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Table 1 Interventions and target populations of the DREAMS Core Package

From: Evaluating the impact of the DREAMS partnership to reduce HIV incidence among adolescent girls and young women in four settings: a study protocol

Target population and strategy Evidence-based intervention
Individual interventions (delivered directly to adolescent girls and young women)
 Empower girls and young women and reduce their risk ▪ Condom promotion and provision ▪ HIV testing and counselling services (HTS) ▪ Oral pre-exposure prophylaxis (PrEP) for HIV, offered to a subset of females at exceptionally high risk and in select countries ▪ Post-violence care ▪ Expanded contraceptive method mix ▪ Social asset building
Contextual interventions (not all delivered directly to adolescent girls and young women but from which they can benefit)
 Mobilize and strengthen the community for change ▪ School-based HIV and violence prevention for boys and girls ▪ Community-based HIV and violence prevention for boys/young men and girls/young women ▪ Community mobilization and norms change for community leaders, boys and men
 Strengthen families ▪ Parenting and caregiver programmes for vulnerable adolescent girls ▪ Social protection (cash transfers, educational subsidy, combination socioeconomic approaches)
 Decrease risk in sexual partners of AGYW ▪ Characterisation of male partners to target highly effective interventions, e.g., HIV testing services, antiretroviral therapy (ART) and voluntary medical male circumcision (VMMC)