Authors: Kathleen F Norr, Chimwemwe K Banda, Cecilia Chang, Shruthi Krishna, Lily C Kumbani, Li Liu, Linda L McCreary, Crystal L Patil
HIV prevention is crucial, especially in sub-Saharan Africa. This study developed an HIV prevention program called Mzake ndi Mzake (Friend to Friend), adapted for community implementation. The study evaluated if the program, led by community volunteers, increased condom use in rural Malawi. The program was rolled out in three communities, and effectiveness was assessed using surveys conducted between 2016 and 2019. Condom use frequency and condom use at last sex were measured. Data from sexually active individuals were analyzed using statistical models. The program increased condom use in both indicators at two time points. Adjusted models showed a significant increase in condom use for the intervention group compared to the control group. Other factors influencing condom use were also identified. Although the intervention improved HIV knowledge, this did not directly predict condom use. The peer group program, delivered by trained community volunteers, effectively increased condom use. This community-led approach provides an innovative, cost-effective strategy for HIV prevention without overburdening healthcare systems in sub-Saharan Africa.
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Resource Topic: CHW programs, Contraception
Resource Type: Evaluation
Year: 2024
Region: Sub-Saharan Africa (SSA)
Country: Malawi
Publisher May Restrict Access: No