Evaluation of an AIDS training program for traditional healers in the Central African Republic

This study evaluates the effectiveness of a training program for traditional healers that aims to change knowledge attitudes and practices regarding HIV/AIDS in the Central African Republic. Data were obtained from structured interviews with 96 traditional healers during July and August 1994 in Bangui Mbaiki Moungoumba and Bambari. Interview sites were selected on the basis of 4 criteria. The 57-item instrument assessed demographic knowledge characteristics attitude and practice pre- and post-training with a 6-month interval between testing. Findings indicate that nearly 50% took actions that risked HIV transmission at least once in the 3 months preceding the survey. Most healers reported the use of a new razor blade with each client. 75% reported re-use of enema equipment. 24% had STD clients. 76% counseled about hygienic practices. Only 2% educated but 92% were willing to educate about AIDS. There were no significant changes pre-post testing for knowledge of traditional practices that can transmit STDs attitudes toward HIV transmission risks by traditional healers knowledge of types of STDs attitudes toward use of condoms and knowledge about a cure for AIDS. There was an attitude change toward AIDS clients but not in the desired direction. Training did improve diagnosis treatment and prevention of STDs; promotion of condoms; community education on AIDS; psychosocial support for AIDS victims; and promotion of a positive image of healers. Demographic factors were unrelated to knowledge and attitude change. The level of change differed between training sessions.