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.

Purpose:

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

Methods:  

 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.

Results:

 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.

Conclusion:

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.