An Innovative Video Intervention for Newborn Medical Male Circumcision Grant

abstract

  • Haiti has more than 120,000 people living with HIV, the most in the Caribbean region. Such statistics suggest that beyond additional HIV education and condom promotion, there is a compelling need to integrate new HIV prevention strategies that have recently gained consensus and evidence of efficacy. One approach that the Government of Haiti is considering is newborn medical male circumcision (NMMC). While NMMC could generate significant reduction in future HIV/STI transmission in Haiti, its effectiveness depends on widespread access and population-level uptake. How best to increase uptake among parents of newborn males, particularly in Haiti, has not been explored. However, the determinants of health decisions in resource-limited settings are increasingly being elucidated. One model, the integrative model of behavioral prediction, posits that the key factors include individual attitudes, community norms and self-efficacy. These factors can be strengthened and modified to increase an individual's intent and behavioral action. Our group has successfully used this model to create a video-based educational intervention that reduced the rate of new STIs in clinic patients in the U.S. We will adapt that model and the intervention development process to address uptake of NMMC among parents of newborn boys in urban Haiti by developing and pilot testing a brief video based educational intervention to promote NMMC. The proposed study is innovative and is likely to have high public health importance because this will be the first study to test acceptability of NMMC for future HIV/STI prevention inHaiti.

date/time interval

  • July 15, 2013 - June 30, 2016

sponsor award ID

  • 1R21HD076685-01A1

local award ID

  • AWD000000003134

contributor

keywords

  • AIDS prevention
  • AIDS/HIV problem
  • Academy
  • Acquired Immunodeficiency Syndrome
  • Address
  • Adolescent
  • Adult
  • Advocate
  • Affect
  • Age
  • American
  • Area
  • Attitude
  • Behavioral
  • Belief
  • Caribbean region
  • Case Study
  • Clinic
  • Clinical Services
  • Communities
  • Consensus
  • Cost Savings
  • Country
  • Couples
  • Earthquakes
  • Education
  • Educational Intervention
  • Effectiveness
  • Epidemic
  • Fertility Rates
  • Future
  • Government
  • HIV
  • HIV Infections
  • HIV/STD
  • Haiti
  • Health
  • Health system
  • Human papilloma virus infection
  • Incidence
  • Individual
  • Infant
  • Infant Health
  • Infection
  • Institution
  • International
  • Intervention
  • Life
  • Male Circumcision
  • Malignant neoplasm of cervix uteri
  • Malignant neoplasm of penis
  • Medical
  • Methods
  • Modeling
  • Mothers
  • Newborn Infant
  • Parents
  • Participant
  • Patients
  • Pediatrics
  • Policy Making
  • Population
  • Prevention
  • Prevention strategy
  • Process
  • Provider
  • Psychosocial Factor
  • Public Health
  • Randomized
  • Readiness
  • Recruitment Activity
  • Reporting
  • Research
  • Research Infrastructure
  • Resources
  • Risk
  • Safety
  • Self Efficacy
  • Services
  • Simplexvirus
  • Surveys
  • System
  • Testing
  • Urinary tract infection
  • Vulnerable Populations
  • Woman
  • World Health Organization
  • aged
  • base
  • behavior prediction
  • boys
  • case-based
  • condoms
  • cost
  • innovation
  • male
  • member
  • parental influence
  • pressure
  • public health relevance
  • sexually active
  • statistics
  • theories
  • therapy development
  • transmission process
  • uptake
  • young man