Improving HIV Care Engagement Among Ugandan Adolescent Girls and Young Women: The Kisoboka Mukwano Intervention
HIV-infection/Aids, Intimate Partner Violence, Domestic Violence
About this trial
This is an interventional treatment trial for HIV-infection/Aids
Eligibility Criteria
Inclusion Criteria 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 Exclusion Criteria AGYW (female): reporting any severe physical IPV experienced in prior 3 months. Couples (male and female): do not speak Luganda or English do not feel they cannot safely participate in the study.
Sites / Locations
- Makerere Univerisity School of Public HealthRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Kisoboka Mukwano Intervention (treatment)
Screening & Referral (control)
A brief couples-based intervention using motivational interviewing, peer navigation, and behavioral economic approaches to target intimate partner violence, alcohol use, and HIV care engagement.
Brief feedback on intimate partner violence and alcohol use (males), referrals for these conditions, and briefly discuss the importance of HIV care engagement and adherence.