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Adaptation of a U.S. evidence-based Positive Prevention intervention for youth living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo

Author

Listed:
  • Parker, L.
  • Maman, S.
  • Pettifor, A.
  • Chalachala, J.L.
  • Edmonds, A.
  • Golin, C.E.
  • Moracco, K.
  • Behets, F.

Abstract

Effective HIV prevention programs for people living with HIV/AIDS (PLWH) are important to reduce new infections and to ensure PLWH remain healthy. This paper describes the systematic adaptation of a U.S.-developed Evidence Based Intervention (EBI) using the Centers for Disease Control and Prevention (CDC) Map of Adaption Process for use at a Pediatric Hospital in Kinshasa, Democratic Republic of the Congo (DRC). The adapted intervention, Supporting Youth and Motivating Positive Action or SYMPA, a six-session risk reduction intervention targeted for youth living with HIV/AIDS (YLWH) in Kinshasa was adapted from the Healthy Living Project and guided by the Social Action Theory. This paper describes the process of implementing the first four steps of the ADAPT framework (Assess, Select, Prepare, and Pilot). Our study has shown that an EBI developed and implemented in the U.S. can be adapted successfully for a different target population in a low-resource context through an iterative process following the CDC ADAPT framework. This process included reviewing existing literature, adapting and adding components, and focusing on increasing staff capacity. This paper provides a rare, detailed description of the adaptation process and may aid organizations seeking to adapt and implement HIV prevention EBIs in sub-Saharan Africa and beyond.

Suggested Citation

  • Parker, L. & Maman, S. & Pettifor, A. & Chalachala, J.L. & Edmonds, A. & Golin, C.E. & Moracco, K. & Behets, F., 2013. "Adaptation of a U.S. evidence-based Positive Prevention intervention for youth living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 124-135.
    • Handle: RePEc:eee:epplan:v:36:y:2013:i:1:p:124-135
    DOI: 10.1016/j.evalprogplan.2012.09.002
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    References listed on IDEAS

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    1. Rotheram-Borus, M.J. & Lee, M.B. & Murphy, D.A. & Futterman, D. & Duan, N. & Birnbaum, J.M. & Lightfoot, M., 2001. "Efficacy of a preventive intervention for youths living with HIV," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 400-405.
    2. Peltzer, Karl & Tabane, Cily & Matseke, Gladys & Simbayi, Leickness, 2010. "Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 379-385, November.
    3. Margaret Dolcini, M. & Gandelman, Alice A. & Vogan, Stacy A. & Kong, Carol & Leak, Tia-Nicole & King, A.J. & DeSantis, Linda & O'Leary, Ann, 2010. "Translating HIV interventions into practice: Community-based organizations' experiences with the diffusion of effective behavioral interventions (DEBIs)," Social Science & Medicine, Elsevier, vol. 71(10), pages 1839-1846, November.
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