Evaluation of a comprehensive school-based AIDS education programme in rural Masaka, Uganda

Kinsman, J; Nakiyingi, J; Kamali, A; Carpenter, L; Quigley, M; Pool, R; Whitworth, J; (2001) Evaluation of a comprehensive school-based AIDS education programme in rural Masaka, Uganda. Health education research, 16 (1). pp. 85-100. ISSN 0268-1153

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A 19 activity extracurricular school-based AIDS education programme lasting 1 year was conducted in rural southwestern Uganda using specially trained teachers, and was evaluated using mutually supportive quantitative and qualitative methods. In total, 1274 students from 20 intervention schools and 803 students from 11 control schools completed questionnaires at baseline, and their classes were followed up. In addition, 93 students from five of the intervention schools participated in 12 focus group discussions. The programme had very little effect--seven of the nine key questionnaire variables showed no significant increase in score after the intervention. Data from the focus group discussions suggest that the programme was incompletely implemented, and that key activities such as condoms and the role-play exercises were covered only very superficially. The main reasons for this were a shortage of classroom time, as well as teachers' fear of controversy and the unfamiliar. We conclude that large-scale comprehensive school-based AIDS education programmes in sub-Saharan Africa may be more completely implemented if they are fully incorporated into national curricula and examined as part of life-skills education. This would require teachers to be trained in participatory teaching methods while still at training college.

Item Type: Article
Keywords: Health-education, pregnant-women, risk-reduction, south-africa, adolescents, teenagers, behavior, district, tanzania, children, Acquired Immunodeficiency Syndrome, prevention & control, Adolescence, Child, Health Education, organization & administration, Human, Program Evaluation, Questionnaires, Rural Population, School Health Services, Uganda
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 11252287
Web of Science ID: 167026800009
URI: http://researchonline.lshtm.ac.uk/id/eprint/16697


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