What combination of interventions can optimise HIV prevention for adolescent girls and young women? Cohort analysis of DREAMS participation in urban and rural Kenya.

ABSTRACT: Comprehensive intervention packages are recommended to address multiple sources of HIV risk for adolescent girls and young women (AGYW). DREAMS is a multi-component HIV prevention program designed to reduce HIV incidence among AGYW. We conducted a prospective cohort study among AGYW aged 13-22 years, randomly selected in rural Gem and urban Nairobi informal settlements followed from 2017/2018-2019. AGYW were classified into three groups: (1) invited to DREAMS and received a "complete" package, (2) invited and received a "partial" package, or (3) not invited to DREAMS. We defined the "complete" package as 4-5 primary interventions in Gem and 5 in Nairobi: the "partial" package as 3 specific interventions in Gem and any 3-4 interventions in Nairobi. We used propensity score-adjusted logistic

SUBMITTER: Magut F 

PROVIDER: S-EPMC12503341 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature