A recently released paper looking at systematic approaches to program adaptation of evidence-based health promotion programs focused on the computer-based sexuality education program, The World Starts With Me (WSWM), for a case study.

WSWM, introduced in 2003 by the World Population Foundation, was developed for a priority population in Uganda and adapted for use in Indonesia this year. The program’s target population includes both school-going young people and early school leavers, generally ages 12-19, and is complemented with teacher-led activities. It utilizes a comprehensive approach that includes building IT-skills and creative expression, aiming to contribute to sexual and reproductive health as well as social and economic development.

The program provides introductory computer skills lessons as well as 14 lessons on adolescent development, decision making and sexual and reproductive health and rights. The lessons employ effective sex education methods, including practical applications to increase knowledge, develop attitudes, and help youth recognize and cope with social influences.

The paper’s authors, all public health professionals and academics, chose WSWM as their case study because of its proven success. In 2004, the program received the Golden Nica Award by Prix Ars Electronica in the digital communities category, and UNESCO used WSWM’s digital curriculum as a guideline for implementing effective sexuality education.

A meta-analysis revealed that computer technology-based programs like WSWM have similar results to traditional human-delivered interventions in terms of HIV/AIDS prevention behavior adoption. In particular, they proved to have positive results in increased condom use and reduced sexual activity, numbers of sex partners and sexually transmitted infections (STIs). Computer-based assignments also allow programs like WSWM to be student-driven, which means teachers are less burdened to talk about sensitive sexuality issues which may be uncomfortable for students. According to the meta-analysis, given computer-based programs’ “low cost to deliver, ability to customize intervention content, and flexible dissemination channels, they hold much promise for the future of HIV prevention.”

This research paper reveals that ICT-based HIV-prevention programs like WSWM can be effectively adapted in other contexts, which could lead to widespread reduction in HIV rates among young people.