Reducing Alcohol-Related HIV Risk in Katutura, Namibia: Results from a Multi-Level Intervention

A strong body of evidence shows that alcohol consumption is associated with the sexual behaviors that put people at risk for HIV and other sexually transmitted infections. The AIDSTAR-One project, with funding from the U.S. President's Emergency Plan for AIDS Relief, conducted a 3-year demonstration project in Namibia—a country with high HIV prevalence and heavy alcohol use. This project had two goals: reducing heavy drinking and reducing risky sexual behavior among bar patrons in a low-income neighborhood on the outskirts of Namibia's capital, Windhoek. This report describes how the intervention was implemented, monitored, and evaluated, and reports the final assessment results. It also offers key recommendations for future research and programming in this important area.

The demonstration project was undertaken in collaboration with a number of local partners, including the Namibian Ministry of Health and Social Services (MOHSS), the Society for Family Health (SFH), and Survey Warehouse. The project included two phases. Phase 1 focused on gathering and analyzing formative research data about the prevalence and socioeconomic context of alcohol consumption and HIV risk in the target community (results previously reported, see Gregowski, Garzon, and Fritz 2012). Phase 2 included intervention design, implementation, monitoring, and evaluation.

This report describes the results of Phase 2 and also offers key lessons learned and recommendations.