Promoting abstinence, being faithful, and condom use with young Africans : qualitative findings from an intervention trail in rural Tanzania
著者
書誌事項
Promoting abstinence, being faithful, and condom use with young Africans : qualitative findings from an intervention trail in rural Tanzania
Lexington Books, 2012
大学図書館所蔵 全2件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
  ノルウェー
  アメリカ
注記
Includes bibliography p. 423-474
Includes Index
内容説明・目次
内容説明
Promotion of the low risk "ABC" behaviors-Abstinence, Being faithful, and Condom use-has had only limited success in Africa. This book draws on a large qualitative study affiliated with an adolescent intervention trial to examine how ABC promotion can be improved. It evaluates the MEMA kwa Vijana sexual health program, which was implemented in 62 primary schools and 18 health facilities in rural Tanzania, scrutinizing its teacher-led curriculum, peer education, youth-friendly health services, youth condom distribution, and community mobilization components. The book examines how implementing such a low-cost, large-scale program involved many compromises, including those between national policies and international "best practice" recommendations, between the most desirable intervention design and one that was affordable and sustainable at a large scale, between optimal teaching methods and real-world teaching capacity, between ideal curriculum content and what was acceptable to the local community, and between adults' values and youths' realities. The program's impact is evaluated by triangulating findings from three person-years of participant observation, in-depth interviews, survey interviews, and biomedical tests.
The book also provides in-depth case studies to examine the motivations and strategies of extraordinary young people who practiced ABC behaviors. It outlines broad principles for ABC promotion, including: acknowledging existing youth sexual relationships; promoting each low risk behavior in complexity and depth; working with preexisting, culturally compelling motivations; and intervening at individual, interpersonal, community, and structural levels. Many recommendations for the promotion of specific ABC behaviors are discussed, such as reducing pressures and incentives for girls to have sex; targeting male risk-perception and self-preservation; promoting alternative forms of masculinity than sexual conquest; strengthening premarital and marital relationships; tailoring fidelity programs for hidden couples, couples planning to marry, and monogamous and polygynous married partners; and addressing pleasure, trust, pregnancy prevention, and fertility protection in condom promotion. The book concludes with additional recommendations specific to school programs, and a review of promising complementary interventions for out-of-school youth, women, men, couples, and parents.
目次
Part one: Introduction
Chapter 1: Introduction
Chapter 2: Research Methods
Chapter 3: Typical Young People's Lives and Sexual Relationships
Part two: Intervention Evaluation
Chapter 4: MEMA kwa Vijana Intervention Overview and Community Mobilization
Chapter 5: The MEMA kwa Vijana School Program
Chapter 6: MEMA kwa Vijana Health Services and Condom Distribution
Chapter 7. Impact of the MEMA kwa Vijana Intervention
Part three: Young People Who Practiced Low Risk Sexual Behaviors
Case Study Series 1: "So It Is Like This! Not For Me": Young People Who Abstained
Chapter 8: Abstinence
Case Study Series 2: "This One Is Enough": Young People Who Limited Their Partner Number and/or Were Monogamous
Chapter 9: "Being Faithful": Limiting Partner Number and/or Practicing Fidelity
Case Study Series 3: "The First Time He Didn't Have One, So I Refused": Young People Who Used Condoms
Chapter 10: Condom Use
Part four: Recommendations
Chapter 11: Intervention Recommendations
Appendix 1: Outline of the Teacher's Guide for Year 5 in the Final MEMA kwa Vijana School Curriculum
Appendix 2: Outline of the Teacher's Guide for Year 6 in the Final MEMA kwa Vijana School Curriculum
Appendix 3: Outline of the Teacher's Guide for Year 7 in the Final MEMA kwa Vijana School Curriculum
Swahili and Sukuma Glossary
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