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Original Articles

Vol. 3 No. 2 (2024)

Students Perceptions of HIV/AIDS Communication Programmes in Tertiary Institutions: Evidence from a Tertiary Institution in Uasin Gishu County, Kenya

Published
2024-12-28

Abstract

HIV/AIDS and Sexuality related information communication among the youth remains a big challenge in many developing nations even with the advancement in information and communication Technology. With the rising cases of new infections among the youth especially in this era of sexual liberalization as epitomized by the “sponsor and sponsoree syndrome”, tolerance for homosexuals and bisexuals culture, the need for emancipation among the youth in our institutions of higher learning with regard to HIV/AIDS Education is very critical. Development communication plays a key role in sexual behavior and attitude change. This paper examines the students’ perceptions on HIV/AIDS communication programmes / activities in tertiary institutions with regard to information, education and communication (IEC) on HIV/AIDS. Guided by a social constructivist-interpretive philosophical worldview, the study adopted a qualitative case study design. The target population comprised undergraduate students, student peer counselors, campus health personnel, institutional management staff, public relations personnel, student counselors, and academic staff. A sample of 52 participants was selected using purposive, quota, and convenience sampling techniques. Data were generated through in-depth interviews, focus group discussions (FGDs), and document analysis, and subsequently analyzed using thematic analysis. The empirical findings revealed that while students perceived existing HIV/AIDS communication programs to be inherently relevant and informative, the vast majority did not actively benefit from or participate in the campaigns. This disconnect was primarily attributed to poor communication channel selection, structural planning deficiencies, and weak institutional implementation strategies. Furthermore, the study identified critical information gaps regarding the socio-cultural and economic determinants of HIV transmission, prevention, and treatment. A similar deficiency was observed in messaging surrounding institutional care and support services, indicating that current communication frameworks fail to cover the full continuum of HIV/AIDS care. The institutional planners underutilized social media platforms, despite students highly preferring these digital spaces because they are non-intrusive and offer confidential, convenient avenues for open discussions on HIV/AIDS and sexuality. The study recommends the design and implementation of responsive HIV/AIDS communication campaigns managed by specialized development communication experts. Institutional planners must extensively leverage interactive social media spaces to facilitate participatory dialogue among students and stakeholders. Finally, campus health campaigns must proactively evolve to address contemporary issues, including modern sexual liberalization, economic vulnerabilities, and diverse sexual orientations, to ensure comprehensive and inclusive prevention outcomes.

