The Horizons program, in collaboration with the Center for Scientific and Industrial Research, the South African Institute for Medical Research, and the London School of Economics, conducted an intervention study in the mining town of Carletonville, South Africa to examine the social determinants of the HIV epidemic, and to assess the impact of a targeted program of HIV and STI prevention and service delivery. The project did not reduce STI prevalence or HIV prevalence, as changing sexual behavior is far more complex than educating individuals about HIV. The report recommends interventions to support behavioral change education, STI treatment, the role of social organizations, and stakeholder participation and community mobilization. The project provided important information on the challenges of implementing interventions in high prevalence communities and on the obstacles facing multi-stakeholder management of projects.
Ndhlovu, Lewis, Catherine Searle, Johannes van Dam, Yodwa Mzaidume, Bareng Rasego, and Solly Moema. 2005. "Reducing the transmission of HIV and sexually transmitted infections in a mining community: Findings from the Carletonville Mothusimpilo intervention project: 1998 to 2001," Horizons Final Report. Washington, DC: Population Council.
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