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MARCH Outcome Evaluation

Since such information was not available at baseline, this analysis was entirely based on the outcome survey data. Besides, due to difficulty in responding to such questions and the fact that a substantial proportion of the respondents from West Hararghe (about 33%) did not respond to these questions, only the data from Addis Ababa were used for this particular assessment.

Items used for Condom use self-efficacy         Box 4. Items used for Condom use self-efficacy

1.

How sure are you that you would be able to put a condom on yourself or your partner?

2.

How sure are you that you would be able to put a condom on yourself or your partner with out feeling embarrassed?

3.

How sure are you that you would be able to suggest using condoms if you were unsure of your partner's feelings about using condoms?

4.

How sure are you that you would be able to use a condom even after you have been drinking?

5.

How sure are you that you would be able to stop to put a condom on yourself or your partner even in the heat of passion?

6.

How sure are you that you would be able to ask a new partner to use condoms?

7.

How sure are you that you would be able to convince your partner to use a condom during intercourse even if he or she were against it at the beginning?

8.

How sure are you that you would be able to ask a partner you haven't been using condoms with to start using them?

A total of 8 items (questions) were used to measure respondents’ self-efficacy in relation to condom use (Box 4). Each of the items was scored on a 5-point Likert scale, where 1 = Not at all sure 2= Only a little sure   3 = Somewhat sure 4 = Very sure and 5 = Extremely sure.

Items used for Condom use outcome

expectancy       Box 5. Items used for condom use outcome expectancy

1.

How likely do you think it is that you would feel embarrassed if you used condoms with your partner?

2.

How likely do you think it is that you would feel like you were protecting yourself and your partner if you used condoms?

3.

How likely do you think it is that your partner would not trust you if you used condoms?

4.

How likely do you think it is that your partner would appreciate it if you used condoms?

5.

How likely do you think it is that you would not enjoy sex if you used condoms?

6.

How likely do you think it is that your partner would have other partners if you used condoms?

Six items (questions) were used to measure respondents’ outcome expectancy in relation to condom use (Box 5). Each of the items was scored on a 5-point Likert scale, where 1 = Not at all sure 2= Only a little sure   3 = Somewhat sure 4 = Very sure and 5 = Extremely sure.

As shown in Table 10, the perceived efficacy to use condom was positively and significantly correlated with exposure to the MARCH. As can be seen, the median self-efficacy score significantly increased from 3 among the non-exposed, to levels of 3.5 and 3.9 among the moderately-and highly-exposed, respectively. Likewise, the corresponding proportion of respondents that scored above the median in the condom self-efficacy score (i.e. high self-efficacy level) ranged from 48.5% among the non-exposed to 61.9% and 60%, respectively, among the moderately-and highly-exposed respondents. The multivariate analysis using logistic

Addis Ababa and West Hararghe

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