Implementing HIV Prevention in Sub-Saharan Africa: A Systematic Review of Interventions Targeting Systems, Communities, and Individuals

Rapaport, Sarah; Peer, Austin D.; Viswasam, Nikita; Hahn, E. Adelaide; Ryan, Sofia; Turpin, Gnilane; Lyons, Carrie; Baral, Stefan; Hansoti, Bhakti

doi:10.1007/s10461-022-03751-0

Cited by 5 publications

(1 citation statement)

References 51 publications

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“…Each of these levels overlaps, since each level affects the others. The model has guided the understanding of behaviour and implementation of responsive public health interventions for multiple global public health issues such as intimate partner violence (Padilla-Medina et al, 2022), obesity (Jang and Hwang, 2022), stroke (Yadav et al, 2022) and HIV (Rapaport et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

A qualitative evaluation of a campus wide COVID-19 health education campaign: Intent, impact, and ideas for the future

Teti

David

Myroniuk

et al. 2022

Health Education Journal

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Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the diseases it causes remain a public health threat. Data describing health education campaigns for COVID-19 on university and college campuses are lacking, however. Purpose: This study explored college students’ experiences of a USA campus COVID-19 campaign encouraging masking, social distancing and handwashing. Methods: We conducted in-depth interviews with 33 demographically diverse students. Questions focused on students’ experiences during COVID-19, actions and beliefs, and reactions to the university’s COVID-19 prevention campaign. Thematic analysis was used to evaluate responses to the campaign and identify suggestions for future interventions. Results: Students identified three areas of concern – lack of enforcement for nonadherence, inequities and inconsistencies in messaging and failure to connect messages to students’ daily experiences – as problematic. Participants also said the campaign did not address their primary COVID-19 concerns, outlining four thematic content areas needing more attention – learning in quarantine, missing the ‘college experience’, difficult social relationships and chaos and uncertainty. Discussion: COVID-19 prevention campaigns on campus may be best served by a holistic ecological model engaging with needed forms of support on multiple levels. Conclusion: Health education and promotion campaigns that speak to individual, relational, community and policy aspects of disease such as COVID-19 are more promising than campaigns that promote single prevention actions.

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Section: Discussionmentioning

confidence: 99%

A qualitative evaluation of a campus wide COVID-19 health education campaign: Intent, impact, and ideas for the future

Teti

David

Myroniuk

et al. 2022

Health Education Journal

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Men who have sex with men perceiving that sex with women carries the greatest risk of HIV acquisition: results from a mixed‐methods systematic review in sub‐Saharan Africa

Fiorentino,

Dos Santos,

Eubanks

et al. 2024

J Int AIDS Soc.

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IntroductionIn sub‐Saharan Africa (SSA), men who have sex with men (MSM) often have female sexual partners. Their overall risk of acquiring HIV is higher with male partners. Risk perception is associated with HIV knowledge, sexual risk and preventive behaviours. This synthesis aimed to summarize existing data about HIV knowledge and perceived HIV acquisition risk regarding sex with men and with women in MSM in SSA.MethodsWe conducted a systematic literature review of MSM's relationships with women in SSA (PROSPERO‐CRD42021237836). Quantitative and qualitative data related to MSM's perceived risk from sex with men and with women and HIV knowledge (published up to 2021) were selected and synthesized.ResultsTwenty studies were selected. More MSM perceived that the greatest risk of HIV acquisition came from heterosexual/vaginal sex than from homosexual/anal sex (53% vs. 15%; 51% vs. 39%; 42% vs. 8%; 27% vs. 25%; 43% vs. 11%; 23% vs. 13%; 35% vs. 16%, cumulative sample n = 4396, six countries). A higher proportion of MSM received preventive information on heterosexual HIV transmission than on homosexual transmission (79% vs. 22%; 94% vs. 67%; 54% vs. 19%; cumulative sample n = 1199, four countries). The qualitative synthesis (eight studies) highlighted biology‐ and behaviour‐based misconceptions leading MSM to perceive lower or negligible HIV risk from sex with men, compared to sex with women. These misconceptions were partly fuelled by the predominant focus on heterosexual and vaginal HIV transmission in HIV prevention information.DiscussionCommon misconceptions regarding sexual risk between men remain unaddressed by the heteronormative messaging of HIV prevention. Underestimation by MSM of their HIV acquisition risk with male partners can pose significant barriers to effective HIV preventive behaviours and strengthen the transmission risk from MSM to their female partners.ConclusionsImproving access of MSM to tailored HIV prevention information and tools that address their practices with male and female partners is crucial. Integrating messages about anal sex into broader public health initiatives, including sexual health programmes targeting the general population, is essential. Further research in diverse settings in SSA is necessary to gain a greater understanding of the drivers and implications of HIV risk perception in MSM.

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Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China

Yi,

Li,

Chiaramonte

et al. 2024

Behaviour Research and Therapy

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Implementing HIV Prevention in Sub-Saharan Africa: A Systematic Review of Interventions Targeting Systems, Communities, and Individuals

Cited by 5 publications

References 51 publications

A qualitative evaluation of a campus wide COVID-19 health education campaign: Intent, impact, and ideas for the future

A qualitative evaluation of a campus wide COVID-19 health education campaign: Intent, impact, and ideas for the future

Men who have sex with men perceiving that sex with women carries the greatest risk of HIV acquisition: results from a mixed‐methods systematic review in sub‐Saharan Africa

Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China

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