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Reaching 90 90 90 in Adolescents in Zambia: Using all our SKILLZ

使赞比亚青少年达到 90 90 90 岁：利用我们所有的技能

基本信息

批准号：
10448370
负责人：
Jenny Xin Liu
金额：
$ 43.28万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-25 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10448370
关键词：
AIDS prevention Achievement Adherence Adolescent Africa South of the Sahara Age Attitude Books Caring Clinical Services Communities Computers Continuity of Patient Care Counseling Country Distant Education Effectiveness Ensure Epidemic Evaluation Female Female Adolescents Focus Groups Future Generations HIV HIV Infections HIV Seropositivity Health Home visitation Human immunodeficiency virus test Impact evaluation Incidence Individual Infectious Diseases Research Intervention Learning Life Mediation Mediator of activation protein Medical Mentors Modeling Pathway interactions Persons Public Health Randomized Controlled Trials Reproductive Health Services Rewards Risk Risk Behaviors Schools Secondary Schools Services Sex Behavior Sexual Health Soccer Social Network Social support Sports Surveys Teenagers Testing Training Trust Viral Viral Load result Woman Work Youth Zambia adolescent health age group aged antiretroviral therapy base design empowerment follow-up gender disparity girls high risk high risk population implementation science improved incremental cost-effectiveness innovation peer peer coaching population based programs psychosocial wellbeing risk perception self esteem social sociodemographics success uptake young woman

项目摘要

Project Summary/ Abstract Despite considerable progress, many countries are still struggling to achieve the UNAIDS 90 90 90 targets. These targets have been particularly challenging amongst adolescent girls, with poorer uptake, retention and viral suppression being reported3-6 Grassroot Soccer (GRS) and the Centre for Infectious Disease Research in Zambia (CIDRZ) have collaborated to develop a comprehensive adolescent package that providse sexual and reproductive health services (SRH), including HIV testing and treatment, in adolescent friendly spaces. This program builds off a strong social support with peer mentoring and the use of social networking and adolescent-friendly clinical services that integrate HIV with sexual and reproductive health services (SRH). The `SKILLZ programme' developed for adolescent girls by GRS generates demand for all steps in the HIV cascade among young women. It is a sport-based school intervention, to increase the use of HIV and SRH services and to improve psychosocial well-being, including self-esteem, empowerment, and self-sufficiency. To ensure an uninterrupted continuum of care, we have integrated SKILLZ with CIDRZ teen services to create `SKILLZ Plus', a seamless 90-90-90 pathway for adolescents in Zambia. Instead of focusing on changing young women's attitudes towards their own risk using a medical model, we leverage the power of soccer, local peer mentors and female life coaches to build bridges between young women and services often viewed as inaccessible, distant or irrelevant. Our Specific Aims are to 1.Examine the incremental cost effectiveness of SKILLZ Girl on HIV testing among adolescent girls in secondary schools in Lusaka using a quasi-experimental impact evaluation. 2. Assess the impact of SKILLZ Plus over two years on viral load suppression (Aim 2a) at 6 months and retention at 6 months, 12 months and 24 months (Aim 2b) through an individual-level randomized controlled trial for those who test positive and 3. Identify mediators, predictors and barriers to uptake of SKILLZ Plus (testing, retention and viral load suppression) both quantitatively through mediation and moderation analyses and qualitatively through focus groups discussions (FGD) with coaches and girls.

项目摘要/摘要