Adaptation of a U.S. Evidence-Based Positive Prevention Intervention for Youth Living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo

Citation

Parker, Lisa; Maman, Suzanne; Pettifor, Audrey E.; Chalachala, Jean Lambert; Edmonds, Andrew; Golin, Carol Elaine; Moracco, Kathryn E.; & Behets, Frieda M.-T. F. (2013). Adaptation of a U.S. Evidence-Based Positive Prevention Intervention for Youth Living with HIV/AIDS in Kinshasa, Democratic Republic of the Congo. Evaluation and Program Planning, 36(1), 124-135. PMCID: PMC3572542

Abstract

Effective HIV prevention programs for people living with HIV/AIDS (PLWH) are important to reduce new infections and to ensure PLWH remain healthy. This paper describes the systematic adaptation of a U.S.-developed Evidence Based Intervention (EBI) using the Centers for Disease Control and Prevention (CDC) Map of Adaption Process for use at a Pediatric Hospital in Kinshasa, Democratic Republic of the Congo (DRC). The adapted intervention, Supporting Youth and Motivating Positive Action or SYMPA, a six-session risk reduction intervention targeted for youth living with HIV/AIDS (YLWH) in Kinshasa was adapted from the Healthy Living Project and guided by the Social Action Theory. This paper describes the process of implementing the first four steps of the ADAPT framework (Assess, Select, Prepare, and Pilot). Our study has shown that an EBI developed and implemented in the U.S. can be adapted successfully for a different target population in a low-resource context through an iterative process following the CDC ADAPT framework. This process included reviewing existing literature, adapting and adding components, and focusing on increasing staff capacity. This paper provides a rare, detailed description of the adaptation process and may aid organizations seeking to adapt and implement HIV prevention EBIs in sub-Saharan Africa and beyond.

URL

http://dx.doi.org/10.1016/j.evalprogplan.2012.09.002

Reference Type

Journal Article

Year Published

2013

Journal Title

Evaluation and Program Planning

Author(s)

Parker, Lisa
Maman, Suzanne
Pettifor, Audrey E.
Chalachala, Jean Lambert
Edmonds, Andrew
Golin, Carol Elaine
Moracco, Kathryn E.
Behets, Frieda M.-T. F.

PMCID

PMC3572542

ORCiD

Pettifor - 0000-0002-3387-0817