Evidence - SBC Impact
Compelling, credible, recent, direct impact data
Evidence - SBC Impact
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Participatory Learning - 33% Reduction in the Incidence of HSV-2

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Strategy researched

HIV prevention and sexual health improvement intervention using participatory learning approaches to build knowledge, risk awareness, and communication skills and to stimulate critical reflection

Impact achieved

Stepping Stones was associated with a reduction of about 33% in the incidence of herpes simplex virus (HSV-2) (adjusted incidence rate ratio 0.67, 95% confidence interval (CI) 0.46-0.97; P=0.036) - that is, it reduced the number of new HSV-2 infections over a 2-year period by 34.9 (95% CI 1.6-68.2) per 1,000 people exposed. However, there was no evidence that Stepping Stones lowered the incidence of HIV (adjusted incidence rate ratio 0.95, 95% CI 0.67-1.35).

Country of study

South Africa

Research methodology

RCT

Journal

BMJ: British Medical Journal; 2008

Journal paper title and link

Impact of stepping stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: cluster randomised controlled trial

Excerpt from Abstract

"Stepping Stones did not reduce incidence of HIV but had an impact on several risk factors for HIV - notably, HSV-2 and perpetration of intimate partner violence."

Summary at this link

 

Comments

Submitted by tturk on Thu, 05/18/2023 - 00:26 Permalink

This card may benefit by elaborating on what significant behavioural impacts were achieved in relation to the several risk factors for HIV - notably, HSV-2 and perpetration of intimate partner violence, rather than acknowledging no impact on the key indicator of HIV incidence. The argument being that the other behaviors are determinants of the later achievement of reduced levels of HIV infection.

Why the focus on direct impact data?

A common challenge from policy makers, funders, community members, people directly experiencing development issues, and governments is: Demonstrate your Impact. Prove that what you are doing works. The high quality, highly credible data presented on the cards below is designed to help you answer that question for your social change, behaviour change, community engagement, communication and media for development, strategy formulation, policy engagement and funding initiatives. At this link filter the research data to your specific interests and priorities

Why a playing cards design?

There is a physical pack of cards with this data (to get a copy please request through the comment form for any card). The card approach allows for easy identification and selection of relevant direct impact data in any context. For example if talking with a donor and you need to identify proof of impact say "take a look at the 7 of Hearts". Quick access can be provided to high-quality data for many areas of your work – funding, planning, policy, advocacy, community dialogue, training, partner engagement, and more. A card deck is also engaging, easy to use and share, a conversation starter, and a resource - and they are fun and different. So we kept that design for the online images as it can serve similar purposes. 

What are the criteria for inclusion?

The impact data presented meets the following high standard for inclusion criteria:

  • Positive change or trend in a priority development issue;
  • Social change or behaviour change strategy or process;
  • Randomized Control Trial or Systematic Review methodology;
  • High quality peer review journal published;
  • Numeric impact data point
  • Published since 2010.