Challenges in Sustaining Public Health Interventions

Center for Creative Leadership, Greensboro, NC 27438-6300, USA.
Health Education &amp Behavior (Impact Factor: 1.54). 03/2009; 36(1):24-8; discussion 29-30. DOI: 10.1177/1090198107299788
Source: PubMed

ABSTRACT Sustainability remains a key challenge in public health. The perspective article by Fagen and Flay adds to our understanding of technical factors associated with sustaining health interventions in schools. In this commentary, the Fagen and Flay article (2009) is considered within the broader literature on sustainability. By taking a broad view, public health theory and practice might be advanced further. Fagen and Flay illustrate that we have much to learn about sustainability. Questions for future research include: (a) what can we put into place at the systems level to ensure that the short-term efficacy of interventions have a fighting chance to be sustained? (b) considering the challenges inherent in sustainability, what are realistic goals against which to evaluate the cost-effectiveness of interventions found effective in the short-term? and (c) what theories, methods, and strategies in fields outside of public health can be drawn upon to improve work in public health?

  • Source
  • Health Education &amp Behavior 02/2009; 36(1):29-30. DOI:10.1177/1090198107299789 · 1.54 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Abstract Various studies have reported that university students, who are mostly young people, rarely use existing HIV/AIDS preventive methods. Although studies have shown that young university students have a high degree of knowledge about HIV/AIDS and HIV modes of transmission, they are still not utilising the existing HIV prevention methods and still engage in risky sexual practices favourable to HIV. Some variables, such as awareness of existing HIV/AIDS prevention methods, have been associated with utilisation of such methods. The study aimed to explore factors that influence use of existing HIV/AIDS prevention methods among university students residing in a selected campus, using the Health Belief Model (HBM) as a theoretical framework. A quantitative research approach and an exploratory-descriptive design were used to describe perceived factors that influence utilisation by university students of HIV/AIDS prevention methods. A total of 335 students completed online and manual questionnaires. Study findings showed that the factors which influenced utilisation of HIV/AIDS prevention methods were mainly determined by awareness of the existing university-based HIV/AIDS prevention strategies. Most utilised prevention methods were voluntary counselling and testing services and free condoms. Perceived susceptibility and perceived threat of HIV/AIDS score was also found to correlate with HIV risk index score. Perceived susceptibility and perceived threat of HIV/AIDS showed correlation with self-efficacy on condoms and their utilisation. Most HBM variables were not predictors of utilisation of HIV/AIDS prevention methods among students. Intervention aiming to improve the utilisation of HIV/AIDS prevention methods among students at the selected university should focus on removing identified barriers, promoting HIV/AIDS prevention services and providing appropriate resources to implement such programmes.
    SAHARA J: journal of Social Aspects of HIV/AIDS Research Alliance / SAHARA , Human Sciences Research Council 12/2014; 11(1):202-10. DOI:10.1080/17290376.2014.986517 · 0.81 Impact Factor