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Ongoing

This group of materials from the Health Communication Capacity Collaborative (HC3) and Johns Hopkins Bloomberg School of Public Health Center for Communication Programs is centred around an evidence database (See related summary below) on strategically designed communication around HIV and AIDS, referred to as social and behavior change communication (SBCC) or health communication. This ongoing compendium of evidence-to-date is designed to demonstrate the impact of health communication on HIV-related outcomes.

Evidence Database

The database is organised as a chart that lists articles of evidence in alphabetical order by author (including live links to the documents), gives a citation for each, a summary, an intervention description, the area of HIV communication addressed, a country location, the communication intervention name, and the study design. An example is the "Abramsky, T., Devries, K., Kiss, L., Nakuti, J., Kyegombe, N., Starmann, E., ... & Watts, C. (2014). Findings from the SASA! Study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda. BMC medicine, 12(1), 122.": citation - "SASA!, a community led campaign to reduce intimate partner violence and HIV risk behaviors, successfully increased greater acceptance among women that women can refuse sex (1.28, 95% CI [confidence interval] 1.07-1.52), as well as among men (1.31, 95% CI 1.00-1.70). Social acceptance of male violence against women was significantly lower among women (0.54 95% CI 0.38-0.79) and men (0.13 95% CI 0.01-1.15) in intervention communities."

HIV Evidence Infographics 

This series of infographics highlights key articles from the evidence database.

As of April 2015, titles include the following:

  • HIV Evidence Infographic - Condom Use
  • HIV Evidence Infographic - HIV Testing & Counseling
  • HIV Evidence Infographic - Continuum of Care
  • HIV Evidence Infographic - Voluntary Medical Male Circumcision
  • HIV Evidence Infographic - Other HIV Prevention Strategies

For example, "HIV Evidence Infographic - Condom Use" describes results of: community mobilisation among female sex workers in India; a social marketing intervention among transgender Thai women; the Soul City South Africa TV and radio initiative; the multimedia HEART campaign in Zambia; and SIDA dans la Cité soap opera in Cote d'Ivoire.

Evidence Fact Sheets 

Evidence fact sheets use color coding to rank the strength of the evidence presented.

As of April 2015, titles include the following:

  • Condom Use Evidence Fact Sheet
  • HIV Testing & Counseling Evidence Fact Sheet
  • Continuum of Care Evidence Fact Sheet
  • Voluntary Medical Male Circumcision Evidence Fact Sheet
  • Other HIV Prevention Strategies Evidence Fact Sheet.

Some examples from the "Condom Use Evidence Fact Sheet" (Footnotes removed.):

Community Engagement

India

"Among FSWs [female sex workers] who reported exposure to an intervention that trained FSWs as social change agents to distribute and promote condoms, bring FSW to STI [secxually transmitted infections] clinics and provide health education, the OR [odds ratio] of consistent condom use was 2.5 times that of other FSWs for those who also reported high levels of collective agency."

Multi-country

"Use of a combination prevention strategy among Central American MSM successfully resulted in reducing HIV risk. Men exposed to both behavioral and biomedical components were more likely to use condoms and water-based lubricant at last sex (OR 3.05, 95% CI 1.08-8.74). Men exposed to behavioral interventions were more likely to have been tested for HIV in the past year (OR 1.76, 95% CI 1.01-3.10)."

Interpersonal Communication [IPC]

Zambia

"Exposure to IPC about HIV and AIDS, and exposure to HIV and AIDS-related EE led to increased consistent and occasional condom use among adolescents and adults, ages 15 to 49. Increases in communication in the community around HIV and AIDS also led to an increase in occasional and consistent condom use."

Source: 

Email from Kim Martin to The Communication Initiative on April 15 2015.