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dc.contributor.authorMash, Rachel
dc.contributor.authorMash, Robert James
dc.date.accessioned2012-04-25T14:15:58Z
dc.date.available2012-04-25T14:15:58Z
dc.date.issued2012-02
dc.identifier.citationMash, R & Mash, R. J. 2012. A quasi-experimental evaluation of an HIV prevention programme by peer education in the Anglican Church of the Western Cape, South Africa. BMJ Open, 2, e000638, doi:10.1136/bmjopen-2011-000638.en_ZA
dc.identifier.issn2044-6055 (online)
dc.identifier.otherdoi:10.1136/bmjopen-2011-000638
dc.identifier.urihttp://hdl.handle.net/10019.1/20871
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.en_ZA
dc.descriptionThe original publication is available at http://bmjopen.bmj.com/en_ZA
dc.descriptionBibliography
dc.description.abstractIntroduction: Religion is important in most African communities, but faith-based HIV prevention programmes are infrequent and very rarely evaluated. Objective: The aim of this study was to evaluate the effectiveness of a church-based peer education HIV prevention programme that focused on youth. Design: A quasi-experimental study design compared non-randomly chosen intervention and control groups. Setting: This study was conducted in the Cape Town Diocese of the Anglican Church of Southern Africa. Participants: The intervention group of 176 teenagers was selected from youth groups at 14 churches and the control group of 92 from youth groups at 17 churches. Intervention and control churches were chosen to be as similar as possible to decrease confounding. Intervention: The intervention was a 20-session peer education programme (Fikelela: Agents of Change) aimed at changing risky sexual behaviour among youth (aged 12e19 years). Three workshops were also held with parents. Primary and secondary outcome measures: The main outcome measures were changes in age of sexual debut, secondary abstinence, condom use and numbers of partners. Results: The programme was successful at increasing condom usage (condom use score 3.5 vs 2.1; p¼0.02), OR 6.7 (95% CI 1.1 to 40.7), and postponing sexual debut (11.9% vs 21.4%; p¼0.04) absolute difference 9.5%. There was no difference in secondary abstinence (14.6% vs 12.5%; p¼0.25) or with the number of partners (mean 1.7 vs 1.4; p¼0.67) and OR 2.2 (95% CI 0.7 to 7.4). Conclusion: An initial exploratory quasi-experimental evaluation of the Agents of Change peer education programme in a church-based context found that the age of sexual debut and condom usage was significantly increased. The study demonstrated the potential of faith-based peer education among youth to make a contribution to HIV prevention in Africa. Further evaluation of the effectiveness of the programme is, however, required before widespread implementation can be recommended.en_ZA
dc.description.sponsorshipStellenbosch University Open Access Funden_ZA
dc.format.extent7 p.
dc.language.isoen_ZAen_ZA
dc.publisherBMJ publishing groupen_ZA
dc.subjectFaith-based HIV prevention programmesen_ZA
dc.subjectChurch-based peer educationen_ZA
dc.subjectAnglican Church of Southern Africaen_ZA
dc.subjectHIV infections -- South Africa Western Cape -- Preventionen_ZA
dc.subjectUnsafe sex -- South Africa -- Prevention -- Programmes
dc.titleA quasi-experimental evaluation of an HIV prevention programme by peer education in the Anglican Church of the Western Cape, South Africaen_ZA
dc.typeArticleen_ZA
dc.description.versionPublishers' Versionen_ZA
dc.rights.holderAuthors retain the copyrighten_ZA
dc.subject.corpCape Town Diocese of the Anglican Church of Southern Africaen_ZA


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