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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Process and outcome evaluation of a community intervention for orphan adolescents in Western Kenya
Journal of Community Health, Volume 37, No. 5, Year 2012
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Description
We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HiV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, limited to one community. in this paper, we examined intervention implementation and its association with outcomes using longitudinal data. We used both quantitative and qualitative methods to evaluate the community-based model for orphan HIV prevention, with recommendations for future studies. Despite promising effects after 1 year, GEE analyses showed null effects after 2 years. Volunteer community visitors, a key element of the intervention, showed little of the expected effect although qualitative reports documented active assistance to prevent orphans' school absence. For future research, we recommend capturing the transition to high school, a larger sample size, and biomarker data to add strength to the research design. We also recommend a school-based intervention approach to improve implementation and reduce infrastructure costs. Finally, we recommend evaluating nurses as agents for improving school attendance and preventing dropout because of their unique ability to address critical biopsychosocial problems. © Springer Science+Business Media, LLC 2012.
Authors & Co-Authors
Hallfors, Denise Dion
United States, Beltsville
Pacific Institute for Research and Evaluation
Cho, Hyunsan
United States, Beltsville
Pacific Institute for Research and Evaluation
Mbai, Isabella I.
Kenya, Eldoret
Moi University
Milimo, Benson Williesham
Kenya, Eldoret
Moi University
Itindi, Janet
Kenya, Eldoret
Moi University
Statistics
Citations: 16
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1007/s10900-012-9548-x
ISSN:
00945145
Research Areas
Infectious Diseases
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Approach
Qualitative
Quantitative
Study Locations
Kenya