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What was the challenge?

Multiple Sexual Partnerships in the Context of HIV Prevention: Alternative Methods to Gather Evidence for Programming Around an Under-reported Issue. What was the challenge?.

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What was the challenge?

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  1. Multiple Sexual Partnerships in the Context of HIV Prevention:Alternative Methods to Gather Evidence for Programming Around an Under-reported Issue

  2. What was the challenge? • Cohort studies conducted in some parts of Zimbabwe found association between multiple sexual partnerships and HIV infection • Qualitative /anecdotal evidence of multiple partnerships including concurrency • BUT: National DHS 2005 data showing relatively low levels of multiple sexual partnerships • Leading to questions: • Are MCP a key issue to address nationally? • If yes, what can be the objectives & targets for a national programme? • What drives MCP?

  3. What was done? • Bio-behavioural baseline survey (n=4,879) in 16 districts of Zimbabwe using Audio Computer-Assisted Self-Interview (ACASI) • Rapid assessments in 26 districts including 104 focus group discussions with adult men, adult women, young men, young women

  4. What was the result? • Higher levels of multiple partnerships reported in the NBCS baseline using a self-administered method as compared to DHS • Disaggregated data on prevalence of different forms of multiple partnerships • Targets for national program set • Perceived reasons of MCP and related norms established • Developed interventions considering community perceptions on MCP in addition to theory-driven approach (knowledge, risk perception, self-efficacy, social norms) • National program scaled up!

  5. Related information • Zimbabwe stand at AIDS 2010! • Langhaug et al: An evaluation of Zimbabwe’s National Behaviour Change Programme: results of the mid-term evaluation survey (2009). Poster AIDS 2010. • Gregson et al (2010): HIV decline due to reductions in risky sex in Zimbabwe? Evidence from a comprehensive epidemiological review. International Journal of Epidemiology.

  6. Thank you. Merci. Muchas Gracias. спасибо! Danke. Siyabonga. Tatenda.

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