Adult support of education on condom use for prevention of HIV/AIDS among young people

Export Indicator

The percentage of adults who are in favour of young people being educated about the use of condoms in order to prevent HIV/AIDS.
What it measures

Adult perceptions of HIV prevention programmes for young people are crucial to programme success because of the key role that adults play in shaping the attitudes and perceptions of adolescents. If parents and adults in the community disapprove of a programme, their lack of support often influences the attitudes and behaviour of young people.

Rationale
Numerator

The number of adults who agree that young people aged 12−14 years should be taught about using condoms in order to prevent HIV/AIDS. NOTE: The DHS version of this indicator limited the question to children aged 12−14. For this reason, countries may want to keep this limit. Moreover, in most settings this age group is likely to represent young people before their sexual initiation, which is a crucial time to begin education on sexuality. The specific age group could be adjusted to local situations, however, in accordance with the median age of first sex.

Denominator

All adults (persons aged 18 and above).

Calculation
Method of measurement

This indicator is based on existing questions addressed in the DHS. It assesses the general level of support among adults for information and skills programmes that focus on adolescents. In a household survey, adults are asked whether young people should be taught about the use of condoms to prevent HIV/AIDS.
Ostensibly, the parents of adolescents are the most important group, and, depending on the survey, disaggregation may be possible so as to provide data specifically for them. However, the opinions of adults as a whole are influential on the programmes and services provided for young people and, consequently, a knowledge of the general attitudes of adults is useful. If even more detailed information is desired on the support, or lack of it, attributable to the type of influential adult, the same information can be measured from interviews with selected key informants. Such interviews can yield a deeper understanding of the level of adult support for, or resistance to, HIV prevention programmes for young people, and can reveal differences in support for programmes between older and younger adolescents.

Measurement frequency
Disaggregation

Age group:

Condom type: N/A

Education: N/A

Gender: N/A

Geographic location: N/A

HIV status: N/A

Pregnancy status: N/A

Sector: N/A

Service Type: N/A

Target: N/A

Time period: N/A

Type of orphan: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

For the success of any programme focused on adolescents it is crucial to assess adult support for it. Many interventions that ultimately benefit young people are targeted not at young people but at adults whose values strongly influence adolescents. For example, the support of parents or teachers for HIV prevention programmes in schools may positively influence the acceptance of and interest in the programmes among young people. Furthermore, the support of an important local political, religious or other leader can positively influence the perceptions of adults. The importance of adult perceptions and support was demonstrated in a recent study in Zambia, which found that trends in the use of reproductive health services by adolescents were strongly associated with adult acceptance of the provision of such services to young people rather than with the attributes of the services themselves.
If used in a general population survey this indicator does not distinguish between different types of influential adults such as parents, teachers and health workers. Instead it assesses the general level of support among adults for information and skills programmes that focus on adolescents. If collected over time it can provide important data on trends in opinion or support among adults with respect to programmes for young people, especially if qualitative follow-up occurs.

Further information