Peer group intervention reduces personal HIV risk for malawian health workers

Journal of Nursing Scholarship

Volumn 43, Issue 1, 2011, Pages 72-81

  Mbeba, Mary M ^a   Kaponda, Chrissie P N ^a   Jere, Diana L ^a   Kachingwe, Sitingawawo I ^a   Crittenden, Kathleen S ^b   McCreary, Linda L ^b   Norr, James L ^b   Norr, Kathleen F ^b  

^a UNIVERSITY OF MALAWI   (Malawi)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Health workers; HIV prevention; Malawi; Peer group intervention

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; FEMALE; HEALTH CARE PERSONNEL; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INTERVENTION STUDY; MALAWI; MALE; PEER GROUP; REGRESSION ANALYSIS; RURAL POPULATION;

ADULT; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH PERSONNEL; HIV INFECTIONS; HUMANS; INTERVENTION STUDIES; MALAWI; MALE; PEER GROUP; REGRESSION ANALYSIS; RURAL POPULATION;

EID: 79952004507     PISSN: 15276546     EISSN: 15475069     Source Type: Journal    
DOI: 10.1111/j.1547-5069.2011.01384.x     Document Type: Article

References (38)

1. Adebajo, S. B., Bamgbala, A. O., & Oyediran, M. A. (2003). Attitudes of health care providers to persons living with HIV/AIDS in Lagos State, Nigeria. African Journal of Reproductive Health, 7, 103-112.
2. Aisien, A. O., & Shobowale, M. O. (2005). Health care workers' knowledge on HIV and AIDS: Universal precautions and attitude towards PLWHA in Benin-City, Nigeria. Nigerian Journal of Clinical Practice, 8, 74-82.
3. Ajzen, I., & Madden, T. J. (1986). Prediction of goal-directed behavior: Attitudes, intentions and perceived behavioral control. Journal of Experimental Psychology, 22, 453-474.
4. Albarracin, D., Gillette, J. C., Earl, A. N., Glasman, L. R., Durantini, M., & Moon-Ho, H. (2005). A test of major assumptions about behavior change: A comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychological Bulletin, 13(6), 856-897.
5. Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122-147.
6. Chimango, J. L., Kaponda, C. N., Jere, D. L., Chimwaza, A., Crittenden, K. S., Kachingwe, S. I., et al. (2009). Impact of a peer-group intervention on occupation-related behaviors for urban hospital workers in Malawi. Journal of the Association of Nurses in AIDS Care, 20, 293-307.
7. Chimbiri, A. M. (2007). The condom is an "intruder" in marriage: Evidence from rural Malawi. Social Science and Medicine, 64, 1102-1115.
8. Collins, P. Y., Mestry, K., Wainberg, M. L., Nzama, T., & Lindegger, G. (2006). Training South African mental health care providers to talk about sex in the era of AIDS. Psychiatric Services, 57, 1644-1647.
9. Dancy, B. L., Marcantonio, R., & Norr, K. (2000). The long-term effectiveness of an HIV prevention intervention for low-income African American women. AIDS Education and Prevention, 12, 113-125.
10. Dieleman, M., Bwete, V., Maniple, E., Bakker, M., Namaganda, G., Odaga, J., et al. (2007). "I believe that the staff have reduced their closeness to patients": An exploratory study on the impact of HIV/AIDS on staff in four rural hospitals in Uganda. BMC Health Services Research, 7, 205. Retrieved from
11. Ezedinachi, E. N., Ross, M. W., Meremiku, M., Essien, E. J., Edem, C. B., Ekure, E., et al. (2002). The impact of an intervention to change health workers' HIV/AIDS attitudes and knowledge in Nigeria: A controlled trial. Public Health, 116, 106-112.
12. Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behavior: An introduction to theory and research. Reading, MA: Addison Wesley.
13. Hesse, A., Adu-Aryee, N., Entsua-Mensah, K., & Wu, L. (2006). Knowledge, attitude and practice of universal basic precaution by medical personnel in a teaching hospital. Ghana Medical Journal, 40, 61-64.
14. Jere, D. L., Kaponda, C. P. N., Chimwaza, A., Crittenden, K. S., McCreary L. L., Norr, J. L., et al. (2010). The impact of peer group intervention on rural health workers' universal precautions and teaching in Malawi. AIDS Care, 20(4), 293-308.
15. Kachingwe, S. I., Norr, K., Kaponda, C. P. N., Norr, J., Mbweza, E., & Magai, D. (2005). Preparing teachers as HIV/AIDS prevention leaders in Malawi: Evidence from focus groups. International Electronic Journal of Health Education, 8, 193-204.
16. Kaponda, C. P., Jere, D. L., Chimango, J. L., Chimwaza, A. F., Crittenden, K. S., Kachingwe, S. I., et al. (2009). Impacts of a peer-group intervention on HIV-related knowledge, attitudes, and personal behaviors for urban hospital workers in Malawi. Journal of the Association of Nurses in AIDS Care, 20, 230-242.
