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Program Context

Changes in HIV Testing and Condom Use in Malawi: Findings at Midterm from the Malawi BRIDGE II Program Rajiv N. Rimal, Glory Mkandawire , William Dothi , Peter Roberts, Jane Brown, & Rupali Limaye Johns Hopkins University Bloomberg School of Public Health Center for Communication Programs.

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Program Context

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  1. Changes in HIV Testing and Condom Use in Malawi: Findings at Midterm from the Malawi BRIDGE II ProgramRajiv N. Rimal, Glory Mkandawire, William Dothi, Peter Roberts, Jane Brown, & RupaliLimayeJohns Hopkins University Bloomberg School of Public HealthCenter for Communication Programs

  2. Program Context • HIV prevalence in Malawi • 10.6% (in 2010), a decrease from 12% (in 2004) • In the southern Malawi, prevalence is 14.5% • The Malawi BRIDGE II Project (2009 – 2014) • Mass media • Community mobilization • Interpersonal communication • Targeted interventions • Key outcomes: Condom use, HIV testing, reduction in # sexual partners

  3. Description of Intervention • Intervention components: • Mass media (Tasankha (Choices) + reality radio programs) • More than 265 programs aired • Collective reach of 40% • Community mobilization efforts • more than 340 communities reached at Midterm and 550 by September 2012

  4. Data Collection • Baseline: random sample of households in all 11 districts • Midterm: • Stratified (by treatment or control communities) random sample of households in all 11 districts • Cross-sectional component (N = 1,338) • Longitudinal sample (N = 685)

  5. Characteristics of Those Retained

  6. Results

  7. Condom Use

  8. Exposure Effects • Exposure to Tsankha (“We have decided”) radio program associated with • Increase in testing (r = .14, p < .001) • Increase in condom use (r = .10, p < .05)

  9. Conclusion • Exposure to mass media and community interventions • Impact on HIV testing and condom use • Multiple partnerships: too few to analyze • Further analysis: the role that interpersonal communication plays in disseminating campaign messages • Effects seen despite shortage of testing kits and shortage of condoms

  10. Acknowledgements • PEPFAR for funding the project • Implementing partners • Collaborating partners • Ministry of Health • National AIDS Commission Thank You

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