Abstract
BackgroundThere is little experience with carefully developed interventions in the HIV/STI prevention field aimed at adult heterosexual target groups in the Netherlands. The ability to apply intervention development protocols, like Intervention Mapping, in daily practice outside of academia, is a matter of concern. An urgent need also exists for interventions aimed at the prevention of STI in migrant populations in the Netherlands. This article describes the theory and evidence based development of HIV/STI prevention interventions by the Municipal Public Health Service Rotterdam Area (MPHS), the Netherlands, for heterosexual migrant men with Surinamese, Dutch-Caribbean, Cape Verdean, Turkish and Moroccan backgrounds.MethodsFirst a needs assessment was carried out. Then, a literature review was done, key figures were interviewed and seven group discussions were held. Subsequently, the results were translated into specific objectives ("change objectives") and used in intervention development for two subgroups: men with an Afro-Caribbean background and unmarried men with a Turkish and Moroccan background. A matrix of change objectives was made for each subgroup and suitable theoretical methods and practical strategies were selected. Culturally-tailored interventions were designed and were pre-tested among the target groups.ResultsThis development process resulted in two interventions for specific subgroups that were appreciated by both the target groups and the migrant prevention workers. The project took place in collaboration with a university center, which provided an opportunity to get expert advice at every step of the Intervention Mapping process. At relevant points of the development process, migrant health educators and target group members provided advice and feedback on the draft intervention materials.ConclusionThis intervention development project indicates that careful well-informed intervention development using Intervention Mapping is feasible in the daily practice of the MPHS, provided that sufficient time and expertise on this approach is available. Further research should test the effectiveness of these interventions.
Highlights
There is little experience with carefully developed interventions in the HIV/sexually transmitted infections (STI) prevention field aimed at adult heterosexual target groups in the Netherlands
Since the 1990s, it has been recognized that prevention interventions should be developed systematically on the basis of evidence and theory [6], because such a planned procedure substantially improves the chance of success [710]
The present paper describes the theory and evidence-based development of HIV/STI prevention interventions for two groups of heterosexual migrant men, those with an Afro-Caribbean (AC) and those with a Turkish/Moroccan (TM) background, organised by the Municipal Public Health Service (MPHS) of Rotterdam Area
Summary
There is little experience with carefully developed interventions in the HIV/STI prevention field aimed at adult heterosexual target groups in the Netherlands. This article describes the theory and evidence based development of HIV/STI prevention interventions by the Municipal Public Health Service Rotterdam Area (MPHS), the Netherlands, for heterosexual migrant men with Surinamese, Dutch-Caribbean, Cape Verdean, Turkish and Moroccan backgrounds. In the Netherlands, as well as in other Western European countries, ethnic minority groups originating from countries with a high prevalence of heterosexually transmitted HIV (Sub-Saharan Africa, Caribbean region) have higher HIV incidence levels These groups are recognized as important target populations for prevention [1,2,3,4]. The present paper describes the theory and evidence-based development of HIV/STI prevention interventions for two groups of heterosexual migrant men, those with an Afro-Caribbean (AC) and those with a Turkish/Moroccan (TM) background, organised by the Municipal Public Health Service (MPHS) of Rotterdam Area. The project was conducted by a team of two prevention workers, a researcher in health education and health promotion and a health policy adviser experienced in IM, in frequent consultation with a university-based expert in planned health promotion
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