2.50
Hdl Handle:
http://hdl.handle.net/10755/211664
Type:
Research Study
Title:
DOCUMENTING HIV PREVENTION STRATEGIES IN MOCHUDI, BOTSWANA
Abstract:
Purpose: The purpose of this study was to document existing HIV/ AIDS prevention interventions, specifically behavioral messages, being used in the country of Botswana and, more specifically, the village of Mochudi. Background: Botswana continues to experience extreme loss due to the HIV/ AIDS pandemic. With a population of just under 2 million, the adult prevalence of HIV in Botswana is 248 per 1,000 (WHO, 2009). One of the country’s goals for the 50th anniversary of its independent democracy is to achieve zero new infections, or zero incidence by 2016. Botswana’s uniquely successful healthcare system which provides antiretroviral therapy to eligible citizens has seen promising results. However, prevention is the only assured way to halt the spread of HIV and achieve Botswana’s goal of zero new infections. To that end, the Mochudi Prevention Project aims to determine the optimal package of prevention methods- both behavioral and biomedical- for the village of Mochudi, Botswana. In order to design effective behavioral messages, it is necessary to document the existing HIV/ AIDS prevention messages that are being used in the village so that new interventions can compliment rather than duplicate existing strategies. Methods: Starting with national-level organizations, investigators conducted one-on-one, semi-structured interviews with a purposive sample of representatives from government and non-governmental organizations (NGO) about existing HIV/ AIDS prevention resources, strategies, and messages. These interviews were conducted in English. Next, investigators conducted semi-structured interviews with a convenience sample of representatives from government health clinics and NGO’s within the village of Mochudi about HIV/ AIDS prevention messages, resources and strategies. In addition, focus group interviews were held with representatives from local churches. These interviews were conducted both in English and Setswana. Interviewers kept hand-written notes and reviewed/ transcribed the notes in English using MS WORD directly after each interview. Compiled notes were reviewed and summarized by the investigators. Results: Representatives from five national-level organizations participated in the interviews. Responses from these interviews revealed that the national-level HIV prevention efforts emphasized abstinence, being faithful or sticking to one partner and, of late, safe male circumcision. Additionally, responses indicated that interventions were coordinated in such a way that each organization claimed responsibility for different facets of prevention. For example, one organization targeted safe male circumcision and breastfeeding practices, another organized condom distribution, while churches emphasized abstinence and sticking to one partner. One common theme among the HIV prevention strategies at the national level was that none of the responsible organizations were able to provide documentation of the efficacy of their respective efforts. Representatives from nine churches, clinics and NGO’s within the village of Mochudi participated in interviews. These interviews revealed consistencies and inconsistencies between what the national organizations described as well as strengths and weaknesses of prevention strategies at the village level. Implications: The documentation of existing HIV/ AIDS prevention interventions provided valuable insights into the efforts being employed to meet the goal of zero new infections by 2016. Investigators may now use this information to target additional prevention interventions as part of the Mochudi Prevention Project.
Keywords:
AIDS prevention; Botswana
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4752
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleDOCUMENTING HIV PREVENTION STRATEGIES IN MOCHUDI, BOTSWANAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211664-
dc.description.abstractPurpose: The purpose of this study was to document existing HIV/ AIDS prevention interventions, specifically behavioral messages, being used in the country of Botswana and, more specifically, the village of Mochudi. Background: Botswana continues to experience extreme loss due to the HIV/ AIDS pandemic. With a population of just under 2 million, the adult prevalence of HIV in Botswana is 248 per 1,000 (WHO, 2009). One of the country’s goals for the 50th anniversary of its independent democracy is to achieve zero new infections, or zero incidence by 2016. Botswana’s uniquely successful healthcare system which provides antiretroviral therapy to eligible citizens has seen promising results. However, prevention is the only assured way to halt the spread of HIV and achieve Botswana’s goal of zero new infections. To that end, the Mochudi Prevention Project aims to determine the optimal package of prevention methods- both behavioral and biomedical- for the village of Mochudi, Botswana. In order to design effective behavioral messages, it is necessary to document the existing HIV/ AIDS prevention messages that are being used in the village so that new interventions can compliment rather than duplicate existing strategies. Methods: Starting with national-level organizations, investigators conducted one-on-one, semi-structured interviews with a purposive sample of representatives from government and non-governmental organizations (NGO) about existing HIV/ AIDS prevention resources, strategies, and messages. These interviews were conducted in English. Next, investigators conducted semi-structured interviews with a convenience sample of representatives from government health clinics and NGO’s within the village of Mochudi about HIV/ AIDS prevention messages, resources and strategies. In addition, focus group interviews were held with representatives from local churches. These interviews were conducted both in English and Setswana. Interviewers kept hand-written notes and reviewed/ transcribed the notes in English using MS WORD directly after each interview. Compiled notes were reviewed and summarized by the investigators. Results: Representatives from five national-level organizations participated in the interviews. Responses from these interviews revealed that the national-level HIV prevention efforts emphasized abstinence, being faithful or sticking to one partner and, of late, safe male circumcision. Additionally, responses indicated that interventions were coordinated in such a way that each organization claimed responsibility for different facets of prevention. For example, one organization targeted safe male circumcision and breastfeeding practices, another organized condom distribution, while churches emphasized abstinence and sticking to one partner. One common theme among the HIV prevention strategies at the national level was that none of the responsible organizations were able to provide documentation of the efficacy of their respective efforts. Representatives from nine churches, clinics and NGO’s within the village of Mochudi participated in interviews. These interviews revealed consistencies and inconsistencies between what the national organizations described as well as strengths and weaknesses of prevention strategies at the village level. Implications: The documentation of existing HIV/ AIDS prevention interventions provided valuable insights into the efforts being employed to meet the goal of zero new infections by 2016. Investigators may now use this information to target additional prevention interventions as part of the Mochudi Prevention Project.en_GB
dc.subjectAIDS preventionen_GB
dc.subjectBotswanaen_GB
dc.date.available2012-02-20T12:07:09Z-
dc.date.issued2012-02-20T12:07:09Z-
dc.date.accessioned2012-02-20T12:07:09Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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