       Document 0834
 DOCN  M9640834
 TI    HIV/AIDS prevention among female sexual partners of injection drug users
       in Ciudad Juarez, Mexico.
 DT    9604
 AU    Ferreira-Pinto JB; Ramos R; School of Public Health, University of
       Texas-Houston, USA.
 SO    AIDS Care. 1995;7(4):477-88. Unique Identifier : AIDSLINE MED/96119354
 AB    A participatory community project in the US-Mexico border town of Ciudad
       Juarez, aimed at helping women who are sex partners of male injection
       drug users to reduce behaviours which increase their risk for HIV
       infection, is described and evaluated. The design and implementation of
       the project were influenced by Paulo Freire's pedagogy in the Latin
       American tradition of 'popular' education, by Bandura's self-efficacy
       concepts, and by David Warner's 'barefoot doctor' community health care
       methodology. Using these approaches the participants were directly
       involved in the development of teaching materials, and curriculum
       content and implementation of the project. The programme was evaluated
       quantitatively using NIDA's AIDS Intake and Follow-up Assessment
       (AIA/AFA) questionnaires, and qualitatively using open ended interviews.
       While the AIA/AFA questionnaires detected small changes in the frequency
       of condom use among the participants, ethnographic interviews detected
       significant changes in the nature of the behaviours which were placing
       the women at risk. The changes seem to stem from an increase in the
       degree of self-esteem, self-efficacy and awareness of the social,
       economic, and political constraints of their lives. These results
       demonstrate the need for qualitative measures to be incorporated in the
       evaluation of community based health education programmes. A series of
       recommendations is presented to facilitate further development and
       replication of the programme in similar populations.
 DE    Adolescence  Adult  Condoms  Female  Human  HIV Infections/*PREVENTION &
       CONTROL  Mexico  Middle Age  National Institutes of Health (U.S.)
       Program Evaluation  Risk Factors  *Risk-Taking  Self-Help Groups  *Sex
       Behavior  *Sexual Partners  *Substance Abuse, Intravenous  Teaching
       Materials  United States  *Women's Health Services  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

