16th International AIDS Conference Toronto, Canada - August 13 - 18, 2006

AN EVALUATION OF A QUASI-EXPERIMENTAL COMMUNITY LEVEL HIV INTERVENTION AMONG OUT-OF-SCHOOL YOUTH IN 26 COMMUNITIES IN NIGERIA

Int Conf AIDS. 2006 Aug 13-18;16 Abstract No. MoAc0203

Anyanti J., Omoregie G., Ankomah A., Adebayo S., Buba-Vaganda A.
Society for Family Health, Research and Evaluation, Abuja, Nigeria

BACKGROUND: In developing countries, a major issue with HIV interventions is the failure to attribute programme success to programme interventions. Promoting Sexual and Reproductive Health and HIV/AIDS (PSRHH) is a seven year DFID and USAID funded programme, which was designed as an 18-month quasi experimental design to test whether young persons (15-24) at intervention sites were more likely to use condoms compared with the control sites. This paper presents the key findings from the study.

METHODS: Thirteen most at risk intervention sites spread across Nigeria’s six health zones were purposively selected along with 13 matched controls. Data were collected from 1741 respondents prior to implementation and from 1713 respondents 18 months later based on multistage probability sampling design. The main intervention was the Peer Education Plus (PEP) model consisting of innovative peer education, edutainment and special interventions among ‘influencers’ of young persons. Multivariate statistical methods were used to investigate whether changes in condom use will be significantly higher at intervention than control sites even after controlling for selected population characteristics.

RESULTS: While there was no significant change at the control sites, (from 58% in 2002 to 55% in 2004, p > 0.05), at the intervention sites the proportion of females that used condoms in last non-marital sex increased significantly from 54% to 69% (p< 0.05). For males too, the programme was effective in significantly increasing the proportion of young males who used condoms in last risky sex from 64% to 75% (p< 0.05). The change in control communities was not significant.

CONCLUSIONS: For both males and females, the PEP interventions were effective in increasing condom use at the intervention but not the control sites. The model is therefore recommended as an effective tool and can be scaled up at similar sites throughout Nigeria and elsewhere.

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2006-08-13
MoAc0203

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