Visser Maretha J
Department of Psychology, University of Pretoria, Brooklyn, 0002 South Africa.
SAHARA J. 2005 Apr;2(1):203-16. doi: 10.1080/17290376.2005.9724843.
A life skills and HIV/AIDS education programme was implemented in secondary schools as a strategy to combat the spread of HIV/AIDS among school-going young people in South Africa. As part of a joint effort of the Departments of Health and Education, two teachers per school were trained to implement life skills training and HIV/AIDS education in schools as part of the school curriculum. The implementation of the intervention was evaluated in 24 schools in two educational districts in Gauteng province using an action research approach. Data about the implementation were gathered through interviews and focus group discussions with school principals, teachers and learners. A repeated measurement research design was used to assess the impact of the intervention in terms of knowledge, attitudes and reported risk behaviour in a sample of 667 learners representing learners from grades 8 to 12 from different population groups. Results showed that the programme was not implemented as planned in schools due to organisational problems in the schools, lack of commitment of the teachers and the principal, non-trusting relationships between teachers and learners, lack of resources and conflicting goals in the educational system. In an outcome evaluation over the period of a year it was found that learners' knowledge of HIV/AIDS increased and their attitudes were more positive although the changes may not be attributed to the programme alone. In the post-test more learners were sexually active, although preventive behaviour did not increase. The programme as implemented in the area did not succeed in changing high-risk behaviour patterns among school-going young people. From the evaluation of the intervention a few valuable lessons were learned about the content and implementation of HIV/AIDS preventive interventions, which could be useful in the implementation of various other HIV/AIDS preventive interventions in the community.
在南非的中学实施了一项生活技能与艾滋病毒/艾滋病教育计划，作为应对艾滋病毒/艾滋病在上学青少年中传播的一项战略。作为卫生和教育部共同努力的一部分，每所学校培训两名教师，以便在学校作为学校课程的一部分实施生活技能培训和艾滋病毒/艾滋病教育。使用行动研究方法，在豪登省两个教育区的24所学校对该干预措施的实施情况进行了评估。通过与学校校长、教师和学生进行访谈和焦点小组讨论，收集了有关实施情况的数据。采用重复测量研究设计，在一个由代表8至12年级不同人群组的667名学生组成的样本中，评估该干预措施在知识、态度和报告的风险行为方面的影响。结果表明，由于学校存在组织问题、教师和校长缺乏投入、师生之间缺乏信任关系、资源短缺以及教育系统目标相互冲突，该计划在学校未能按计划实施。在为期一年的结果评估中发现，学生对艾滋病毒/艾滋病的知识有所增加，态度也更为积极，尽管这些变化可能不能完全归因于该计划。在后测中，更多学生有性行为，尽管预防行为并未增加。该地区实施的该计划未能成功改变上学青少年中的高风险行为模式。从对该干预措施的评估中，学到了一些关于艾滋病毒/艾滋病预防干预措施内容和实施的宝贵经验教训，这些经验教训可能有助于在社区实施各种其他艾滋病毒/艾滋病预防干预措施。
