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Health Promotion International Advance Access originally published online on March 11, 2005
Health Promotion International 2005 20(2):157-165; doi:10.1093/heapro/dah606
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Published by Oxford University Press 2005 For Permissions, please email: journals.permissions@oupjournals.org

The effects of a systematically developed photo-novella on knowledge, attitudes, communication and behavioural intentions with respect to sexually transmitted infections among secondary school learners in South Africa

Shamagonam James1, Priscilla S. Reddy1, Robert A. C. Ruiter2, Myra Taylor3, Champaklal C. Jinabhai3, Pepijn Van Empelen2 and Bart Van Den Borne2

1Medical Research Council, Cape Town, South Africa, 2Maastricht University, The Netherlands and 3University of KwaZulu-Natal, Durban, South Africa

Address for correspondence: S. James, Health Promotion R & D Group, Medical Research Council, PO Box 19070, Tygerberg 7505, South Africa E-mail: shegs.james{at}mrc.ac.za

A pre-post test follow-up design was used to test the effects of a systematically developed photo-novella (Laduma) on knowledge, attitudes, communication and behavioural intentions with respect to sexually transmitted infections, after a single reading by 1168 secondary school learners in South Africa. The reading resulted in an increase in knowledge on the spread of sexually transmitted infections (STIs), change in attitude to condom use and towards people with STIs and/or HIV/AIDS, as well as increased intention to practice safe sex. Laduma did not influence communication about sexually transmitted infections and reported sexual behaviour and condom use. While print media proved to be an effective strategy to reach large numbers of youth and prepare them for adequate preventive behaviours, the study also identified the need to combine print media with other planned theory-based interventions that build confidence and skills to initiate the preventive behaviour.

Key words: STI/AIDS education; photo-novella; intervention


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