ANNEX 5-1 SELECTED AIDS INTERVENTION PROGRAMS IN AFRICA

Country (area)

Intervention Type

Target Population and Size

Program Components

Key Results

Reference

1. Ghana

Community-based

Commercial sex

workers

• Behavior-change interventions;

• Condom provision

• Consistent condom use among sex workers rose from 6 to 71% in 6 months.;

• After the intervention, 64% of those followed up reported always using condoms with clients.

Asamoah-Adu et al., 1994

2. Ghana

Population-based

Ghanaian youth

• Behavior-change interventions

• The proportion of sexually active 15-year-olds fell from 44 to 27%.;

• Men reported an 18% decrease in sexual partners over 3 months.

Family Health International/AIDSCAP, 1992

3. Guinea

Population-based

500,000 couples in Guinea

• Behavior-change interventions;

• Condom provision;

• Family planning

• In the first 6 months, 2.3 million condoms were distributed.

Hess, 1993

4. Kenya

Institution-based

Female prostitutes and women attending clinics

• Behavior-change interventions;

• HIV testing and counseling;

• Free condom provision

• The proportion of counseled women who use condoms increased from 10% at pre-test to 81% at post-test.

Ngugi et al., 1988

5. Malawi

Institution-based (hospital)

General population (mostly married males)

• HIV/STD counseling

• STD treatment and control significantly improved (88% of those counseled were cured; 77% of those in the control still presented with STDs).

Wynendaele et al., 1995

6. Nigeria

Community-based

Commercial sex workers

• Behavior-change interventions;

• Condom provision;

• STD services;

• Vocational and literacy programs

• Post-counseling, the reported ever use of condoms increased from 41 to 71%.

Williams et al., 1992

7. Rwanda (Kigali)

Institution-based (clinics)

53 HIV-discordant couples

• HIV testing and counseling;

• Free condom provision

• Within the first year, the percentage of women never using condoms fell from 25 to 3%.;

• Post-test, >60% reported condom use in their most recent sexual intercourse act.;

• Post-test, "always" condom use doubled, from 12 to 24%.;

• Condom use was associated with a lower rate of new HIV infections.;

• Discordant couples using condoms increased from 4 to 57% after one year.

Allen et al., 1992b

8. Rwanda (Kigali)

Institution-based (clinics)

1,458 childbearing women in Kigali

• HIV testing and counseling;

• Free condom provision;

• Free spermicide provision;

• Behavior-change communications (videotape)

• Condom use increased from 7 to 22% of women.;

• HIV seroconversion rates decreased significantly among women whose partners were tested and counseled.

Allen et al., 1992a

9. Rwanda

Community-based

5 rural communes, 100 km from Kigali

• Behavior-change interventions;

• Condom provision

• Condom use increased from 4 to 44%.;

• Reported ever use of condoms increased from 7 to 50%.

Mercer et al., 1993



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