Engaging Young Men as Community Health Leaders in an STI and Intimate Partner Violence Prevention Trial in Dar es Salaam, Tanzania

Background This article presents lessons learned from a microfinance and health intervention for young men designed to prevent sexually transmitted infections (STI) and intimate partner violence (IPV) in Dar es Salaam, Tanzania. We describe the different strategies we used to identify and train youn...

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Bibliographic Details
Published in:Global social welfare : research, policy & practice policy & practice, 2019-12, Vol.6 (4), p.259-266
Main Authors: Kajula, Lusajo J., Kilonzo, Mrema N., Conserve, Donaldson F., Mwikoko, Gema, Kajuna, Deus, Balvanz, Peter, Yamanis, Thespina J., Mulawa, Marta I., Hill, Lauren M., Mbwambo, Jessie K., Maman, Suzanne
Format: Article
Language:English
Subjects:
Attrition
Camps
Change agents
Community and Environmental Psychology
Domestic violence
Health
Interpersonal communication
Intervention
Intimate partner violence
Leadership
Microfinance
Opinion leaders
Peers
Prevention
Public Health
Sexually transmitted diseases
Social change
Social networks
Social Policy
Social Sciences
Social Work
STD
Training
Young men
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Summary:Background This article presents lessons learned from a microfinance and health intervention for young men designed to prevent sexually transmitted infections (STI) and intimate partner violence (IPV) in Dar es Salaam, Tanzania. We describe the different strategies we used to identify and train young men to become change agents within their social networks. Description A cluster-randomized trial with 60 camps was undertaken in the Kinondoni District of Dar es Salaam. A total of 170 members from 30 intervention camps were trained in March 2014 as popular opinion leaders (POLs), whom we call Camp Health Leaders (CHLs). We describe the process of nominating, training, and retaining CHLs. We also describe our monitoring process, which included the collection of weekly diaries assessing topics discussed, number of peers engaged in conversations, reactions of peers, and challenges faced. Lessons Learned POLs within naturally existing social networks can be engaged in STI and IPV prevention initiatives. Continuous efforts in retention, such as holding community advisory board (CAB) meetings, developing prevention slogans and t-shirts, and offering small grants to POL teams for intervention activities, were important to keeping POLs engaged in the intervention. Further, booster training sessions were critical to maintain the message of the project and ensure that the challenges POLs face with implementing the programs were addressed in a timely manner. Conclusion Recruiting POLs in a Tanzanian urban setting and engaging them in STI and IPV reduction through social networks is possible. Training POLs in health information and interpersonal communication is important. Utilizing booster sessions and a variety of retention strategies for POLs in programs that aim to reduce IPV and STI infections among young men is essential to maintain the health leaders’ engagement in the intervention as well as intervention fidelity.
ISSN:2196-8799
2196-8799
DOI:10.1007/s40609-018-00134-z