Title: Does School Support Reduce Risk of HIV? 3 year Evidence from a Randomized Controlled Trial among Orphan Adolescents in Kenya
Methods: A cluster randomized-controlled trial was conducted among orphan adolescents in western Kenya. Primary schools (N=26) were randomized to study condition. Intervention participants received financial support for school fees, uniforms and medical needs. Annual surveys were conducted in 2011 through 2014, and HIV and HSV-2 biomarkers were collected at baseline and endline. Data were analyzed using survey logistic regression or generalized estimating equations controlling for age and biological sex.
Results: 835 orphan adolescents participated in the study. HIV and HSV-2 prevalence was 1% and 3%, respectively, at baseline. Significant positive effects by study condition were observed over the 3 years in school dropout, school achievement, quality-adjusted life years (QALY), circumcision, depression, marriage, and other attitude variables such as educational aspirations and future expectations. Differences in HIV infection were not observed at endline.
Conclusions: Structural interventions providing school fees have positive impacts on important behaviors and attitudes related to HIV infection.
Learning Areas:Public health or related research
Evaluate a structural intervention of school support to reduce HIV risk behaviors among orphan adolescents in Kenya
Keyword(s): HIV/AIDS, Adolescents
Qualified on the content I am responsible for because: I have been the principal or co-investigator of several federally funded grants focusing on HIV prevention research. I have a PhD and years of experience conducting research in the realm of HIV.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.