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Author: Givans Kay Ateka Publisher: ISBN: 9780542974304 Category : Educational evaluation Languages : en Pages : 246
Book Description
This cross-sectional study was undertaken to evaluate the impact in terms of HIV/STD knowledge and sexual behavior that the City of Houston HIV/STD prevention program in HISD high schools has had on students who have participated in it by comparing them with their peers who have not, based on self reports. The study further evaluated the program cost-effectiveness for averting future HIV infections by computing Cost-Utility Ratios based on reported sexual behavior. Mixed results were obtained, indicating a statistically significant difference in knowledge with the intervention group having scored higher (p-value 0.001) but not for any of the behaviors assessed. The knowledge score outcome's overall p-value after adjusting for each stratifying variable (age, grade, gender and ethnicity) was statistically significant. The Odds Ratio of intervention group participants aged 15 years or more scoring 70% or higher was 1.86 times; that of intervention group female participants was 2.29 times; and that of intervention group Black/African American participants was 2.47 times relative to their comparison group counterparts. The knowledge score results remained statistically significant in the logistic regression model, which controlled for age, grade level, gender and ethnicity. The Odds Ratio in this case was 1.74. Three scenarios based on the difference in the risk of HIV infection between the intervention and comparison group were used for computation of Cost-Utility Ratios: Base, worst and best-case scenario. The best-case scenario yielded cost-effective results for male participants and cost-saving results for female participants when using ethnicity-adjusted HIV prevalence. The scenario remained cost-effective for female participants when using the unadjusted HIV prevalence. The challenge to the program is to devise approaches that can enhance benefits for male participants. If it is a threshold problem implying that male participants require more intensive programs for behavioral change, then programs should first be piloted among boys before being implemented across the board. If it is a reflection of gender differences, then we might have to go back to the drawing board and engage boys in focus group discussions that will help formulate more effective programs. Gender-blind approaches currently in vogue do not seem to be working.
Author: Givans Kay Ateka Publisher: ISBN: 9780542974304 Category : Educational evaluation Languages : en Pages : 246
Book Description
This cross-sectional study was undertaken to evaluate the impact in terms of HIV/STD knowledge and sexual behavior that the City of Houston HIV/STD prevention program in HISD high schools has had on students who have participated in it by comparing them with their peers who have not, based on self reports. The study further evaluated the program cost-effectiveness for averting future HIV infections by computing Cost-Utility Ratios based on reported sexual behavior. Mixed results were obtained, indicating a statistically significant difference in knowledge with the intervention group having scored higher (p-value 0.001) but not for any of the behaviors assessed. The knowledge score outcome's overall p-value after adjusting for each stratifying variable (age, grade, gender and ethnicity) was statistically significant. The Odds Ratio of intervention group participants aged 15 years or more scoring 70% or higher was 1.86 times; that of intervention group female participants was 2.29 times; and that of intervention group Black/African American participants was 2.47 times relative to their comparison group counterparts. The knowledge score results remained statistically significant in the logistic regression model, which controlled for age, grade level, gender and ethnicity. The Odds Ratio in this case was 1.74. Three scenarios based on the difference in the risk of HIV infection between the intervention and comparison group were used for computation of Cost-Utility Ratios: Base, worst and best-case scenario. The best-case scenario yielded cost-effective results for male participants and cost-saving results for female participants when using ethnicity-adjusted HIV prevalence. The scenario remained cost-effective for female participants when using the unadjusted HIV prevalence. The challenge to the program is to devise approaches that can enhance benefits for male participants. If it is a threshold problem implying that male participants require more intensive programs for behavioral change, then programs should first be piloted among boys before being implemented across the board. If it is a reflection of gender differences, then we might have to go back to the drawing board and engage boys in focus group discussions that will help formulate more effective programs. Gender-blind approaches currently in vogue do not seem to be working.
