Wise Up/Phaphama

Principal Investigator: Seth Kalichman, Ph.D.

Brief overview

This program is a brief, community-based behavioral risk reduction intervention for men and women who use alcohol and are at-risk for HIV infection in South Africa.

Population

Adult male and female alcohol users at risk for contracting HIV

Core Components of Intervention

  • Mode of Delivery and Duration: One 60-minute individual counseling session conducted by a bachelor’s level counselor
  • Setting: STI clinic (Cape Town, South Africa)
  • Theoretical Basis: Social Cognitive Theory (Bandura, 2001) & Motivational Interviewing
  • Materials Available: None

Evidence

The original evaluation study included 143 STI clinic patients who were randomly assigned to receive either a 60-minute HIV/alcohol risk reduction condition or a 20-minute HIV education control condition.  Participants in the experimental condition reported lower rates of unprotected vaginal sex and greater condom at 3- and 6-month follow-ups and lower use of alcohol in sexual contexts at the 3-month follow-up compared to the control group (Kalichman et al., 2007).  The U.S. Agency for International Development (USAID) has published a case study encouraging healthcare providers in developing countries to the Wise-Up/Phaphama intervention.

This intervention has also been expanded into an interactive 3-hour small group intervention conducted in taverns/shebeens.  The original evaluation study included 353 individuals living with HIV/AIDS and effects were assessed by comparing participants receiving the HIV/alcohol risk reduction intervention to participants receiving an HIV education control intervention.  At a 3-month follow-up assessment, participants receiving the HIV/alcohol risk reduction intervention reported less unprotected intercourse, less drinking in sexual contexts, and greater consistent condom use compared to the control condition.  At a 6-month follow-up assessment, participants receiving the HIV/alcohol risk reduction intervention only reported less drinking in sexual contexts compared to the control condition (Kalichman et al., 2008).

Implementation History

None

Contact info

Seth Kalichman, Ph.D.
2006 Hillside Road, U-1248
Storrs, CT 06269
Phone: 860.486.4042
Email: seth.k@uconn.edu