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Botswana’s Concurrent Partnerships Campaign

Evaluation of a behaviour change communication programme to reduce concurrent sexual partnerships in Botswana. Iris Halldorsdottir , Noah Taruberekera , Virgile Capo-Chichi,  Rebecca Firestone , Lung Vu, Donna Sherard , Richard Harrison 25 July 2012.

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Botswana’s Concurrent Partnerships Campaign

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  1. Evaluation of a behaviour change communication programme to reduce concurrent sexual partnerships in Botswana Iris Halldorsdottir, Noah Taruberekera, Virgile Capo-Chichi, Rebecca Firestone, Lung Vu, Donna Sherard, Richard Harrison 25 July 2012

  2. Botswana’s Concurrent Partnerships Campaign • Campaign team • National AIDS Coordinating Agency • PSI • Natl Prevention Technical Advisory Cmte • Campaign strategy • Teaser campaign – get people talking • Phase 1 – address risk perceptions, knowledge, awareness of CP • Phase 2 – assess consequences, personalize risk • Mechanisms • Social mobilisation – reach key influencers and leaders • Mass media – TV, radio, print, billboards, combis • Interpersonal communication – CBOs, FBOs, door-to-door, bars/shebeens

  3. Did campaign exposure reduce concurrent partnerships or increase HIV risk reduction behaviors? • Methods • National two-stage cluster sampling survey (n=1237) • Coarsened exact matching to compare exposed/non-exposed (n=1138) • Multiple logistic regression • Key findings • No evidence the campaign influenced concurrent partnerships • Campaign was associated with HIV risk reduction behaviors • Risk reduction was primarily concentrated among men • Conclusions • Stand-alone campaigns on concurrency are likely not sufficient to change a culturally entrenched behaviour • Adults in this context need a range of HIV risk reduction strategies

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