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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)