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Citation

Rosenberg, Nora E.; Gichane, Margaret W.; Vansia, Dhrutika; Phanga, Twambilile; Bhushan, Nivedita L.; Bekker, Linda-Gail; & Pettifor, Audrey E. (2020). Assessing the Impact of a Small-Group Behavioral Intervention on Sexual Behaviors among Adolescent Girls and Young Women in Lilongwe Malawi: A Quasi-Experimental Cohort Study. AIDS and Behavior, 24(5), 1542-1550. PMCID: PMC7064392

Abstract

Adolescent girls and young women (AGYW) in sub-Saharan Africa are at high risk of many adverse sexual and reproductive health outcomes. Small-group interventions addressing underlying vulnerabilities may influence risky sexual behaviors associated with these adverse outcomes. Girl Power-Malawi assessed whether a facilitator-led, curriculum-driven small-group behavioral intervention impacted risky sexual behaviors among AGYW in Lilongwe, Malawi. Four Health Centers were selected; two were randomly assigned to provide the intervention. Two-hundred fifty AGYW 15-24 years old were enrolled in each clinic (N = 1000 total), followed for 1 year, and interviewed at baseline and endline. At both time points participants reported on two behaviors in the last month (vaginal sex and >/= 2 sexual partners) and two behaviors in the last year (age-disparate relationships and transactional relationships). In intervention clinics, there were no declines in risk behaviors between baseline and endline. Endline behaviors were not less risky in intervention clinics than control clinics. This intervention did not have a positive effect on four risk behaviors over a 1-year period.

URL

http://dx.doi.org/10.1007/s10461-019-02669-4

Reference Type

Journal Article

Year Published

2020

Journal Title

AIDS and Behavior

Author(s)

Rosenberg, Nora E.
Gichane, Margaret W.
Vansia, Dhrutika
Phanga, Twambilile
Bhushan, Nivedita L.
Bekker, Linda-Gail
Pettifor, Audrey E.

Article Type

Regular

PMCID

PMC7064392

Data Set/Study

Girl Power-Malawi

Continent/Country

Malawi

Sex/Gender

Women

ORCiD

Pettifor - 0000-0002-3387-0817
Gichane - 0000-0001-8499-154X