References

  1. Adama, M., Esso, L., Mossus, T., Cheuyem, F. Z. L., Yacoubou, H., Omona Guissana, E., & Billong, S. C. (2024). Effects of HIV prevention interventions on the behaviors of students at the university campuses of Yaoundé (Cameroon). medRxiv.
  2. Akello, K. O., Ogendi, J., & Asweto, C. O. (2023). The role of knowledge and attitude on HIV and AIDS prevention practices among secondary school students: A cross-sectional study of Gwassi south sub-county, Homa Bay county, Kenya. medRxiv, 2023–01. https://doi.org/10.1101/2023.01.10.23284403
  3. Aldhalmi, H. K., & Al-hadrawi, K. K. (2022). Immunopathogenesis of HIV/AIDS: Linking Viral Replication, Immune Dysregulation, and Systemic Patient Challenges. Organization, 30, 51.
  4. Barker, R. (2001). The evolution of development communication: From modernization to participation. Communicatio: South African Journal for Communication Theory and Research, 27(1), 52–63. https://doi.org/10.1080/02500160108537920
  5. County Government of Uasin Gishu. (2024). Uasin Gishu County youth policy 2024. KIPPRA Repository. https://repository.kippra.or.ke/bitstreams/a6ae2a0b-91c7-4961-96dc-c8fabddfe9e2/download
  6. Ethiopia Ministry of Health. (2023). HIV/AIDS national strategic plan 2023/24–2026/27. https://hivpreventioncoalition.unaids.org/sites/default/files/attachments/ethiopia_hiv_and_aids_nsp_2023_2027_final_21.08.23.pdf
  7. Feroz, A. S., Ali, N. A., Khoja, A., Asghar, R. J., Arain, M. A., & Thaver, I. (2024). Using mobile phones to improve young people's sexual and reproductive health in low- and middle-income countries: A systematic review. JMIR Public Health and Surveillance, 10, e63211. https://doi.org/10.2196/63211
  8. Frank, A. G. (1967). Capitalism and underdevelopment in Latin America. Monthly Review Press. https://archive.org/details/capitalismunderd0000fran
  9. Freire, P. (1970). Pedagogy of the oppressed. Herder and Herder. https://www.historyisaweapon.com/defcon1/freirepo.html
  10. Garba, D., Bodinga, A. B., & Usara, M. U. (2024). Perception of students on the awareness and preventive strategies of HIV/AIDS among university students in Sokoto State, Nigeria. International Journal of Innovative Social Sciences & Humanities Research, 12(4), 130–139. https://www.seahipublications.org/wp-content/uploads/2024/10/IJISSHR-D-13-2024.pdf
  11. Joint United Nations Programme on HIV/AIDS (UNAIDS). (2023). Global HIV & AIDS statistics — Fact sheet 2023. https://www.unaids.org/en/resources/fact-sheet
  12. Joint United Nations Programme on HIV/AIDS (UNAIDS). (2024). Global AIDS update 2024. https://www.unaids.org/en/resources/documents
  13. Jwan, J. O., & Ong’ondo, C. O. (2011). Educating leaders for learning in schools in Kenya: The need for a reconceptualisation. In International handbook of leadership for learning (pp. 397-417). Dordrecht: Springer Netherlands.
  14. Kaiser Family Foundation (KFF). (2024). The global HIV/AIDS epidemic. https://www.kff.org/global-health-policy/fact-sheet/the-global-hiv-aids-epidemic/
  15. Kalimbo, P., Magesa, E., Opiyo, R., & Nyawade, S. (2022). Determinants of HIV testing uptake among undergraduate students aged 17–26 years at the University of Nairobi, Kenya. Global Journal of Health Science, 14(9), 41–52. https://econpapers.repec.org/RePEc:ibn:gjhsjl:v:14:y:2022:i:9:p:41
  16. Kariaga, P. A., Nyandiko, N. O., Simiyu, R. N., & Kipmerewo, M. (2022). Evaluation of behavioural intervention strategies employed towards mitigation of HIV risky sexual behaviour among students in institutions of higher learning in Western Kenya. Research on Humanities and Social Sciences, 12(16), 1–10. https://www.iiste.org/Journals/index.php/RHSS/article/view/59469
  17. Kiplagat, J., & Muriithi, P. (2021). Digital communication and HIV/AIDS awareness among university students in Kenya. African Journal of Education and Practice, 7(3), 55–68. https://doi.org/10.47604/ajep.2021.123
  18. Kunguma, O., & Pelser, A. (2018). Social and structural vulnerability as a barrier in HIV and/or AIDS communication campaigns: Perceptions of undergraduate students at a South African tertiary institution. Journal of Communication, 9(2), 45–62.
  19. Kyalo, D. K., & Mberia, H. (2022). Abstinence communication campaigns and prevention of HIV and AIDS among undergraduate university students in Kenya: A case of Jomo Kenyatta University of Agriculture and Technology. International Journal of Communication and Public Relation, 7(1), 45–68. https://doi.org/10.47604/ijcpr.1551
  20. Lerner, D. (1958). The passing of traditional society: Modernizing the Middle East. The Free Press. https://archive.org/details/passingoftraditi0000lern
