiation of sexual intercourse during the previous year (7% vs 17%). CONCLUSIONS: It is feasible and effective to train local teachers and health workers to provide HIV/AIDS education to Tanzanian primary school children.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aplasca M. R., Siegel D., Mandel J. S., Santana-Arciaga R. T., Paul J., Hudes E. S., Monzon O. T., Hearst N. Results of a model AIDS prevention program for high school students in the Philippines. AIDS. 1995 Jul;9 (Suppl 1):S7–13. [PubMed] [Google Scholar]
- Barongo L. R., Borgdorff M. W., Mosha F. F., Nicoll A., Grosskurth H., Senkoro K. P., Newell J. N., Changalucha J., Klokke A. H., Killewo J. Z. The epidemiology of HIV-1 infection in urban areas, roadside settlements and rural villages in Mwanza Region, Tanzania. AIDS. 1992 Dec;6(12):1521–1528. doi: 10.1097/00002030-199212000-00016. [DOI] [PubMed] [Google Scholar]
- Cáceres C. F., Rosasco A. M., Mandel J. S., Hearst N. Evaluating a school-based intervention for STD/AIDS prevention in Peru. J Adolesc Health. 1994 Nov;15(7):582–591. doi: 10.1016/1054-139x(94)90143-q. [DOI] [PubMed] [Google Scholar]
- Kirby D. Sex and HIV/AIDS education in schools. BMJ. 1995 Aug 12;311(7002):403–403. doi: 10.1136/bmj.311.7002.403. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kirby D., Short L., Collins J., Rugg D., Kolbe L., Howard M., Miller B., Sonenstein F., Zabin L. S. School-based programs to reduce sexual risk behaviors: a review of effectiveness. Public Health Rep. 1994 May-Jun;109(3):339–360. [PMC free article] [PubMed] [Google Scholar]
- Klepp K. I., Ndeki S. S., Seha A. M., Hannan P., Lyimo B. A., Msuya M. H., Irema M. N., Schreiner A. AIDS education for primary school children in Tanzania: an evaluation study. AIDS. 1994 Aug;8(8):1157–1162. doi: 10.1097/00002030-199408000-00019. [DOI] [PubMed] [Google Scholar]
- Klepp K. I., Ndeki S. S., Thuen F., Leshabari M., Seha A. M. Predictors of intention to be sexually active among Tanzanian school children. East Afr Med J. 1996 Apr;73(4):218–224. [PubMed] [Google Scholar]
- Kuhn L., Steinberg M., Mathews C. Participation of the school community in AIDS education: an evaluation of a high school programme in South Africa. AIDS Care. 1994;6(2):161–171. doi: 10.1080/09540129408258627. [DOI] [PubMed] [Google Scholar]
- Mnyika K. S., Klepp K. I., Kvåle G., Nilssen S., Kissila P. E., Ole-King'ori N. Prevalence of HIV-1 infection in urban, semi-urban and rural areas in Arusha region, Tanzania. AIDS. 1994 Oct;8(10):1477–1481. doi: 10.1097/00002030-199410000-00016. [DOI] [PubMed] [Google Scholar]
- Mnyika K. S., Klepp K. I., Kvåle G., Schreiner A., Seha A. M. Condom awareness and use in the Arusha and Kilimanjaro regions, Tanzania: a population-based study. AIDS Educ Prev. 1995 Oct;7(5):403–414. [PubMed] [Google Scholar]
- Ndeki S. S., Klepp K. I., Seha A. M., Leshabari M. T. Exposure to HIV/AIDS information, AIDS knowledge, perceived risk and attitudes toward people with AIDS among primary school-children in northern Tanzania. AIDS Care. 1994;6(2):183–191. doi: 10.1080/09540129408258629. [DOI] [PubMed] [Google Scholar]
- Oakley A., Fullerton D., Holland J. Behavioural interventions for HIV/AIDS prevention. AIDS. 1995 May;9(5):479–486. [PubMed] [Google Scholar]
- Seha A. M., Klepp K. I., Ndeki S. S. Scale reliability and construct validity: a pilot study among primary school children in Northern Tanzania. AIDS Educ Prev. 1994 Dec;6(6):524–534. [PubMed] [Google Scholar]
- Shao J., Brubaker G., Levin A., Kibauri A., Massesa E., Siso Z., Konings E., Clayton Y., Kumby D., Alexander S. Population-based study of HIV-1 infection in 4,086 subjects in northwest Tanzania. J Acquir Immune Defic Syndr. 1994 Apr;7(4):397–402. [PubMed] [Google Scholar]