Quality improvement as a framework for behavior change interventions in HIV-predisposed communities: a case of adolescent girls and young women in northern Uganda

Autor: Juliana Nabwire, John Byabagambi, Esther Karamagi, Simon Sensalire, Jacqueline Calnan, Sheila Kyobutungi, George Aluma, Mirwais Rahimzai, Alfred O. Awio
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Behavior Control
lcsh:Immunologic diseases. Allergy
Quality management
Adolescent
Service delivery framework
Sexual Behavior
HIV risk
Transactional sex
Context (language use)
HIV Infections
Risk Assessment
Drug Users
03 medical and health sciences
Young Adult
0302 clinical medicine
Risk-Taking
Virology
Early Intervention
Educational
Medicine
Humans
Pharmacology (medical)
Public Health Surveillance
Uganda
030212 general & internal medicine
Quality improvement
Univariate analysis
Analysis of Variance
Sex Workers
business.industry
Research
Behavior change
Sex Offenses
Repeated measures design
030112 virology
Sexual Partners
Socioeconomic Factors
Behavioral change
Cohort
Molecular Medicine
Female
Disease Susceptibility
business
lcsh:RC581-607
Demography
Follow-Up Studies
Model
Zdroj: AIDS Research and Therapy, Vol 15, Iss 1, Pp 1-11 (2018)
AIDS Research and Therapy
ISSN: 1742-6405
DOI: 10.1186/s12981-018-0190-2
Popis: Background Despite the conventional approaches to HIV prevention being the bedrock for early reductions in HIV infections in Uganda, innovations that demonstrate reduction in risk to infection in vulnerable populations need to be embraced urgently. In the past 2 years, a USAID-funded project tested a quality improvement for behavior change model (QBC) to address barriers to behavioral change among adolescent girls and young women (AGYW) at high risk of HIV infection. The model comprised skills building to improve ability of AGYW to stop risky behavior; setting up and empowering community quality improvement (QI) teams to mobilize community resources to support AGYW to stop risky behavior; and service delivery camps to provide HIV prevention services and commodities to AGYW and other community members. Methods We recruited and followed a cohort of 409 AGYW at high risk of HIV infection over a 2-year period to examine the effect of the QBC model on risky behaviors. High-risk behavior was defined to include transactional sex, having multiple sexual partners, and non-use of condoms in high-risk sex. We documented unique experiences over the period to assess the effect of QBC model in reducing risky behavior. We analyzed for variances in risk factors over time using repeated measures ANOVA. Results There were statistically significant declines in high-risk behavior among AGYW over the QBC roll-out period (p
Databáze: OpenAIRE
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