| Abstract: | This paper evaluates a project in Malawi that aimed to provide in-school and out-of-school youth with the necessary tools and skills to avoid high-risk sexual behavior, in order to reduce HIV transmission. Project components were school curriculum; extra-curricular activities; out-of-school youth clubs; enabling environmental support; youth reproductive health services; and research, monitoring and evaluation. Non-governmental organizations (NGOs) and Youth Technical Committees established 3200 anti-AIDS Clubs throughout Malawi. These Clubs positively influenced members' behavior and helped to ‘break the silence’. An enabling environment was created through two popular radio programs, advertisements and provision of sports equipment. The out-of-school youth clubs needed clearer criteria and objectives. Many objectives were achieved, but the aim of establishing health services for youth was over-ambitious, and not achieved. This program is exemplary for the national scale that it achieved, and for its approach of using diverse partners to implement locally adapted components. |
