A.6.Rapid KAP Post-Intervention Study
National Association for People Living with HIV/AIDS in Malawi
Objective: The purpose of the study was to compare knowledge; attitudes and practices related to HIV/AIDS in the NAPHAM project areas of Blantyre, Lilongwe and Mzuzu and to compare the findings to baseline data collected before NAPHAM interventions in the catchment areas.
Methodology: NAPHAM first conducted a baseline study in Blantyre, Mzuzu and Lilongwe in 2001 before its interventions in the area. The post-intervention KAP study was conducted in the same districts three years later in 2004 among 3 different target populations: adults males and females aged 15-49 years old and youth aged 14-25 years old for a total sample size of 228. Random Lot Quality Assurance Sampling (LQAS) was used to identify households and purposive sampling was used to identify individuals within those households. Data was entered into SPSS and analyzed using descriptive and inferential statistics.
Results: The findings show a significant difference in awarenesss of HIV/AIDS transmission and prevention modes across all three target populations. However, behaviour change in the areas of condom use, HIV testing and personal discrimination towards people living with HIV/AIDS shows no significant difference three years after intervention. However, an increase in condom use and HIV testing is still evident across all three target populations as is a reduction in person discrimination towards people living with HIV/AIDS. Conclusion: Despite almost universal awareness of HIV/AIDS, significant personal behaviour change remains elusive. It is however encouraging that some improvement is being made in the areas of condom use, HIV testing and HIV/AIDS related discrimination.
Recommendations:NAPHAM, together with all other HIV/AIDS stakeholders, must intensify their efforts in the area of behaviour change. It is clear that simple knowledge alone is not enough to lead to behaviour change and that there is need for an enabling environment and supportive structures to facilitate behaviour change. As a way forward, NAPHAM will increasingly implement behavior change strategies among its target population of people living with HIV/AIDS, as well as the wider community.