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Literature suggests that communication is a protective factor against high-risk sexual behavior. This study assessed the impact of a fourth-grade communication-centered life skills program on attitudes, norms, self-efficacy, behaviors, and intentions toward communication about difficult subjects. Participants included 1,581 low-income Mexican elementary-school children, divided into experimental and control groups. Teachers were trained to replicate the program as part of the school curriculum over 15 to 20 weeks. Students completed self-report questionnaires before and after the program. Multilevel analyses demonstrated the program's statistically significant positive impact on communication about attitudes, self-efficacy, intentions, and behavior; perception of sociocultural norms regarding communication transformed as a result of the program. Gender significantly predicted differences in communication: with respect to attitudes, self-efficacy, and intentions. The results show that early intervention programs targeting communication about difficult subjects can prevent risky sexual behavior and its consequences (e.g., HIV/AIDS) and influence perception of norms and gender roles.

Governments in developing countries need effective programmes to advance public policies and improve social welfare. NGOs often have well-tested programmes and research outcomes that are relevant to such needs, yet the scaling up of pilot programmes to national level is difficult to achieve and frequently unsuccessful. This article presents a case of successful scaling up for an adolescent sexual-health and psychosocial-competencies programme in Mexico, through an NGO-government partnership involving IMIFAP, a Mexican NGO. The case illustrates how an NGO can create a successful partnership with government to scale up effective programmes, in ways that meet key needs of the target population while protecting the NGO's core values. [ABSTRACT FROM AUTHOR]

En este trabajo se analizan los resultados de la aplicación del programa educacional Porque me quiero, me cuido, denominado actualmente Yo quiero, yo puedo. . . prevenir el cáncer, en poblaciones rurales e indígenas de Valles Centrales, estado de Oaxaca, una de las regiones más pobres de México. Este programa está dirigido a promover el uso de servicios de tamizaje y la prevención del cáncer cervicouterino mediante el cambio de conducta de las personas y la comunidad. Para ello se realizaron talleres interactivos enfocados al desarrollo de habilidades y conocimientos en las mujeres de 15 a 64 años de edad. Estos talleres se complementaron con campañas en la comunidad y talleres para hombres con el fin de conseguir su apoyo. Se cuantificaron las pruebas de Papanicolau realizadas en las 10 poblaciones intervenidas y en 6 poblaciones con características similares empleadas como control. Además se evaluó mediante un cuestionario los cambios en la conducta, los conocimientos y las actitudes. Se observó un numero significativamente mayor de pruebas de Papanicolau realizadas en las poblaciones intervenidas con respecto a las de control (P = 0,02). Se comprobaron cambios positivos en el nivel de conocimientos de las mujeres respecto a las causas del cáncer cervical y las medidas para prevenirlo. [ABSTRACT FROM AUTHOR]

The article discusses the role of communication in protecting against the spread of the disease HIV/AIDS. The authors reports on a study conducted on fourth-grade elementary students in a low-income area in Mexico who engaged in a communication-centered life skills program. Students completed a self-report questionnaire at the start of and concluding the program to evaluate. The authors found that gender had a significant impact on outcomes and that intervention programs focusing on communication can deter risky sexual behavior later in life.

This article reports on the development and administration of a programme in seven rural villages in the Mexican state of Oaxaca to address high rates of cervical cancer. The rationale and strategy are described on which the programme is based. The development and administration of the programme (to 1513 women) is presented, aimed at enabling women to take better care of themselves. Various additional activities that were added in the course of the programme in order to facilitate contextual factors are also described, including community campaigning, programmes with men and the training of health personnel. Effectiveness was evaluated in terms of both process and impact indices, showing high rates of attendance at programme sessions by enrolled women, an increase in knowledge and a substantial increase in the number of preventive diagnostic tests. The final section reflects on both the achievements, and the scope and the limitations of the programme. Copyright © 2005 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Focuses on the importance of sexuality education to Latin American politicians, educators, and policy makers in Mexico. Response to social and public health crises; Details on the resulting tension between sexual desire and perceived social norms; Lack of open communication about one's sexuality.

This contribution presents a set of intervention programs in the area of reproductive health, sexuality, and life-skills education that are now widely used in Mexico and with Latin American populations elsewhere. First, the authors briefly indicate how a research-informed approach has been central to the development and implementation of these interventions. Thereafter they describe how the programs were initially designed, taking into consideration the Mexican cultural context and its implications for Mexican adolescents. They also mention subsequent evaluationbased extensions of the programs to reach other target populations, to broaden the range of issues addressed, to promote their dissemination, and to advocate society-wide sexuality and life-skills education. [ABSTRACT FROM AUTHOR]

Evaluates the sexual educational programs for children of non-governmental organization IMIFAP in Mexico. History of the organization; Context of the family planning program in the country; Exploratory research of the organization on factors affecting health educational programs.