The impact of the First AIDS Kit, an AIDS and lifestyle education programme, on secondary school students' behavioural intentions, their knowledge of AIDS as well as attitude towards people with AIDS, was evaluated. The programme was presented by counselling teachers in 11 schools involving 339 students in Stds 6 to 9. The programme was evaluated by means of a questionnaire before and after the programme, as well as by focus group discussions with students and interviews with the presenters of the programme. Although the programme was not presented in ideal circumstances, it had a positive effect on students' knowledge of AIDS, their attitude towards people with AIDS and although not statistically significant, some aspects of their behavioural intentions. Students evaluated the programme positively, as preparing them for life and giving them more control over their lives. Students gave suggestions to improve the programme with regard to the content, presenter, educational techniques, role of parents and how to address moral issues. It is recommended that AIDS education should form part of long-term life skills and sex education and the focus should be on behavioural change. Community education and participation are also key elements in the effectiveness of school-based AIDS education programmes.
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References
1.
KarimS.S. AbdoolKarimQ. AbdoolPreston-WhyteE.SankarN. (1992). Reasons for lack of condom use among high school students. South African Medical Journal, 82, 107–110.
2.
AjzenI.FishbeinM. (1980). Understanding attitudes and predicting social behavior.Englewood Cliffs, N.J.: Prentice-Hall.
3.
AlbeeG.W. (1989). Primary prevention in public health: problems and challenges of behavior change as prevention. In MaysV.M.AlbeeG.W.SchneiderS.F. (Eds.), Primary prevention of AIDS: psychological approaches (pp. 17–20). Primary prevention of psychopathology Vol XIII. Newbury Park: Sage.
4.
AllensworthD.D.SymonsC.W. (1989). A theoretical approach to school-based HIV prevention. Journal of School Health, 59, 59–65.
5.
AndreT.BormannL. (1991). Knowledge of Acquired Immune Deficiency Syndrome and sexual responsibility among high school students. Youth and Society, 22, 339–361.
6.
BaldwinJ.D.BaldwinJ.I. (1988). Factors affecting AIDS-related sexual risk-taking behavior among college students. Journal of Sex Research, 25, 181–196.
7.
BanduraA. (1989). Perceived self-efficacy in the exercise of control over AIDS infection. In MaysV.M.AlbeeG.W.SchneiderS.F. (Eds.), Primary prevention of AIDS: psychological approaches (pp. 128–141). Primary prevention of psychopathology Vol XIII. Newbury Park: Sage.
8.
BanduraA. (1992). A social cognitive approach to the exercise of control over AIDS infection. In Di ClementeR. (Ed.), Adolescents and AIDS: a generation in jeopardy (pp. 89–116). Newbury Park, CA: Sage.
9.
CataniaJ.A.GibsonD.R.ChitwoodD.D.CoatesT.J. (1990). Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108, 339–362.
10.
CilliersC.D. (1989). The role of the school in the Republic of South Africa in the prevention of AIDS - a situation analysis. South African Journal of Education, 9, 1–6.
11.
CoyleS.L.BoruchR.F.TurnerC.F. (1991). Evaluating AIDS prevention programs. Expanded edition. Report of the National Research Council's Committee on AIDS research and the behavioral, social and statistical sciences. Washington: National Academy Press.
12.
CreweM. (1992). AIDS in South Africa: the myth and the reality.Johannesburg: Penguin Books.
13.
DaneF.C. (1990). Research methods.Pacific Grove: Brooks/Cole.
14.
Department of Education and Culture, Administration: House of Assembly (1990). Care for our youth 2000.Pretoria: Government Printer.
15.
Department of National Health and Population Development (1992). First AIDS Kit, the AIDS and lifestyle education programme for teenagers.Pretoria: Department of Health and Population Development.
16.
EvianC.R.IjsselmuidenC.B.PadayacheeG.N.HurwitzH.S. (1990). Qualitative evaluation of an AIDS health education poster. South African Medical Journal, 78, 517–519.
17.
FishbeinM.MiddlestadtS.E. (1989). Using the theory of reasoned action as a framework for understanding and changing AIDS-related behaviors. In MaysV.M.AlbeeG.W.SchneiderS.F. (Eds.), Primary prevention of AIDS: psychological approaches (pp. 93–110). Primary prevention of psychopathology Vol XIII. Newbury Park: Sage.
18.
FisherT.D. (1986). Parent-child communication about sex and young adolescents' sexual knowledge and attitudes. Adolescence, 21, 517–527.
19.
FlisherA.J.RobertsM.M.BlignautR.J. (1992). Youth attending Cape Peninsula day hospitals, sexual behaviour and missed opportunities for contraception counselling. South African Medical Journal, 82, 104–106.
