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History, Modern 1601-↗

Community-based participatory research to prevent substance abuse and HIV/AIDS in African-American adolescents.

Adolescence is a time for exploration and risk-taking; in today's urban environment, with the twin threats of substance abuse and HIV/AIDS, the stakes are particularly high. This paper describes a community-based participatory research project to design, implement, and evaluate a faith-based substance abuse and HIV/AIDS prevention program for African-American adolescents. A coalition of university-based investigators and African-American church member stakeholders collaborated on all aspects of Project BRIDGE, the 3-year intervention to reduce substance abuse and HIV/AIDS in African-American adolescents. Our results support the use of community-based participatory research to create desirable change in this setting. Adolescents who participated in Project BRIDGE reported significantly less marijuana and other drug use and more fear of AIDS than a comparison group. Project BRIDGE has been designated an official ministry of the church and the program has been extended to others in the larger metropolitan community. The church now has a well-trained volunteer staff University faculty developed skills in negotiating with community-based settings. The coalition remains strong with plans for continued collaborative activities.

Adolescent↗

Operating in Vietnam.

'No bandages,' Florman said. 'Why no bandages? Because the mother will cry when she sees her child. Then she will see what you have done, and she will think you are God.'

Child↗

Role of nongovernmental agencies in vaccine delivery.

Zaire, a large central African country with a population of more than 30 million, has had much experience with nongovernmental agencies in its health sector. Of special importance have been missionary groups that established health facilities and conduct "mobile" health activities in rural areas. They established efficient communications and supply networks, and because they could refrigerate vaccines, they were among the first groups to deliver vaccines in rural areas. Expansion of Expanded Programme on Immunization services to rural areas was only made possible through the efforts of nongovernmental agencies.

Democratic Republic of the Congo↗