Adolescent Girls Initiative–Kenya: Midline results report

Austrian, Karen; Soler‐Hampejsek, Erica; Mumah, Joyce; Kangwana, Beth; Wado, Yohannes Dibaba; Abuya, Benta A.; Shah, Valsa; Maluccio, John A.

doi:10.31899/pgy14.1026

Cited by 12 publications

(24 citation statements)

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“…About a fifth of the studies examined contraceptive use: three of which investigated patterns of a full range of contraceptives [ 22 , 42 , 44 ], while six studies examined condoms use patterns for dual protection against pregnancies and HIV/AIDS [ 23 , 28 , 45 – 47 ]. These studies show that adolescents face many barriers in the use of contraceptive methods including lack of access, fear/embarrassment, cost and lack of knowledge.…”

Section: Resultsmentioning

confidence: 99%

“…Most of these interventions were conducted in slum areas in East Africa with limited work in Southern Africa and West Africa. Since they targeted adolescents in slum settlement most addressed the socio-economic correlates of poor adolescent SRHR outcomes by building adolescents’ economic and social assets [ 27 , 31 , 47 , 53 – 55 ]. The interventions for economic empowerment of girls included provision of microfinance, financial literacy, cash transfers, and savings programs aimed at reducing adolescents’ vulnerability to adverse SRHR outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Other correlates include alcohol and drug use [29] and commercial and/or transactional sex [50]. The consequences of GBV highlighted include injury, pain, psychological distress and other mental health illnesses, STIs, including HIV/AIDS, and unintended pregnancy [47,50,51].…”

Section: Gender-based Violencementioning

confidence: 99%

“…These included information provision through mass media, social media, virtual space, social mobilization, advocacy, and through participatory activities [54,56] . Others combined sexuality education with microcredit and community mobilization or gender empowerment training combined with life skills and financial literacy [27,47]. The reported outcomes of these interventions included increased knowledge of HIV/AIDS and condom use [27,57], reduction in the number of sexual partners [31,55] reduced GBV [53,55,57] and transactional sexual relationships and improved gender attitudes [47,57].…”

Section: Programs and Interventionsmentioning

confidence: 99%

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Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review

et al. 2020

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Background Addressing adolescents’ sexual and reproductive health and rights (SRHR) requires an understanding of the socio-cultural and spatial settings within which they live. One setting of particular importance is the informal settlements or ‘slums’ that are gradually dominating the urban space. We undertook a scoping review and synthesis of existing evidence on adolescent SRHR in slums in sub-Saharan Africa (SSA) focusing on the characteristics and nature of existing evidence. Methods The scoping review was conducted based on Arksey and O’Malley framework and in accordance with the guidance on scoping reviews from the Joanna Briggs Institute (JBI) and using PRISMA reporting guidelines for scoping reviews. A comprehensive search was undertaken in PubMed, POPLINE, African Journals Online (AJOL), Bioline International and Google Scholar. The search was confined to studies published in peer reviewed journals and reports published online between January 2000 and May 2019. Studies were included in the review if they addressed SRHR issues among adolescents living in urban slums in SSA. Results The review included a total of 54 studies. The majority (79.5%) of studies were quantitative. The bulk of studies (85.2%) were observational studies with only eight intervention studies. While half (27) of the studies focused exclusively on adolescents (10–19 years), 12 studies combined adolescents with other young people (10–24 years). The studies were skewed towards sexual behavior (44%) and HIV/AIDS (43%) with very few studies focusing on other SRHR issues such as contraception, abortion, gender-based violence and sexually transmitted infections (STIs) other than HIV. Most of the studies highlighted the significantly higher risks for poor SRHR outcomes among adolescents in slums as compared to their peers in other settlements. Conclusion Young people growing up in slums face tremendous challenges in relation to their SRHR needs resulting in poor outcomes such as early and unintended pregnancy, STIs, and sexual violence. The results of this review point to several potential target areas for programming, policy, and research aimed at improved adolescent SRHR in slums in SSA.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Gender-based Violencementioning

confidence: 99%

Section: Programs and Interventionsmentioning

confidence: 99%

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Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review

et al. 2020

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“…Still, only this one study has evaluated "cash plus" strategies for HIV prevention and the study examined associations with sexual behaviors, but not with HIV incidence [14,15] . Several additional cash plus care studies are currently ongoing but few are assessing impact on HIV incidence [16][17][18][19][20][21][22][23]. Among those that are examining incident infections [16,19], these studies are limited to testing only select combinations (e.g.…”

