HIV Knowledge and Receipt of Targeted Training among UN Peacekeepers in a Post-Conflict Setting Open Access
Hast, Marisa (2011)
Abstract
HIV Knowledge and Receipt of Targeted Training among UN Peacekeepers in a Post-Conflict Setting
By
Marisa Hast
Background: UN Peacekeepers have been identified as a high-risk
population that may
contribute to HIV transmission between their countries of origin
and countries to which they are
deployed. In response to this concern, the United Nations
Department of Peacekeeping
Operations (DPKO) has developed a standardized HIV training program
administered to all
peacekeepers upon arrival in-country. In addition, pre-deployment
HIV training is
recommended for militaries of countries that contribute
peacekeepers for DPKO missions.
However, the impact of these trainings has not been assessed and
very little is known about
peacekeepers' knowledge of HIV transmission and
prevention.
Methods: The researchers examined the association between
pre-and post-deployment HIV
trainings and comprehensive HIV knowledge among male
English-speaking UN peacekeepers
stationed in Liberia in 2005. A total of 667 peacekeepers completed
the survey. HIV knowledge
was measured as a composite score based on responses to five
multi-part questions, and was
defined as 'comprehensive' if most components in all questions were
answered correctly. We
used logistic models to calculate odds ratios reflecting the
association between receipt of
training and comprehensive knowledge adjusted for age, rank,
literacy, school level, history of
previous UN missions, and prior knowledge of someone with
HIV.
Results: Of 667 peacekeepers surveyed, 83.1% and 76.2% had
received pre-and post-
deployment HIV training, respectively, and 44.4% were determined to
have comprehensive HIV
knowledge. Comprehensive HIV knowledge was not associated with
either training type;
however it was found to be more common among younger participants
and among those who
completed school above secondary level.
Conclusions: The results suggest that neither pre- nor
post-deployment HIV training
significantly improves comprehensive HIV knowledge among UN
peacekeepers. If confirmed,
our observations may have important implications for the current
DPKO HIV training curriculum.
Table of Contents
Table of Contents
Introduction and Background
...............................................................
1
Methods...........................................................................................
5
Survey Design and Data Collection
........................................................ 5
Questionnaire and Outcome Measures
.................................................... 6
Data analysis
....................................................................................
7
Results
............................................................................................
8
Discussion
.......................................................................................
10
Conclusions and Recommendations
....................................................... 14
References
......................................................................................
15
Tables..............................................................................................20
Appendix: IRB Approval and Study Questionnaire
..................................... 24
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