We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. A pre-post evaluation of the intervention showed signifcant gains in three domains: HIV knowledge (p =.001) and self effcacy to discuss HIV and sex with men (p <.001) and with boys (p <.001). Responses to items about social norms of HIV risk behavior were also somewhat improved (p =.09). Subjects rated most program features highly. Although short-term knowledge and self-effcacy to address HIV improved signifcantly, longer term research is needed to address cultural and economic factors placing young women at risk of HIV infection.
ASJC Scopus subject areas
- Health(social science)
- Public Health, Environmental and Occupational Health
- Infectious Diseases