n Africa Insight - Knowledge efficacy as a preventive strategic paradigm for addressing the HIV / AIDS pandemic

Volume 36, Issue 2
  • ISSN : 0256-2804


The HIV / AIDS pandemic is having a devastating effect world-wide and particularly in Africa. Over the past two decades, the focus of most government HIV / AIDS initiatives has been on prevention through strategies based on the knowledge effi cacy paradigm, and have been unsuccessful in reducing the rate of infection. The authors draw comparisons between a study of African-American women of low socio-economic status and research carried out in Malawi and Zimbabwe, where they found that high-risk groups, especially women, perpetuate at risk behaviour despite their knowledge of HIV / AIDS, due to economic and other factors. They recommend that governments should implement additional complementary strategies to address the pandemic more effectively.

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