Tu’ Washindi na PrEP
Targeted interventions to address the multi-level effects of gender-based violence on PrEP uptake and adherence among adolescent girls and young women in Siaya County Kenya
In sub-Saharan Africa, women and girls account for two-thirds of new HIV infections, with adolescent girls and young women (AGYW) comprising 25% of all new HIV infections. Specifically, AGWY who experience gender based violence (GBV) represent a large subpopulation who are uniquely vulnerable to HIV infection. As a consequence, GBV prevention is imbedded into national HIV prevention strategies, but few programs address HIV risk among women who have already experienced GBV. Furthermore, the lack of evidence for interventions to increase PrEP use among GBV survivors represents a critical gap in the field.
This study nested within the ongoing DREAMS (Determined, Resilient, Empowered, AIDS-free, and Safe) initiative in Siaya County, Kenya, will conduct formative research to identify barriers and facilitators to PrEP adoption faced by AGYW survivors of GBV at individual, partnership, community, and clinical levels, and to assess participants’ and providers’ views on the best way to address these barriers and promote effective PrEP use. The findings will inform the development of an intervention that will address GBV-specific barriers to PrEP uptake and adherence in AGYW to reduce their risk to HIV acquisition.
Study Contact: Kawango Agot (Email: email@example.com )
Principal Investigator:Sarah T. Roberts PhD, MPH (Womens Global Health Imperative (WGHI), RTI International) and Kawango Agot, MPH, PhD (Impact Research & Development Organization, IRDO)
Co-Investigators:Alexandra Minnis, PhD, MPH (Womens Global Health Imperative (WGHI), RTI International), Elizabeth Montgomery, PhD (Womens Global Health Imperative (WGHI), RTI International), Rachel Ogollah, MA (DREAMS Coordinator, Impact Research & Development Organization, IRDO)
Funding: National Institute Mental Health (NIMH) through RTI International