Development action with informed and engaged societies
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Impact Data - AIDS Interventions with Churches

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The purpose of this project was to increase the number and capacity of Kenyan churches initiating and managing effective, culturally appropriate, and locally sustainable HIV/AIDS control programmes within their communities. The project was designed to influence the church congregations as well as the clergy.

Methodologies
The evaluation was conducted using baseline and end-of-project follow-up research (quantitative Knowledge, Attitudes, Behavior, and Practices [KABP] survey and focus group discussions) among church leaders and church youth, aged 12-19.
Knowledge Shifts
Greater than 80% of youth and church leaders identified at least 2 correct strategies for HIV/AIDS prevention. The percent of respondents identifying these strategies increased by as much as 15%.
Practices
60% of church leaders were providing services to people living with AIDS (PLWA), and while counselling of PLWAs increased by 6% overall, it was 17% higher among clergy who participated in the project than those who did not. Among youth respondents, there was a decrease in the number of sexual partners, in the range of 50 - 75% between 1994 and 1996. 41% of youth decided to have sex with only one partner, compared to 25% in 1994.

There were solid indicators of changed behaviour as a result of this programme. These indicators were seen in the choices impacted youth were making as to preferred source of information about sex and sexuality - e.g., choices about number of, and attitudes toward, sexual partners.
Attitudes
55% of church pastors felt that the churches were responding well to the AIDS crisis, an increase from only 2% in 1994. There was also a significant reduction in the number of pastors who believed that AIDS was a curse from God.
Increased Discussion of Development Issues
Greater than 93% of respondents indicated they were involved in counselling activities. The frequency of discussion of sexual matters, HIV/AIDS, male/female relationships, and parent/youth issues increased anywhere from 15 to 20%.
Access
Some 1.5 million rural Kenyans viewed the movie "Springs of Life" run by the mobile national cinema van alone; overall, 2,444,700 Kenyans were exposed to the message. In addition, the 105 clergy members (who had been trained) contacted over 56,400 people in under 3 months through 576 different activities of various types.
Other Impacts
Some of the lessons learned included:
  • Providing current, reliable information to church leadership was an essential element in empowering them to speak out on policy issues related to AIDS - and the clergy were "shocked" into taking the HIV threat in their communities seriously.
  • Information and comparative examples were of prime interest to churches - rather than specific advice, counsel, or policy recommendations.
  • Pastoral training workshops were important for the education of clergy but also contributed to their own networking and ability to share information more fully.
Source
Family Health International AIDS Control and Prevention Project - Final Report for the AIDSCAP Program in Kenya. September 1992 to December 1997 pages 137-142. A project funded by USAID. Click here for the online version.