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The effect of AIDS peer health education on knowledge, attitudes, and practices of secondary school students in Khartoum, Sudan

1 Assistant Professor of Public Health, Faculty of Applied Medical Sciences, Albaha University, Al-Baha, Saudi Arabia;
2 Assistant Professor of Public Health, Faculty of Public Health, Alziem Al-Azahari University, Khartoum, Sudan;
3 Assistant Professor of Public Health, Faculty of Public and Environmental Health, University of Khartoum, Sudan. Now, Faculty of Applied Medical Sciences, Albaha University, Al-Baha, Saudi Arabia;
4 Assistant Professor of Nursing, Faculty of Applied Medical Sciences, Albaha University, Al-Baha, Saudi Arabia

Background: Peer education seeks to enroll students in persuasive communication programs aiming at AIDS prevention. Providing information about AIDS prevention methods can lead to behavioral change and also a potential reduction in unsafe sexual behavior, particularly among young people.
Objective: This study aims to assess the role of peer education interventions in improving awareness, attitudes, and practices of secondary school students and peer educators towards AIDS.
Methods: This is a pre-and post-study. The study was conducted among 400 students who were randomly selected from 10 gender-balanced schools. They received the information from trained peer educators. 200 peers carried out the intervention (20 peers from each school), which was conducted in phases. The intervention required coordinating with official concerned stakeholders, preparing teaching aids, and four days of training workshops for the peer educators. The data was analyzed using the Statistical Package for Social Science program (SPSS). A paired sample t-test was obtained and utilized to interpret the changes observed in pre- and post-intervention knowledge, attitude, and practice.
Results: The study showed that the intervention program improved participants' knowledge from 75.5% to 83.2%. This improvement was with specific regard to the following: the causative agent of AIDs (p = 0.017), which improved from 77.7% to 81.5%; the spread of HIV through mosquitos (p = 0.001), which showed an increase from 12.7% to 23.8%; the program focused on the concept of the HIV carrier (p = 0.001), and also on the AIDS risk when having multiple sex partners, (p = 0.001), showing an increase of 47.5% to 83.5%. Following the knowledge test, the attitudes of students significantly increased from 70% to 83% with regards to youth vulnerability to HIV (p = 0.001), while scored dropped from 15.7% to 8.5% concerning the topic of HIV voluntary testing (p = 0.001). The practices of students changed from 70% to 83% when prompted about shaking the hands of an HIV infected person and also from 84.8% to 87.7% about sharing food with an HIV infected person (p > 0.05).
Conclusion: The study concluded that school peer education is an effective approach to inform students of unsafe sexual behavior with regards to HIV/AIDS. It is clear that peer education enables significant improvements to be made with regards to the knowledge, attitudes, and practices of the students.
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Keywords Peer education; HIV/AIDS; Attitude; Knowledge; Practice

Citation: Maha Hamad Mohammed Ali, Osman Babiker Osman, Mohamed AE. M. Ibrahim, Waled Amen Mohammed Ahmed. The effect of AIDS peer health education on knowledge, attitudes, and practices of secondary school students in Khartoum, Sudan. AIMS Public Health , 2015, 2(4): 718-726. doi: 10.3934/publichealth.2015.4.718

References

  • 1. WHO/UNAIDS, (1999) Peer education and HIV/AIDS: Concepts, uses and challenges: Joint United Nations Program on HIV/AIDS. Geneva, Switzerland.
  • 2. Rogers EM (2003), Diffusion of innovations. New York: Free Press; 5.
  • 3. Harrison A, Smith J, Myer L, (2000). Prevention of HIV/AIDS in South Africa: A review of behaviour change interventions, evidence and options for the future. S Afri J Sci, 96(6) :285-291
  • 4. Broadhead R,Heckathorn D,Madray H,Mills R,Hughes J., (1998). The impact results of a peer-driven intervention to combat HIV among drug injectors. 12th International Conference on AIDS, Geneva.
  • 5. Busayawong W., Cash K., Sanguasermsri J., and Chuamanochan P., (1998) HIV/AIDS peer education for Northern Thai single migratory female and male adolescent factory workers.
  • 6. Agha S, van Rossem R. (2004). Impact of a school based peer sexual health intervention on normative beliefs, risk perceptions, and sexual behavior of Zambian adolescents. J Adolesc Health 34(5) :441-452
  • 7. Merakou K (2006): Peer education in HIV prevention: an evaluation in schools. Euro J Public Health, 16(2) :128-132
  • 8. Flanagan, D., Williams, C. and Mahler, H., (1996), Peer education in projects supported by AIDCSAP: a study of twenty-one projects in Africa, Asia and Latin America. AIDSCAP/FHI.
  • 9. Fishbein M, Ajzen, (2004) Belief, attitude, intention and behavior: an introduction to theory and research. Reading, MA, Addison-Wesley.
  • 10. Merakou K. Peer education in HIV prevention: an evaluation in schools. Euro J Public Health. 2006;16(2):128-132.
  • 11. Habra R, Springer C, Rapkin B, Merchant Y. Differences among male/female adolescents participating in a school-based teenage education programme (STEP) focusing on HIV prevention in India. Ethn Dis. 2008;18(Suppl 2):123-127.
  • 12. Flanagan D, Mahler H. (1996) How to create an effective peer education project: guidelines for prevention projects. AIDSCAP/FHI.
  • 13. Fawole IO, Asuzu MC, Oduntan SO, et al. (1999) A school-based AIDS education programme for secondary school students in Nigeria: a review of effectiveness. Health Educ Res;14:675-83.
  • 14. Medley A., Kennedy C., O'Reilly K., Sweat M. (2009) Effectiveness of Peer Education Interventions for HIV Prevention in Developing Countries: A Systematic Review and Meta-Analysis. AIDS Educ Prev. 21(3): 181-206. doi:10.1521/aeap.2009.21.3.181.
  • 15. Al-Iryani B., Basaleem H., Al-Sakkaf K., et al., (2011) Evaluation of a school-based HIV prevention intervention among Yemeni adolescents. BMC Public Health. 2011; 11: 279. doi: 10.1186/1471-2458-11-279

 

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Copyright Info: 2015, Osman Babiker Osman, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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