20.
KellyJ.A.MurphyD.A.SikkemaK.J.KalichmanS.C. (1993). Psychological interventions to prevent HIV infection are urgently needed: new priorities for behavioural research in the second decade of AIDS. American Psychologist, 48, 1023–1034.
21.
KirschtJ.P.JosephJ.G. (1989). The health belief model: some implications for behavior change, with reference to homosexual males. In MaysV.M.AlbeeG.W.SchneiderS.F. (Eds), Primary prevention of AIDS: psychological approaches (pp. 111–127). Primary prevention of psychopathology Vol XIII. Newbury Park: Sage.
LachenichtL.G. (1993). A sceptical argument concerning the value of a behavioural solution for AIDS. South African Journal of Psychology, 23, 15–20.
24.
LindeggerG.WoodG. (1995). The AIDS crisis: review of psychological issues and implications, with special reference to the South African situation. South African Journal of Psychology, 25, 1–11.
25.
LernerR.M.SpanierG.B. (1980). Adolescent development: a life-span perspective.New York: McGraw-Hill.
26.
MathewsC.KuhnL.MetcalfC.A.JoubertG.CameronN.A. (1990). Knowledge, attitudes and beliefs about AIDS in township school students in Cape Town. South African Medical Journal, 78, 511–516.
27.
MaysV.M.AlbeeG.W.SchneiderS.F. (Eds) (1989). Primary prevention of AIDS: psychological approaches. Primary prevention of psychopathology Vol XIII. Newbury Park: Sage.
28.
McCormickK. (1989). Reducing the risk: a school leader's guide to AIDS education. National School Boards Association..
29.
Meyer-WeitzA.SteynM. (1992). AIDS preventive education and life skills training programme for secondary schools: development and evaluation. HSRC Report SD-7. Pretoria: HSRC.
30.
NaidooL.R.WilliamsP.KnightS.E.BernsteinA. (1991). A survey of knowledge about AIDS and sexual behaviour among students at the University of Natal, Durban campus.Durban: University of Natal AIDS Committee.
PadayacheeG.N. (1991). Evaluation of AIDS prevention programmes: the key to success. South African Medical Journal, 80, 310–311.
33.
PerkelA.K.StrebelA.JoubertG. (1991). The psychology of AIDS transmission: issues for intervention. South African Journal of Psychology, 21, 148–152.
34.
RatsakaM.H.HirschowitzR. (1993). Knowledge, attitudes, beliefs and general sexual behaviour patterns/practices amongst inhabitants of high density informal settlements with regard to sxuality and AIDS related issues in Alexandra Township. AIDS Research Feedback Session. Unpublished report to the Department of National Health and Population Development.
35.
RichterL.M.Swart-KrugerJ. (1995). AIDS-risk among street children and youth: implications for intervention. South African Journal of Psychology, 25, 31–38.
36.
RoscoeB.KrugerT.L. (1990). AIDS: late adolescents' knowledge and its influence on sexual behaviour. Adolescence, 25, 39–48.
37.
RosenstockI.M. (1974). The health belief model and preventive health behaviour. Health Education Monographs, 2, 354–386.
38.
SlutkinG. (1992, July). What has been learned in HIV prevention programmes. Paper presented at the Eighth International Conference on AIDS, Amsterdam.
39.
TashakkoriA.CleavelandB. (1989, June). Perceived peer/family effects on beliefs and intentions of college students regarding AIDS-preventive behaviors. Paper presented at the Annual Convention of the International Council of Psychologists, Halifax, Canada.
40.
ThomasS.B.GilliamA.G.IwreyC.G. (1989). Knowledge about AIDS and reported risk behaviors among black college students. Journal of American College Health, 38, 61–66.
41.
Van DykA.C. (1991). Voorkoming van VIGS: psigo-sosiale voorspellers van houdings, gedrag en gedragsverandering. Ongepubliseerde doktorale tesis, Universiteit van Suid-Afrika.
42.
VisserM.KorfL.ClaassenN.C.W.PickworthG.E.PosthumaA.B.PretoriusH.W.RoosJ.L. (1993). Evaluation of the First AIDS Kit, a lifestyle and AIDS prevention programme for secondary school students. HSRC Report. Pretoria: HSRC.
43.
WeberR.P. (1990). Basic content analysis.Newbury Park, California: Sage.
44.
World Health Organization (1990). Research package: knowledge, attitudes, beliefs and practices on AIDS, Phase 1 The Questionnaire. Part of: Global programme on AIDS, social and behavioural research unit. Geneva: World Health Organization.
45.
World Health Organization (1992). School health education to prevent AIDS and sexually transmitted diseases. WHO AIDS Series 10. Geneva: World Health Organization.