Author: George J Huba Publisher: Routledge ISBN: 1317825772 Category : Health & Fitness Languages : en Pages : 285
Book Description
Create effective community-based programs for substance abusers with HIV/AIDS!Substance abusers are the fastest-growing population of people with HIV/AIDS in the US--and one of the hardest to reach and treat. Evaluating HIV/AIDS Treatment Programs offers new strategies for providing care for this vulnerable population. The programs evaluated and discussed in this volume were funded as part of the DHHS Health Resources and Services Administration through its Special Projects of National Significance Program. Collectively known as the SPNS Cooperative Agreement, these 27 projects represent a diverse group of organizations with a common goal: to improve the health, quality of life, and access to health care for traditionally underserved populations living with HIV/AIDS.Evaluating HIV/AIDS Treatment Programs reports in detail the efforts of several community-based HIV/AIDS organizations in the SPNS program. You will learn how these organizations provide high-quality care for persons with HIV who are unlikely to obtain it in the traditional hospital-based service system. This volume offers specific, proven strategies designed to overcome the linguistic, cultural, racial, and economic barriers that make it difficult for some sick people to get the health care they need. It also offers specialized medical care models that work within the context of a continuum of services in a medical clinic.Evaluating HIV/AIDS Treatment Programs also highlights other aspects of the Cooperative Agreement projects, including: a study of end-stage AIDS care an overview of the HRSA HIV/AIDS Bureau SPNS Cooperative Agreement grant initiative a study of conceptual issues in implementing program evaluation in real-world community organizations discussion of the online Knowledge Base that summarizes and disseminates information from the Cooperative Agreement projects studies of ways to reach and care for specific populations with HIV/AIDS, including women, Latinos, Haitians, adolescents, and rural peopleThis valuable volume offers solid data on treating people who are all too often neglected by the medical community even before they contract HIV/AIDS. The programs and ideas presented in Evaluating HIV/AIDS Treatment Programs can be applied to other community-based health initiatives and clinics offering medical care to underserved and vulnerable populations. This essential resource deserves a permanent place on their bookshelf of any physician, administrator, or policymaker working in the fields of HIBV/AIDS, epidemiology, public health, or substance abuse. Visit the book's website at http://www.TheMeasurementGroup.com/drugs_and_society.htm
Author: Alexandria Valerio Publisher: World Bank Publications ISBN: Category : Health & Fitness Languages : en Pages : 272
Book Description
A Sourcebook of HIV/AIDS Prevention Programs, Volume 2: Education Sector-Wide Approaches is part of a global effort to accelerate the sector's response to HIV/AIDS, particularly in Africa, and reflects the increasing recognition of the role that education has to play in the national response to HIV. A good education is now recognized as making a crucial contribution to reducing stigma and discrimination and to helping young people avoid infection. School-age children have the lowest prevalence of infection, and even in the worst-affected countries, the vast majority of schoolchildren remain uninfected. For these children there is a window of hope, a chance of a life free from HIV if they can acquire the knowledge, skills and values to help protect themselves as they grow up. Providing young people with the "social vaccine" of education offers them a real chance of a productive life. Sector-wide school-based programs have the potential to interact with large numbers of children and youth and offer a ready-made infrastructure for offering cost-effective HIV/AIDS education at population scale. This new volume was produced in response to requests from educators for programmatic examples of education sector-wide approaches. With lessons that are replicable and scalable, this new analysis of 10 HIV/AIDS prevention programs - from 6 Sub-Saharan African countries as well as the Dominican Republic and Israel - fills an important gap in programming expertise in the education sector.
Author: Laura Schneider (School nurse) Publisher: ISBN: Category : AIDS (Disease) Languages : en Pages : 0
Book Description
"The purpose of this study was to assess the effectiveness of the HIV/AIDS and STD educaiton program at the L'Anse Middle and High School. The paper summarizes the effects of the instructional program and abstinence curriculum on student knowledge and attitudes. 164 students participated in the pre- and post instructional questionnaire. The data shows a statistically significant increase in student knowledge and it is proportional to the increase in grade level. Although the study has several limitations that restrict any definite conclusions regarding actual student abstinence practice, the data indicates that students believe it is the best way to prevent HIV and STD infection. Despite the focus on abstinence students expressed a desire to have information on condoms."--Abstract.
Author: Givans Kay Ateka
Author: Givans Kay Ateka
Author: 
Author: George J Huba
Author: Emily Gantz McKay
Author: Thao Ngoc Le
Author: Alexandria Valerio
Author: Leonard W. Houston
Author: United States. Public Health Service
Author: Laura Schneider (School nurse)
Author: Steven Raymond LaFrance