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Empowering parents for human immunodeficiency virus prevention: health and sex education at home

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dc.date.accessioned 2021-04-29T18:15:09Z
dc.date.available 2021-04-29T18:15:09Z
dc.date.issued 2021-03-05 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/15844
dc.description.abstract Improving health literacy amongst human immunodeficiency virus (HIV)- positive mothers could strengthen child and adolescent HIV prevention. The Amagugu intervention included health literacy materials to strengthen maternal communication and has demonstrated success in low-resource HIV-endemic settings. Our aims were to (1) evaluate whether Amagugu materials improved health literacy leading to changes in parental behaviour towards communicating on topics such as HIV, health behaviours and sex education, and (2) explore what additional information and materials mothers would find helpful. The Amagugu evaluation included 281 HIV-positive mothers and their HIV-uninfected children (6-10 years). Process evaluation data from exit interviews were analysed using content analysis and logistic regression techniques. Of 281 mothers, 276 (98.0%) requested more educational storybooks: 99 (35.2%) on moral development/future aspirations, 92 (32.7%) on general health, safety and health promotion, and 67 (23.8%) on HIV and disease management. Compared to baseline, mothers reported that the materials increased discussion on the risks of bullying from friends (150; 53.4%), teacher problems (142; 50.5%), physical abuse (147; 52.3%) and sexual abuse (126; 44.8%). Most mothers used the 'HIV Body Map' for health (274; 97.5%) and sex education (267; 95.0%). The use of a low-cost doll was reported to enhance mother-child communication by increasing mother-child play (264; 94.3%) and maternal attentiveness to the child's feelings (262; 93.6%). Parent-led health education in the home seems feasible, acceptable and effective and should be capitalised on in HIV prevention strategies. Further testing in controlled studies is recommended. en
dc.format.medium Print en
dc.publisher AOSIS Publishers en
dc.subject HEALTH EDUCATION en
dc.subject SEX EDUCATION en
dc.title Empowering parents for human immunodeficiency virus prevention: health and sex education at home en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber NA en
dc.Volume 21(1) en
dc.BudgetYear 2020/21 en
dc.ResearchGroup Human and Social Capabilities en
dc.SourceTitle Southern African Journal of HIV Medicine en
dc.ArchiveNumber 11793 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=23649 en
dc.PageNumber Online en
dc.outputnumber 10938 en
dc.bibliographictitle Edwards, T., Mkwanazi, N., Mitchell, J., Bland, R.M. & Rochat, T.J. (2020) Empowering parents for human immunodeficiency virus prevention: health and sex education at home. <i>Southern African Journal of HIV Medicine</i>. 21(1):Online. en
dc.publicationyear 2020 en
dc.contributor.author1 Edwards, T. en
dc.contributor.author2 Mkwanazi, N. en
dc.contributor.author3 Mitchell, J. en
dc.contributor.author4 Bland, R.M. en
dc.contributor.author5 Rochat, T.J. en

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