A qualitative assessment of participation in a rapid scale-up, diagonally-integrated MDG-related disease prevention campaign in Rural Kenya.
BACKGROUND
Many countries face severe scale-up barriers toward achievement of MDGs. We ascertained motivational and experiential dimensions of participation in a novel, rapid, "diagonal" Integrated Prevention Campaign (IPC) in rural Kenya that provided prevention goods and services to 47,000 people within one week, aimed at rapidly moving the region toward MDG achievement. Specifically, the IPC provided interventions and commodities targeting disease burden reduction in HIV/AIDS, malaria, and water-borne illness.


METHODS
Qualitative in-depth interviews (IDI) were conducted with 34 people (18 living with HIV/AIDS and 16 not HIV-infected) randomly selected from IPC attendees consenting to participate. Interviews were examined for themes and patterns to elucidate participant experience and motivation with IPC.


RESULTS
Participants report being primarily motivated to attend IPC to learn of their HIV status (through voluntary counseling and testing), and with receipt of prevention commodities (bednets, water filters, and condoms) providing further incentive. Participants reported that they were satisfied with the IPC experience and offered suggestions to improve future campaigns.


CONCLUSIONS
Learning their HIV status motivated participants along with the incentive of a wider set of commodities that were rapidly deployed through IPC in this challenging region. The critical role of wanting to know their HIV status combined with commodity incentives may offer a new model for rapid scaled-up of prevention strategies that are wider in scope in rural Africa.
State University of New York Upstate Medical University, Syracuse, New York, United States of America. dyet@upstate.edu
Timothy De Ver
Tde V
Dye
Rose
R
Apondi
Eric
E
Lugada
D003625:Data Collection; D015658:HIV Infections / Q000517:prevention & control*; D006292:Health Priorities; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D007630:Kenya; D008288:Malaria / Q000517:prevention & control; D009042:Motivation; D012423:Rural Health / Q000592:standards*; D012424:Rural Population
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