A Systematic Review of HIV Interventions for Young Women in Sub-Saharan Africa Public Deposited

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  • Muthoni, C.N.
    • Affiliation: School of Nursing
  • Kneipp, S.M.
    • Affiliation: School of Nursing
  • Gichane, M.W.
    • Other Affiliation: RTI International
  • Caiola, C.E.
    • Other Affiliation: East Carolina University
  • Pettifor, A.E.
    • Affiliation: Gillings School of Global Public Health
  • Williams, J.R.
    • Affiliation: School of Nursing
Abstract
  • Adolescent girls and young women (AGYW) ages (15–24 years old) in Southern and Eastern Africa account for nearly 30% of all new HIV infections. We conducted a systematic review of studies examining the effectiveness of behavioral, structural, and combined (behavioral + structural) interventions on HIV incidence and risky sexual behaviors among AGYW. Following PRISMA guidelines, we searched PubMed, CINAHL, Web of Science, and Global Health. Twenty-two studies met inclusion criteria conducted in Eastern and Southern Africa and comprised behavioral, structural, or combined (behavioral and structural) interventions. All findings are based on 22 studies. HIV incidence was significantly reduced by one structural intervention. All three types of interventions improved condom use among AGYW. Evidence suggests that structural interventions can reduce HIV incidence, while behavioral and combined interventions require further investigation.
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  • Article
Rights statement
  • In Copyright
Journal title
  • AIDS and Behavior
Journal volume
  • 24
Page start
  • 3395
Page end
  • 3413
Language
  • English
ISSN
  • 1090-7165
Publisher
  • Springer
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