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Informationen zum Autor Mary Louisa Plummer was the Social Science Coordinator for the MEMA kwa Vijana trial and currently is a consultant to the UK Medical Research Council's Social and Public Health Sciences Unit. She lives in Dar es Salaam, Tanzania. Klappentext Promotion of the low risk "ABC" behaviors-Abstinence, Being faithful, and Condom use-has had only limited success in Africa. This book draws on a large qualitative study affiliated with an adolescent intervention trial to examine how ABC promotion can be improved. It evaluates the MEMA kwa Vijana sexual health program, which was implemented in 62 primary schools and 18 health facilities in rural Tanzania, scrutinizing its teacher-led curriculum, peer education, youth-friendly health services, youth condom distribution, and community mobilization components. The book examines how implementing such a low-cost, large-scale program involved many compromises, including those between national policies and international "best practice" recommendations, between the most desirable intervention design and one that was affordable and sustainable at a large scale, between optimal teaching methods and real-world teaching capacity, between ideal curriculum content and what was acceptable to the local community, and between adults' values and youths' realities. The program's impact is evaluated by triangulating findings from three person-years of participant observation, in-depth interviews, survey interviews, and biomedical tests.The book also provides in-depth case studies to examine the motivations and strategies of extraordinary young people who practiced ABC behaviors. It outlines broad principles for ABC promotion, including: acknowledging existing youth sexual relationships; promoting each low risk behavior in complexity and depth; working with preexisting, culturally compelling motivations; and intervening at individual, interpersonal, community, and structural levels. Many recommendations for the promotion of specific ABC behaviors are discussed, such as reducing pressures and incentives for girls to have sex; targeting male risk-perception and self-preservation; promoting alternative forms of masculinity than sexual conquest; strengthening premarital and marital relationships; tailoring fidelity programs for hidden couples, couples planning to marry, and monogamous and polygynous married partners; and addressing pleasure, trust, pregnancy prevention, and fertility protection in condom promotion. The book concludes with additional recommendations specific to school programs, and a review of promising complementary interventions for out-of-school youth, women, men, couples, and parents. Zusammenfassung This book examines how the “ABC” behaviors—Abstinence, Being faithful, and Condom use— can be promoted more effectively with young rural Africans. It draws on an extraordinarily large qualitative study affiliated with a randomized controlled trial in Tanzania. Inhaltsverzeichnis Part one: IntroductionChapter 1: IntroductionChapter 2: Research MethodsChapter 3: Typical Young People's Lives and Sexual RelationshipsPart two: Intervention EvaluationChapter 4: MEMA kwa Vijana Intervention Overview and Community MobilizationChapter 5: The MEMA kwa Vijana School ProgramChapter 6: MEMA kwa Vijana Health Services and Condom DistributionChapter 7. Impact of the MEMA kwa Vijana InterventionPart three: Young People Who Practiced Low Risk Sexual BehaviorsCase Study Series 1: "So It Is Like This! Not For Me": Young People Who AbstainedChapter 8: AbstinenceCase Study Series 2: "This One Is Enough": Young People Who Limited Their Partner Number and/or Were MonogamousChapter 9: "Being Faithful": Limiting Partner Number and/or Practicing FidelityCase Study Series 3: "The First Time He Didn't Have One, So I Refused": Young People Who Used CondomsChapter 10: Condom UsePart four: RecommendationsChapter 11: Intervention Recommendations...
