Cameroonian Preadolescents’ Perspectives of an HIV Prevention Intervention

Comfort Enah, Linda Moneyham, Gwendolyn Childs, Carrie Ann Gakumo

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DOI: 10.4236/wja.2011.12008                

Abstract

Purpose: Determining and incorporating the perspective of the target population is important to the developments of effective and sustainable HIV prevention efforts. Cameroonian preadolescent females remain at high risk for contract-ing HIV and have not benefitted from targeted HIV prevention efforts. In this report, findings are presented from data collected from 60 Cameroonian preadolescent females; ages 10-12 years; following their completion of an HIV preven-tion intervention. Methods: The theory-based intervention utilized the World Health Organization’s Responsible Be-havior: Delaying Sex curriculum which had been tailored for the target population with the assistance of Cameroonian experts. The data reported here were collected as part of a questionnaire participants completed post-intervention. Re-sults: With only a few exceptions, participants perceived the intervention to be appropriate and relevant. No significant differences were found in participants’ assessment of the intervention across different ages and ethnic groups. Discus-sion: Evaluating the appropriateness of interventions to the developmental level, gender, and culture of participants is an essential step in developing effective and sustainable interventions. Findings in this study are encouraging and indi-cate that interventions adapted with the assistance of local experts can be perceived relevant and appropriate by par-ticipants.

Keywords

HIV Prevention, Adolescent Health, Intervention Research, Participants’ Perspectives, Cameroon, Africa

