Salud, Educación, Prevención, y Autocuidado (SEPA) is a six-session, culturally-tailored, small-group, skills building intervention designed to prevent high-risk sexual behaviors among low-income Latinas.
The intervention, delivered to groups of 11-13 women, promotes self-efficacy, builds skills and focuses on topics including: HIV/AIDS in the community, human anatomy and sexuality, education about HIV and other STDs, condom use, negotiation of safer sex, and preventing domestic violence. The intervention content and prevention messages are delivered using several methods, including: group discussions, videos, hands-on activities, role playing, skills demonstration, quizzes, and homework to build self-efficacy.
Target Population: SEPA was developed for Hispanic women/Latinas between the ages of 18 and 44 who are at risk for HIV and STD infection because of unprotected sex. Although the intervention's efficacy trial included Mexican and Puerto Rican women, researchers believe SEPA can be of benefit to at-risk women of diverse races and ethnicity if their prevention needs can be addressed by SEPA's activities.
SEPA Implementation Materials
SEPA implementation materials
including the Facilitator's Guide, Training of Facilitators Curriculum, Implementation Manual, Starter Kit and Promotional Materials are available for download on Effectiveinterventions.org. You may also view and download the Mi Hermano video
Should you have questions about SEPA, you may contact:
Dr. JoAna M. Stallworth, Behavioral Scientist, Science Application Team, Capacity Building Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. Email: firstname.lastname@example.org
Research and Development
Peragallo, N., DeForge, D., O'Campo, P., Lee, S. M., Kim, Y. J., Cianelli, R., et al. (2005). A randomized clinical trial of an HIV-risk-reduction intervention among low-income Latina women. Nursing Research
, 54, 108-118.
Peragallo, N., DeForge, D., Khoury, Z., Rivero, R., & Talashek, M. (2002). Latinas' perspectives on HIV/AIDS: Cultural issues to consider in prevention. Hispanic Health Care International, 1, 11-22.
Program Review Panel Information
The CDC requires all CDC-funded agencies using the SEPA intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.1113 to document this activity. The intervention researchers and developers are not involved in this activity. This is a CDC requirement for their grantees, and all questions in this regard should be directed to your agency's CDC Project Officer or to the health department funding your agency's implementation of the intervention.
The Program Review Panel guidelines, instructions for completion of Form 0.113, and the form itself are available under the Related Links
section of this website.