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Journal of Pediatric Psychology Advance Access published online on February 1, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj100
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Article

Community Collaborative Youth-Focused HIV/AIDS Prevention in South Africa and Trinidad: Preliminary Findings

Donna R. Baptiste EdD 1 *, Arvin Bhana PhD 2, Inge Petersen PhD 3, Mary McKay PhD 4, Dexter Voisin PhD 5, Carl Bell MD 1, and Dona D. Martinez MA 6

1 University of Illinois at Chicago
2 Human Sciences Research Council
3 University of KwaZulu-Natal
4 Mount Sinai Hospital
5 University of Chicago
6 Family Planning Association of Trinidad and Tobago

* To whom correspondence should be addressed.
Donna R. Baptiste, E-mail: dbaptiste{at}psych.uic.edu


  Abstract

Background South Africa and Trinidad and Tobago are disproportionately impacted by high rates of HIV/AIDS among adolescents. Objective The article describes the HIV crises in these countries; outlines a community participatory research framework to adapt and deliver family-based prevention; and presents preliminary data from intervention pilots in each setting. Methods Adapted interventions were piloted with N = 140 families in South Africa and N=16 families in Trinidad and Tobago to refine recruitment and retention efforts and to assess the adapted interventions’ impact on family and risk-related constructs. Results Both settings reported promising results including high recruitment and retention and favourable pre to post changes in parent/youth frequency and comfort in talking about sensitive subjects, HIV transmission knowledge and attitudes about persons with HIV/AIDS. Conclusion International HIV-prevention alliances are increasing. Such alliances are challenged by trust issues, power-differentials and ideological differences. Recommendations are provided on how some challenges can be overcome.

Keywords: adolescent HIV/AIDS; community collaboration; international HIV/AIDS prevention; South Africa; Trinidad and Tobago.
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