Utilization and Sufficiency of IEC Materials Related to HIV/AIDS Among Adults in the Community, Kerala – An Explanatory Sequential Mixed Method Approach

Anjali Krishnan R, Jithesh V, Anjaly N T
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Abstract

This study aimed to assess the utilization and sufficiency of information, education and communication (IEC) materials related to HIV/AIDS among adults aged 18 to 49 years in Kerala. The study adopted mixed-method approach and was conducted through cross-sectional survey using multistage cluster sampling method (n=750) and in-depth interviews through purposive sampling method (n=35). Majority of the adults (72.9 percent) had not seen any IEC materials related to HIV/AIDS during the last six months. Just over half of the adults reported that the IEC materials they found were very useful (58%) and rest were not (42%). Lack of persuasiveness, diversified focus, poor clarity of messages, lack of precision and aesthetic appeal were the main reasons cited by the participants for the non-usefulness. Television was the most preferred source of information (90.7 percent). Overall knowledge on HIV/AIDS among adults in Kerala was found to be less than 50% (CI: 40±5.87%). The study found a statistically significant association between knowledge of HIV/AIDS and area of residence (p<0.05). The qualitative findings could be summarized into two themes: Enabling factors in the development and utilization of IEC materials and barriers in the utilization of IEC materials. The availability and accessibility of need-based and context-specific mutually reinforcing IEC messages should therefore be ensured by effective interdepartmental collaboration. Key words: HIV and AIDS IEC, KSACS, community adults, comprehensive assessment
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喀拉拉邦社区成人对艾滋病毒/艾滋病相关信息、教育和宣传材料的利用和充足程度--一种解释性顺序混合方法
本研究旨在评估喀拉拉邦 18 至 49 岁成年人对与艾滋病毒/艾滋病有关的信息、教育和宣传(IEC)材料的利用率和充分性。研究采用混合方法,通过多阶段聚类抽样法进行横断面调查(样本数为 750),并通过目的性抽样法进行深度访谈(样本数为 35)。大多数成年人(72.9%)在过去六个月中没有看过任何与艾滋病毒/艾滋病有关的信息、教育和宣传材料。略多于一半的成年人表示,他们发现的信息、教育和宣传材料非常有用(58%),其余的则没有用(42%)。缺乏说服力、重点分散、信息不清晰、不准确和不美观是参与者认为没用的主要原因。电视是最受欢迎的信息来源(90.7%)。研究发现,喀拉拉邦成年人对艾滋病毒/艾滋病的总体了解程度低于 50%(CI:40±5.87%)。研究发现,艾滋病毒/艾滋病知识与居住地区之间存在显著的统计学关联(P<0.05)。定性研究结果可归纳为两个主题:开发和使用信息、教育和宣传材料的有利因素和使用信息、教育和宣传材料的障碍。因此,应通过有效的跨部门合作,确保提供和获取以需求为基础的、针对具体情况的、相辅相成的 IEC 信息:艾滋病毒和艾滋病 IEC、KSACS、社区成人、综合评估
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