Creating Environments that Support Peer Education: Experiences from HIV/AIDS-Prevention in South Africa
Campbell, C. Health Education (2004), 14(3), pp. 361-373.
The author of this editorial reviews her own work and that of others regarding POE among South African youth. She discusses the work of Paulo Freire, the underpinnings of effective POE, and obstacles that have led to mixed results with POE. She cites her own 2001 study in which young people, despite high levels of HIV knowledge, continued to engage in high-risk sex. Barriers cited include low perceived level of personal risk; peer pressure to engage in unprotected sex; limited access to condoms; and poverty that made transaction sex attractive to some young women. The author concludes that program success will be difficult without parallel efforts to change the social environment.