Young Women's Health CoOp (Cooperative) in Cape Town
| Status: | Recruiting |
|---|---|
| Conditions: | HIV / AIDS, Psychiatric |
| Therapuetic Areas: | Immunology / Infectious Diseases, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 16 - 21 |
| Updated: | 4/21/2016 |
| Start Date: | May 2014 |
| End Date: | April 2016 |
| Contact: | Wendee M Wechsberg, PhD |
| Email: | wmw@rti.org |
| Phone: | 919-541-6422 |
Seek, Test, Treat, & Retain Pilot for Out of School Teens at Risk in Cape Town
This supplement study is an adaptation of the larger NIH-funded parent study, the Women's
Health CoOp+, which tests a combination biobehavioral HIV prevention approach to enhance
standard HIV testing practices for alcohol and drug (AOD)-using women across the city of
Pretoria, South Africa. The current supplemental study seeks to reach AOD-using female
adolescents who experience the greatest burden of new HIV infections and are currently
underserved by HIV and drug-treatment programs in Cape Town, South Africa and test the
validation of both the instrument and adapted intervention.
Health CoOp+, which tests a combination biobehavioral HIV prevention approach to enhance
standard HIV testing practices for alcohol and drug (AOD)-using women across the city of
Pretoria, South Africa. The current supplemental study seeks to reach AOD-using female
adolescents who experience the greatest burden of new HIV infections and are currently
underserved by HIV and drug-treatment programs in Cape Town, South Africa and test the
validation of both the instrument and adapted intervention.
This study is testing and validating both the revised instrument and adapted intervention
through a small pilot trial where a cluster randomized design is used to recruit 100
participants through snowball sampling by community to either the YWHC condition or standard
HIV Counseling and Testing (HCT); collect biological specimens to screen for recent drug
use, pregnancy and HIV infection and provide referrals for care to resources; conduct
process evaluation measures for satisfaction and a 1-month follow-up post-intervention
interview assessing the feasibility and preliminary efficacy of conducting this intervention
among vulnerable young women and linking them to care.
Young women from disadvantaged communities in Cape Town who have dropped out of school and
who use AODs are highly vulnerable to physical victimization (violence and sexual
victimization) from any perpetrator, including main sexual partners and drug-related sexual
risks for HIV. Yet these vulnerable young women remain underserved by current HIV and drug
treatment programs in the region, even though they are experiencing the greatest burden of
new HIV infections in the country. The adapted Young Women's Health CoOp (YWHC) intervention
has a high likelihood of wider implementation, sustainability, and a significant public
health impact by reducing the exceedingly high HIV incidence amongst the most vulnerable
populations in South Africa.
through a small pilot trial where a cluster randomized design is used to recruit 100
participants through snowball sampling by community to either the YWHC condition or standard
HIV Counseling and Testing (HCT); collect biological specimens to screen for recent drug
use, pregnancy and HIV infection and provide referrals for care to resources; conduct
process evaluation measures for satisfaction and a 1-month follow-up post-intervention
interview assessing the feasibility and preliminary efficacy of conducting this intervention
among vulnerable young women and linking them to care.
Young women from disadvantaged communities in Cape Town who have dropped out of school and
who use AODs are highly vulnerable to physical victimization (violence and sexual
victimization) from any perpetrator, including main sexual partners and drug-related sexual
risks for HIV. Yet these vulnerable young women remain underserved by current HIV and drug
treatment programs in the region, even though they are experiencing the greatest burden of
new HIV infections in the country. The adapted Young Women's Health CoOp (YWHC) intervention
has a high likelihood of wider implementation, sustainability, and a significant public
health impact by reducing the exceedingly high HIV incidence amongst the most vulnerable
populations in South Africa.
Inclusion Criteria:
- Female, 16 to 21 years of age
- Dropped out of school for at least 6 months
- Currently dropped out of school
- Have not completed matric or N 3 certificate
- Have used at least one drug (which can include alcohol) at least weekly in the past
90 days
- Report unprotected sex with a male partner in the last 90 days
- Able to provide informed assent to participate or informed consent if at least 18
years old
- Live in a targeted community Delft, Khayelitsha, or Mfuleni
Exclusion Criteria:
• Have been a part of formative activities
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