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Document 0834
DOCN M9640834
TI HIV/AIDS prevention among female sexual partners of injection drug users
in Ciudad Juarez, Mexico.
DT 9604
AU Ferreira-Pinto JB; Ramos R; School of Public Health, University of
Texas-Houston, USA.
SO AIDS Care. 1995;7(4):477-88. Unique Identifier : AIDSLINE MED/96119354
AB A participatory community project in the US-Mexico border town of Ciudad
Juarez, aimed at helping women who are sex partners of male injection
drug users to reduce behaviours which increase their risk for HIV
infection, is described and evaluated. The design and implementation of
the project were influenced by Paulo Freire's pedagogy in the Latin
American tradition of 'popular' education, by Bandura's self-efficacy
concepts, and by David Warner's 'barefoot doctor' community health care
methodology. Using these approaches the participants were directly
involved in the development of teaching materials, and curriculum
content and implementation of the project. The programme was evaluated
quantitatively using NIDA's AIDS Intake and Follow-up Assessment
(AIA/AFA) questionnaires, and qualitatively using open ended interviews.
While the AIA/AFA questionnaires detected small changes in the frequency
of condom use among the participants, ethnographic interviews detected
significant changes in the nature of the behaviours which were placing
the women at risk. The changes seem to stem from an increase in the
degree of self-esteem, self-efficacy and awareness of the social,
economic, and political constraints of their lives. These results
demonstrate the need for qualitative measures to be incorporated in the
evaluation of community based health education programmes. A series of
recommendations is presented to facilitate further development and
replication of the programme in similar populations.
DE Adolescence Adult Condoms Female Human HIV Infections/*PREVENTION &
CONTROL Mexico Middle Age National Institutes of Health (U.S.)
Program Evaluation Risk Factors *Risk-Taking Self-Help Groups *Sex
Behavior *Sexual Partners *Substance Abuse, Intravenous Teaching
Materials United States *Women's Health Services JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).