Peer-led interventions to reduce HIV risk of youth: A review |
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| Authors: | Eleanor Maticka-Tyndale Jessica Penwell Barnett |
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| Institution: | 1. Rural Microfinance Development Centre Ltd. (RMDC), Nepal;2. Freddie Mac, McLean, USA;3. University of San Francisco, USA;1. School of Management, China University of Mining and Technology, Xuzhou, 221116, China;2. Durham Business School, Durham University, Stockton Road, Durham, DH1 3LE, United Kingdom;1. Harvard Medical School, 25 Shattuck St, Boston, MA 02115, USA;2. Georgetown University School of Medicine, 3900 Reservoir Rd NW, Washington, DC 20007, USA;3. University of Miami Miller School of Medicine, 1600 NW 10th Ave, Miami, FL 33136, USA;4. University of Chicago, 5801 S Ellis Ave, Chicago, IL, USA;5. Yale School of Medicine, 333 Cedar St, New Haven, CT, USA;6. India Institute of Health Management Research, 1, Prabhudayal Marg, Near Sanganer Airport, Jaipur, Rajasthan 302029, India;1. International Water Management Institute (IWMI), PO Box: 5689, Addis Ababa, Ethiopia;2. Wageningen University and Research Center, Soil Physics and Land Management (SLM) Group, Droevendaalsesteeg 4, 6708PB Wageningen, The Netherlands;1. The World Bank, Washington, DC, United States;2. Madras Institute of Development Studies, India;1. Patricia and Rodes Hart Professor of Public Policy, Education and Economics, Vanderbilt University, United States;2. Doctoral Student in Economics, Vanderbilt University, United States |
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| Abstract: | One approach in HIV prevention programming targeting youth is to use peer leaders in what is referred to as peer education programming. This paper critically reviews and synthesizes the results and lessons learned from 24 evaluated peer-led programs with an HIV/AIDS risk reduction component that target youth in the communities where they live and are delivered in low- and middle-income countries. Interventions were identified through a comprehensive search of the peer reviewed AIDS-related literature as well as publication lists of major organizations in the UN family that address HIV and AIDS. Our synthesis of study results finds that these programs have demonstrated success in effecting positive change in knowledge and condom use and have demonstrated some success in changing community attitudes and norms. Effects on other sexual behaviors and STI rates were equivocal. We include an overview of characteristics of successful programs, a review of program limitations, and recommendations for the development and implementation of successful community-based peer-led programs in low-income countries. |
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