Characteristics of participants in an HIV prevention intervention for youth in Rwanda


Introduction.  This  paper  studies  determinants  of  participation  in  a  peer-led  school-based  HIV prevention intervention in Rwanda. Methods. A baseline survey among 1071 students (mean age 17  years)  assessed  potential  determinants  of  participation,  while  a  follow-up  six  months  in  the intervention  measured  actual  participation  in  the  intervention.  Statistical  models  were  built  using multivariate linear and multinomial regression analysis predicting overall participation, participation in group discussions and individual counseling. Results. Those who recently had sex, had been tested for HIV, feel more susceptible to HIV, have a higher sexual self-concept, a more positive future perspective (only for non-sexually active), and boys, were more likely to participate in group activities. Also students from the same class as the peer educator and boarding school students  were  more  likely  to  participate  in  group  activities.  Older  students  and  those  with  low external health locus of control participated more in individual counseling. Discussion. Participation could be increased by investing in general well-being of young people, organizing girls-only activities, and diversifying activities.
Key words: selection bias, HIV prevention, participation rate, young people, Rwanda

Authors & affiliation: 
Hanne Celis (1), Brian A. Jingwa (2), Olivier Degomme (1), Ronan Van Rossem (1), Marleen Temmerman (1), Kristien Michielsen (1) (1) Ghent University, Belgium (2) Hasselt University, Belgium
Published In: 
afrika focus — Volume 27, Nr. 2, 2014 — pp. 71-86
Publication date: 
Thursday, December 3, 2015