RESULTS OF A BEHAVIOUR CHANGE PROCESS IMPACT ASSESSMENT A DRAFT STUDY Baraka Behaviour Change Proces

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RESULTS OF A BEHAVIOUR CHANGE PROCESS IMPACT
ASSESSMENTA DRAFT STUDYBaraka Behaviour Change
Process TeamC/O FRANCISCAN BROTHERS, P.O. BOX
195 MOLO - 20106KENYA
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• INTRODUCTION
• A three-day Behaviour Change Process (BCP) was
  facilitated for standard seven students in 18
  primary schools of Kamara Division, Molo District
  in 2006. A two-day follow-up reinforcement BCP
  is now reaching completion for these same
  students who are now in standard eight (June,
  2007).

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• Prior to this latter exercise a questionnaire was
  administered to assess the impact of BCP
  conducted in 2006. An initial analysis of
  responses from 6 randomly selected primary
  schools of the 18 is here attempted.
• Many students identified more than one response,
  therefore totals may no tally.
• Others represent minority responses.

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Figure a Baraka BCP Team with students from
Kamara Division, Molo District
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• A PROFILE OF THE SIX RANDOMLY SELECTED PRIMARY
  SCHOOLS

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QUESTION 1 Was the workshop helpful to you?
Yes or No N 215 R 211 NR 4
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QUESTION 2Which behaviours did you find hard or
difficult to change? N 215 R 175
NR 40
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QUESTION 3 Which behaviours did you change?
N 215 R 209 NR 6
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QUESTION 4 Who or what helped you to change
your behaviour? N 215
R 193 NR 22
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QUESTION 4 Who or what helped you to change
your behaviour? N 215
R 193 NR 22
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QUESTION 6 Do you believe that you can say no
to sex? YES or NO N215
R 203 NR 12
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• QUESTION 7 Have you set your relational
  boundaries? Yes or No. If no, what difficulties
  do you have in setting them?
• From the responses given it is evident that the
  question was not understood. The question is
  excluded from the study.

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• QUESTION 8 Do you think that you are in danger
  of having sex before marriage? Yes or No. Give
  reasons.
• N 215 R 208
  NR 7
• From an analysis of the responses, we suggest
  that the question was interpreted as
• Q.8 What are the consequences of engaging in
  pre-marital sex?

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QUESTION 9 Do you use alcohol or other drugs?
Yes or No. If yes, name the alcohol or drug.
N215 R 207(Yes 22,
No 185) NR 8
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QUESTION 10 HIV is a disease A human virus A
curse A punishment from God?
N 215 R 202
NR 13
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QUESTION 11 How can you prevent yourself from
getting HIV? N 215
R 210 NR 5
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QUESTION 12 If you have been sexually active,
gone for VCT and found out that you are HIV
positive, what helps can you get in your area?
N 215 R 168 NR
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Question 13 Are you happy with the choices you
have made? Yes or no? N
215 R 206 NR 9 13
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QUESTION 14 Do you think that this or a like
programme should continue to be offered from time
to time? Yes or No. N 215
R 202 NR 13
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QUESTION 15 Do you have any suggestions or
comments? N 215
R 125 NR 90
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AN ANALYSIS OF THE BCP SURVEY WITH SOME
CONCLUSIONS AND RECOMMEMDATIONS 1. The majority
of the respondents were aged between 13 17
years (192 out of 215) and most were females (111
females 93 males). 2. Primary school students
in standards 7 8 of the six schools are
sexually active given the responses to questions
1,2, 3. 3. On the positive side there is a
strong correlation between the answers to
questions 3,5 6 indicating that students mostly
changed their behaviours. Only a small proportion
(0.1) felt that the workshop had less value or a
negative impact on them.
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• 4. Answers to question 4 indicate that the BCP
  Team did play a big role in this behaviour
  change. Of those who changed behaviours, 122 said
  that the BCP Team had empowered them. However, it
  is also clear that BCP is a partner supplementing
  the encouragement already being given by family
  members and school personnel.
• We recommend that the BCP Team joins forces with
  parents, guardians and school personnel through
  the transfer of BCP facilitation skills to them.

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• 6. Behaviour change is qualitative. It is easier
  to say, I have changed my behaviour than
  measure real behavioural change. The use of the
  word behaviour in assessing impact should be
  limited and the term broken into more measurable
  attributes. E.g. abstinence, physical contact,
  gave up having a boy or girlfriend, went for VCT,
  stopped taking drugs, avoided loitering at
  centres, out at night, etc.

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• 7. We recommend that in general question wording
  have more multiple choice options where the
  number of potential responses is limited. There
  is also the complicating factor of the competence
  of students in the use of English. Questions
  need to be very clear, simple and
  straightforwarde.g. Q.4 is two questions Q.8 is
  not clear Q.9 is multiple choice Q.10 has two
  correct answers Q.12 should request a written
  answer.

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• 8. Despite many having said that they changed
  their behaviours, the majority said that they
  found it difficult to abstain from sex or even
  avoid bad company. Perhaps this may be explained
  by the fact that the respondents are in early or
  late puberty.
• 9. The fact that most respondents said that HIV
  is a human virus and that the majority
  understands modes of transmission and prevention,
  it is evident that relevant information has been
  passed to the recipients.

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• 10. The majority (180 out of 202) thinks that BCP
  has still a role to play even after the initial
  three-day process. This can be confirmed from the
  high numbers who still are not convinced about
  avoiding sex. Already Baraka BCP Team has
  completed a two-day reinforcement process with
  the respondents who are now in standard 8.

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• 11. The sub-topic of relational boundaries is a
  complex topic is not understood. This was also
  evident when BCP was conducted for out of school
  youth. We suggest that when presenting boundaries
  to African youth, there may be a need to
  differentiate physical proximity, touching and
  holding hands that are cultural from that which
  is accepted as expressly sexual. There is need to
  simplify the content or change the mode of
  delivery.

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• 12. With reference to question 12, it is evident
  from responses that knowledge of specific
  services offered to PLWHA in our area is
  deficient. It is critical that HIV be presented
  as a manageable infection to help defeat stigma.
• 13. While impact has been found positive, the
  study may have been too early. We suggest an
  in-depth follow-up impact assessment study after
  a longer period of time.

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• OUR THANKS
• To the students, administration, teachers, staff
  and personnel of the AEO office of Kamara
  Division, Molo District for their co-operation in
  this undertaking.
• Thanks to Jairus Lihanda, Thomas Carroll, John
  Kingau, Edward Kerindo and the BCP Team for
  their analysis, constructive criticism
  recommendations.
• Our thanks to Virginia Ndegwa, our secretary and
  Mr. Njuguna, ICT co-ordinator for formatting the
  report.

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• Signed on behalf of the BCP Team
• Br. Matthew McCormack, OSF
• COORDINATOR BARAKA BCP
• Sr. Felicia Matola, FMSA
• DIRECTOR - EDUCATION FOR LIFE KENYA

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• END