183298 Creating a Youth “Movement” to Combat HIV/AIDS

Monday, October 27, 2008: 5:06 PM

Radha Rajan, MPH , Strategic Planning & Research, Porter Novelli - Washington DC, Washington, DC
Geeta Nanda, DrPH , Academy for Educational Development, Washington, DC
Ana Claudia Franca-Koh, PhD , Academy for Educational Development, Washington, DC
Efua Orleans-Lindsay, MPH , Academy for Educational Development, Washington, DC
Purpose: Evaluate the impact of the Youth Action Kit (YAK) and Sports for Life (SFL) programs on the life skills (e.g. communication and decision-making), HIV/AIDS knowledge, attitudes and behaviors of Ethiopian youth.

Data/information used: Pre- and post-program design was used to measure and compare outcomes. Random selection of schools, clubs and youth male and female aged 13 – 24 participating in YAK/SFL in Oromiya, Amhara, Tigray and Dire Dawa. A total of 2,197 (baseline) and 2,206 (endline) YAK/SFL participants in were interviewed. For SFL 68% of participants had completed grade 8 (or highest level completed) and YAK, 55% of participants were in grades 9/10 (or highest level completed).

Methods: Qualitative, quantitative methods and personal face-to-face interviews conducted using structured survey questionnaires containing closed- and open-ended questions. All survey interviews were anonymous and voluntary. Verbal consent was required; however parental consent obtained for those aged 13 – 17. Interviews were conducted in Amharic, however a few were conducted in Oromifa.

Major Results:

· Significant differences across the surveys for males and females

· Increased HIV/AIDS awareness, abstinence, faithfulness, condom use with

· Youth remaining abstinent

· Confidence refusing unwanted sex, negotiating safer sex

· Increased self-efficacy in condom use

· Increased discussions about HIV and prevention methods with peers, parents and health providers

· Increased self-esteem and life skills

· Increased support for gender equality

· Decreased stigmatizing, discriminatory attitudes towards PLHA

· Increase in collective group efficacy as a school/club to fight HIV/AIDS


· Modify program to provide school/club leaders with training ensuring youth have opportunities to develop a clearer sense of peer behaviors and attitudes about sex, faithfulness and condom use

· Develop youth's community engagement by conducting outreach events to combat negative attitudes influencing greater collective efficacy

· Future research should include larger samples of sexually active youth to measure programmatic impact regarding number of partners, condom use at last sex, frequency of condom use and sexual coercion experiences

Learning Objectives:
Participants will be able to identify critical considerations in successfully developing, implementing and evaluating HIV/AIDS youth prevention programs in Ethiopia.

Keywords: HIV Interventions, Adolescents, International

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Program Officer for the program activities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: HIV/AIDS 2
See more of: International Health