Adolescent Girls Empowerment Programme: Research and evaluation mid-term technical report

Austrian, Karen; Hewett, Paul C.; Soler‐Hampejsek, Erica; Bozzani, Fiammetta; Behrman, Jere R.; Digitale, Jean

doi:10.31899/pgy9.1005

Cited by 11 publications

(19 citation statements)

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“…Prevention programs must acknowledge that adolescents are influenced by peers, family and community. Recent failures to reduce HIV incidence in AGYW or to increase uptake of new prevention technologies among key populations can be partly attributed to the influential role that partners, family and communities play in the lives of youth [32,83–84]. We must also acknowledge that as adolescents learn to use prevention interventions, they will make mistakes and will need support.…”

Section: Resultsmentioning

confidence: 99%

HIV Prevention Interventions for Adolescents

Hosek

Pettifor

2019

Curr HIV/AIDS Rep

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Purpose of Review: The goal of this paper is to review recent data on biomedical, behavioral and structural HIV prevention interventions for adolescents and young adults. Recent Findings: While it is accepted that HIV prevention interventions must take an integrated approach to achieve maximum effectiveness, to date, there have been limited, rigorously evaluated combination prevention interventions for adolescents. There are currently a range of effective biomedical, behavioral and structural approaches that can be integrated into prevention packages to address the prevention needs of adolescents, including oral PrEP, male circumcision, rapid HIV testing, numerous behavioral interventions and structural interventions such as cash transfers and community mobilization to address gender-based violence. Summary: There is still a need for rigorously evaluated, innovative combination prevention packages for adolescents. Prevention approaches must take into account the context of young people’s lives and address the multiple levels of influence on their lives including parents, partners and communities.

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Section: Resultsmentioning

confidence: 99%

HIV Prevention Interventions for Adolescents

Hosek

Pettifor

2019

Curr HIV/AIDS Rep

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“…With the adaptations made, the Safe Spaces intervention was successfully implemented in five rural sites in Zambia with over 5,000 girls. Furthermore, attendance in the rural areas was higher on average than in the urban areas (Austrian et al 2016). One hypothesis for why younger and rural girls were more likely to participate is that there were fewer competing interests, i.e., fewer other programs and social activities were offered that girls could engage in during their free time.…”

Section: Resultsmentioning

confidence: 98%

Adolescent Girls Empowerment Program (AGEP): Adapting the safe spaces model in rural settings

2017

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“…Modules will address HIV prevention and treatment, general wellness and sexual and reproductive health, approaches to combat stigma and discrimination, and skills for better communication and include new content on health service availability and access to increase self-efficacy in seeking health care services. In addition to the education modules, we will establish youth clubs for the five distinct groups by adapting those created for the AGEP initiative and other similar programs [18,19]. Youth clubs will be facilitated by peer navigators, who are AGYW aged 16-24 years and have been trained in participant confidentiality, AGYW rights, basic counseling skills, sexual and reproductive health, HIV continuum of care, processes of referral and linkages for health services, recruitment strategies, and study aims.…”

Section: Methodsmentioning

confidence: 99%

“…With a sample size of 200 per randomization groups, we will be able to detect a 13%-14% difference. The grant team achieved a 90% retention rate at 12 months in a recent study of AGYW [18]; with a loss of 10% of the cohort during our follow-up in this study, we will still have the statistical power for a minimum detectable difference of 15% in HIV testing. For the HIV+ cohort, both retention in care and viral load suppression is estimated to be 70%-75% among AGYW.…”

Section: Methodsmentioning

confidence: 99%

“…The transitions from child to teenager to young adult are crucial developmental phases that require age-appropriate interventions [17]. Training tools such as the Stepping Stones program and the Adolescent Girl Empowerment Program (AGEP) are proven to improve self-efficacy and increase HIV knowledge [18-21]. Additionally, during adolescence, both family support and peer influence are important [22,23].…”

Section: Introductionmentioning

confidence: 99%

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Integrated Care Delivery for HIV Prevention and Treatment in Adolescent Girls and Young Women in Zambia: Protocol for a Cluster-Randomized Controlled Trial

Subramanian¹,

Edwards²,

Roberts³

et al. 2019

JMIR Res Protoc

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BackgroundAmong countries in sub-Saharan Africa, Zambia has one of the highest incidences of HIV. Adolescent girls and young women (AGYW) are a particularly affected group because of their social and economic vulnerability.ObjectiveThe goal of this study is to test a multilevel package of interventions at the community and health system levels in Zambia in order to connect AGYW with a source of regular care, which will in turn allow for sustainable, successful implementation of regular HIV testing and adherence to antiretroviral treatment.MethodsWe will adapt prior tools to create the SHIELD (Support for HIV Integrated Education, Linkages to Care, and Destigmatization) intervention to educate and empower Zambian AGYW of 10-24 years of age and their families and to create community-based youth clubs to foster peer support. We will also develop integrated wellness care clinics to offer a youth-friendly environment that provides tailored clinical services. We will perform formative research, including focus groups and in-depth interviews, among AGYW, caregivers, and stakeholders to help inform the development and tailoring of the interventions. A cluster-randomized controlled trial will be implemented in Lusaka, with six clinic catchment areas randomized into three groups: zones with integrated wellness care clinics and SHIELD intervention, zones with only SHIELD intervention, and control zones with no intervention. We will assess HIV testing among the HIV-negative or unknown (HIV-/u) cohort, and retention in care along with viral load suppression will be evaluated in the HIV-positive (HIV+) cohort. We will use in-depth interviews and surveys to collect staff and stakeholder feedback after the trial. Cost-effectiveness of the interventions and return-on-investment impacts will be quantified using a microsimulation model.ResultsInterim results are expected in 2021, and the final results are expected in 2022. If this multilevel intervention is successful in establishing a comprehensive care continuum for HIV-affected AGYW, the Zambian Ministry of Health may advocate for expansion to additional settings to support national scale-up.ConclusionsThis integrated service delivery model can also be a platform to implement additional preventive services, so HIV-/u and HIV+ AGYW can receive comprehensive, integrated services.Trial RegistrationClinicalTrials.gov NCT03995953; https://clinicaltrials.gov/ct2/show/NCT03995953 International Registered Report Identifier (IRRID)PRR1-10.2196/15314

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Adolescent Girls Empowerment Programme: Research and evaluation mid-term technical report

Cited by 11 publications

References 0 publications

HIV Prevention Interventions for Adolescents

HIV Prevention Interventions for Adolescents

Adolescent Girls Empowerment Program (AGEP): Adapting the safe spaces model in rural settings

Integrated Care Delivery for HIV Prevention and Treatment in Adolescent Girls and Young Women in Zambia: Protocol for a Cluster-Randomized Controlled Trial

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