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Health Promotion International, Vol. 19, No. 1, 69-76, March 2004
© Oxford University Press 2004. All rights reserved

A model HIV/AIDS risk reduction programme in the Philippines: a comprehensive community-based approach through participatory action research

Donald E. Morisky1,, Alfonso Ang1, Astou Coly1 and Teodora V. Tiglao2

1University of California, Los Angeles, CA, USA and 2University of the Philippines, Manila, the Philippines

Address for correspondence: Donald E. Morisky, UCLA School of Public Health Center for the Health Sciences, 26-070, 10833 Le Conte Avenue, Los Angeles, CA 90095-1772, USA, E-mail: dmorisky{at}ucla.edu

A 3-year, longitudinal, quasi-experimental study using participatory action research (PAR) was conducted to determine the feasibility and efficiency of an expanded sexually transmitted infection (STI) HIV/AIDS prevention program among diverse high-risk male heterosexual populations in the southern Philippines. A total of 3389 participants (~200 males from each of 18 study groups) were recruited, and 221 were trained as peer counselors to develop educational materials and reinforce safe sexual practices among their peers. Condom usage (36.10% to 38.70% to 46.31%), attitudes towards condoms (21.67% to 24.55% to 25.15%) and knowledge about HIV/STI transmission (41.87% to 42.19% to 33.31%) increased significantly from baseline to post-test and 6-month follow up, respectively (p < 0.01). Furthermore, the reported STI incidence decreased significantly (7.4% to 4.6% to 2.4%, respectively). Changes differed significantly between the intervention and control group at post-test and follow up (p < 0.01). These findings illustrate the appropriateness of using PAR methodology in promoting and sustaining positive behavior change.

Key words: community-based intervention; condom use; HIV/AIDS; STI prevention


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