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

Korábbi kezelés

• reporting any severe physical IPV experienced in prior 3 months.
  • Couples (male and female):

Egyéb

• AGYW (female):
• do not speak Luganda or English
• do not feel they cannot safely participate in the study.

• 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