Undertaking scientific research in a rural community in western Kenya-education and prevention programs required.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. E10059)
Langat L, Chuma D, Ndirangu R, Foglia G, Birx D, Robb M United States Army Medical Research Unit-Kenya HIV Program, Kericho, Kenya
Issues : The success of a HIV/AIDS clinical research in a rural setting depends to a large extend on well established HIV/AIDS education and prevention programs. What should these education and prevention programs cover to mitigate community hindrances to participation in clinical research? Description : This paper explores some of the challenges and knowledge gaps that hinder volunteers from participating in clinical research. In June 2003 we began a three-year study whose goal is to develop a cohort for HIV Vaccine trials. One of the objectives is to establish the incidence and prevalence of HIV. The cohort is drawn from adult agricultural plantation workers and their dependants aged 18-55 years, both male and female, whose knowledge of HIV is heavily influenced by their religious and socio-cultural beliefs and practices. The educational levels range from no schooling to college level. Knowledge of clinical research is nil to minimal. The sample size required was 3000 volunteers recruited within a period of 6 months. Methods of recruitment included extensive community meetings or 'barazas', one-on-one interactions, focused group discussions and sporting activities such as football. Challenges posed included inadequate knowledge of HIV/AIDS, project objectives, blood sample usage and the project logo. Lessons Learned : We enrolled a total of 2,800 volunteers after addressing the above challenges using varied educational programs and 'real time' examples in the field and laboratory. Equally important, is the research team's knowledge of the community; structure, beliefs, socio-cultural values and practices, as well as, economic influences. Hence, community intelligence gathering and sensitization should commence at least a year or more before clinical research activities are planned. Recommendations : Comprehensive community educational programs be developed and applied as part and parcel of any clinical research activity.
Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Teaching, Rural Population, Health Education, HIV Infections, Mortuary Practice, Kenya, Commerce, HIV Seropositivity, Biomedical Research, Adult, Humans, Female, Male, education, organization & administration, methods
