2005Journal of Evaluation in Clinical PracticeRequires access

Impact of an educational intervention to promote condom use among the male partners of HIV positive women

Mariângela Freitas da Silveira, Iná S. Santos

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Abstract

RATIONALE AIMS AND OBJECTIVES: Promoting the secondary prevention of HIV transmission is essential. METHOD: An intervention. aimed at increasing condom use by partners. was delivered to HIV positive women attending a Brazilian clinic. It included educational advice delivered by doctors. and unlimited access to free condoms. A pre-post design was used: 170 control group women were recruited. the intervention was implemented. and 170 intervention group women were then enrolled. All were interviewed at baseline. 30 and 60 days. RESULTS: After training. doctors were more likely to provide advice on condom use. Reported use increased by 8.8% points (a 14.2% increase) in the intervention group after 30 days. and by 5.7 points (9.5%) in the control group (P = 0.52). CONCLUSION: The reasons why the intervention failed to reach a significant effect are discussed. as are the possible Public Health impact of a 14.2% increase in condom use among HIV positive women.

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RATIONALE AIMS AND OBJECTIVES: Promoting the secondary prevention of HIV transmission is essential. METHOD: An intervention. aimed at increasing condom use by partners. was delivered to HIV positive women attending a Brazilian clinic. It included educational advice delivered by doctors. and unlimited access to free condoms. A pre-post design was used: 170 control group women were recruited. the intervention was implemented. and 170 intervention group women were then enrolled. All were interviewed at baseline. 30 and 60 days. RESULTS: After training. doctors were more likely to provide advice on condom use. Reported use increased by 8.8% points (a 14.2% increase) in the intervention group after 30 days. and by 5.7 points (9.5%) in the control group (P = 0.52). CONCLUSION: The reasons why the intervention failed to reach a significant effect are discussed. as are the possible Public Health impact of a 14.2% increase in condom use among HIV positive women.

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Available abstract

RATIONALE AIMS AND OBJECTIVES: Promoting the secondary prevention of HIV transmission is essential. METHOD: An intervention. aimed at increasing condom use by partners. was delivered to HIV positive women attending a Brazilian clinic. It included educational advice delivered by doctors. and unlimited access to free condoms. A pre-post design was used: 170 control group women were recruited. the intervention was implemented. and 170 intervention group women were then enrolled. All were interviewed at baseline. 30 and 60 days. RESULTS: After training. doctors were more likely to provide advice on condom use. Reported use increased by 8.8% points (a 14.2% increase) in the intervention group after 30 days. and by 5.7 points (9.5%) in the control group (P = 0.52). CONCLUSION: The reasons why the intervention failed to reach a significant effect are discussed. as are the possible Public Health impact of a 14.2% increase in condom use among HIV positive women.

Key concepts: Condom, Medicine, Intervention (counseling), Family medicine, Female condom, Human immunodeficiency virus (HIV), Public health, Health education

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