Details:

Alternative Title:
Health Educ J
Personal Author:
Miller, Kim S. ; Winskell, Kate ; Berrier, Faith L.
Miller, Kim S. ; Winskell, Kate ; Berrier, Faith L. Less -
Description:
Objectives

The past decade has seen changes in US HIV policy in sub-Saharan Africa in response to a new Administration and far-reaching technical, scientific and programmatic developments. These include: dramatically increased access to life-saving ART and related services; the roll-out of voluntary medical male circumcision; and growing sensitivity to gender-based violence, including child sexual abuse, and to its role in increasing vulnerability to HIV. The Families Matter! Program (FMP) is an intervention for parents and caregivers of 9–12 year-olds that promotes effective parent-child communication about sexuality and sexual risk reduction. FMP was adapted from a US evidence-based intervention in 2003–4 and is now implemented in eight African countries. In 2012–13, the FMP curriculum was updated and enhanced to respond to new US Government priorities.

Methods

Enhancements to the curriculum drew on the results of Violence Against Children surveys, on a review of existing literature, on feedback from the field on the existing curriculum, and on stories written by young people across Africa for scriptwriting competitions.

Results

We updated FMP with scientific content and stronger linkages to services. We also intensified our focus on structural determinants of risk. This contextualisation of sexual risk-taking within structural constraints led us to place greater emphasis on gendered vulnerability and the diverse pressures children face, and to intensify our situation-based pedagogical approach, drawing on the authentic youth-authored narratives.

Conclusion

We describe these changes as an illustration of and source of insight into much-needed programmatic adaptation in response to evolving HIV policy.


Subjects:
[+]
Article Child Sexual Abuse Gender-Based Violence Parenting Policy Preadolescence
Source:
Health Educ J. 75(4):409-420
Series:
PEPFAR
Pubmed ID:
26949267
Pubmed Central ID:
PMC4770810
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:3c5a0059ca0b3ece065d1b899ef45ccfde7e8cffba6f426dca7ca354213bfb11
Download URL:
https://stacks.cdc.gov/view/cdc/38430/cdc_38430_DS1.pdf
File Type:

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