       Document 0926
 DOCN  M95A0926
 TI    Village-based AIDS prevention in a rural district in Uganda.
 DT    9510
 AU    Schopper D; Doussantousse S; Ayiga N; Ezatirale G; Idro WJ; Homsy J;
       Medecins Sans Frontieres, Geneva, Switzerland.
 SO    Health Policy Plan. 1995 Jun;10(2):171-80. Unique Identifier : AIDSLINE
       AHA/95331686
 AB    OBJECTIVE: To design, implement and evaluate a village-based AIDS
       prevention programme in a rural district in north-western Uganda. A
       baseline KAP survey of the general population was carried out to design
       a district-wide information campaign and condom promotion programme.
       Eighteen months later the impact achieved was measured through a second
       KAP survey, using the same methodology. METHODS: Anonymous structured
       interviews were conducted in March 1991 and October 1992 with 1486 and
       1744 randomly selected individuals age 15-49, respectively. RESULTS: At
       18 months, 60% of respondents had participated in an information session
       in the past year (47% women, 71% men) and 42% had received a pamphlet
       about AIDS (26% women, 58% men). Knowledge about AIDS, high initially
       (94%), reached 98%. More respondents knew that the incubation period is
       longer than one year (from 29% to 40%), and were willing to take care of
       a PWA (from 60% to 77%). Knowledge about condoms increased from 26 to
       63% in women and 57 to 91% in men. Ever use of condoms among persons
       having engaged in casual sex in the past year increased from 6 to 33% in
       women, and 27 to 48% in men. Fifty per cent of condom users criticized
       lack of regular access to condoms. CONCLUSIONS: This is the first
       documented example of the impact a village-based AIDS prevention
       programme can achieve in a rural African community. Critical areas to be
       improved were identified, such as: women must be given better access to
       information, more attention must be paid to explain the asymptomatic
       state of HIV infection in appropriate terms, and condom social marketing
       must be developed.
 DE    Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PREVENTION &
       CONTROL/PHYSIOPATHOLOGY  Adolescence  Adult  Community Health
       Services/*STANDARDS/TRENDS  Condoms/UTILIZATION  Developing Countries
       Female  Health Education/TRENDS  Health Policy  Human  Knowledge,
       Attitudes, Practice  Male  Middle Age  Rural Health/*STANDARDS/TRENDS
       Support, Non-U.S. Gov't  Uganda/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

