Evaluating the effects of community-based organization engagement on HIV and AIDS-related risk behavior in Kenya
Evaluating the effects of community-based organization engagement on HIV and AIDS-related risk behavior in Kenya
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DOI：
10.1080/09540121.2013.778383
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发表时间：
2013-06-20
影响因子：
1.7
通讯作者：
Fruh, Joseph
中科院分区：
文献类型：
--
作者：
Riehman, Kara S.;Kakietek, Jakub;Fruh, Joseph
国际捐助者越来越多地将艾滋病资金直接转移给社区组织，并假设在社区一级应对这一流行病的效果最好。世界银行、ICF Macro和肯尼亚全国人口与发展理事会进行了一项研究，以评价肯尼亚社区的反应。该研究采用了准实验设计，比较了尼扬扎省和西部省的七个研究社区和七个比较社区。我们研究了CBO活动对个人和社区层面结果的影响，包括艾滋病毒知识，意识和看法，性风险行为和社会转型（性别意识形态和社会资本）。这项研究包括两个部分：在所有14个社区进行的住户调查，以及在一部分社区收集的定性数据。社区中CBO参与度较高的个人更有可能报告持续使用避孕套。更高的CBO参与度与社会资本的一些措施有关，包括参与地方和国家选举，以及参与竞选活动。社区组织在以与其提供的服务密切相关的非常有针对性和具体的方式应对艾滋病毒和艾滋病流行方面提供了附加值（例如，因此，增加社区组织的参与可以是扩大这些领域预防工作的有效措施。
International donors have increasingly shifted AIDS funding directly to community-based organizations (CBOs) with the assumption that responding to the epidemic is best achieved at the community level. The World Bank, ICF Macro, and the National Council for Population and Development in Kenya, conducted a study to evaluate the community response in Kenya. The study used a quasi-experimental design comparing seven study communities and seven comparison communities in Nyanza Province and Western Province. We examined the impact of CBO activity on individual and community-level outcomes, including HIV knowledge, awareness and perceptions, sexual risk behavior, and social transformation (gender ideology and social capital). The study consisted of two components: a household survey conducted in all 14 communities, and qualitative data collected in a subset of communities. Individuals in communities with higher CBO engagement were significantly more likely to have reported consistent condom use. Higher CBO engagement was associated with some measures of social capital, including participation in local and national elections, and participation in electoral campaigns. CBOs provide added value in addressing the HIV and AIDS epidemic in very targeted and specific ways that are closely tied to the services they provide (e.g., prevention education); thus, increasing CBO engagement can be an effective measure in scaling up prevention efforts in those areas.