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Improving HIV Care Engagement Among Ugandan Adolescent Girls and Young Women: The Kisoboka Mukwano Intervention

Enrolling By InvitationNA

Sponsor: Arizona State University

Conditions: HIV-infection/Aids, Intimate Partner Violence, Domestic Violence, Alcohol Use Disorder

Interventions: Kisoboka Mukwano ("It is possible, my love!") Intervention, Screening and Referral

Countries: Uganda

This study will develop and pilot test a couples-based intervention to help adolescent girls and young women living with HIV (WLHIV (15-24 years) living in Uganda access HIV care and improve the outcomes of their HIV treatment by targeting male partner alcohol use to reduce IPV risk.

Eligibility overview

Sex: ALL

Age: 15 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria

Adolescent girls and young women (AGYW)/Female:

* aged 18-24 or self-reported as emancipated minors aged 15-17,
* HIV+
* meets one or more of the following non-engagement criteria: not currently enrolled in an HIV clinic (e.g., never enrolled, dropped out); not currently taking ART; missed 1 or more scheduled HIV care appointments requiring physical presence (e.g., viral load \[VL\] testing) in the last 12 months; \< 90% ART adherence in the last 2 weeks; most recent VL\>1000 or expected recent VL test results absent in clinic records despite initiating ART \>6 months ago
* self-report a history of at least one incident of IPV (physical, sexual, and/or emotional) and/or controlling behavior ever perpetrated by their current male partner
* agree to let research staff contact their male partner.

Male Partners of AGYW/Male:

* aged 18+ years or emancipated minors
* report consuming ≥ 6 drinks per occasion at least once or more in the prior 30 days or scores 4 or more on the AUDIT (Alcohol Use Disorders Identification Test)-C

Couples (each partner (male and female) must independently report):

* married or living together as if married for ≥6 months
* planning to stay together for at least another 2 months (intervention period)
* lived in the Wakiso District area ≥3 months
* not planning to move from the area within the next 6 months
* respond similarly (not exact but close) to questions on the study-developed Couple Verification Screening

Exclusion Criteria

AGYW (female):

* reporting any severe physical IPV experienced in prior 3 months.

Couples (male and female):

* do not speak Luganda or English
* do not feel they cannot safely participate in the study.

Locations (1)

Kampala, Uganda