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Broad based sexual health programmes

Peer educators can promote safer sex behaviors

Summary of results from Zambian intervention programmes aimed at adolescents

Authors: ; Population Council
Publisher: Population Council, USA, 2001

This short summary describes the findings of two intervention programmes in Zambia whose objectives were to increase safer sex practices: condom distribution by peer educators and small business loans to youth aged 14 – 19. The intervention programmes were based on the results of a community based study which identified lack of economic, recreational and educational opportunities for youth as factors leading to high-risk sexual behaviours.

The study found that both interventions led to safer sexual practices amongst adolescents in outskirt urban areas, although intervention involving peer educators was found to be more effective. Programme participants and peers reported an increase in abstinence and monogamy, as well as a reduction in sexually transmitted diseases (STDs). Youth involved in the intervention programmes were much more informed about preventing HIV/AIDS transmission, than those in the control group. However, these programmes did not lead to greater use of contraception or condoms for dual protection. The authors argue that intervention programmes for adolescents should be multi-faceted to address their various economic, educational and social needs. They also argue that more programmes are required to help reduce stigma associated with condoms. [adapted from author]

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