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IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.

Publication ,  Journal Article
Matthews, EJ; Puffer, ES; Meade, CS; Broverman, SA
Published in: East African medical journal
May 2014

Primary School Action for Better Health (PSABH) became the national HIV prevention curriculum of Kenya in 2005.To examined implementation of PSABH and student risk behaviour s.Muhuru, a rural division of Nyanza Province.One thousand one hundred and forty six students aged 9-21 years from six primary schools in Muhuru.Anonymous surveys were administered to assess students'exposure to PSABH curriculum components, sexual activity, condom use, and self-efficacy related to engaging in lower risk behaviours.The six schools implementing PSABH were not implementing the full curriculum. Fifty-five percent of males and 44% of females reported a history of sexual activity. For females, condom self-efficacy was related to lower risk behaviour, while HIV education during pastoral instruction was associated with higher risk. Boys who reported higher self-efficacy and learning about abstinence strategies engaged in lower risk behaviour , while exposure to HIV education in assemblies and communication with relatives about HIV was associated with higher risk.Previous studies documented benefits of PSABH. However, it is unclear how effective the curriculum is after national scale-up. In this community, PSABH was implemented at a low level, with some curriculum components associated with higher risk behaviour, calling into question how PSABH is being delivered. Future studies should examine effective strategies for ongoing support, monitoring, and evaluation. Successfully disseminating evidence-based prevention strategies could reduce HIV incidence and the burden on healthcare providers struggling to care for people living with HIV/AIDS.

Duke Scholars

Published In

East African medical journal

ISSN

0012-835X

Publication Date

May 2014

Volume

91

Issue

5

Start / End Page

152 / 160

Related Subject Headings

  • Young Adult
  • Tropical Medicine
  • Sexual Behavior
  • School Health Services
  • Male
  • Kenya
  • Humans
  • Health Knowledge, Attitudes, Practice
  • HIV Infections
  • Female
 

Citation

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Matthews, E. J., Puffer, E. S., Meade, C. S., & Broverman, S. A. (2014). IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA. East African Medical Journal, 91(5), 152–160.
Matthews, E. J., E. S. Puffer, C. S. Meade, and S. A. Broverman. “IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.East African Medical Journal 91, no. 5 (May 2014): 152–60.
Matthews EJ, Puffer ES, Meade CS, Broverman SA. IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA. East African medical journal. 2014 May;91(5):152–60.
Matthews, E. J., et al. “IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.East African Medical Journal, vol. 91, no. 5, May 2014, pp. 152–60.
Matthews EJ, Puffer ES, Meade CS, Broverman SA. IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA. East African medical journal. 2014 May;91(5):152–160.

Published In

East African medical journal

ISSN

0012-835X

Publication Date

May 2014

Volume

91

Issue

5

Start / End Page

152 / 160

Related Subject Headings

  • Young Adult
  • Tropical Medicine
  • Sexual Behavior
  • School Health Services
  • Male
  • Kenya
  • Humans
  • Health Knowledge, Attitudes, Practice
  • HIV Infections
  • Female