Review Article

Community Based HIV Prevention Intervention in Developing Countries: A Systematic Review

Table 1

Overview of intervention characteristics.

StudyStudy methodTheoretical underpinningType & number of componentsDoseMode of deliveryTeaching method

Ross et al. 2007 [17]; Hayes et al. 2005 [26]* and Doyle et al. 2010 [27]*Design: community randomized trial 
sample size: = 9219  
(female: = 4116;  
male: = 5103)
Not reportedEducational and behavioral componentsAmount: 40 min.
frequency: 2/year; 12/year 
duration: 3 years
Strategy: face-to-face Media 
format: one-on-one group
Didactic: lessons on sexual health 
interactive: drama, story-telling, role-play, games, exercise

Maro et al. 2009 [12]Design: quasi-experimental  
sample size:  
= 764
Achievement goal theoryEducational and behavioral componentsAmount: NR 
frequency: NR 
duration: 8 weeks
Strategy: face-to-face 
format: group
Didactic: education sessions  
interactive: soccer

Pettifor et al. 2005 [18] and Stadler and Hlongwa 2002 [28]*Design: quasi-experimental   
sample size: = 8735
Not reportedEducational and behavioral componentsAmount: NR 
frequency: NR 
duration: NR
Strategy written media 
face-to-face 
format: one-on-one (clinic services) group
Didactic: print & prevention information 
interactive: recreational activities (e.g., sports)

Cowan et al., 2008 [29] and Cowan et al. 2010* [19]Design: quasi-experimental   
sample size: = 6791
Social learning theory & Stages of changed modelEducational and behavioral componentsAmount: 3 hours (180 min)  
frequency: 6/week–22/year 
duration:   
4 years (208 weeks)
Strategy: face-to-face 
format: one-on-one (clinics) group
Didactic: in & out of school curriculum 
interactive: body mapping, drama, story-telling, role-play & group sessions

Erulkar et al. 2004 [20]Design: quasi-experimental  
sample size:  
= 1865 
(female: = 697; male: = 711)
Not reportedEducational and behavioral componentsAmount: 90–120 min.  
frequency: 1/week   
duration: 36 months
Strategy: face-to-face format: groupDidactic: lectures interactive: group discussion  
drama role-play

Underwood et al., 2006 [21]Design: quasi-experimental, separate sample baseline and follow-up design 
sample size: = 1156 
(female: = 660; male: = 496)
Theory of behavior changeEducational and behavioral componentsAmount: NR 
frequency: NR 
duration: NR
Strategy: media written 
format: not applicable (multimedia program)
Didactic: 
print materials to reinforce STI and HIV risk reduction messages 
radio spot advertisements, music and music video, posters, billboards

Nastasi et al., 1998 [25]Design: ethnographic and survey research 
sample size: = 89 attended 1 session (female: = 41; male: = 54)  
Sample Size: = 66 regular attendee (female: = 39; male: = 27)
Social construction theoryEducational and behavioral componentsAmount: 90 minutes 
frequency: 3 sessions/week (total of 12) duration: 4 weeks
Strategy: written face-to-face 
format: group
Didactic: 
4 modules on reproductive health, AIDS, STI, HIV prevention; presentation 
Interactive: problem-solving real life situations; group activity and discussion related to social negotiations (for real-life situations)

Speizer et al., 2001 [22]Design: quasi-experimental  
sample size: site 1: = 403; (female: = 200; male: = 203) 
sample size: site 2: = 413 (female: = 205; male: = 208)
Not reportedEducational and behavioral componentsAmount: NR 
frequency: NR 
duration: 18 months
Strategy: face-to-face written (comic strips)  
format: one-on-one group
Didactic: 
Print & prevention information 
interactive: not applicable

Jewkes et al., 2008 [23]Design: cluster randomised trial 
sample size: 
= 2776 (female: = 1416;  
men: = 1360)
Participatory learning approachesEducational and behavioral componentsAmount: 3 hours (total of 50 hours)  
frequency: 13 sessions 
duration: 6–8 weeks
Strategy: face-to-face 
format: group
Didactic: sessions on sexual and reproductive health, HIV, and prevention 
interactive: role-play drama

Harvey et al., 2000 [24]Design: randomized community trial 
sample size: = 699
Not reportedEducational and behavioral componentsAmount: NR 
frequency: NR 
duration: NR
Strategy: face-to-face media (songs)  
format: group
Didactic: posters 
interactive: plays 
role-play drama dance songs

Multiple reports of the same study.
Legend: = sample size; = group size; NR = not reported.