cover image: Impact of DREAMS interventions in the prevention of HIV among adolescent girls and young women in Kenya - Evidence Brief

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Impact of DREAMS interventions in the prevention of HIV among adolescent girls and young women in Kenya - Evidence Brief

23 Feb 2024

Impact of DREAMS interventions in the prevention of HIV among adolescent girls and young women in Kenya February 2024 Evidence Brief Introduction HIV infections in Kenya, with more than 1000 new infections among young people aged 15-24 years Over the years, HIV prevalence in Kenya has declined in each of these counties. [...] In Kenya, past studies have shown that AGYW living in At the time of the first evaluation (2017-2019), the areas with high prevalence rates, for example, in urban implementation of the DREAMS program was in informal settlements and the fishing communities in its formative stage, and it can be argued that the western Kenya, are at higher risk of acquiring HIV. [...] In Gem, non- DREAMS invitees constituted 15.3%, early invitees Using the databases of the HDSS in Nairobi and Siaya, 58.6%, and later invitees 26.2% of the cohort while we randomly selected participants for a cohort study, in Nairobi the proportions were 13.6%, 71.5%, and and we have followed them up since 2017 in Nairobi 14.9% respectively. [...] Uptake of DREAMS and young men (ABYM), community leaders, parents, interventions DREAMS mentors, and the representatives of the DREAMS implementing partners (IP) to get a deeper In Gem, the proportion of AGYW who ever tested understanding of the program delivery, benefits, for HIV was high among DREAMS and non-DREAMS challenges, and opportunities for improvement. [...] We assessed the impact of DREAMS by comparing On causal analyses, we found only small differences three hypothetical scenarios: all AGYW in the between DREAMS and non-DREAMS participants on community were early DREAMS invitees, all AGYW the uptake of effective prevention methods in both in the community were late DREAMS invitees, or all settings.
Pages
12
Published in
Kenya