ArticleBMC public health2012
Targeting condom distribution at high risk places increases condom utilization-evidence from an intervention study in Livingstone, Zambia.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01423357 (Targeting Interventions at Venues Where Risk of HIV Transmission is High), which is not on this map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Targeting Interventions at Venues Where Risk of HIV Transmission is High
Who cites it
12 citing papers in PubMed, 25 citations in OpenAlex.
- A critical review of literature and a conceptual framework for organizing and researching urban health and community health services in low- and middle-income countries.Health policy and planning · 2025Review
- The distinctive roles of urban community health workers in low- and middle-income countries: a scoping review of the literature.Health policy and planning · 2020Article
- The City of Johannesburg can end AIDS by 2030: modelling the impact of achieving the Fast-Track targets and what it will take to get there.Journal of the International AIDS Society · 2018Article
- Underutilisation of routinely collected data in the HIV programme in Zambia: a review of quantitatively analysed peer-reviewed articles.Health research policy and systems · 2017Review
- Ethnobotanical Study of Plants Used in the Management of HIV/AIDS-Related Diseases in Livingstone, Southern Province, Zambia.Evidence-based complementary and alternative medicine : eCAM · 2016Article
- Reducing HIV Risks in the Places Where People Drink: Prevention Interventions in Alcohol Venues.AIDS and behavior · 2016Review
- Cultural and health beliefs of pregnant women in Zambia regarding pregnancy and child birth.Curationis · 2015Article
- How inexpensive does an alcohol intervention in Kenya need to be in order to deliver favorable value by reducing HIV-related morbidity and mortality?Journal of acquired immune deficiency syndromes (1999) · 2014Article
- Impact of interventions targeting unhealthy alcohol use in Kenya on HIV transmission and AIDS-related deaths.Alcoholism, clinical and experimental research · 2014Article
- Decline in sexual risk behaviours among young people in Zambia (2000-2009): do neighbourhood contextual effects play a role?PloS one · 2013Article
- Prophylactic procurement of university students in Southern Ethiopia: stigma and the value of condom machines on campus.PloS one · 2013Article
- Condom availability in high risk places and condom use: a study at district level in Kenya, Tanzania and Zambia.BMC public health · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe PLACE-method presumes that targeting HIV preventive activities at high risk places is effective in settings with major epidemics. Livingstone, Zambia, has a major HIV epidemic despite many preventive efforts in the city. A baseline survey conducted in 2005 in places where people meet new sexual partners found high partner turnover and unprotected sex to be common among guests. In addition, there were major gaps in on-site condom availability. This study aimed to assess the impact of a condom distribution and peer education intervention targeting places where people meet new sexual partners on condom use and sexual risk taking among people socializing there.
methodsThe 2005 baseline survey assessed the presence of HIV preventive activities and sexual risk taking in places where people meet new sexual partners in Livingstone. One township was selected for a non-randomised intervention study on condom distribution and peer education in high risk venues in 2009. The presence of HIV preventive activities in the venues during the intervention was monitored by an external person. The intervention was evaluated after one year with a follow-up survey in the intervention township and a comparison township. In addition, qualitative interviews and focus group discussions were conducted.
resultsYoung people between 17-32 years of age were recruited as peer educators, and 40% were females. Out of 72 persons trained before the intervention, 38 quit, and another 11 had to be recruited. The percentage of venues where condoms were reported to always be available at least doubled in both townships, but was significantly higher in the intervention vs. the control venues in both surveys (84% vs. 33% in the follow-up). There was a reduction in reported sexual risk taking among guests socializing in the venues in both areas, but reporting of recent condom use increased more among people interviewed in the intervention (57% to 84%) than in the control community (55% to 68%).
conclusionsIt is likely that the substantial increase in reported condom use in the intervention venues was partially due to the condom distribution and peer education intervention targeting these places. However, substantial changes were observed also in the comparison community over the five year period, and this indicates that major changes had occurred in overall risk taking among people socializing in venues where people meet new sexual partners in Livingstone.
trial registrationClinicalTrials.gov NCT01423357.
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