The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV

 

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dc.contributor.author Wechsberg, Wendee M
dc.contributor.author Browne, Felicia A
dc.contributor.author Carney, Tara
dc.contributor.author Myers, Bronwyn
dc.contributor.author Minnis, Alexandra
dc.contributor.author MacDonald, Robert
dc.contributor.author Ndirangu, Jacqueline W
dc.contributor.author Turner, Leslie B
dc.contributor.author Howard, Brittni N
dc.contributor.author Rodman, Nathaniel
dc.date.accessioned 2018-07-17T10:39:03Z
dc.date.available 2018-07-17T10:39:03Z
dc.date.issued 2018-07-11
dc.identifier.citation Wechsberg, W. M., Browne, F. A., Carney, T., Myers, B., Minnis, A., MacDonald, R., ... & Rodman, N. (2018). The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV. BMC public health, 18(1), 859.
dc.identifier.uri https://doi.org/10.1186/s12889-018-5665-5
dc.identifier.uri http://hdl.handle.net/11427/28305
dc.description.abstract Background South Africa remains the global epicentre of HIV infection, and adolescent women have the highest incidence of HIV in the country. South Africa also has high rates of alcohol and other drug (AOD) use, violence, and gender inequality. Violence converges with AOD use, gender inequities and other disparities, such as poverty, to increase sexual risk and poor educational attainment for adolescent women. This study seeks to test the efficacy of peer recruitment and cofacilitation of the Young Women’s Health CoOp (YWHC), a comprehensive gender-focused intervention to reduce HIV risk behaviours and increase the uptake of HIV counselling and testing (HCT) among out-of-school, adolescent women who use AODs. The YWHC is facilitated by local research staff and supported by peers. Methods This cluster-randomised trial is enrolling participants into two arms: a control arm that receives standard HCT, and an intervention arm that receives the YWHC. Participants are enrolled from 24 economically disadvantaged communities in Cape Town, South Africa. These geographically distinct communities serve as clusters that are the units of randomisation. This study uses adolescent peer role models and research field staff to recruit marginalised adolescent women. At baseline, participants complete a questionnaire and biological testing for HIV, recent AOD use, and pregnancy. The core intervention is delivered in the month following enrollment, with linkages to health services and educational programmes available to participants throughout the follow-up period. Follow-up interviews and biological testing are conducted at 6 and 12 months post enrollment. Discussion The study findings will increase knowledge of the efficacy of a comprehensive HCT, gender-focused programme in reducing AOD use, victimisation, and sexual risk behaviour and increase uptake services for out-of-school, adolescent women who use AODs. The trial results could lead to wider implementation of the YWHC for vulnerable adolescent women, a key population often neglected in health services. Trial registration Trial registration no: NCT02974998 , November 29, 2016.
dc.language.iso en
dc.publisher BioMed Central
dc.source BMC Public Health
dc.source.uri https://bmcpublichealth.biomedcentral.com/
dc.subject.other Adolescent women
dc.subject.other Alcohol and other drug use
dc.subject.other HIV prevention
dc.subject.other Gender-based violence
dc.subject.other School dropouts
dc.subject.other South Africa
dc.title The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV
dc.type Journal Article
dc.date.updated 2018-07-15T03:27:14Z
dc.rights.holder The Author(s).
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Wechsberg, W. M., Browne, F. A., Carney, T., Myers, B., Minnis, A., MacDonald, R., ... Rodman, N. (2018). The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV. <i>BMC Public Health</i>, http://hdl.handle.net/11427/28305 en_ZA
dc.identifier.chicagocitation Wechsberg, Wendee M, Felicia A Browne, Tara Carney, Bronwyn Myers, Alexandra Minnis, Robert MacDonald, Jacqueline W Ndirangu, Leslie B Turner, Brittni N Howard, and Nathaniel Rodman "The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV." <i>BMC Public Health</i> (2018) http://hdl.handle.net/11427/28305 en_ZA
dc.identifier.vancouvercitation Wechsberg WM, Browne FA, Carney T, Myers B, Minnis A, MacDonald R, et al. The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV. BMC Public Health. 2018; http://hdl.handle.net/11427/28305. en_ZA
dc.identifier.ris TY - Journal Article AU - Wechsberg, Wendee M AU - Browne, Felicia A AU - Carney, Tara AU - Myers, Bronwyn AU - Minnis, Alexandra AU - MacDonald, Robert AU - Ndirangu, Jacqueline W AU - Turner, Leslie B AU - Howard, Brittni N AU - Rodman, Nathaniel AB - Background South Africa remains the global epicentre of HIV infection, and adolescent women have the highest incidence of HIV in the country. South Africa also has high rates of alcohol and other drug (AOD) use, violence, and gender inequality. Violence converges with AOD use, gender inequities and other disparities, such as poverty, to increase sexual risk and poor educational attainment for adolescent women. This study seeks to test the efficacy of peer recruitment and cofacilitation of the Young Women’s Health CoOp (YWHC), a comprehensive gender-focused intervention to reduce HIV risk behaviours and increase the uptake of HIV counselling and testing (HCT) among out-of-school, adolescent women who use AODs. The YWHC is facilitated by local research staff and supported by peers. Methods This cluster-randomised trial is enrolling participants into two arms: a control arm that receives standard HCT, and an intervention arm that receives the YWHC. Participants are enrolled from 24 economically disadvantaged communities in Cape Town, South Africa. These geographically distinct communities serve as clusters that are the units of randomisation. This study uses adolescent peer role models and research field staff to recruit marginalised adolescent women. At baseline, participants complete a questionnaire and biological testing for HIV, recent AOD use, and pregnancy. The core intervention is delivered in the month following enrollment, with linkages to health services and educational programmes available to participants throughout the follow-up period. Follow-up interviews and biological testing are conducted at 6 and 12 months post enrollment. Discussion The study findings will increase knowledge of the efficacy of a comprehensive HCT, gender-focused programme in reducing AOD use, victimisation, and sexual risk behaviour and increase uptake services for out-of-school, adolescent women who use AODs. The trial results could lead to wider implementation of the YWHC for vulnerable adolescent women, a key population often neglected in health services. Trial registration Trial registration no: NCT02974998 , November 29, 2016. DA - 2018-07-11 DB - OpenUCT DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV TI - The Young Women’s Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV UR - http://hdl.handle.net/11427/28305 ER - en_ZA


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