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Sponsor: University College, London
Conditions: HIV Prevention, Contraceptive Usage, Adherence, Medication
Interventions: Peers who are stars
Countries: Zimbabwe
This is a pilot cluster-randomized control trial co-led by Dr. Valentina Cambiano, Associate Professor of Epidemiology at University College London, UK and Professor Euphemia Sibanda, Research Director at the Centre for Sexual Health and HIV Research (CeSHHAR Zimbabwe). The goal of the proposed study is to evaluate the appropriateness, feasibility, acceptability, uptake, costs and cost-effectiveness of a community-based, HIV-status neutral peer-led service delivery model in which young mentor mothers (YMM) work with pregnant and lactating adolescent girls and young women (PL-AGYW, aged 15-24), up to two-years post-birth, in Zimbabwe to promote uptake of contraception and HIV prevention. YMM living with HIV have been found to be effective in supporting their peers for prevention of mother-to-child transmission of HIV and adherence to treatment through the "Zvandiri" programme. The investigators propose adapting the "Zvandiri" YMM to include those without HIV to promote behaviour to prevent HIV and unintended pregnancies. This proposed intervention is building on the formative work that had the overall aim of co-developing with AGYW (aged 15-24) a Pre-Exposure Prophylaxis (PrEP) implementation intervention for AGYW who need it, that attracts them to PrEP, and supports pregnant and lactating adolescent girls and young women while taking it.
Sex: FEMALE
Age: 15 Years to 24 Years
Healthy volunteers: Yes
Study type: INTERVENTIONAL
Inclusion Criteria: * either pregnant or have at least one child who is less than 18 months of age at the time of initial engagement * Aged 15 - 24 years old
- Shangani, Insiza, Zimbabwe
- Empandeni Mission, Matabeleland South Province, Zimbabwe
- Mawabeni, Matabeleland South Province, Zimbabwe