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Table 1 Summary of DREAMS funded interventions among 10–14 year olds in Nairobi, grouped as either individual-level (primary or secondary) or contextual-level interventions

From: Reaching early adolescents with a complex intervention for HIV prevention: findings from a cohort study to evaluate DREAMS in two informal settlements in Nairobi, Kenya

(A) Level

(B) Sub-category

(C) Intervention

(D) Description of activities & interventions relating to DREAMS implementation

(E) Specific activities and interventions as measured through DREAMS Impact Evaluation surveys in Nairobi

Individual

Primary individual interventions

Social asset buildinga

Build social skills and networks; connect AGYW with peers, mentors & adults for information, emotional & material support

Awareness of and participation in a safe space program

School-based HIV and violence preventionb

HIV & sex education, violence prevention education in schools

Awareness of and participation in school based HIV educational programs and violence prevention programs

Financial capability trainingb

Financial capability training

Awareness of and participation in financial literacy training for girls or young women

Secondary individual interventions

HIV testing and counselling services a

HIV testing; partner testing if necessary; linkage to care & ART if positive, or linkage to other DREAMS prevention interventions if negative

Awareness of and participation in HIV testing, partner testing, or linkage to ART

Post-violence care servicesa

Youth-friendly screening & care for intimate partner violence/ violence against children, provision of Post Exposure Propylaxis (PEP)

Awareness of and participation in post-violence care services, HIV/STI testing after violence or PEP

Education subsidiesa

Support with school fees, uniforms etc. to enhance secondary school enrolment and retention for vulnerable girls

Awareness of and participation in educational subsidies (e.g support for school fees, uniforms, books or stationery) to help girls stay in school.

Range of individual level interventions

3–6

  

Contextual

Contextual level interventions

Parenting/caregiver programmesb

Parenting programmes on adolescent sexual/risk behaviours & protection from violence

Awareness of and participation in parenting/caregiving programs like Families Matter Program

Community mobilisation and norms changea

Community-based HIV and violence prevention programmes, social/gender norms change & gender-related messaging

Awareness of and participation in violence prevention and gender norms –related training or education in the community

Total contextual level interventions

2

  

Total DREAMS funded interventions for 10–14 year olds: 8

    
  1. aThese interventions were offered on a continous basis - social asset building meetings occurred weekly, and the EAG were encouraged to attend as many meetings as possible, for HIV services girls were retested every 6 months after the first test, post violence care services were provided if there was a report of violence, education subsidies were provided for as long as the beneficiary was still in school and qualified to receive it, while community mobilization involved engaging community members through meetings or discussion forums; b These interventions were session based - school-based HIV and violence prevention, and financial capability training were planned for 7 sessions, while parenting programs were planned for 5 sessions
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BMC Public Health

ISSN: 1471-2458

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