RESUMO
The rapid growth of the HIV epidemic in China has raised a number of concerns among health care providers, governmental agencies, and nongovernmental organizations (NGOs). This article (a) briefly discusses the HIV epidemic in China, (b) explains why Chinese NGOs need to join the fight against the epidemic, (c) describes the development of an indigenous culture-based model for use by NGOs to prevent HIV among injection drug users, and (d) discusses a Chinese NGO's experience in piloting the model. Data from the pilot study indicate that the model was successful in increasing knowledge about HIV/AIDS, increasing condom use, and decreasing needle and syringe sharing among a sample of female injection drug users (n = 100). The results of this study could have potential for other NGOs that are interested in adopting and adapting this model for HIV prevention.
Assuntos
Relações Comunidade-Instituição , Infecções por HIV/prevenção & controle , Educação em Saúde/organização & administração , Organizações , Avaliação de Processos em Cuidados de Saúde , Abuso de Substâncias por Via Intravenosa/prevenção & controle , Adulto , China/epidemiologia , Preservativos/estatística & dados numéricos , Família/etnologia , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Uso Comum de Agulhas e Seringas/efeitos adversos , Uso Comum de Agulhas e Seringas/psicologia , Projetos Piloto , Desenvolvimento de Programas , Fatores de Risco , Abuso de Substâncias por Via Intravenosa/complicações , Abuso de Substâncias por Via Intravenosa/epidemiologiaRESUMO
With the increasing emphasis on evaluating the effectiveness of community-based organizations' HIV prevention programs, the needs, concerns, and strategies related to having stakeholders participate in designing and conducting an outcome evaluation need to be discussed. Stakeholders' participation in outcome evaluation ensures its relevancy and fairness. Participatory outcome evaluation starts with assessing the feasibility of conducting an outcome evaluation and determining whether stakeholders have a need for an outcome evaluation. If an outcome evaluation is possible and needed, the areas in which stakeholders can make important contributions to the evaluation are negotiated with the stakeholders. The article also discusses strategies to improve stakeholders' use of the results of outcome evaluation.
