HIV/AIDS Education Program Effectiveness: A Case Study in Rural Uganda Público

Abstract

This study assesses the impact of HIV/AIDS educational programs on knowledge levels about HIV/AIDS transmission in a rural Ugandan community. More specifically, this study addresses the following research questions: (1) Do HIV/AIDS education programs effectively teach about the heterosexual transmission and prevention of HIV/AIDS? (2) Do HIV/AIDS education programs effectively teach about the transmission and prevention of HIV/AIDS in same-sex sexual practicing individuals?

"Throughout Africa, LGBT communities are being decimated with a speed and breadth reminiscent of the impact of the epidemic on gay men in New York and San Francisco in the 1980s" (C. A. Johnson, 2007, 14) . Evaluation of such programs is crucial to reaching the target community, same-sex sexual practicing individuals, who are unlikely to participate in any programs that connect them to homosexuals or same-sex sexual behaviors. The recent introduction of legislation in Uganda making same-sex sexual behavior punishable by death, and imposing prison sentences for anyone supporting LGBT individuals, precluded interviewing same-sex practicing individuals for this study. Therefore, I evaluated knowledge gained in HIV/AIDS prevention programs about same-sex practicing individuals by interviewing heterosexuals who attended these programs.

In Dabani, Uganda I employed two types of primary research: informal and formal interviews with heterosexuals. I conducted four informal interviews with HIV education program educators. I conducted twenty-two formal interviews with two respondent populations, heterosexual individuals who had and had not attended HIV/AIDS education programs. I found that individuals who attended HIV/AIDS education programs knew about the main methods of HIV/AIDS transmission among heterosexuals. Individuals who had not attended HIV/AIDS education programs did not know the main methods of HIV/AIDS transmission. I also found that neither groups in my sample - individuals who had and had not attended HIV/AIDS education programs - knew about HIV/AIDS tranmission or prevention among same-sex sexual practicing individuals. I recommend that the HIV/AIDS education programs I studied are replicated in rural African contexts, that information on both the hetero- and same-sex sexual tranmission of HIV/AIDS is included in programs, that funding increases for programs, and that further research is conducted.

Table of Contents

Table of Contents

Abbreviations and glossary of Luganda, Kisaamia, and English terms 1
Preface 3
Chapter 1: Introduction 4
Images of HIV/AIDS in Dabani sub-county 4
Justification for research 7
Background on Uganda 8
Sexuality and HIV/AIDS in Uganda 11
Outline of thesis 16
Chapter 2: Past research on HIV/AIDS education programs 18
HIV/AIDS education programs 18
The effectiveness of education for same-sex practices 29
Chapter 3: Methodology 39
Planning the research 39
Preliminary research in Kampala 41
Field research in Dabani sub-county 43
Methodological limitations 51
Chapter 4: Education program effectiveness in Dabani 56
HIV/AIDS education program effectiveness 58
What limits the effectiveness of HIV/AIDS education programs 66
Discussion 70
Chapter 5: Bisagas 79
Community attitudes towards homosexuality 79
The effectiveness of education for same-sex practices 80
Discussion 83
Chapter 6: Conclusion 88
Summary of the project 88
Shortcomings 89
Suggestions 90
Appendixes 96
A: Interviews 96
B: Map 100
C: Interview guide 101
D: Group one and group two 102
References 103

About this Honors Thesis

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School	Emory College
Department	Sociology
Degree	BA
Submission	Honors Thesis
Language	English
Research Field	Health Sciences, Education Sociology, General Sociology, Social Structure and Development
Palabra Clave	men who have sex with men Education programs HIV/AIDS education program effectiveness Busia HIV/AIDS Uganda homosexuals
Committee Chair / Thesis Advisor	Browne, Irene, Emory University
Committee Members	Bay, Edna G, Emory University Levinson, Richard M, Emory University Stephenson, Robert, Emory University

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