The Role and Effectiveness of School-Based Extra-Curricular Interventions on Children’s Health and HIV Related Behaviour: The Case Study of Soul Buddyz Clubs Programme in South Africa
| Autor: | Phinah Kodisang, Rebecca Pursell-Gotz, Michael Jana, Renay Weiner, Lebohang Letsela |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Adolescent Sexual Behavior media_common.quotation_subject HIV prevention Psychological intervention Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause South Africa Nursing medicine Humans Child Children media_common Acquired Immunodeficiency Syndrome Extra-curricular interventions Child Health Public Health Environmental and Occupational Health Female School based Public aspects of medicine RA1-1270 Psychology Soul Research Article |
| Zdroj: | BMC Public Health, Vol 21, Iss 1, Pp 1-14 (2021) BMC Public Health |
| Popis: | Background HIV education targeting children and adolescents is a key component of HIV prevention. This is especially important in the context of increasing HIV prevalence rates among adolescents and young people. The authors sought to examine the role and effectiveness of an extra-curricular school based programme, Soul Buddyz Clubs (SBC) on HIV knowledge, attitudes, behaviours and biomedical outcomes. Methods This paper employs a mixed methods approach drawing on data from independent qualitative and quantitative sources. Secondary data analysis was performed using survey data from a nationally representative sample that was restricted to 10-14 year-old males and females living in South Africa. Ten focus group discussions and ten in-depth interviews conducted with SBC members and facilitators from 5 provinces, as part of a process evaluation are used to triangulate the effectiveness of SBC intervention. Results The analysis of survey data from 2 198 children indicated that 12% of respondents were exposed to SBC with 4% reporting that they had ever belonged to a club. Children exposed to SBC were more likely to be medically circumcised (AOR 2.38; 95%CI 1.29 -4.40, p=0.006), had correct HIV knowledge (AOR 2.21; 95%CI 1.36 – 3.57, p Conclusions Participation in SBC is associated with accessing biomedical HIV prevention services, specifically MMC, correct HIV prevention knowledge and less HIV stigmatizing attitudes. This paper demonstrates the effectiveness of a school-based extracurricular intervention using a club approach targeting boys and girls ages 10-14 years on some of the key HIV prevention biomarkers as well as knowledge and attitudes. The article suggests that extra-curricular interventions can form an effective component of school-based comprehensive sexuality education in preventing HIV and promoting medical male circumcision. |
| Databáze: | OpenAIRE |
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