The social conditions for successful peer education : a comparison of two HIV prevention programs run by sex workers in India and South Africa

Abstract

Peer education is a community-based intervention being implemented worldwide as an approach to HIV prevention. However, its results are inconsistent, with little consensus on why some projects succeed while others fail. Considering peer education as an ‘intervention-in-context’, the authors systematically compare the context and the implementation of two peer education interventions run by sex workers, one in India and one in South Africa, which produced contrasting outcomes. In so doing, they aim to identify key factors in the projects’ successes or failures that may inform future peer education efforts. The Indian project’s relative success was facilitated (i) by a more stable and supportive social, material and political context, and (ii) by a community development ethos which devoted significant resources to sex workers’ involvement, ownership and empowerment, as opposed to a biomedical approach which marginalised sex workers’ concerns. The chapter concludes with lessons learned and implications for current trends in peer education.

Citation

Cornish, F.; Campbell, C. The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South Africa. American Journal of Community Psychology (2009) 44 (1-2) 123-135. [DOI: 10.1007/s10464-009-9254-8]

The social conditions for successful peer education : a comparison of two HIV prevention programs run by sex workers in India and South Africa

Published 1 January 2009