Middelkoop Keren, Myer Landon, Smit Joalida, Wood Robin, Bekker Linda-Gail
Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.
Sex Transm Dis. 2006 Aug;33(8):524-6. doi: 10.1097/01.olq.0000219295.50291.1d.
Voluntary counseling and testing (VCT) services are a major component of HIV prevention and treatment efforts. We developed a drama-based intervention to promote VCT services in a peri-urban community in South Africa.
Young adults from the community received training in HIV/AIDS and drama, and developed sketches to address perceived barriers to VCT. Over 12 months, 80 performances were held in busy community settings. The intervention was evaluated through changes in VCT uptake at the local clinic compared with comparable communities nearby.
After the start of the intervention in August 2003, a 172% increase in the uptake of VCT services was observed in the intervention community. This was significantly greater than demand for VCT in either of the control communities during the same period (P < 0.0001).
A structured, community-based education program based on drama can lead to substantial increases in the demand for VCT services in resource-limited settings.
自愿咨询检测(VCT)服务是艾滋病毒预防和治疗工作的一个主要组成部分。我们在南非一个城郊社区开展了一项基于戏剧的干预措施,以推广VCT服务。
来自该社区的年轻人接受了艾滋病毒/艾滋病及戏剧方面的培训,并创作了短剧来解决他们所认为的VCT障碍。在12个月的时间里,在繁忙的社区场所进行了80场演出。通过与附近可比社区相比,当地诊所VCT接受率的变化对该干预措施进行了评估。
2003年8月干预措施开始后,干预社区的VCT服务接受率增长了172%。这显著高于同期两个对照社区中任何一个社区对VCT的需求(P<0.0001)。
在资源有限的环境中,基于戏剧的结构化社区教育项目可导致对VCT服务的需求大幅增加。