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Evaluation Review, Vol. 26, No. 4, 382-394 (2002)
DOI: 10.1177/0193841X02026004002

A Model-Based Evaluation of a Cultural Mediator Outreach Program for HIV+ Ethiopian Immigrants in Israel

Edward H. Kaplan

Yale School of Management and Yale School of Medicine

Varda Soskolne

Bar Ilan University

Bella Adler

The Hebrew University

Alex Leventhal

Ministry of Health, Jerusalem

Ronny A. Shtarkshall

The Hebrew University

This article presents a model-based evaluation of a program designed to reduce HIV transmissionfrom HIV-infected Ethiopian immigrants in Israel. Rather than rely on self-reportedvariables such as condom use, this study's approach focuses on pregnancy rate reduction,estimated from administrative periodic reporting data, as a measure of unprotected sexualexposure. The models show that among both HIV+ women and the female sex partners of HIV+men, the ongoing pregnancy rates estimated during the intervention were significantly lower thanthe estimated baseline pregnancy rates, suggesting reductions in unprotected sexual exposuresamong those participating in the program.

Key Words: program evaluation • Ethiopian immigrants • HIV • Israel


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