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干预映射法在发展中国家背景下开展和实施校本性与艾滋病教育中的应用:以坦桑尼亚为例

The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania.

作者信息

Mkumbo Kitila, Schaalma Herman, Kaaya Sylvia, Leerlooijer Joanne, Mbwambo Jessie, Kilonzo Gad

机构信息

Centre for Sexual Health Research, School of Psychology, University of Southampton, UK.

出版信息

Scand J Public Health. 2009 Jun;37 Suppl 2:28-36. doi: 10.1177/1403494808091345.

Abstract

AIMS

Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania.

METHODS

The sexuality and HIV/AIDS programme was designed in a participatory manner, involving researchers, curriculum developers and teachers' and students' panels. The programme comprised five lessons, organized around 23 sessions with the aim of delaying the onset of sexual intercourse and increase correct and consistent condom use among young people. The programme was delivered by trained teachers as an extracurricular lesson.

CONCLUSIONS

The IM protocol facilitated the development of a comprehensive sexuality and HIV/AIDS education programme relevant and appropriate to the social cultural context and the needs of learners in Tanzania. The paper has demonstrated that, although the IM was developed in the Western context, it can be used in a flexible manner to adapt to local contexts such as those in Sub-Saharan Africa.

摘要

目的

在坦桑尼亚及其他撒哈拉以南非洲国家,需要有效的性教育和艾滋病毒/艾滋病教育项目来保护年轻人免受艾滋病毒/艾滋病感染和少女怀孕之害。采用基于理论和证据的方法并使项目适应当地情况,可提高这些项目的有效性。本文描述并讨论了在为坦桑尼亚12至14岁年轻人制定和实施性教育及艾滋病毒/艾滋病教育项目过程中应用干预映射法(IM)所面临的挑战和机遇。

方法

性教育及艾滋病毒/艾滋病项目以参与式方式设计,有研究人员、课程开发者以及教师和学生小组参与。该项目包括五节课,围绕23个课时组织,目的是推迟首次性交时间,并提高年轻人正确和持续使用避孕套的比例。该项目由经过培训的教师作为课外课程授课。

结论

干预映射法方案促进了制定一个与坦桑尼亚社会文化背景及学习者需求相关且合适的综合性性教育和艾滋病毒/艾滋病教育项目。本文表明,尽管干预映射法是在西方背景下开发的,但它可以灵活运用以适应撒哈拉以南非洲等地的当地情况。

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