Need Assessment for Developing Peer-Led HIV Prevention Program for Ethiopian Rural Youth

Monday, July 11, 2011

Hyunmi Ahn, MSN, RN
Nursing Policy Research Institute, Yonsei University College of Nursing, Seoul, South Korea

Learning Objective 1: The leaner will be able to explore the important needs of HIV prevention program for female youth.

Learning Objective 2: The leaner will be able to explore contents of HIV prevention program for female youth recommended by community key informants and female youth.


 The purpose of this study is to assess needs for HIV prevention program for Ethiopian female rural youth.


 A need assessment process consisted of three steps; secondary data analysis, key informants interviews, and focus group interviews. The baseline survey data of Korea-Ethiopia-Yonsei Family Planning project were analyzed to examine the levels of HIV/AIDS–related knowledge and attitude among rural youth by STATA 10.0. Key informant interviews were conducted with 4 teachers and 5 health care providers to identify appropriate youth-friendly program contents. A focus group was conducted with 8 female youth during 90 minutes to verify the appropriateness of evaluation questionnaires and identify effective strategies for program administration.


 Most youth got HIV/AIDS information from school and female youth obtained the information significantly lower than male counterparts. Female youth significantly less used condom at first sexual intercourse (8.3%) than male (40%) and 50% of female youth perceived their sexual behavior safe. Key informants recommended increasing awareness of HIV/AIDS, considering cultural aspects, increasing knowledge in depth and providing efforts of behavior change. Female youth participants reported that all items of the questionnaires were understandable and well-prepared peers would be an important factor for increasing program participation. Interpersonal communication skill and refusal skills were also suggested to be included in the HIV prevention program.


The findings suggest a school-based HIV prevention program that emphasizes life skills. As a preliminary step, a needs assessment was found to be an essential process for development a culturally tailored HIV prevention program.