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Process assessment of a peer education programme for HIV prevention among sex workers in Dhaka, Bangladesh : A social support framework

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  • Sarafian, Isabelle

Abstract

This study evaluated the process of a peer education program for hotel-based sex workers in Dhaka, Bangladesh, with social support proposed as an organizing framework. Programme outcomes were examined through baseline and follow-up assessments. Sex workers naïve to peer education were assessed on socio-cognitive and behavioural variables; a subsample was reassessed at follow-up 23 weeks later on average. Process was assessed in terms of the content of peer education sessions. These sessions were recorded and coded into percentages of social support types provided by the peer educator to her audience: informational, instrumental, appraisal, emotional, companionship, non-support. Peer educators were classified into three “social support profiles” based on average proportions of emotional and informational support they provided. Seeing more peer educators with a high informational support profile was related to higher sex worker self-efficacy, self-reported STI symptoms, and self-reported condom use at follow-up; the same was true for the high emotional support profile and treatment seeking. Social support constituted a useful framework, but needs further exploration. This study provided a direct, in-depth examination of the process of peer education based on a comprehensive theoretical framework.

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  • Sarafian, Isabelle, 2012. "Process assessment of a peer education programme for HIV prevention among sex workers in Dhaka, Bangladesh : A social support framework," Social Science & Medicine, Elsevier, vol. 75(4), pages 668-675.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:4:p:668-675
    DOI: 10.1016/j.socscimed.2011.09.003
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    References listed on IDEAS

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    1. Lippman, S.A. & Donini, A. & Díaz, J. & Chinaglia, M. & Reingold, A. & Kerrigan, D., 2010. "Social-environmental factors and protective sexual behavior among sex workers: The Encontros intervention in Brazil," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 216-223.
    2. Swendeman, Dallas & Basu, Ishika & Das, Sankari & Jana, Smarajit & Rotheram-Borus, Mary Jane, 2009. "Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases," Social Science & Medicine, Elsevier, vol. 69(8), pages 1157-1166, October.
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    1. Aboud, Frances E. & Singla, Daisy R., 2012. "Challenges to changing health behaviours in developing countries: A critical overview," Social Science & Medicine, Elsevier, vol. 75(4), pages 589-594.
    2. Devi Leena Bose & Anhad Hundal & Sabina Singh & Shweta Singh & Kuhika Seth & Saif ul Hadi & Ashrita Saran & Jessy Joseph & Kriti Goyal & Solomon Salve, 2023. "Evidence and gap map report: Social and Behavior Change Communication (SBCC) interventions for strengthening HIV prevention and research among adolescent girls and young women (AGYW) in low‐ and middl," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(1), March.
    3. Klein, Linda A. & Ritchie, Jan E. & Nathan, Sally & Wutzke, Sonia, 2014. "An explanatory model of peer education within a complex medicines information exchange setting," Social Science & Medicine, Elsevier, vol. 111(C), pages 101-109.

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