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The Fire is Coming: An HIV Prevention Intervention Contextualized to the Maasai People of Tanzania

Freitas, H. and Nayak, M. A. The Fire is Coming: An HIV Prevention Intervention Contextualized to the Maasai People of Tanzania. Christian Journal for Global Health, 1 (1). pp. 34-43. ISSN 2167-2415

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Abstract

“The Fire is Coming” film is an innovative HIV-prevention intervention contextu-alized to the Maasai people of Tanzania through use of a traditional Maasai story. The intervention was developed and implemented in partnership with Maasai Pastoralists for Education and Development (MAPED). Although there have been numerous Knowledge-Attitude-Practice (KAP) surveys conducted among the Maasai, this is the first control-group comparison study designed to measure the effectiveness of an HIV-prevention intervention contextualized specifically to the Maasai people of Tanzania. We will first discuss the background and context in which the intervention was devel-oped and methods used to develop the intervention. We will then discuss the evalua-tion methods, results, and implications of a retrospective Knowledge, Attitudes, Prac-tices (KAP) two-village comparison survey (n=200) for “The Fire is Coming” HIV-preven-tion intervention among Maasai people. There was a significant effect for HIV-related attitudes, t(16) = 2.77, p <0.05, regarding willingness to care for an HIV infected person, willingness to be tested for HIV, self-efficacy toward HIV-prevention, married women’s ability to use condoms, unmarried girls’ ability to refuse high-risk sexual behaviors, married men’s ability to use condoms, and married men’s ability to limit sex to their spouses. There was a significant effect for HIV-related behavior changes, t(8) = 2.89, p <0.05, with reported family decisions made, esoto (the ritualized sexual initiation of pre-pubescent girls) stopped, sexual behaviors changed, blade-sharing stopped, and other traditional custom changes reported. Although knowledge rates were often higher in the intervention area than in the comparison area, there was no significant difference in HIV-related knowledge, t(12)=1.85, p >0.05. Implications: Belief in one’s ability to do something is often the pivotal point for behavior change. The results of the survey denote a highly effective intervention in changing HIV-related attitudes and be-haviors. It is promising for replication among other Maasai communities and for adap-tation with indigenous people groups in other regions.

Item Type: Article
Keywords: HIV, Maasai, Behavior change, Tanzania, Contextuaization
Subjects: HIV > Surveillance
HIV > Prevention
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 27 Jan 2015 07:05
Last Modified: 27 Jan 2015 07:05
URI: http://ihi.eprints.org/id/eprint/2688

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