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Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya

BACKGROUND: For adolescents living with HIV (ALWH), school may be the most important but understudied social sphere related to HIV stigma. Teachers are role models in the classroom and within the community, and their attitudes and behavior towards people living with HIV may have critical psychosocia...

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Autores principales: Chory, Ashley, Nyandiko, Winstone, Beigon, Whitney, Aluoch, Josephine, Ashimosi, Celestine, Munyoro, Dennis, Scanlon, Michael, Apondi, Edith, Vreeman, Rachel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247165/
https://www.ncbi.nlm.nih.gov/pubmed/34193095
http://dx.doi.org/10.1186/s12889-021-11331-5
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author Chory, Ashley
Nyandiko, Winstone
Beigon, Whitney
Aluoch, Josephine
Ashimosi, Celestine
Munyoro, Dennis
Scanlon, Michael
Apondi, Edith
Vreeman, Rachel
author_facet Chory, Ashley
Nyandiko, Winstone
Beigon, Whitney
Aluoch, Josephine
Ashimosi, Celestine
Munyoro, Dennis
Scanlon, Michael
Apondi, Edith
Vreeman, Rachel
author_sort Chory, Ashley
collection PubMed
description BACKGROUND: For adolescents living with HIV (ALWH), school may be the most important but understudied social sphere related to HIV stigma. Teachers are role models in the classroom and within the community, and their attitudes and behavior towards people living with HIV may have critical psychosocial and treatment ramifications. Altering teachers’ knowledge, attitudes and beliefs (K/A/B) about HIV could reduce the stigmatizing content within their teaching, classrooms and school, improving the environment for ALWH. METHODS: We developed a one-day teacher training module to enrich teacher K/A/B that included lecture presentations, HIV films and educational animation, structured instructions for teacher role play scenarios, and a question-and-answer session facilitated by a trained ALWH peer educator. We also conducted key informant interviews with education sector subject matter experts (SMEs), including education officers, county commissioners and head teachers to review and provide feedback on the teacher training module. RESULTS: We assembled an adolescent community advisory board and recruited 50 SMEs to review the training module and provide feedback. All SME participants stressed the importance and need for interventions to reduce stigma in the classroom, highlighting their own experiences observing stigmatizing behaviors in the community. The participants perceived the training as culturally relevant and easy to understand and had minor suggestions for improvement, including using image-based resources and brighter colors for ease of reading. All participants thought that the training should be expanded outside of the schools, as all people in a community have a role in the reduction of HIV stigma, and offered suggestions for other settings for implementation. CONCLUSION: Data from interviews with education sector stakeholders demonstrate that our process for developing a culturally appropriate multi-media intervention to reduce HIV stigma in the schools was feasible. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11331-5.
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spelling pubmed-82471652021-07-06 Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya Chory, Ashley Nyandiko, Winstone Beigon, Whitney Aluoch, Josephine Ashimosi, Celestine Munyoro, Dennis Scanlon, Michael Apondi, Edith Vreeman, Rachel BMC Public Health Research Article BACKGROUND: For adolescents living with HIV (ALWH), school may be the most important but understudied social sphere related to HIV stigma. Teachers are role models in the classroom and within the community, and their attitudes and behavior towards people living with HIV may have critical psychosocial and treatment ramifications. Altering teachers’ knowledge, attitudes and beliefs (K/A/B) about HIV could reduce the stigmatizing content within their teaching, classrooms and school, improving the environment for ALWH. METHODS: We developed a one-day teacher training module to enrich teacher K/A/B that included lecture presentations, HIV films and educational animation, structured instructions for teacher role play scenarios, and a question-and-answer session facilitated by a trained ALWH peer educator. We also conducted key informant interviews with education sector subject matter experts (SMEs), including education officers, county commissioners and head teachers to review and provide feedback on the teacher training module. RESULTS: We assembled an adolescent community advisory board and recruited 50 SMEs to review the training module and provide feedback. All SME participants stressed the importance and need for interventions to reduce stigma in the classroom, highlighting their own experiences observing stigmatizing behaviors in the community. The participants perceived the training as culturally relevant and easy to understand and had minor suggestions for improvement, including using image-based resources and brighter colors for ease of reading. All participants thought that the training should be expanded outside of the schools, as all people in a community have a role in the reduction of HIV stigma, and offered suggestions for other settings for implementation. CONCLUSION: Data from interviews with education sector stakeholders demonstrate that our process for developing a culturally appropriate multi-media intervention to reduce HIV stigma in the schools was feasible. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11331-5. BioMed Central 2021-06-30 /pmc/articles/PMC8247165/ /pubmed/34193095 http://dx.doi.org/10.1186/s12889-021-11331-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Chory, Ashley
Nyandiko, Winstone
Beigon, Whitney
Aluoch, Josephine
Ashimosi, Celestine
Munyoro, Dennis
Scanlon, Michael
Apondi, Edith
Vreeman, Rachel
Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya
title Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya
title_full Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya
title_fullStr Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya
title_full_unstemmed Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya
title_short Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya
title_sort perspectives of education sector stakeholders on a teacher training module to reduce hiv/aids stigma in western kenya
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247165/
https://www.ncbi.nlm.nih.gov/pubmed/34193095
http://dx.doi.org/10.1186/s12889-021-11331-5
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