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A research-based HIV intervention in northeast Thailand
E Maticka-Tyndale1, M Haswell-Elkins, T Kuyyakanond
1Department of Sociology and Anthropology, University of Windsor, Canada.
Health Transition Review : the Cultural, Social, and Behavioural Determinants of Health
|December 9, 1993
Summary
This study developed an HIV prevention strategy for rural Thai women using community-based health promotion. The initiative involved village leaders and media to address HIV/AIDS risks effectively.
Area of Science:
- Public Health
- Health Promotion
- Behavioral Science
Background:
- HIV/AIDS remains a significant public health concern, particularly in rural areas.
- Targeted prevention strategies are crucial for vulnerable populations like married women in Thailand's Isan region.
- Understanding local context is vital for effective HIV prevention program design.
Purpose of the Study:
- To develop, implement, and evaluate a community-based HIV prevention strategy.
- To address the specific needs of rural, married women in northeastern Thailand.
- To create a replicable model for HIV/AIDS prevention in similar settings.
Main Methods:
- A four-phase methodology: data collection, strategy design, implementation, and evaluation.
- Baseline data collected via interviews and focus groups from 654 married women in 24 villages.
- Strategy components included leader training, an audio-drama, and community discussions.
Main Results:
- Baseline data informed the design of a multi-component HIV prevention initiative.
- The strategy integrated behavioral change principles and community engagement.
- Process evaluation results are reported, guiding future interventions.
Conclusions:
- A community-based, contextually grounded HIV prevention strategy was successfully developed and implemented.
- The initiative demonstrated the applicability of behavior change and social learning principles in rural Thailand.
- Findings provide a foundation for future HIV/AIDS prevention efforts in the region and beyond.