Effect of Mano a Mano: an internationally developed HIV prevention program, on self efficacy and HIV prevention knowledge among Chileans in a socially disadvantaged
area of Santiago
L. Ferrer1,2,3, R. Cianelli1,3, Y. Molina1, M. Bernales1, L. Irarrazabal1, P. Repetto4, K. Norr5
1Pontificia Universidad Catolica de Chile, School of Nursing, Macul, Santiago, Chile, 2University of Illinois at Chicago School of Public Health, Chicago, United States, 3University of Miami, School of Nursing and Health Allies, Coral Gables, United States, 4Pontificia Universidad Catolica de Chile, School of Psychology, Macul, Santiago, Chile, 5University of Illinois at Chicago, College of Nursing, Chicago, United States
Background: The HIV epidemic continues to be a critical problem all over the world. In Chile there is an estimate of 38.000 people living with HIV or AIDS, most of them being men. This creates an opportunity to establish effective HIV prevention programs which are appropriate to the needs of Chilean. The objective of this analysis was to establish the effect of Mano a Mano on the HIV related knowledge and self efficacy towards prevention among men in the South East area of Santiago.
Methods: Quasi experimental design with 266 men. Baseline and 3 month follow up evaluations were conducted with 158 participants and 118 in the control group, who were living in La Pintana and Puente Alto (South East area of Santiago). The intervention group participated in 4 sessions of 4 hours each, where the contents of HIV prevention knowledge and other related topics were covered. Mixed ANOVA analysis was used to establish the changes among both groups in the pre and post evaluation, controlling by per capita, level of education and religiosity.
Results: Compare to the control group, men in the intervention group started at a lower level of self-efficacy and HIV prevention knowledge, but had significantly higher levels of both at the 3 month follow up evaluation (p< 0.05).
Conclusions: These results show that Mano a Mano (hand to Hand) is a successful example of an HIV intervention designed in a developed country (US) and adapted to a population in a socially disadvantaged community in a developing country. The international collaborative initiative considered the delivery of the sessions using the primary health care model and the social cognitive theory for working on the contents.
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