Peer-Led Interventions to Reduce HIV Risk of Youth: A Review
Maticka-Tyndale, E., & Barnett, J.P. Evaluation and Program Planning, (2009), 33(2), pp. 98-112.
The researchers review 24 youth HIV POE programs in developing nations and report that the programs overall led to improved HIV knowledge and social norms but there was no corresponding increase in condom use, except among subgroups. Similarly, there was no clear evidence of a reduction in symptoms of sexually transmitted infections. The authors note that the “greatest successes were reported in studies with the weakest designs.” They comment on the findings of Kim and Freein which benefit from adolescent POE programs was not found. They suggest some reasons for the lack of positive findings, including the large number of studies from high-income nations, such as the US and UK, and the attitudes in low- and middle-income nations where program outcome assessments are seen as “unnecessary, costly and time consuming…with little or no benefit to the program itself.” The authors cite other research suggesting that poor monitoring could contribute to weak delivery.