{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:00:24Z","timestamp":1777665624507,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,7,29]],"date-time":"2015-07-29T00:00:00Z","timestamp":1438128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Education Journal"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The past decade has seen changes in US HIV policy in sub-Saharan Africa in response to a new Administration and far-reaching technical, scientific and programmatic developments. These include dramatically increased access to life-saving anti-retroviral therapy (ART) and related services, the roll-out of voluntary medical male circumcision and growing sensitivity to gender-based violence, including child sexual abuse, and to its role in increasing vulnerability to HIV. The Families Matter! Program (FMP) is an intervention for parents and caregivers of 9- to 12-year-olds that promotes effective parent\u2013child communication about sexuality and sexual risk reduction. FMP was adapted from a US evidence-based intervention in 2003\u20132004 and is now implemented in eight African countries. In 2012\u20132013, the FMP curriculum was updated and enhanced to respond to new US Government priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Enhancements to the curriculum drew on the results of Violence Against Children surveys, on a review of existing literature, on feedback from the field on the existing curriculum and on stories written by young people across Africa for scriptwriting competitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We updated FMP with scientific content and stronger linkages to services. We also intensified our focus on structural determinants of risk. This contextualisation of sexual risk-taking within structural constraints led us to place greater emphasis on gendered vulnerability and the diverse pressures children face and to intensify our situation-based pedagogical approach, drawing on the authentic youth-authored narratives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We describe these changes as an illustration of and source of insight into much-needed programmatic adaptation in response to evolving HIV policy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0017896915595530","type":"journal-article","created":{"date-parts":[[2015,7,29]],"date-time":"2015-07-29T21:40:34Z","timestamp":1438206034000},"page":"409-420","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Responding to changes in HIV policy: Updating and enhancing the\n                    <i>Families Matter!<\/i>\n                    curriculum"],"prefix":"10.1177","volume":"75","author":[{"given":"Kim S","family":"Miller","sequence":"first","affiliation":[{"name":"Division of Global HIV\/AIDS, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Winskell","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faith L","family":"Berrier","sequence":"additional","affiliation":[{"name":"Division of Global HIV\/AIDS, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,7,29]]},"reference":[{"key":"bibr1-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1300\/J056v16n01_01"},{"key":"bibr2-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000341778.73038.86"},{"key":"bibr3-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"bibr4-0017896915595530","unstructured":"Clinton HR (2011) Remarks on \u2018Creating an AIDS-Free Generation\u2019. Available at: http:\/\/www.state.gov\/secretary\/20092013clinton\/rm\/2011\/11\/176810.htm (accessed 9 January 2014)."},{"key":"bibr5-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"bibr6-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.12.1123"},{"key":"bibr7-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czp024"},{"key":"bibr8-0017896915595530","unstructured":"Global Dialogues (2015) Available at: www.globaldialogues.org (accessed 2 June 2015)."},{"key":"bibr9-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000327435.28538.18"},{"key":"bibr10-0017896915595530","volume-title":"Facing Facts: Sexual Health for America\u2019s Adolescents","author":"Haffner DW","year":"1995"},{"key":"bibr11-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2012.658755"},{"key":"bibr12-0017896915595530","unstructured":"Joint United Nations Programme on HIV\/AIDS (UNAIDS) (2013) Global report: UNAIDS report on the global AIDS epidemic 2013. Geneva: UNAIDS. Available at: http:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/UNAIDS_Global_Report_2013_en_1.pdf (accessed 8 July 2015)."},{"key":"bibr13-0017896915595530","unstructured":"Khan A (2011) Gender-based violence and HIV: A program guide for integrating gender-based violence prevention and repsonse in PEPFAR programs. Arlington, VA: USAID\u2019s AIDS Support and Technical Assistance Resources, AIDSTAR-One, Task Order 1. October 2011, Available at: http:\/\/www.aidstar-one.com\/sites\/default\/files\/AIDSTAR-One_GBV_Guidance_lowres.pdf (accessed 8 July 2015)."},{"key":"bibr14-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2003.00067.x"},{"key":"bibr15-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2006.18.supp.59"},{"key":"bibr16-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1186\/1472-698X-11-7"},{"key":"bibr17-0017896915595530","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301417"},{"key":"bibr18-0017896915595530","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31825cac4e"},{"key":"bibr19-0017896915595530","volume-title":"Violence against Children in Swaziland: Findings from a National Survey on Violence against Children in Swaziland","author":"Reza A","year":"2007"},{"key":"bibr20-0017896915595530","first-page":"77","volume":"14","author":"Sommer M","year":"2011","journal-title":"International Electronic Journal of Health Education"},{"key":"bibr21-0017896915595530","unstructured":"Thomas D, Leicht C, Hughes C, (2003) Emerging practices in the prevention of child abuse and neglect. Washington, DC: US Department of Health and Human Services."},{"key":"bibr22-0017896915595530","volume-title":"Violence against children in Tanzania: Findings from a national survey, 2009","author":"United Nations Children\u2019s Fund (UNICEF) Tanzania, Division of Violence Prevention, National Center for Injury Prevention and Control, et al","year":"2011"},{"key":"bibr23-0017896915595530","unstructured":"United Nations Population Fund (UNFPA) (1994) Programme of action. Report of the International Conference on Population and Development. New York: United Nations. 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