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AJPH First Look, published online ahead of print Jan 2, 2008
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AJPH.2007.113704v1
98/2/201    most recent
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February 2008, Vol 98, No. 2 | American Journal of Public Health 201-204
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.113704

FIELD ACTION REPORT

Young Citizens as Health Agents: Use of Drama in Promoting Community Efficacy for HIV/AIDS

Norifumi Kamo, BA, Mary Carlson, PhD, MPA, Robert T. Brennan, EdD and Felton Earls, MD

Norifumi Kamo is with Harvard Medical School, Cambridge, Mass. M. Carlson is with the Department of Psychiatry, Harvard Medical School, Camridge. R. T. Brennan and F. Earls are with the Department of Social Medicine, Harvard Medical School, Cambridge.

Correspondence: Requests for reprints should be sent to Felton Earls, MD, CHASE: Child Health and Social Ecology, Harvard Medical School, 2 Arrow St, Suite 400, Cambridge, MA 02138 (e-mail: felton_earls{at}hms.harvard.edu).

A community-based cluster randomized control trial in a medium-sized municipality in Tanzania was designed to increase local competence to control HIV/AIDS through actions initiated by children and adolescents aged 10 to 14 years. Representative groups from the 15 treatment communities reached mutual understanding about their objectives as health agents, prioritized their actions, and skillfully applied community drama ("skits") to impart knowledge about the social realities and the microbiology of HIV/AIDS. In independently conducted surveys of neighborhood residents, differences were found between adults who did and did not witness the skits in their beliefs about the efficacy of children as HIV/AIDS primary change agents.






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