About Us

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Talking to young people in a rural community

CIET is a group of non-profit foundations, charities, non-governmental organisations and institutes dedicated to building the community voice into planning. Professor Neil Andersson started CIET in Mexico in 1985 to promote wider participation in health planning – Centro de Investigación de Enfermedades Tropicales (Tropical Disease Research Centre). CIET methods evolved to deal with other issues and the acronym has come to represent the values of the organisation: community information, empowerment and transparency. In Canada, CIETcanada merged with Participatory Research at McGill (PRAM) and has an institutional base in the Department of Family Medicine at McGill University.

CIET and the Government of Botswana are partners in the Inter-ministerial National Structural Interventions Trial (INSTRUCT). This nationwide cluster randomized controlled trial in a stepped-wedge design (trial registered as ISRCTN54878784) scales up and rolls out a combined package of structural and behavioural interventions to reduce choice disability and gender violence and hence reduce the risk of HIV infection, particularly among young women.

All 30 districts in the country will receive the package of interventions, though not all at the same time. The stepped-wedge design randomly divides all the districts into groups and rolls out the intervention package one group at a time. The INSTRUCT interventions are based on those tested in a previous three-country trial and include: an audio-drama about gender violence, transaction sex and HIV risk for discussion groups, designed to build and enabling environment for change (Beyond Victims and Villains); concerting of prevention services and structural support programmes to focus on those most at risk of HIV (Concerting); and skills workshops and government structural support programmes to empower young women (Focused Workshop).

The trial will be led by the National AIDS Coordinating Agency (NACA) and CIET, supported by the Ministries of Health and Local Government. Government workers will be trained to implement the interventions and Batswana researchers will consolidate recent training by participation in the trial design, implementation and analysis.

For more on this initiative visit the pages on trial design, HIV & gender violence, and choice disability. The Choice Disability trial website has information on our previous trial in Botswana, Namibia and Swaziland.