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Peer-led interventions to reduce HIV risk of youth: A review

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  • Maticka-Tyndale, Eleanor
  • Barnett, Jessica Penwell

Abstract

One approach in HIV prevention programming targeting youth is to use peer leaders in what is referred to as peer education programming. This paper critically reviews and synthesizes the results and lessons learned from 24 evaluated peer-led programs with an HIV/AIDS risk reduction component that target youth in the communities where they live and are delivered in low- and middle-income countries. Interventions were identified through a comprehensive search of the peer reviewed AIDS-related literature as well as publication lists of major organizations in the UN family that address HIV and AIDS. Our synthesis of study results finds that these programs have demonstrated success in effecting positive change in knowledge and condom use and have demonstrated some success in changing community attitudes and norms. Effects on other sexual behaviors and STI rates were equivocal. We include an overview of characteristics of successful programs, a review of program limitations, and recommendations for the development and implementation of successful community-based peer-led programs in low-income countries.

Suggested Citation

  • Maticka-Tyndale, Eleanor & Barnett, Jessica Penwell, 2010. "Peer-led interventions to reduce HIV risk of youth: A review," Evaluation and Program Planning, Elsevier, vol. 33(2), pages 98-112, May.
    • Handle: RePEc:eee:epplan:v:33:y:2010:i:2:p:98-112
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    References listed on IDEAS

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    1. Bagamoyo College of Arts & Tanzania Theatre Centre & Mabala, Richard & Allen, Karen B., 2002. "Participatory action research on HIV/AIDS through a popular theatre approach in Tanzania," Evaluation and Program Planning, Elsevier, vol. 25(4), pages 333-339, November.
    2. Pronyk, Paul M. & Harpham, Trudy & Morison, Linda A. & Hargreaves, James R. & Kim, Julia C. & Phetla, Godfrey & Watts, Charlotte H. & Porter, John D., 2008. "Is social capital associated with HIV risk in rural South Africa?," Social Science & Medicine, Elsevier, vol. 66(9), pages 1999-2010, May.
    3. Gallant, Melanie & Maticka-Tyndale, Eleanor, 2004. "School-based HIV prevention programmes for African youth," Social Science & Medicine, Elsevier, vol. 58(7), pages 1337-1351, April.
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    1. Vangeepuram, Nita & Angeles, Jesenia & Lopez-Belin, Patricia & Arniella, Guedy & Horowitz, Carol R., 2020. "Youth Peer Led Lifestyle Modification Interventions: A Narrative Literature Review," Evaluation and Program Planning, Elsevier, vol. 83(C).
    2. Eisenberg, Marla E. & Wall, Melanie & Shim, Jin Joo & Bruening, Meg & Loth, Katie & Neumark-Sztainer, Dianne, 2012. "Associations between friends' disordered eating and muscle-enhancing behaviors," Social Science & Medicine, Elsevier, vol. 75(12), pages 2242-2249.
    3. Tyler, Kimberly A. & Melander, Lisa A., 2012. "Individual and social network sexual behavior norms of homeless youth at high risk for HIV infection," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2481-2486.
    4. Fearon, Elizabeth & Wiggins, Richard D. & Pettifor, Audrey E. & Hargreaves, James R., 2015. "Is the sexual behaviour of young people in sub-Saharan Africa influenced by their peers? A systematic review," Social Science & Medicine, Elsevier, vol. 146(C), pages 62-74.
    5. Tulloch, Olivia & Taegtmeyer, Miriam & Ananworanich, Jintanat & Chasombat, Sanchai & Kosalaraksa, Pope & Theobald, Sally, 2015. "What can volunteer co-providers contribute to health systems? The role of people living with HIV in the Thai paediatric HIV programme," Social Science & Medicine, Elsevier, vol. 145(C), pages 184-192.
    6. Keith James Topping, 2022. "Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    7. Ngina McAlpin & Cordelia R. Elaiho & Farrah Khan & Cristina Cruceta & Crispin Goytia & Nita Vangeepuram, 2022. "Use of Focus Groups to Inform a New Community-Based Youth Diabetes Prevention Program," IJERPH, MDPI, vol. 19(15), pages 1-23, August.

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