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  • Title: The effectiveness of a peer-led HIV/AIDS and STI health education intervention for prison inmates in South Africa.
    Author: Sifunda S, Reddy PS, Braithwaite R, Stephens T, Bhengu S, Ruiter RA, van den Borne B.
    Journal: Health Educ Behav; 2008 Aug; 35(4):494-508. PubMed ID: 18591222.
    Abstract:
    This article reports on the effectiveness of the first systematically developed health education intervention for the reduction of risky sexual behavior among soon-to-be-released prisoners in South Africa. Data from three out of four prisons are eligible for data analysis including 263 inmates. Using a nested experimental design, short-term evaluation while inmates were still in prison demonstrate that experimental groups showed higher knowledge of sexually transmitted infections and had a more positive intention to reduce risky behavior than the control group in two out of three prisons. Long-term assessment 3 to 6 months after release from prison indicates that experimental groups were more positive about sexual communication, self-efficacy, and intention. Groups educated by an HIV-negative educator perform marginally better than those in groups with an HIV-positive peer educator. It is argued that peer-led health education programs may be effective in reducing risky behavior amongst soon-to-be-released inmates.
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