227531 Know Your Network: Pilot testing a concurrency intervention and incorporating community feedback prior to scale up

Monday, November 8, 2010

Amelia Knopf, RN, MPH , School of Nursing, University of Washington, Seattle, WA
Martina Morris, MA, PhD , Department of Sociology, Department of Statistics, University of Washington, Seattle, WA
Kawango Agot, M Phil, MPH, PhD , Impact Research and Development Organization/UNIM Project, Kisumu, Kenya
John Sidle, MS, MD , School of Medicine, Moi University, Eldoret, Kenya
Diana Menya, MBChB, MSc , School of Public Health, Moi University, Eldoret, Kenya
Violet Naanyu, MA, PhD , School of Medicine, Department of Behavioral Sciences, Moi University, Eldoret, Kenya
Issues: Concurrent sexual partnerships establish network connectivity in populations with low rates of partner acquisition. This can accelerate the spread of HIV infection. National and international health and development agencies working in highly affected African countries have called for interventions to reduce multiple and concurrent partnerships (MCP). Description: The Know Your Network intervention (KYN) uses interactive exercises and a PDA survey of participants' sexual behavior to illustrate the impact of MCP. Researchers and study participants in western Kenyan communities with high HIV prevalence collaborated to develop KYN, and this project conducts formative research and elicits community and health care worker feedback to a trial run of KYN. Methods: We will use mabaraza (community meetings) and focus group discussions (FGD) to engage village leaders and community members in this project. Mabaraza with chiefs and elders will take place in April 2010. We will use qualitative data collected at the mabaraza to refine the intervention prior to the trial run in July 2010. In the weeks following the trial run, we will convene FGD to elicit community members' feedback about the intervention and how it could be improved prior to scale up. This project will provide essential feedback on the intervention's feasibility and acceptability that is important because KYN aims raise awareness and stimulate discussion of behavioral patterns deeply rooted in cultural norms and social structures. After revising the intervention according to community feedback, we plan to combine KYN with home-based counseling and testing efforts underway in the study area.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the development of a community-based HIV prevention intervention that communicates the HIV exposure risk associated with concurrent sexual partnerships and densely connected sexual networks. Describe process of pilot testing the intervention with the target population. Discuss how community leadersí and membersí opinions were elicited and used to refine the intervention to prepare for scale up to community randomized trial.

Keywords: HIV/AIDS, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a second year doctoral student and this work is part of my dissertation research. I am working closely with the PIs on this project, and will be involved in the data collection and analyses that are presented.
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.