AGYW (South Africa and Kenya) | YWSS (Zimbabwe) | ||
---|---|---|---|
13–17 yearsb | 18–22 yearsb | 18–24 years | |
Primary | n/a a | HIV incidence | |
Secondary Outcomes | Knows HIV status | ||
Number of lifetime pregnancies | |||
Reduced experience of violence | |||
Incidence & prevalence of HSV-2/other STI | HIV prevalence | ||
Aware of partners’ HIV status | Number of sexual partners | ||
Engaged in transactional sex for economic reasons | |||
Age at first sex | Number of sexual partners in the last 12 months | Use of condoms & PrEP with regular/transactional sex partners | |
Age at first /subsequent pregnancies | Age at first / subsequent pregnancies | Adherence to HIV treatment and care services | |
Condom use | Reduced food insecurity | ||
Unmet need for contraception | |||
Age-disparity with sexual partners | HIV risk of sexual partners (to be defined a priori) | ||
No/less transactional sex | |||
Stay in school | In employment or completed vocational / microfinance training | ||
Age at first marriage or first long-term/live-in partner | |||
Mediators of change (Sample measures of constructs that DREAMS aims to improve, specifically: social assets, personal safety, self-efficacy, common mental disorders, empowerment, gender equitable norms, and sexual relationship power) | Have at least one trusted female friend they can confide in | Have at least one trusted female friend they can confide in | |
Meet regularly in a safe place with peers | Meet regularly at community mobilization sessions with peers and has increased sense of social cohesion | ||
Know a woman, other than mother/guardian, to turn to if have a serious problem | Can access HIV prevention services including condoms, STI treatment & PrEP (as measure of self-efficacy) and contraceptives | ||
Is supported to adhere to PrEP, and economically able to adhere/access PrEP | |||
Able to avoid / refuse sex if sex is not wanted | Has comprehensive knowledge of HIV prevention | ||
Able to refuse sex if partner will not use a condom (or confident they can use a condom with all sex partners) | Have access to money in an emergency | ||
Confident they could get a HIV test | Is confident she can negotiate condom use with sexual partners (including clients) | ||
Confident they can access health services when they need them (sexual and reproductive health services in particular) | Able to avoid violent relationships | ||
Have access to their own savings | |||
Have access to money in an emergency | |||
Believes a man and woman should decide together whether to use a condom / what type of contraception to use | |||
Uptake of DREAMS interventions | • Invited to participate / enrolled in DREAMS • Received at least one DREAMS intervention • Received multiple intervention categories in the DREAMS core package • Received DREAMS primary or secondary interventions (depending on age and need) | Intervention sites (versus comparison sites) | |
Within intervention sites, measures of individual uptake will include: • Received at least one DREAMS intervention • Received DREAMS package for key populations (‘KP_Prev’c) • Received KP_Prev + educational subsidies or vocational training • Received KP_Prev + PrEP |