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MARCH Outcome Evaluation

VII. CONCLUSION AND RECOMMENDATIONS

The findings of this evaluation suggest that when individuals are exposed to an intervention that encompasses a peer education and discussion program, supplemented by a radio as well as a community drama series and role model stories, it is likely that their knowledge, attitude and behaviour regarding HIV/AIDS will improve.

Univariate and multivariate analyses revealed a dose-response relationship between exposure to the MARCH and the various outcome indicators used in this evaluation. In fact, for most outcome indicators including those of sexual behaviours, the highest positive changes were noted among the highly-exposed participants of the MARCH. Indeed, with the exception of behavioural indicators, significant positive changes were also associated with moderate exposure to the MARCH, suggesting that moderate exposure to the MARCH could have considerable positive effect on knowledge, attitude and psychosocial constructs relevant to the prevention of HIV/AIDS in these populations. On the other hand, this evaluation demonstrated the fact that moderate exposure was not sufficient to bring about favourable behavioural changes (such as abstinence and delaying age at sexual debut) in these populations. Interestingly, regular participants of the MARCH discussion group (i.e. highly-exposed), especially the never married, exhibited considerable levels of behavioural changes (such sexual abstinence and condom use) as a result of participating in the intervention. This finding has important implication for any future effort that aims at expanding the depth and breadth of the MARCH intervention in the country.

Whereas the multivariate analysis demonstrated that exposure to the MARCH has a net positive effect on the several indicators of HIV/AIDS and sexual behavior in both of the sites, we have also documented a notable positive temporal changes

Addis Ababa and West Hararghe

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