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APHA Scientific Session and Event Listing

Adaptation of effective behavioral interventions for at-risk populations in Honduras

Myriam Hamdallah, MPH, MS1, Danielle Darrow de Mora, MPH1, Licida Bautista, MD, MPH2, and Ritza Aviles, MD3. (1) Center on AIDS & Community Health, Academy for Educational Development, 1825 Connecticut Ave NW, Washington, DC 20009, 202 884-8858, mhamdall@aed.org, (2) COMCAVI, Academy for Educational Development, Colonia Humuya, sendero Barbecho #1174, Tegucigalpa, Honduras, (3) COMCAVI, PSI, Colonia Humuya, sendero Barbecho #1174, Tegucigalpa, Honduras

Honduras has one of the highest levels of HIV/AIDS in Central America, with the majority of infections occurring among commercial sex workers, men who have sex with men, and heterosexual Afro-Honduran Garifuna populations. A USAID-funded project for HIV prevention providing grants to Honduran NGOs serving populations at highest risk for HIV infection and HIV positive persons, has adapted three evidence-based behavioral interventions for HIV prevention originally developed in the United States: an intervention based on social diffusion theory for men who have sex with men; a short video-based intervention based on the theory of reasoned action for commercial sex workers and Garifuna populations; and a small-group intervention utilizing video clips, based on social cognitive theory, for men and women living with HIV/AIDS. Formative research included key informant interviews and focus groups for development and adaptation of implementation materials to the Honduran context, such as educational videos, instructional posters and role play content. Highly interactive and participatory pilot trainings on implementation of adapted interventions were conducted with 10 NGOs. Feedback from the trainings was used to further refine materials. NGOs implementing the interventions provided monitoring and evaluation information to assess program progress, and will be surveyed after 3 and 6 months of implementation to assess implementation status, implementation barriers and facilitators, the extent of and reasons for modifications, the effects of technical assistance. Results will be presented, and used to incorporate other necessary adaptations, and inform program planners on potential expansion of the project to other agencies in the region.

Learning Objectives:

Keywords: Interventions, Latin American

Related Web page: www.comcavi.org

Presenting author's disclosure statement:

Not Answered

Global Issues in HIV/AIDS

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA