HIV prevention Infections and Infestations Unspecified human immunodeficiency virus [HIV] disease
Conditions
Interventions
30 districts randomly assigned to intervention groups, stratified by development status and HIV prevalence.
The structural intervention: Activities focus on empowerment of women aged
Sponsors
The Autonomous University of Guerrero (Universidad Autónoma de Guerrero) (Mexico)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: For intervention: All districts will be eligible for randomization to receive the intervention. In each intervention district, all residents aged 15 and above will be eligible. Different intervention activities will address different groups of the population, who will be free to decide whether to take up the offer: 1. Economic empowerment including skills workshop and government structural support offered to women aged 18-24, especially those not in school or employment. 2. Audio-drama discussion groups will be offered to all ages and both sexes 3. Concerting of service provision will include discussions with all local service-providers (all eligible) For impact surveys: Young women and young men aged 15-29 years in 10 clusters (random selection of enumeration areas from the recent census) in each of five intervention and five non-intervention districts.
Exclusion criteria
Exclusion criteria: For intervention: No district will be excluded. Within each intervention district, people not resident in the district will be excluded to minimize contamination (by people in other districts hearing of the interventions and wishing to take advantage of them, thus diluting the measured impact). For impact surveys: Field workers will not interview or take blood samples from anyone they judge to be unable to give informed consent or to understand the survey questions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HIV sero-prevalence among women aged 15-29 years. Outcome measured on completion of the intervention in year 4 and compared with the baseline of the second group of communities | — |
Secondary
| Measure | Time frame |
|---|---|
| Protective knowledge, attitudes, subjective norms, intention to change, agency, discussion of prevention, behaviours related to gender violence and HIV risk and prevention | — |
Countries
Botswana, Mexico
Outcome results
None listed