“Challenge of evaluating a national HIV prevention programme: The case of loveLife, South Africa,”

Department of Epidemiology, CB #7435, McGavran-Greenberg Building, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7435, USA.
Sexually Transmitted Infections (Impact Factor: 3.08). 09/2007; 83 Suppl 1(Suppl 1):i70-74. DOI: 10.1136/sti.2006.023689
Source: PubMed

ABSTRACT Although 50% of all new global HIV infections occur among young people, our knowledge to date of the impact of adolescent HIV prevention interventions in developing country settings is limited. During 1999, a national HIV prevention programme for youth, called loveLife, was launched in South Africa. This paper describes the challenges faced in trying to evaluate such a national programme and the types of evidence that could be used to better understand the effect of programmes of national scale. A range of methods were planned to evaluate the programme, including national household surveys and programme monitoring data. Given the urgent need to scale-up programmes in an effort to reduce new HIV infections, a range of evidence should be assessed to measure the effect of large-scale, complex behavioural interventions as an alternative to randomised controlled trials.

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Available from: Catherine Macphail, Aug 25, 2015
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    • "In an evaluation of a youth programme (loveLife) (combining multimedia and community outreach and support programmes) in South Africa, Pettifor et al. [11] found that the participation in loveLife reduced chances of being infected with HIV, and youth were more likely to report condom use at last sex and used condoms more consistently. "
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    ABSTRACT: In South Africa social and behavioural communication interventions are a critical component of HIV/AIDS prevention, and numerous communication campaigns have been implemented intensively across the country through government initiatives and nongovernmental organisations over the past decade. The aim of this paper is to assess the reach of HIV and AIDS communication campaigns in conjunction with contributions to knowledge, attitudes, and HIV risk behaviours in the general population in South Africa. The sample included in this nationally representative cross-sectional survey was 13234 people aged 15-55 years. Overall, the study found that there was high exposure to 18 different HIV communication programmes (median 6 programmes and 14 programmes more than 30%) across different age groups. Most programmes were more often seen or heard by young people aged between 15 and 24 years. In multivariate analysis, greater exposure to HIV mass communication programmes was associated with greater HIV knowledge, condom use at last sex, having tested for HIV in the past 12 months, and less stigmatizing attitude toward PLWHA.
    The Scientific World Journal 11/2012; 2012:384608. DOI:10.1100/2012/384608 · 1.73 Impact Factor
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    • "paigns are executed in entire regions or countries and as such do not lend themselves to randomized controlled designs ( Do & Kincaid , 2006 ; Hornik , 2002 ; Pettifor et al . , 2007 ) . At a minimum , researchers and practitioners in this area should begin a dialogue about more soph - isticated approaches to evaluation of HIV=AIDS campaigns ( see Pettifor et al . , 2007 ) , and evaluations of national campaigns in other behavioral areas should be consulted ( see Farrelly , Davis , Havilan , Messeri , & Healton , 2005 ; Huhman et al . , 2005 ) . In addition , when weaker designs must be employed , newer sophisticated methodological innovations to control for confounding factors might be considered ( Do "
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    ABSTRACT: The purpose of the current study was to conduct a 10-year systematic review of HIV/AIDS mass communication campaigns focused on sexual behavior, HIV testing, or both (1998-2007) and to compare the results with the last comprehensive review of such campaigns, conducted by Myhre and Flora (2000). A comprehensive search strategy yielded 38 HIV/AIDS campaign evaluation articles published in peer-reviewed journals, representing 34 distinct campaign efforts conducted in 23 countries. The articles were coded on a variety of campaign design and evaluation dimensions by two independent coders. Results indicated that compared with the previous systematic review (1986-1998 period), campaigns increasingly have employed the following strategies: (1) targeted defined audiences developed through audience segmentation procedures; (2) designed campaign themes around behavior change (rather than knowledge change); (3) used behavioral theories; (4) achieved high message exposure; (5) used stronger research designs for outcome evaluation; and (6) included measures of behavior (or behavioral intentions) in outcome assessments. In addition, an examination of 10 campaign efforts that used more rigorous quasi-experimental designs revealed that the majority (8 of 10) demonstrated effects on behavior change or behavioral intentions. Despite these positive developments, most HIV/AIDS campaigns continue to use weak (i.e., preexperimental) outcome evaluation designs. Implications of these results for improved design, implementation, and evaluation of HIV/AIDS campaign efforts are discussed.
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