Evaluation of a Peer Network-Based Sexual Risk Reduction Intervention for Men in Beer Halls in Zimbabwe: Results from a Randomized Controlled TrialReport as inadecuate




Evaluation of a Peer Network-Based Sexual Risk Reduction Intervention for Men in Beer Halls in Zimbabwe: Results from a Randomized Controlled Trial - Download this document for free, or read online. Document in PDF available to download.

AIDS and Behavior

, Volume 15, Issue 8, pp 1732–1744

First Online: 05 March 2011

Abstract

While much emphasis has been placed on involving men in AIDS prevention in sub-Saharan Africa, there remain few rigorously evaluated interventions in this area. A particularly appealing point of intervention is the sexual risk behavior associated with men’s alcohol consumption. This article reports the outcomes of The Sahwira HIV Prevention Program, a male-focused, peer-based intervention promoting the idea that men can assist their friends in avoiding high-risk sexual encounters associated with alcohol drinking. The intervention was evaluated in a randomized, controlled trial RCT implemented in 24 beer halls in Harare, Zimbabwe. A cadre of 413 male beer hall patrons ~20% of the patronage was trained to assist their male peers within their friendship networks. Activities included one-on-one interactions, small group discussions, and educational events centering on the theme of men helping their male friends avoid risk. Venues were randomized into 12 control versus 12 intervention beer halls with little cross-contamination between study arms. The penetration and impact of the intervention were assessed by pre- and post-intervention cross-sectional surveys of the beer hall patronage. The intervention was implemented with a high degree of fidelity to the protocol, with exposure to the intervention activities significantly higher among intervention patrons compared to control. While we found generally declining levels of risk behavior in both study arms from baseline to post-intervention, we found no evidence of an impact of the intervention on our primary outcome measure: episodes of unprotected sex with non-wife partners in the preceding 6 months median 5.4 episodes for men at intervention beer halls vs. 5.1 among controls, P = 0.98. There was also no evidence that the intervention reduced other risks for HIV. It remains an imperative to find ways to productively engage men in AIDS prevention, especially in those venues where male bonding, alcohol consumption, and sexual risk behavior are intertwined.

KeywordsBeer halls Zimbabwe Men Alcohol HIV  Download fulltext PDF



Author: Katherine Fritz - Willi McFarland - Robert Wyrod - Charles Chasakara - Knox Makumbe - Admire Chirowodza - Chamunorwa Mashok

Source: https://link.springer.com/







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