title: IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.
abstract: BACKGROUND
  Primary School Action for Better Health (PSABH) became the national HIV prevention curriculum of Kenya in 2005.
  
  
  OBJECTIVE
  To examined implementation of PSABH and student risk behaviour s.
  
  
  METHODS
  Muhuru, a rural division of Nyanza Province.
  
  
  METHODS
  One thousand one hundred and forty six students aged 9-21 years from six primary schools in Muhuru.
  
  
  METHODS
  Anonymous surveys were administered to assess students'exposure to PSABH curriculum components, sexual activity, condom use, and self-efficacy related to engaging in lower risk behaviours.
  
  
  RESULTS
  The six schools implementing PSABH were not implementing the full curriculum. Fifty-five percent of males and 44% of females reported a history of sexual activity. For females, condom self-efficacy was related to lower risk behaviour, while HIV education during pastoral instruction was associated with higher risk. Boys who reported higher self-efficacy and learning about abstinence strategies engaged in lower risk behaviour , while exposure to HIV education in assemblies and communication with relatives about HIV was associated with higher risk.
  
  
  CONCLUSIONS
  Previous studies documented benefits of PSABH. However, it is unclear how effective the curriculum is after national scale-up. In this community, PSABH was implemented at a low level, with some curriculum components associated with higher risk behaviour, calling into question how PSABH is being delivered. Future studies should examine effective strategies for ongoing support, monitoring, and evaluation. Successfully disseminating evidence-based prevention strategies could reduce HIV incidence and the burden on healthcare providers struggling to care for people living with HIV/AIDS.
authors: E J
authors: EJ
authors: Matthews
authors: E S
authors: ES
authors: Puffer
authors: C S
authors: CS
authors: Meade
authors: S A
authors: SA
authors: Broverman
mesh_terms: D000293:Adolescent; D002648:Child; D003479:Curriculum; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007630:Kenya; D008297:Male; D012572:School Health Services; D012725:Sexual Behavior; D055815:Young Adult