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Joint United Nations Program on HIV/AIDS, “AIDS Epidemic,” Update December 2009, Retrieved 21 January 2010. http://data.unaids.org/pub/Report/2009/JC1700/Epi/Update/2009/en.pdf
[2]	Joint United Nations Program on HIV/AIDS, “Epidemiological Fact Sheet on HIV and AIDS, Core Data on Epidemiology and Response, Cameroon,” 2008. http://apps.who.int/globalatlas/predefinedReports/EFS2008/full/EFS2008_CM.pdf
[3]	United Nations Children’s Fund, “Information on STI and HIV/AIDS,” www.unicef.org/wcaro/WCARO_Cameroon_Pub_KitPTME-en.pdf
[4]	C. Enah, “An Intervention to Increase Intentions and Behavioral Skills to Postpone Sexual Activity in Cameroonian Preadolescent Female Students,” Dissertation Abstracts International 65/05, 2342B. UMI No. 3135109, 2004.
[5]	C. Enah, M. Sommers, L. Moneyham, C. Long and G. Childs, “Piloting and HIV Prevention Intervention for Cameroonian Girls,” Journal of Nurses in AIDS Care, Vol. 21, No. 6, 2010, pp. 512-521. doi:10.1016/j.jana.2010.02.011
[6]	World Health Organization, “HIV/AIDS Epidemiological Surveillance Report for the WHO African Region,” 2007. http://www.afro.who.int/aid/publications/index.html
[7]	World Health Organization, “2006 AIDS epidemic update,” 2006. http://www.who.int/hiv/mediacentre/04_sub_saharan_Africa_2006?_EpiUpdate??_eng.pdf
[8]	G. Burkholder, L. Harlow and J. Washkwich, “Social stigma, HIV/AIDS Knowledge, and Sexual Risk,” Journal of Applied Biobehavioral Research, Vol. 4, No. 1, 1999, pp. 27-44. doi:10.1111/j.1751-9861.1999.tb00053.x
[9]	P. T. Tebon, “Cameroon National Composite Policy Index Report 2008,” 2008. http://data.unaids.org/pub/report/2008/Cameroon_2008_ncpi_en.pdf
[10]	M. Sommer, “An Overlooked Priority: Puberty in Sub-Saharan Africa,” American Journal of Public Health, Vol. 101, No. 6, 2011, pp. 979-981. doi:10.2105/AJPH.2010.300092
[11]	Joint United Nations Program on HIV/AIDS, “Report on the HIV/AIDS Epidemic,” 26 February 2007. http: www.unaids.html
[12]	M. Rwenge, “Sexual Risk Behaviors among Young People in Bamenda, Cameroon,” International Family Planning Perspectives, Vol. 26, No. 3, 2000, pp. 188-123, 130.
[13]	D. Meekers and A. Calves, “Main Girlfriends, Girlfriends, Marriage, and Money: The Social Context of HIV Risk Behavior in Sub-Saharan Africa,” Health Transitions Review, Vol. 7(Supplement), 1997, pp. 361-375.
[14]	N. Lydie, N. Robinson, B. Ferry, E. Akam, M. De Loenzien, L. Zekeng and S. Abega, “Adolescent Sexuality in Yaoundé, Cameroon,” Journal of Biosocial Sciences, Vol. 36, 2004, pp. 597-616.
[15]	J. Speizer, B. Taambashe and S. Tegang, “An Evaluation of the ‘Entre Nous Jeunes’ Peer-Educator Program or Adolescents in Cameroon,” Studies in Family Planning, Vol. 32, No. 4, 2001, pp. 339-351. doi:10.1111/j.1728-4465.2001.00339.x
[16]	D. Meekers, S. Agha and M. Klein, “The Impact on Condom Use of the ‘100% Jeune’ Social Marketing Program in Cameroon,” Journal of Adolescent Health, Vol. 36, No. 6, 2005, p. 530. doi:10.1016/j.jadohealth.2004.10.012
[17]	B. Mensch, P. Hewett and A. Erulkar, “The Reporting of Sensitive Behavior among Adolescents: A Methodological Experiment in Kenya,” Demography, Vol. 40, No. 2, 2003, pp. 247-268. doi:10.1353/dem.2003.0017
[18]	World Health Organization, “Responsible behavior: Delaying Sex,” In Curriculum Planners’ Handbook, WHO/UNESCO, Geneva, 1994.
[19]	L. Jemmott, J. Jemmott and K. McCaffee, “Be Proud! Be Responsible! Strategies to Empower Youth to Reduce Their Risk of AIDS,” New York, 1996.
[20]	World Health Organization, “2006 AIDS Epidemic Update,” 2006. http://www.who.int/hiv/mediacentre/04_sub_saharan_Africa_2006?_EpiUpdate??_eng.pdf
[21]	J. Jemmott, L. Jemmott, A. O’Leary, Z. Ngwane, L. Icard, S. Bellamy, et al., “School-Based Randomized Controlled trial of an HIV/STD Risk Reduction Intervention for South African Adolescents,” Archives of Pediatric Medicine, Vol. 164, No. 10, 2010, pp. 923-929. doi:10.1001/archpediatrics.2010.176
[22]	A. Karnell, P. Cupp, R. Zimmerman, S. Feist-Price, T. Bennie, “Efficcacy of an American Alcohol and HIV Curriculum Adapted for Use in Aouth Africa: Results of a Pilot Study in Five Townships,” AIDS Education and Prevention, Vol. 18, No. 4, 2006, pp. 295-310. doi:10.1521/aeap.2006.18.4.295
[23]	M. Fitzgeral, B. Stanton, N. Terreri, H. Shipena, X. Li, J. Kahihuata, et al., Journal of Adolescent Health, Vol. 25, 1999, pp. 52-61. doi:10.1016/S1054-139X(98)00120-7
[24]	K. Klepp, S. Ndeki, M. Leshabari, P. Hannan and B. Lyimo, “AIDS Education in Tanzania: Promoting Risk Reduction among Primary School Children,” American Journal of Public Health, Vol. 87, No. 12, 1997, 1931-1936. doi:10.2105/AJPH.87.12.1931
[25]	B. Kuate-Defo, “Premarital Sexual Intercourse during Adolescence: Trends and Determinants of Regional Differences,” In: B. Kuate-Defo Ed., Sexuality and Reproductive Health during Adolescence in Africa with Special Reference to Cameroon. University of Ottawa Press, Ottawa, 1998, pp. 121-140.
[26]	R. Devellis, “Scale Development: Theory and Applications,” Sage Publications, Newbury Park, 1991.