在马拉维社区志愿者实施同行小组干预后,避孕套的使用增加了
Kathleen F Norr1, Chimwemwe K Banda2, Cecilia Chang3
1College of Nursing, Univiersity of Illinois Chicago.
Research square
|July 18, 2023
概括
马拉维社区志愿者提供的Mzake ndi Mzake (朋友对朋友) 同龄人群计划,在性活跃个体中显著增加了避孕套的使用. 这种由社区主导的方法提供了一个具有成本效益的艾滋病毒预防策略.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 预防艾滋病毒是全球优先事项,特别是在撒哈拉以南非洲.
- 一个基于证据的同行小组计划,Mzake ndi Mzake (朋友对朋友) 之前已经开发.
- 社区参与的合作使该计划适应了当地所有权和实施.
研究的目的:
- 评估由社区志愿者实施的Mzake ndi Mzake计划是否增加了避孕套的使用.
- 评估马拉维农村社区驱动的艾滋病毒预防计划的有效性.
主要方法:
- 计划在三个社区的连续推出,并进行重复调查以进行评估.
- 测量了两种避孕套使用指标:过去2个月的使用频率和最后一次性交时的避孕套使用.
- 对人口因素,艾滋病毒知识,安全性爱自我有效性和伴侣沟通进行控制的回归分析.
主要成果:
- 同龄人群干预显著增加了两种避孕套使用指标.
- 年龄较小 (13-19岁),男性性别,没有结婚/同居,宗教活动,更高的自我效能和伴侣沟通也预测了避孕套的使用.
- 虽然艾滋病毒知识增加了,但它并没有直接预测避孕套的使用.
结论:
- 由受过培训的社区志愿者提供的基于证据的艾滋病毒预防计划有效地增加了马拉维农村的避孕套使用.
- 社区参与和当地志愿者提供了一个创新的,具有成本效益的艾滋病毒预防战略.
- 这种模式可以解决艾滋病毒预防的需求,而不会给医疗保健系统带来压力.
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