Bibtex article online dating
Stepping Stones is a participatory HIV prevention programme that aims to improve sexual health through building stronger, more gender equitable relationships.We conducted a trial to assess the impact of Stepping Stones on the incidence of HIV and HSV-2 and sexual practices among men and women in rural areas in the Eastern Cape province of South Africa.
This is potentially an important weakness as development of interventions is an iterative process, and interventions are generally strengthened by being more extensively tested and adapted.9 In this respect Stepping Stones is a quite different intervention as it has been widely used for many years.10 It was originally developed for use in Uganda in 1995 and has been used in over 40 countries, adapted for 17 settings (including South Africa in 199811), translated into 13 languages, and used with hundreds of thousands of individuals.12 It is almost certainly the most widely used intervention of its kind in the world.The programme was associated with a reduction of about 33% in the incidence of HSV-2 (0.67, 0.46 to 0.97; P=0.036)—that is, Stepping Stones reduced the number of new HSV-2 infections over a two year period by 34.9 (1.6 to 68.2) per 1000 people exposed.Stepping Stones significantly improved a number of reported risk behaviours in men, with a lower proportion of men reporting perpetration of intimate partner violence across two years of follow-up and less transactional sex and problem drinking at 12 months.In each cluster we recruited about 20 men and 20 women volunteers.Those eligible were aged 16-23, normally resident in the village where they were at school, and mature enough to understand the study and the consent process.Eligible locations were about 10 km from the nearest cluster (to minimise contamination of study arms), had a senior or junior secondary school, and a community willing to participate (established through a process of community mobilisation13).
Clusters were grouped into seven strata, with one stratum comprising the townships and six having the villages grouped according to proximity to particular roads.
Interviewers administered questionnaires at baseline and 12 and 24 months and blood was tested for HIV and HSV-2.
Main outcome measures Primary outcome measure: incidence of HIV.
After the community meeting project staff went to the school to raise interest in the study and invited possible participants to a meeting.
Here they explained the study to a group of about 60 young men and women in the targeted age group.
The form explained the procedures that would occur in some detail.