%0 Journal Article
%T Evaluation of School- and Community-Based HIV Prevention Interventions with Junior Secondary School Students in Edo State, Nigeria
%A R Arnold
%A E Maticka-Tyndale
%A E Tenkorang
%A D Holland
%A A Gaspard
%A I Luginaah
%A HP4RY Team
%J African Journal of Reproductive Health
%D 2012
%I Women's Health and Action Research Centre (WHARC)
%X This study examined the impact of two interventions delivered in rural communities and schools in Edo State, Nigeria designed to decrease youth vulnerability to HIV infection. The Ministry of Education approved Family Life and HIV Education (FLHE) programme delivered in Junior Secondary Schools and a community-based initiative to raise AIDS Competency of rural communities were evaluated using a clustered randomized control trial and mixed qualitative-quantitative methods. Ten schools were assigned to each of three research arms: FLHE programme only, FLHE and community programme, and control. Results demonstrated positive effects on rejection of myths, attitudes related to abstinence and use of condoms, and sexual activity. Confidence in these results is supported by both levels of statistical significance and consistency in patterns of results across different levels of schooling. Results support expansion of delivery of the FLHE programme and development of community-based initiatives as effective methods of reducing youth vulnerability to HIV infection.  Cette ¨¦tude a examin¨¦ l¡¯impact de deux interventions r¨¦alis¨¦es dans des communaut¨¦s rurales et dans des ¨¦coles dans l¡¯¨¦tat d¡¯Edo, Nig¨¦ria, qui ¨¦taient con ues pour r¨¦duire la vuln¨¦rabilit¨¦ des jeunes ¨¤ l¡¯infection du VIH. Le minist¨¨re de l¡¯¨¦ducation a approuv¨¦ le programme de la Vie Familiale et l¡¯Education du VIH (VFEV) assure dans les coll¨¨ges et une initiative bas¨¦e sur la communaut¨¦ pour augmenter la comp¨¦tence du SIDA dans les communaut¨¦s rurales a ¨¦t¨¦ ¨¦valu¨¦e ¨¤ l¡¯aide d¡¯un groupe d¡¯essais contr l¨¦ randomis¨¦ et des methods qualitativequantitatives mixtes. Dix ¨¦coles ont ¨¦t¨¦ attach¨¦es ¨¤ chacune des trois sections de recherche: le programme de la VFEV, la VFEV et le programme communautaire et le contr le. Les r¨¦sultats ont d¨¦montr¨¦ les effets positifs sur le refus de mythes, des attitudes associ¨¦es ¨¤ l¡¯abstinence et ¨¤ l¡¯utilisation des pr¨¦servatifs ainsi que l¡¯activit¨¦ sexuelle. La confiance en ces r¨¦sultats est soutenue par les deux niveaux de la signification statistique et la consistance dans les mod¨¨les des r¨¦sultats ¨¤ travers les diff¨¦rents niveaux d¡¯¨¦tudes. Les r¨¦sultats soutiennent l¡¯expansion de l¡¯assurance du programme de la VFEV et l¡¯¨¦laboration des initiatives bas¨¦es sur la communaut¨¦ comme des m¨¦thodes efficaces pour la r¨¦duction de la vuln¨¦rabilit¨¦ de l¡¯infection du VIH.
%U http://www.ajol.info/index.php/ajrh/article/view/77842