Developing a family-based HIV prevention intervention in rural Kenya: challenges in conducting community-based participatory research.

Journal Article (Journal Article)

Community-Based Participatory research (CBPR) introduces new ethical challenges for HIV prevention studies in low-resource international settings. We describe a CBPR study in rural Kenya to develop and pilot a family-based HIV prevention and mental health promotion intervention. Academic partners (APs) worked with a community advisory committee (CAC) during formative research, intervention development, and a pilot trial. Ethical challenges emerged related to: negotiating power imbalances between APs and the CAC; CAC members' shifting roles as part of the CAC and wider community; and anticipated challenges in decision making about sustainability. Factors contributing to ethical dilemmas included low access to education, scarcity of financial resources, and the shortage of HIV-related services despite high prevalence.

Full Text

Duke Authors

Cited Authors

  • Puffer, ES; Pian, J; Sikkema, KJ; Ogwang-Odhiambo, RA; Broverman, SA

Published Date

  • April 2013

Published In

Volume / Issue

  • 8 / 2

Start / End Page

  • 119 - 128

PubMed ID

  • 23651936

Pubmed Central ID

  • PMC3743433

Electronic International Standard Serial Number (EISSN)

  • 1556-2654

International Standard Serial Number (ISSN)

  • 1556-2646

Digital Object Identifier (DOI)

  • 10.1525/jer.2013.8.2.119


  • eng