eprintid: 21494 rev_number: 11 userid: 3413 dir: disk0/00/02/14/94 datestamp: 2014-06-30 14:39:39 lastmod: 2016-11-15 14:19:51 status_changed: 2014-06-30 14:39:39 type: thesis_degree metadata_visibility: show contact_email: adriennerlong@gmail.com item_issues_id: similar_title_21184 item_issues_type: similar_title item_issues_description: Similar title to Long, Adrienne HIV/AIDS prevention knowledge and behaviors of rural women who are recipients of a community health worker program in Nampula province, Mozambique. Master's Thesis, University of Pittsburgh. item_issues_timestamp: 2014-06-29 06:23:58 item_issues_status: autoresolved item_issues_count: 0 eprint_status: archive creators_name: Long, Adrienne creators_email: arl66@pitt.edu creators_id: ARL66 title: HIV/AIDS prevention knowledge and behaviors of rural women who are recipients of a community health worker program in Nampula Province, Mozambique ispublished: unpub divisions: sch_gsph_infectiousdiseasesmicrobiology full_text_status: public keywords: HIV/AIDS, community health workers, Mozambique abstract: Background: Mozambique has an HIV/AIDS prevalence of 11%. A number of educational programs that promote condom use have been implemented to reduce transmission, but the impact of these programs has not been well documented. A better understanding of the relationship between these programs and the knowledge and behavior of program recipients is of great public health significance. Methods: Data from a 2012 cross-sectional survey evaluating the coverage of Community Health Worker (CHW) programs in Mozambique was analyzed. Logistic regression analysis was used to determine the relationship between discussing prevention of HIV with a CHW and, a) recipient knowledge of a condom source; and, b) recipient use of condoms at last sexual intercourse. Sharing of HIV messages between the recipient and others in the community was also analyzed. Results: Among women who discussed prevention of HIV with a CHW, 57% (n=377) reported knowing a condom source. Ninety-five percent (n=635) of the women reported sexual experience, but only 9% (n=55) of these women reported condom use at their last sexual encounter. Approximately 55% (n=148) of women shared HIV prevention information with someone else in their community. The odds of knowing a condom source are five times greater for women who spoke to a CHW about HIV compared to women who did not speak to a CHW about HIV (OR=5.12, 95% CI: 2.89-9.09). Women who spoke to a CHW about HIV were no more likely to use a condom at last sexual encounter than women who did not speak to a CHW about HIV (OR=1.20, 95% CI: 0.50-2.88). Conclusions: The HIV epidemic in Mozambique is extremely complex due to the social, cultural, and economic aspects of the environment. An astounding amount of money has gone towards prevention but the epidemic has not abated. CHW programs are one approach to mitigating the epidemic, but more research needs to be done to better understand the role of CHWs in changing behavior around sexual health. Finally, it is essential that we discover new and innovative ways of implementing HIV educational programs in Mozambique to have a positive impact on HIV prevention behaviors. date: 2014-06-30 date_type: published pages: 102 institution: University of Pittsburgh refereed: TRUE etdcommittee_type: committee_chair etdcommittee_type: committee_member etdcommittee_type: committee_member etdcommittee_type: committee_member etdcommittee_name: McMahon, Deborah etdcommittee_name: Frank, Linda etdcommittee_name: Russell, Joanne etdcommittee_name: Friedman, Mackey etdcommittee_email: mcmahond@pitt.edu etdcommittee_email: frankie@pitt.edu etdcommittee_email: joanner@pitt.edu etdcommittee_email: mrf9@pitt.edu etdcommittee_id: MCMAHOND etdcommittee_id: FRANKIE etdcommittee_id: JOANNER etdcommittee_id: MRF9 etd_defense_date: 2014-04-10 etd_approval_date: 2014-06-30 etd_submission_date: 2014-06-28 etd_release_date: 2014-06-30 etd_access_restriction: 2_year etd_patent_pending: FALSE thesis_type: thesis degree: MPH citation: Long, Adrienne (2014) HIV/AIDS prevention knowledge and behaviors of rural women who are recipients of a community health worker program in Nampula Province, Mozambique. Master's Thesis, University of Pittsburgh. (Unpublished) document_url: http://d-scholarship-dev.library.pitt.edu/21494/1/LongAR_ETD2014.pdf