Women’s Health CoOp (Pretoria, South Africa)
Effectiveness

Promising

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Promising

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Life periods served
Where the program was applied
Country of application
Description

This is a health education and prevention program to reduce risky sexual behaviors, substance use, and victimization of women, including sex workers and drug abusers.
The intervention includes a personalized assessment to identify risky behaviors and plan short- and long-term strategies to minimize those behaviors.
Educational actions address the following topics:
1) HIV information: how to talk to the partner about safer sex practices, including condom negotiation techniques to reduce sexual risk; HIV antibody testing and measures to prevent its spread.
2) Drug- and sex-related risks: risk reduction methods, such as appropriate use of male and female condoms.
3) Violence prevention strategies: communication techniques to be used in difficult situations and ways to get out of a volatile situation, if necessary.
In addition, participants receive a harm reduction kit and personal hygiene products.

Impact evaluations

An impact evaluation found that participants who were not sex workers showed a statistically significant reduction in reports of abuse of alcohol and other drugs, were more likely to report condom use during their most recent sexual intercourse, and were less likely to report sexual abuse, but there was no significant effect on physical violence victimization. Sex workers who participated in the program showed significant effects on reduced drug abuse and physical abuse, and an increased condom use. No significant effects on sexual abuse or alcohol abuse were observed [1].

Bibliographic reference

[1] Wechsberg, W. M., Zule, W. A., Luseno, W. K., Kline, T. L., Browne, F. A., Novak, S. P., & Ellerson, R. M. (2011). Effectiveness of an adapted evidence-based woman-focused intervention for sex workers and non-sex workers: the Women's Health CoOp in South Africa. Journal of Drug Issues, 41(2), 233-252. https://doi.org/10.1177/002204261104100205

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