17. Kiragu, K., Ngulube, T., Nyumbu, M., Njobvu, P., Eerens, P., & Mwaba, C. (2007). Sexual risk-taking and HIV testing among health workers in Zambia. AIDS Behavior, 11, 131-136.
18. McCreary, L. L., Kaponda, C. P., Norr, K. F., Jere, D. L., Chipeta, C. H., Davis, K. K., et al. (2008). Rural Malawians' perceptions of HIV risk behaviors and their sociocultural context. AIDS Care, 20, 946-957.
19. McElmurry, B. J., & Keeney, G. B. (1999). Primary health care. Annual Review of Nursing Research, 17, 241-268.
20. Medley, A., Kennedy, C., O'Reilly, K., & Sweat, K. (2009). Effectiveness of peer education interventions for HIV prevention in developing countries: A systematic review and meta-analysis. AIDS Education and Prevention, 21(3), 181-206.
21. National Statistical Office. (2005). Malawi Demographic and Health Survey, 2004. Calverton, MD: National Statistical Office Malawi and ORC Macro.
22. Noar, S. M. (2008). Behavioral interventions to reduce HIV-related sexual risk behavior: Review and synthesis of meta-analytic evidence. AIDS Behavior, 12, 335-353.
23. Norr, K., Kaponda, C. P. N., Crittenden, K. S., Dancy, B. L., Jere, D. L., & Kachingwe, S. I. (2006). A primary health care intervention to mobilize health workers for HIV prevention in Malawi. Primary Health Care Research and Development, 7, 318-330.
24. Norr, K. F., Norr, J. L., Kaponda, C. P. N., Kachingwe, S. I., & Mbweza, E. (2007). HIV prevention for primary school teachers in Malawi: Short-term effects of peer groups. African Journal of AIDS Research, 6(3), 239-249.
25. Norr, K. F., Norr, J. L., McElmurry, B. J., Tlou, S., & Moeti, M. R. (2004). Impact of peer group education on HIV prevention among women in Botswana. Health Care for Women International, 25, 210-226.
26. Plummer, M. L., Ross, D. A., Wight, D., Changalucha, J., Mshana, G., Wamoyi, J., et al. (2004). "A bit more truthful:" The validity of adolescent sexual behavior data collected in rural northern Tanzania using five methods. Sex, 80(Suppl. 2), 49-56.
27. Rahlenbeck, S. I. (2004). Knowledge, attitude, and practice about AIDS and condom utilization among health workers in Rwanda. Journal of the Association of Nurses in AIDS Care, 15, 56-61.
28. Reis, C., Heisler, M., Amowitz, L. L., Moreland, R. S., Mafeni, J. O., Anyamele, C., et al. (2005). Discriminatory attitudes and practices by health workers toward patients with HIV/AIDS in Nigeria. PLoS Medicine, 2, e246. doi:
29. Ross, D. A., Changalucha, J., Obasi, A. I. N., Todd, J., Plummer, M. L., Cleophas-Mazige, B., et al. (2007). Biological and behavioral impact of an adolescent sexual health intervention in Tanzania: A community-randomized trial. AIDS, 21, 1943-1955.
30. Rotheram-Borus, M. J., Swendeman, D., & Chovnick, G. (2009). The past, present and future of HIV prevention: Integrating behavioral, biomedical, and structural intervention strategies for the next generation of HIV prevention. Annual Review of Clinical Psychology, 5, 143-167.
31. Sadoh, W. E., Fawole, A. O., Sadoh, A. E., Oladimeji, A. O., & Sotiloye, O. S. (2006). Practice of universal precautions among healthcare workers. Journal of the National Medical Association, 98, 722-726.
32. Schmid, G. P., Buve, A., Mugyenyi, P., Garnett, G. P., Hayes, R. J., Williams, B. G., et al. (2004). Transmission of HIV-1 infection in sub-Saharan Africa and effect of elimination of unsafe injections. Lancet, 363, 482-488.
33. Shisana, O., Hall, E. J., Maluleke, R., Chauveau, J., & Schwabe, C. (2004). HIV/AIDS prevalence among South African health workers. South African Medical Journal, 94, 846-850.
34. Smith, K., & Watkins, S. C. (2005). Perceptions of risk and strategies for prevention: Responses to HIV/AIDS in rural Malawi. Social Science and Medicine, 60(3), 649-660.
35. Talashek, M. L., Kaponda, C. P., Jere, D. L., Kafulafula, U., Mbeba, M. M., McCreary, L. L., et al. (2007). Identifying what rural health workers in Malawi need to become HIV prevention leaders. Journal of the Association of Nurses in AIDS Care, 18, 41-50.
36. Tarwireyi, F., & Majoko, F. (2003). Health workers' participation in voluntary counselling and testing in three districts of Mashonaland East Province, Zimbabwe. Central African Journal of Medicine, 49, 58-62.
37. Uwakwe, C. B. (2000). Systematized HIV/AIDS education for student nurses at the University of Ibadan, Nigeria: Impact on knowledge, attitudes and compliance with universal precautions. Journal of Advanced Nursing, 32, 416-424.
38. Walusimbi, M., & Okonsky, J. G. (2004). Knowledge and attitude of nurses caring for patients with HIV/AIDS in Uganda. Applied Nursing Research, 17, 92-99.