Jurnal

Empowering Peer Group Leaders for HIV Prevention in Malawi

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Purpose: Behavioral change interventions using peer group leaders are effective and widely used, but few studies have examined how being a peer group leader affects the leaders. This study describes how participants felt being a peer group leader affected their lives. Design: This descriptive qualitative study interviewed 18 experienced peer group leaders who had conducted a multisession human immunodeficiency virus (HIV) prevention peer group intervention in rural Malawi. Methods: We used inductive content analysis and comparisons within and between cases. Findings: Three major themes were identified. All leaders said they experienced personal changes in their knowledge, attitudes, or HIV prevention behaviors. They described interacting with family, neighbors, and friends, and speaking at church or community meetings, to discuss HIV prevention issues. They increased their self-efficacy to engage others in sensitive HIV prevention issues, developed a self-identity as a change agent, and came to be recognized in their community as trustworthy advisors about HIV and acquired immunodeficiency syndrome. These three themes, taken together, form the meta-theme of psychological empowerment. Conclusion: Being a peer group leader empowered the leaders as change agents for HIV prevention and had impacts in the community after the intervention ended, potentially increasing the long-term effectiveness and cost effectiveness of peer group interventions. Clinical Relevance: Healthcare workers and community volunteers who led HIV prevention sessions continued HIV prevention activities in the community and workplace after the program ended. Training health workers as volunteer HIV prevention leaders offers a strategy to bring HIV prevention to limitedresource settings, despite health worker shortages.

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Detail Information

Series Title

Journal of Nursing Scholarship, Volume 45, Number 3 2013

Call Number

(05) 610.5 WIL j

Publisher

Malden : Wiley-Blackwell., 2013

Collation

Hlm. 288-297

Language

English

ISBN/ISSN

1527-6546

Classification

(05) 610.5 WIL j

Content Type

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Media Type

-

Carrier Type

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Edition

Volume 45, Number 3

Subject(s)

Primary health care
HIV/AIDS
Community-public health-environmental health
international health or global health
qualitative methodology

Specific Detail Info

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Statement of Responsibility

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