Citation

Hartmann M, Otticha S, Agot K, Minnis AM, Montgomery ET, Roberts ST. AIDS Educ. Prev. 2021; 33(2): 103-119.

Copyright

(Copyright © 2021, Guilford Publications)

DOI

10.1521/aeap.2021.33.2.103

PMID

unavailable

Abstract

HIV pre-exposure prophylaxis (PrEP) reduces HIV acquisition among adolescent girls and young women (AGYW). Existing evidence suggests that uptake and adherence are low among AGYW and that relationship factors such as gender-based violence (GBV) are important barriers. Through a community-based participatory research (CBPR) process, a youth advisory board (YAB), service providers (SP), and a study team developed the Tu'Washindi na PrEP intervention to support AGYW PrEP use in the context of GBV. The YAB also guided the formative research and interpretation of results. The authors pretested the intervention with SP, AGYW and their partners, and community change agents, and then developed guides for AGYW support clubs, community-based male sensitization sessions, and couples-based events that included formulation of story lines for dramatized PrEP negotiation and information dissemination skills. Stakeholder engagement led to an intervention responsive to AGYW's needs for PrEP support in the context of their relationships, which was evaluated through a 6-month pilot community randomized controlled trial.

Language: en

Keywords

gender-based violence; adolescent girls and young women; community-based participatory research; HIV prevention; multilevel interventions; pre-exposure prophylaxis