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Hendra van Zyl, Pieter Visser, Elmarie van WykAfroAIDSinfo ,SA Medical Research Council
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø An HIV knowledge transfer productØ BackgroundØ HIV peer education in contextØ Aim of the interventionØ Project design and methodologyØ Results of interventionØ Conclusion
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Conduct of research as a process to
create knowledge is
…
… not directly
linked to changing people’s
lives
the created knowledge should be
transformed into products,
policies and programmes
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø AfroAIDSinfo is an HIV/AIDS knowledge transfer project with an online presence and various community outreach interventions
Ø Research1 indicated that the highest incidence of HIV-infection in South Africa occurs in the age group 15 – 24
Ø AfroAIDSinfo became a partner in the Zisukhanyo Schools Project funded by Irish AID to introduce a number of HIV interventions at the participating schools in Mitchell’s Plain. One of these was to develop peer educators.
Ø1Dorrington, R.E., Johnson, J.F.,Bradshaw, D. & Daniel,T. (2006). The demographic impact of HIV/AIDS in South Africa. National and provincial indicators for 2006. Cape Town: Centre for Actuarial Research, South African Medical Research Council and Actuarial Society of South Africa.
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Peer education3
Theory of participative education2
Health belief
model1
1 Rosenstock, I.M. 1966. Why people use health services. Milbank Memorial Fund Quarterly, 44(94-124).2 Wight, A. 1970. Participative Education and the Inevitable Revolution. Center for Research and Education, Estes Park, Colorado, USA. 3 Youth Peer Education Electronic Resourse. 2003. Peer Education Training of Trainers Manual.
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø Horizontal knowledge transfer
Ø Vertical knowledge transfer
Ø This course was not designed to develop peer counsellors but peer educators
Educators and parents
Transfer HIV knowledge to
their peers
Educators to learners
• Transfer knowledge and skills to learners to become HIV youth leaders
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø Objectives: to address the research question
Ø Indicators: to measure if objectives were met
Ø Research instruments: a pre-questionnaire that was completed by participants before the start of the course and a post-questionnaire completed after the course
Ø Course content:
Transfer and build HIV
knowledge
Develop skills to address sensitive
issues
Understand their role as
peer educators
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø 36 participants: 31 were female; 5 were maleØ Educators: 32; and Parents: 4
Table 1: Participants ranking their knowledge and skills Area Before AfterHIV knowledge 69% 92%
Confidence to teach HIV classes 51% 86%
Knowledge and ability to teach sex education 42% 86%
A statistical significant improvement (p<0.05) was evident in all three areas
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Difference Gender/sex Role play HIV+ person Teach factual info Motivational
techniques Training useful
Before 31% 37% 64% 31% 19% 72%After 83% 91% 86% 83% 89% 97%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Before After
Figure 1: Confidence to deal with various topics during the course
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Indi-cator
Achiev-ed What the indicators measured
25% 23% HIV knowledge increase –69% before the course to 92% on completion of the course
25% 35% Skills to transfer HIV knowledge horizontally to peers and vertically to learners –51% before the course to 86% after the course
25% 44% Skills to transfer sensitive knowledge –42% before the course and 86%
50% 100% 60% pass mark for assignments achieved by 50% participants to demonstrate their understanding of peer education
Table 1: Measuring objectives
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Primary:Educators and parents – confidence, knowledge and skills to act as peer educators / Internationally certified
School and community:They will act as PE at HIV events /
Skills and knowledge will be used in classrooms and community projects
Social: Parents can confidently participate in CBO interventions as Peer educator
Trainers
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø Irrespective of culture, it seemed that South African educators and parents struggled with the same challenges and frustrations - how to transfer HIV knowledge - this was also the reason why participants derived huge benefits from the course as predicted by the health belief model.
Ø The course carries international accreditation and it is implemented as an effective HIV knowledge product.
Ø This knowledge transfer product is presented as good practice
HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
Ø ‘Learning is a lifelong process. Given the knowledge and skills I have learnt, I feel more empowered. I have learnt a number of interesting games and methods here. The learners and educators will enjoy doing it.’
Ø ‘It was straightforward. The explanations were clear and the activities helped me implement what the learners must do, such as role play.’
Ø ‘The course was too short. It should have been at least a week.’
Ø SA Medical Research Council
Ø Protea Schools Development Project
Ø Irish AID
Ø Family Health International