ArticleBMJ open2012
A quasi-experimental evaluation of an HIV prevention programme by peer education in the Anglican Church of the Western Cape, South Africa.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Sexual risk reduction interventions for HIV prevention among South African youth: a meta-analytic review.Current HIV research · 2013Pooled it
- Addressing adolescents' risk and protective factors related to risky behaviours: Findings from a school-based peer-education evaluation in the Western Cape.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2016Trial
- A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial.Journal of consulting and clinical psychology · 2016Trial
- Let's Talk!, A South African worksite-based HIV prevention parenting program.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2013Trial
- Article
- Exploring the role of group support models for HIV prevention among adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA): a scoping review.Frontiers in reproductive health · 2026Review
- The role of religion and spirituality in HIV prevention: A systematic literature review and network analysis.Journal of education and health promotion · 2026Review
- Effect of Enterostomal Therapist-Led Visual Health Education Combined with Peer Education on the Self-Nursing Ability, Quality of Life and Peristomial Complications in Patients with a Permanent Colostomy.Patient preference and adherence · 2024Article
- The role of the church members and nurses in improving self-awareness to prevent HIV.Journal of public health research · 2021Article
- Religion, faith, and spirituality influences on HIV prevention activities: A scoping review.PloS one · 2020Article
- Article
- Perceptions of South African Emerging Adult FET College Students on Sexual Practices in Relation to Religion.Journal of religion and health · 2017Article
- "No More Buzz": A Qualitative Study of the Current Response to HIV in the Anglican Church in the Western Cape, South Africa.Journal of religion and health · 2017Article
- Conflicting discourses of church youths on masculinity and sexuality in the context of HIV in Kinshasa, Democratic Republic of Congo.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2014Article
- The Peer Education Approach in Adolescents- Narrative Review Article.Iranian journal of public health · 2013Article
- Willingness to use the oral fluid HIV rapid test among men who have sex with men in Beijing, China.PloS one · 2013Article
- Why would khat chewers quit? An in-depth, qualitative study on Saudi Khat quitters.Substance abuse · 2013Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionReligion is important in most African communities, but faith-based HIV prevention programmes are infrequent and very rarely evaluated.
objectiveThe aim of this study was to evaluate the effectiveness of a church-based peer education HIV prevention programme that focused on youth.
designA quasi-experimental study design compared non-randomly chosen intervention and control groups.
settingThis study was conducted in the Cape Town Diocese of the Anglican Church of Southern Africa.
participantsThe intervention group of 176 teenagers was selected from youth groups at 14 churches and the control group of 92 from youth groups at 17 churches. Intervention and control churches were chosen to be as similar as possible to decrease confounding.
interventionThe intervention was a 20-session peer education programme (Fikelela: Agents of Change) aimed at changing risky sexual behaviour among youth (aged 12-19 years). Three workshops were also held with parents. PRIMARY AND SECONDARY OUTCOME MEASURES: The main outcome measures were changes in age of sexual debut, secondary abstinence, condom use and numbers of partners.
resultsThe programme was successful at increasing condom usage (condom use score 3.5 vs 2.1; p=0.02), OR 6.7 (95% CI 1.1 to 40.7), and postponing sexual debut (11.9% vs 21.4%; p=0.04) absolute difference 9.5%. There was no difference in secondary abstinence (14.6% vs 12.5%; p=0.25) or with the number of partners (mean 1.7 vs 1.4; p=0.67) and OR 2.2 (95% CI 0.7 to 7.4).
conclusionAn initial exploratory quasi-experimental evaluation of the Agents of Change peer education programme in a church-based context found that the age of sexual debut and condom usage was significantly increased. The study demonstrated the potential of faith-based peer education among youth to make a contribution to HIV prevention in Africa. Further evaluation of the effectiveness of the programme is, however, required before widespread implementation can be recommended.
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Registered trials
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