Section: Introductionmentioning

confidence: 99%

Modeling Cash Plus Other Psychosocial and Structural Interventions to Prevent HIV Among Adolescent Girls and Young Women in South Africa (HPTN 068)

et al. 2021

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Poverty alleviation programs can reduce HIV incidence but may have greater impacts when combined with other psychosocial interventions. We modeled the change in HIV incidence among South African adolescent girls and young women (AGYW) associated with combining a cash transfer (the South African Child Support Grant (CSG)) with other structural and behavioral interventions. We modeled observational data from the HPTN 068 study where 2328 HIV negative AGYW (13–20 years) were followed for 4 years. In a Monte Carlo simulation based on this cohort (N = 10,000), CSG receipt was not independently associated with HIV incidence. Providing the CSG combined with increasing caregiver care and reducing adolescent depression had the largest reduction in HIV incidence with the fewest number of combined interventions (RD − 3.0%; (95% CI − 5.1%, − 0.9%). Combining a monthly grant with interventions to increase caregiver care and reduce adolescent depression could substantially reduce HIV incidence above the provision of cash alone.

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Women of Worth: the impact of a cash plus intervention to enhance attendance and reduce sexual health risks for young women in Cape Town, South Africa

et al. 2022

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Introduction: Conditional cash transfers (CTs) augmented with other interventions are promising interventions for reducing HIV risk in adolescent girls and young women. Methods: A multi-phase, quasi-experimental study assessed the impact of a CT (ZAR300; $22) conditional on attending a skills building intervention, Women of Worth (WoW), designed to improve sexual and reproductive health (SRH) outcomes in Cape Town, South Africa from May 2017 to December 2019. The intervention entailed 12 sessions with encouragement to attend adolescent and youth-friendly health services. Women aged 19-24 years were randomized 1:1 to receive the intervention with a CT ("cash + care" or C+C) or without a CT ("care"). The study included a pilot phase followed by a post-modification phase with improved uptake and retention without changing programme content or CT. Self-reported HIV prevalence and SRH/HIV vulnerability were assessed via a self-administered questionnaire at baseline, after 11 sessions, and 6-30 months' post-intervention for a subset. Mixed effect logistic regression models were fitted to estimate within-subject changes in outcomes. Results: Of 5116 participants, 904 (452 participants per arm) were in the pilot and 4212 (2039 "care" participants and 2173 "C+C" participants) were in the post modified phase. There were 1867 (85.9%) and 135 (6,6%) participants in the "C+C" group and the "Care," respectively, that were WoW completers (≥ 11 sessions/retention). During the pilot phase, 194 (42.9%) and 18 (4.0%) participants in "C+C" and the "care" groups were retained. Receiving a CT sustained participation nearly 60-fold (OR 60.37; 95% CI: 17.32; 210.50, p <0.001). Three-hundred and thirty women were followed for a median of 15.0 months [IQR: 13.3; 17.8] to assess the durability of impact. Self-reported new employment status increased more than three-fold (p <0.001) at WoW completion and was sustained to the longer time point. Intimate partner violence indicators were reduced immediately after WoW, but this was not durable. Conclusions: Participants receiving CT had sustained participation in an SRH/HIV prevention skills building with improvement in employment and some SRH outcomes. Layered, "young woman centred" programmes to address HIV and SRH risk in young women may be enhanced with CT.

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Adolescent Girls Initiative–Kenya: Midline results report

Cited by 12 publications

References 0 publications

Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review

Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in sub-Saharan Africa: a scoping review

Modeling Cash Plus Other Psychosocial and Structural Interventions to Prevent HIV Among Adolescent Girls and Young Women in South Africa (HPTN 068)

Women of Worth: the impact of a cash plus intervention to enhance attendance and reduce sexual health risks for young women in Cape Town, South Africa

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