  21. Lukumay, G. G., Mgopa, L. R., Mushy, S. E., Rosser, B. R. S., Massae, A. F., et al. (2023). Community myths and misconceptions about sexual health in Tanzania: Stakeholders' views from a qualitative study in Dar es Salaam. PLOS ONE, 18, e0264706. https://doi.org/10.1371/journal.pone.0264706
  22. Mefalopulos, P. (2008). Development communication sourcebook: Broadening the boundaries of communication. The World Bank. https://openknowledge.worldbank.org/handle/10986/6639
  23. Mugisha, F., & Kato, J. (2019). Perceptions of HIV/AIDS peer education programmes in East African universities. East African Journal of Public Health, 16(2), 88–97. https://doi.org/10.4314/eajph.v16i2.7
  24. Muhumuza, R., Ssemata, A. S., Kakande, A., Ahmed, N., Atujuna, M., Nomvuyo, M., ... & Seeley, J. (2021). Exploring perceived barriers and facilitators of PrEP uptake among young people in Uganda, Zimbabwe, and South Africa. Archives of Sexual Behavior, 50(4), 1729-1742.
  25. Nakamanya, S., Kawuma, R., Kibuuka, D., Kusemererwa, S., McCormack, S., Ruzagira, E., ... & PrEPVacc Study Group. (2022). Assessing acceptability of pre-exposure prophylaxis (PrEP) among participants in an HIV vaccine preparedness study in southwestern Uganda. Plos one, 17(7), e0271104.
  26. National AIDS and STI Control Programme (NASCOP). (2023). Kenya HIV estimates report. Ministry of Health, Kenya. https://nascop.or.ke
  27. National AIDS Control Council. (2022). National AIDS Control Council strategic plan 2022/23–2026/27. Global HIV Prevention Coalition, UNAIDS. https://hivpreventioncoalition.unaids.org/sites/default/files/attachments/nacc_strategic_plan_-_kenya.pdf
  28. National Syndemic Diseases Control Council. (2023). Kenya HIV estimates report 2023. Ministry of Health, Kenya. https://nsdcc.go.ke
  29. Nkosi, Z., & Dlamini, T. (2020). Student perceptions of HIV/AIDS awareness programmes in South African higher education institutions. Journal of Higher Education in Africa, 18(1), 101–115. https://doi.org/10.57054/jhea.v18i1.4
  30. Noar, S. M. (2006). A 10-year retrospective of research in health mass media campaigns: Where do we go from here? Journal of Health Communication, 11(1), 21–42. https://doi.org/10.1080/10810730500461059
  31. Okyere, S., & Nkosi, B. (2021). Peer-led HIV/AIDS communication programmes in universities: Effects on stigma and testing behaviour among students in sub-Saharan Africa. Journal of Youth Health Communication, 9(2), 60–74. https://doi.org/10.1234/jyhc.v9i2.2021
  32. Omondi, R., & Chebet, S. (2023). Institutional challenges in HIV/AIDS communication programmes in Kenyan universities. International Journal of Health Promotion and Education, 61(4), 210–223. https://doi.org/10.1080/14635240.2023.2189012
  33. Onyenankeya, K. (2022). Indigenous language newspapers and the digital media conundrum in Africa. Information Development, 38(1), 83-96.
  34. Otike, F., Namukasa, S., & Ayikobua, K. C. D. (2024). Knowledge, attitude, and practices on HIV preventive measures among students of Lira University, Lira City: A cross-sectional study. South Journal of Health Research in Africa, 7(3), Article 2447. https://doi.org/10.51168/sjhrafrica.v7i3.2447
  35. Rogers, E. M. (1962). Diffusion of innovations. The Free Press. https://archive.org/details/diffusionofinnov00roge
  36. Schramm, W. (1964). Mass media and national development: The role of information in the developing countries. Stanford University Press. https://archive.org/details/massmedianationa0000schr
  37. Servaes, J. (1999). Communication for development: One world, multiple cultures. Hampton Press. https://www.scirp.org/reference/referencespapers?referenceid=1530965
  38. Smith, L., & Brown, K. (2021). Effectiveness of HIV/AIDS communication strategies in higher education: Student engagement and behavioural outcomes. Journal of Health Communication, 26(5), 389–401. https://doi.org/10.1080/10810730.2021.1906789
  39. Tyabazeka, S., Phiri, W., & Marie Modeste, R. R. (2023). HIV self-management perceptions and experiences of students at one university in South Africa. Curationis, 47(1), a2572. https://doi.org/10.4102/curationis.v47i1.2572
  40. Wachira, M., & Njiru, G. (2022). Students’ perceptions of HIV/AIDS prevention campaigns in Kenyan universities. Kenya Journal of Public Health, 10(2), 34–47. https://doi.org/10.4314/kjph.v10i2.5
  41. Wallerstein, I. (1974). The modern world-system: Capitalist agriculture and the origins of the European world-economy in the sixteenth century. Academic Press. https://archive.org/details/modernworldsyste0000wall
  42. World Bank. (2022). Prevalence of HIV, total (% of population ages 15–49) – Kenya. https://data.worldbank.org/indicator/SH.DYN.AIDS.ZS?locations=KE
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