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The Impact of the African Youth Alliance Program on the Sexual Behavior of Young People in Uganda

Identifieur interne : 000A61 ( Main/Exploration ); précédent : 000A60; suivant : 000A62

The Impact of the African Youth Alliance Program on the Sexual Behavior of Young People in Uganda

Auteurs : Ali Mehryar Karim ; Timothy Williams [États-Unis] ; Leslie Patykewich [États-Unis] ; Disha Ali [Éthiopie] ; Charlotte E. Colvin ; Jessica Posner ; Gideon Rutaremwa [Ouganda]

Source :

RBID : ISTEX:E0354F40B39A0197027870AD9C40443399DD71C5

Descripteurs français

English descriptors

Abstract

This study evaluates the impact of the African Youth Alliance (AYA) program on the sexual behavior of young people aged 17–22 in Uganda. Between 2000 and 2005, the comprehensive multicomponent AYA program implemented behavior‐change communication and youth‐friendly clinical services, and it coordinated policy and advocacy. The program provided institutional capacity building and established coordination mechanisms between agencies that implemented programs for young people. The analysis of findings from both a self‐reported exposure design and a static group comparison design indicated that AYA had a positive impact on sexual behavior among young females but not among young males. AYA‐exposed girls were at least 13 percentage points more likely to report having used a condom at last sex, at least 10 percentage points more likely to report that they had consistently used condoms with their current partner, at least 10 percentage points more likely to have used contraceptives at last sex, and 13 percentage points more likely to have had fewer sex partners during the past 12 months, compared with girls who were not exposed to the AYA program. Scaling up the AYA program in Uganda could, therefore, be expected to improve significantly the sexual and reproductive health of young women. Effective strategies for promoting safer sexual behaviors among boys and young men must be identified, however.

Url:
DOI: 10.1111/j.1728-4465.2009.00212.x


Affiliations:


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<term>Exposure design</term>
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<term>Marital status</term>
<term>Mass media</term>
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<term>Nations population fund</term>
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<term>Nonrandom</term>
<term>Nonrandom program placement</term>
<term>Null impact</term>
<term>Other aspects</term>
<term>Other sites</term>
<term>Other words</term>
<term>Partner reduction</term>
<term>Partnersb condom</term>
<term>Peer education</term>
<term>Peer educators</term>
<term>Percentage distribution</term>
<term>Percentage points</term>
<term>Poorer middle</term>
<term>Poorest quintile</term>
<term>Population council</term>
<term>Positive impact</term>
<term>Postintervention data</term>
<term>Probit</term>
<term>Probit model</term>
<term>Probit models</term>
<term>Program components</term>
<term>Program exposure</term>
<term>Program impact</term>
<term>Program placement</term>
<term>Propensity</term>
<term>Propensity score</term>
<term>Propensity scores</term>
<term>Protective factors</term>
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<term>Radio programs</term>
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<term>Sexual behavior outcomes</term>
<term>Sexual behaviors</term>
<term>Sexual initiation</term>
<term>Sexual initiationa</term>
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<term>Similar background characteristics</term>
<term>Simple probit model</term>
<term>Simultaneous equations model</term>
<term>Simultaneous equations models</term>
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<term>Static group comparison analysis</term>
<term>Static group comparison design</term>
<term>Study arms</term>
<term>Study design</term>
<term>Study designs</term>
<term>Study respondents</term>
<term>Such programs</term>
<term>Survey respondents</term>
<term>Tanzania</term>
<term>Teen pregnancy</term>
<term>Timothy williams</term>
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<term>Uganda aids commission secretariat</term>
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<term>Unbiased</term>
<term>Unbiased effect</term>
<term>Unbiased impact</term>
<term>Unexplained variance</term>
<term>Unobserved</term>
<term>Unobserved confounders</term>
<term>Unobserved factors</term>
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<term>Vention comparison</term>
<term>Voluntary counseling</term>
<term>World health organization</term>
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<term>Young adults</term>
<term>Young females</term>
<term>Young males</term>
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<div type="abstract" xml:lang="en">This study evaluates the impact of the African Youth Alliance (AYA) program on the sexual behavior of young people aged 17–22 in Uganda. Between 2000 and 2005, the comprehensive multicomponent AYA program implemented behavior‐change communication and youth‐friendly clinical services, and it coordinated policy and advocacy. The program provided institutional capacity building and established coordination mechanisms between agencies that implemented programs for young people. The analysis of findings from both a self‐reported exposure design and a static group comparison design indicated that AYA had a positive impact on sexual behavior among young females but not among young males. AYA‐exposed girls were at least 13 percentage points more likely to report having used a condom at last sex, at least 10 percentage points more likely to report that they had consistently used condoms with their current partner, at least 10 percentage points more likely to have used contraceptives at last sex, and 13 percentage points more likely to have had fewer sex partners during the past 12 months, compared with girls who were not exposed to the AYA program. Scaling up the AYA program in Uganda could, therefore, be expected to improve significantly the sexual and reproductive health of young women. Effective strategies for promoting safer sexual behaviors among boys and young men must be identified, however.</div>
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