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Health Education & Behavior
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The Effectiveness of a Peer-Led HIV/AIDS and STI Health Education Intervention for Prison Inmates in South Africa

Sibusiso Sifunda, MPH, PhD

Health Promotion R & D Group, Medical Research Council, Cape Town, South Africa, sibusiso.sifunda{at}mrc.ac.za

Priscilla S. Reddy, PhD

Health Promotion R & D Group, Medical Research Council, Cape Town, South Africa

Ronald Braithwaite, PhD

Health Promotion and Health Education, Morehouse School of Medicine, Atlanta, Georgia

Torrence Stephens, PhD

Health Promotion and Health Education, Morehouse School of Medicine, Atlanta, Georgia

Sibusisiwe Bhengu, PhD

Department of Correctional Services, Pretoria, South Africa

Rob A. C. Ruiter, PhD

Department of Experimental Psychology, Universiteit Maastricht, Maastricht, Netherlands

Bart van den Borne, PhD

Health Promotion and Patient Education, Universiteit Maastricht, Maastricht, Netherlands

This article reports on the effectiveness of the first systematically developed health education intervention for the reduction of risky sexual behavior among soon-to-be-released prisoners in South Africa. Data from three out of four prisons are eligible for data analysis including 263 inmates. Using a nested experimental design, short-term evaluation while inmates were still in prison demonstrate that experimental groups showed higher knowledge of sexually transmitted infections and had a more positive intention to reduce risky behavior than the control group in two out of three prisons. Long-term assessment 3 to 6 months after release from prison indicates that experimental groups were more positive about sexual communication, self-efficacy, and intention. Groups educated by an HIV-negative educator perform marginally better than those in groups with an HIV-positive peer educator. It is argued that peer-led health education programs may be effective in reducing risky behavior amongst soon-to-be-released inmates.

Key Words: STI/AIDS prevention • intervention • prison inmates • peer education

This version was published on August 1, 2008

Health Education & Behavior, Vol. 35, No. 4, 494-508 (2008)
DOI: 10.1177/1090198106294894
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