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Effectiveness of Botswana's Concurrent Partnerships Campaign

Evaluation of a behavior change communication program aiming to reduce concurrent sexual partnerships in Botswana. The study investigates the impact of the campaign on HIV risk reduction behaviors and concurrent partnerships. Findings suggest the need for diverse HIV prevention strategies for adults in this cultural context.

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Effectiveness of Botswana's Concurrent Partnerships Campaign

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  1. Evaluation of a behaviour change communication programme to reduce concurrent sexual partnerships in Botswana Iris Halldorsdottir, Noah Taruberekera, Virgile Capo-Chichi, Rebecca Firestone, Lung Vu, Donna Sherard, Richard Harrison 25 July 2012

  2. Botswana’s Concurrent Partnerships Campaign • Campaign team • National AIDS Coordinating Agency • PSI • Natl Prevention Technical Advisory Cmte • Campaign strategy • Teaser campaign – get people talking • Phase 1 – address risk perceptions, knowledge, awareness of CP • Phase 2 – assess consequences, personalize risk • Mechanisms • Social mobilisation – reach key influencers and leaders • Mass media – TV, radio, print, billboards, combis • Interpersonal communication – CBOs, FBOs, door-to-door, bars/shebeens

  3. Did campaign exposure reduce concurrent partnerships or increase HIV risk reduction behaviors? • Methods • National two-stage cluster sampling survey (n=1237) • Coarsened exact matching to compare exposed/non-exposed (n=1138) • Multiple logistic regression • Key findings • No evidence the campaign influenced concurrent partnerships • Campaign was associated with HIV risk reduction behaviors • Risk reduction was primarily concentrated among men • Conclusions • Stand-alone campaigns on concurrency are likely not sufficient to change a culturally entrenched behaviour • Adults in this context need a range of HIV risk reduction strategies

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