Evidence Based Behavioral Interventions
These are evidence based behavioural interventions targeting specific populations. The Specific Interventions include:
Healthy Choices for a Better Future
The intervention targets in-school youth aged 10-14 years and aims to delay sexual debut by providing knowledge and skills to abstain, avoid negative peer pressure, avoid or handle risky situations and improve communication with a trusted adult. Each group comprises of 16 youths, trained by a pair of facilitators for 2-3 hours per session each week for 7 weeks. We have so far trained 19, 299 in-and-out of school youth on Healthy Choices II having initiated the program in September 2009.
Healthy Choices II
This is a community–based group level intervention for adolescents aged 13-17 years. The curriculum focuses on raising awareness about the risks they face, improving sexual safety by identifying risky settings and enhancing communication and negotiation skills. The curriculum is delivered through a series of 4 consecutive weekly sessions covering 2 modules in each session lasting 2-2½ hours. A group comprises of 16 youths, trained by a pair of facilitators (male and female). We have so far trained 28,051 in-and-out of school youths on Healthy Choices II having initiated the program in September 2009.
Families Matter Program (FMP)
It is an intervention that encourages positive parenting practices and communication skills that increase delay of sexual debut among the youth. The program also improves parental monitoring and reinforces positive behaviour, HIV knowledge and confidence in discussing sex issues. The curriculum targets care givers of adolescents aged 9-13 years and is implemented in a series of five weekly 2½-3 hours by two trained facilitators. Since August 2008 we have reached 58, 677 parents and primary guardians.
This is an HIV prevention intervention that targets in- and out-of-school youth aged 15–24 years. It is a three part drama series which seeks to increase the risk perception of youth to HIV infection, increase uptake of HTC/VMMC services, increase knowledge on HIV prevention strategies including partner reduction and STIs screening and treatment.After screening each of the three episodes, a pair of trained peer educators uses the discussion guide to facilitate an interactive session that lasts 30-45 minutes, with 15-25 youth participating. Since July 2010 when we introduced the intervention, we have reached 46,322 in- and-out-of school youth with the intervention
Stepping Stones (SS)
This is an approach to HIV prevention that aims to improve sexual health through building stronger, more gender-equitable relationships with better communication between partners. It uses participatory learning approaches to build knowledge of sexual health, awareness of risks and the consequences of risk taking, communication skills, and provide opportunities for facilitated self-reflection on sexual behaviour.
The intervention is delivered through 2½-3 hour sessions per week for 8 weeks, by a pair of trained facilitators. We introduced intervention in January 2011, and so far, we have reached 12, 073 male and female fisherfolk.
It is an interactive counselling model designed to support risk reduction by increasing client’s perception of personal risks and emphasizing incremental risk-reduction strategies. It utilizes a ‘teachable moment’ to motivate clients to change risk-taking behaviours, explore circumstances and context of recent risk behaviour to increase perception of susceptibility, negotiate an achievable step, which supports the larger risk reduction goal. The intervention is delivered to MSM, FSWs, PWIDs, fisherfolk through the existing programs including HTC and clinical rooms where discussion of client risk and risk reduction strategies occur.
Sister to Sister (S2S)
The intervention aims to provide one-on-one intensive, culturally sensitive health information to empower and educate women in a clinical setting; help women understand the various behaviours that put them at risk for HIV and other STIs; and enhance women’s knowledge, motivation, confidence, and skills to help them make behavioural changes that will reduce their risk for STIs, especially HIV.