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Abstract
This project tracked the mid-term evaluation processes, practices, and products of a multinational program to reduce at-risk behaviors for HIV/AIDS among children in Kenya, Tanzania, and Haiti. It focused on participant and community perceptions; program effectiveness in promoting abstinence and monogamy decisions; and factors supporting ongoing resistance, decision persistence, and program sustainability. Instrumentation included focus groups and interviews with 731 participant youth, parents, community stakeholders, and staff; program documents; and expert on-site observations. Program efforts are effective in influencing informational, attitudinal, and behavioral changes across stakeholder groups. Data underscore process effects of specific program tools and features, through participant attributions. Critical relationships between internal and external factors, and collective local practices grown from program knowledge and skills, support risk reduction awareness and behaviors. Systematic evaluation, including design features, can inform similar efforts across national and cultural boundaries. Effective strategies are highlighted and linked to community perceptions and program outcomes.
Notes
1. This program was funded by United States Agency for International Development (USAID) through President's Emergency Plan for AIDS Relief (PEPFAR) grant # GPO-A-00-05-00004-00, 2003-2008.