Muyinda H, Nakuya J, Pool R, Whitworth J
Medical Research Council Programme on AIDS, Uganda Virus Research Institute, PO Box 49, Entebbe, Uganda.
AIDS Care. 2003 Apr;15(2):159-67. doi: 10.1080/0954012031000068308.
Senga (father's sister) is a traditional channel of communication about sexual behaviour for adolescent females in rural Uganda. We evaluated a modification of this approach as an intervention for HIV and STDs in a pilot study in two intervention villages and one control village over 12 months. Eleven adult women and three adolescent girls were chosen and trained to become sengas. Adolescent girls were encouraged to visit the sengas for sexual health information. Adult sengas saw an average of 21 clients; adolescent sengas saw five. Adolescent girls made 45% of visits. The expected reasons for attending the sengas accounted for 51% of visits. Knowledge about HIV/AIDS, sexual communication skills, consistent condom use and family planning service use increased in the intervention group of girls over the study period and compared to control girls. Symptomatic STDs decreased in the intervention group. This intervention was readily accepted by the community; members of all ages and both sexes attended for a wider variety of reasons than anticipated. Adolescent girls in the intervention group showed improved knowledge, attitudes and practices related to HIV and STDs. This promising intervention warrants further testing in larger studies and other settings.
在乌干达农村地区，“森加”（父亲的姐妹）是青春期女性获取性行为相关信息的传统渠道。在一项为期12个月的试点研究中，我们在两个干预村庄和一个对照村庄对这种方法的一种改良形式进行了评估，将其作为预防艾滋病毒和性传播感染的干预措施。挑选了11名成年女性和3名青春期女孩并对她们进行培训，使其成为“森加”。鼓励青春期女孩向“森加”咨询性健康信息。成年“森加”平均接待21名咨询者；青春期“森加”接待5名。青春期女孩的咨询量占总量的45%。前来咨询“森加”的预期原因占咨询总量的51%。在研究期间，与对照女孩相比，干预组女孩在艾滋病毒/艾滋病知识、性沟通技巧、坚持使用避孕套以及使用计划生育服务方面都有所提高。干预组有症状的性传播感染病例减少。这种干预措施很容易被社区接受；各个年龄段和性别的成员前来咨询的原因比预期的更为多样。干预组的青春期女孩在与艾滋病毒和性传播感染相关的知识、态度和行为方面都有改善。这种前景良好的干预措施值得在更大规模的研究和其他环境中进一步测试。
