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It is estimated that one in four adult population, aged 15-49 years in Africa are HIV infected, with the highest age specific rate occurring among young women 25-29 years. This project is part of an intervention programme whose goal is to reduce the rate of HIV infection and unwanted pregnancies among female out of school youths in Kweneng East District, Botswana. In 2000, twenty (20) female out of school youths who are mainly school drop outs, unemployed, know their HIV status and are willing to participate in the project were screened and recruited as Peer Educators by the AIDS Secretariat in Molepolole, Botswana Interventions include training in interpersonal communication, HIV prevention, safer sex practices, sexual negotiation, human sexuality, sexually transmitted infections, family planning, sexual assertiveness, income generation activities and entrepreneurship skills. For social support and community ownership of the project, there were advocacy and capacity building activities with health providers, community leaders, the private sector, the police and the legal system. Midterm evaluation of the project in 2003 shows that more young women participated in the project, twice more than the original number intended. The level of knowledge of HIV-AIDS prevention and contraception had improved among the group members. The demand for and use of condoms and reproductive health services increased, resulting in low rates of unplanned and unwanted pregnancies. Through the face to face contacts made by the Peer Educators in the community, several female out of school youths were reached with HIV-AIDS and family planning messages. Sustainability of the project however depends on increased local political commitment and sustained donor support.

A Communication Project to Promote Safer Sex Practices among Young Female Out Of School Youths in Africa: The Botswana Example