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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Promoting sexual and reproductive health in early adolescence in South Africa and Tanzania: Development of a theory- and evidence-based intervention programme
Scandinavian Journal of Public Health, Volume 34, No. 2, Year 2006
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Description
Aims: Action to prevent the spread of HIV among young people in Sub-Saharan Africa is needed urgently. In order to be effective, such action should be theory and evidence based and carefully adapted to local cultures and contexts. The present article describes the organization, theoretical basis, and methodological approach of a project that aims at developing and evaluating school-based interventions targeting adolescents aged 12—14 years. Methods: Researchers from European and African universities have developed interventions that were conducted in three sites: Cape Town and Polokwane (South Africa) and Dar es Salaam (Tanzania). In each site the interventions were evaluated through large-scale field experiments with intervention schools and delayed intervention schools and with baseline and two follow-up data collections. Mimimum sample sizes were estimated for each site based on local data and taking into acount that the unit of allocation was schools and not individual students (the design effect). During the formative phase as well as within the field experiments, qualitative studies were also conducted. Discussion: The interventions were developed consistent with the Intervention Mapping approach, and the theoretical framework was based on a modified version of the Theory of Planned Behaviour. The limitations of Western social cognition models were recognized, and the theoretical framework has therefore been expanded in two directions: Towards integrating cultural processes and towards taking societal factors and constraints into account. Conclusion: The project will throw light on the application of social cognition models as well as the usefulness of the Intervention Mapping approach to intervention development in sub-Saharan Africa. © 2006, Sage Publications. All rights reserved.
Authors & Co-Authors
AarØ, Leif Edvard
Norway, Bergen
Universitetet I Bergen
Flisher, Alan J.
South Africa, Cape Town
University of Cape Town
Kaaya, Sylvia F.
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Onya, Hans E.
South Africa, Sovenga
University of Limpopo
Fuglesang, Minou
Sweden, Stockholm
Karolinska Institutet
Klepp, Knut Inge
Norway, Oslo
Universitetet I Oslo
Schaalma, Herman P.
Netherlands, Maastricht
Universiteit Maastricht
Statistics
Citations: 117
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1080/14034940510032356
ISSN:
14034948
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cohort Study
Exploratory Study
Study Approach
Qualitative
Study Locations
South Africa
Tanzania