Peer education for HIV knowledge transfer

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Presentation delivered at a Knowledge Management conference in 2009 on training of Peer Educators in Mitchell's Plain, South Africa as an HIV knowledge transfer intervention and knowledge product.

Presentation delivered at a Knowledge Management conference in 2009 on training of Peer Educators in Mitchell's Plain, South Africa as an HIV knowledge transfer intervention and knowledge product.

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  • 1. Hendra van Zyl, Pieter Visser, Elmarie van Wyk AfroAIDSinfo ,SA Medical Research Council
  • 2. Ø An HIV knowledge transfer product Ø Background Ø HIV peer education in context Ø Aim of the intervention Ø Project design and methodology Ø Results of intervention Ø Conclusion HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 3. Conduct of … not research as directly a process to linked to create changing knowledge is people’s … lives the created knowledge should be transformed into products, policies and programmes HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 4. Ø AfroAIDSinfo is an HIV/AIDS knowledge transfer project with an online presence and various community outreach interventions Ø Research1 indicated that the highest incidence of HIV- infection in South Africa occurs in the age group 15 – 24 Ø AfroAIDSinfo became a partner in the Zisukhanyo Schools Project funded by Irish AID to introduce a number of HIV interventions at the participating schools in Mitchell’s Plain. One of these was to develop peer educators. Ø 1Dorrington, R.E., Johnson, J.F.,Bradshaw, D. & Daniel,T. (2006). The demographic impact of HIV/AIDS in South Africa. National and provincial indicators for 2006. Cape Town: Centre for Actuarial Research, South African Medical Research Council and Actuarial Society of South Africa. HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 5. Health belief model1 Theory of participative education2 Peer education3 1 Rosenstock, I.M. 1966. Why people use health services. Milbank Memorial Fund Quarterly, 44(94-124). 2 Wight, A. 1970. Participative Education and the Inevitable Revolution. Center for Research and Education, Estes Park, Colorado, USA. 3 Youth Peer Education Electronic Resourse. 2003. Peer Education Training of Trainers Manual. HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 6. Ø Horizontal knowledge transfer Transfer HIV Educators and knowledge to parents their peers Ø Vertical knowledge transfer • Transfer knowledge and skills to Educators learners to become HIV youth leaders to learners Ø This course was not designed to develop peer counsellors but peer educators HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 7. Ø Objectives: to address the research question Ø Indicators: to measure if objectives were met Ø Research instruments: a pre-questionnaire that was completed by participants before the start of the course and a post-questionnaire completed after the course Ø Course content: Develop skills Understand Transfer and to address their role as build HIV sensitive peer knowledge issues educators HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 8. Ø 36 participants: 31 were female; 5 were male Ø Educators: 32; and Parents: 4 Table 1: Participants ranking their knowledge and skills Area Before After HIV knowledge 69% 92% Confidence to teach HIV classes 51% 86% Knowledge and ability to teach sex education 42% 86% A statistical significant improvement (p<0.05) was evident in all three areas HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 9. 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Difference Motivational Role play HIV+ person Teach factual info Training useful Gender/sex techniques Before 31% 37% 64% 31% 19% 72% After 83% 91% 86% 83% 89% 97% Before After Figure 1: Confidence to deal with various topics during the course HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 10. Table 1: Measuring objectives Indi- Achiev- What the indicators measured cator ed 25% 23% HIV knowledge increase – 69% before the course to 92% on completion of the course 25% 35% Skills to transfer HIV knowledge horizontally to peers and vertically to learners – 51% before the course to 86% after the course 25% 44% Skills to transfer sensitive knowledge – 42% before the course and 86% 50% 100% 60% pass mark for assignments achieved by 50% participants to demonstrate their understanding of peer education HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 11. Primary: Educators and parents – confidence, knowledge and skills to act as peer educators / Internationally certified School and community: They will act as PE at HIV events / Skills and knowledge will be used in classrooms and community projects Social: Parents can confidently participate in CBO interventions as Peer educator Trainers HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 12. Ø Irrespective of culture, it seemed that South African educators and parents struggled with the same challenges and frustrations - how to transfer HIV knowledge - this was also the reason why participants derived huge benefits from the course as predicted by the health belief model. Ø The course carries international accreditation and it is implemented as an effective HIV knowledge product. Ø This knowledge transfer product is presented as good practice HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 13. Ø ‘Learning is a lifelong process. Given the knowledge and skills I have learnt, I feel more empowered. I have learnt a number of interesting games and methods here. The learners and educators will enjoy doing it.’ Ø ‘It was straightforward. The explanations were clear and the activities helped me implement what the learners must do, such as role play.’ Ø ‘The course was too short. It should have been at least a week.’ HIV peer education course – an HIV knowledge transfer product. ICKE, October 2009
  • 14. Ø SA Medical Research Council Ø Protea Schools Development Project Ø Irish AID Ø Family Health International