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| ID | Type | Description | Link |
|---|---|---|---|
| R01MH092215 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
| Moi University | OTHER |
| University of North Carolina, Chapel Hill | OTHER |
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The purpose of this study is to test whether school support can keep adolescent Kenyan orphans in school, reduce sexual risk behaviors, and prevent HIV /HSV-2 infection.
This study examines the impact of school support as a structural intervention, tested among adolescent orphans in Siaya District, Nyanza Province, Kenya.
Aims for the proposed study are: 1) To experimentally test whether providing comprehensive school support to Kenyan orphaned boys and girls will reduce school dropout, reduce sexual risk behaviors, and prevent HIV/HSV-2 infection; 2) To conduct a process evaluation of the implementation of the program; and 3) To conduct comparative cost effectiveness analyses, specifying the intervention's cost and return on investment as evidenced by cost per unit improvement in the primary outcomes of school enrollment, delay of sexual debut and prevention of risk behaviors and HIV/HSV-2 infection, as well as by gains in health-related quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| School Support Group | Experimental | School Support Intervention |
|
| Control | No Intervention | No school support |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| School Support Intervention | Behavioral | Comprehensive school support is provided that includes payment of school fees, school uniform, and a nurse researcher who monitors attendance and addresses problems that may lead to school absence and dropout. |
| Measure | Description | Time Frame |
|---|---|---|
| Dropped out of school | From date of randomization until drop out from school, up to 3 years | |
| Change from baseline in ever had sexual intercourse at 1 year | Baseline and 1 year | |
| Change from baseline in ever had sexual intercourse at 2 years | Baseline and 2 years | |
| Change from baseline in ever had sexual intercourse at 3 years | Baseline and 3 years | |
| HIV Incidence | 3 years | |
| HSV-2 Incidence | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Ever married or ever pregnant | From date of randomization until marriage or preganancy, up to 3 years | |
| Health-related quality of life | Baseline and 1 year | |
| Health-related quality of life |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hyunsan Cho, Ph.D. | Pacific Institute for Research and Evaluation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pacific Institute for Research and Evaluation | Chapel Hill | North Carolina | 27514 | United States | ||
| Moi University, Department of Nursing Sciences |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29107569 | Derived | Cho H, Mbai I, Luseno WK, Hobbs M, Halpern C, Hallfors DD. School Support as Structural HIV Prevention for Adolescent Orphans in Western Kenya. J Adolesc Health. 2018 Jan;62(1):44-51. doi: 10.1016/j.jadohealth.2017.07.015. Epub 2017 Nov 6. | |
| 26139208 | Derived | Hallfors DD, Cho H, Mbai II, Millimo BW, Atieno C, Okumu D, Luseno WK, Hartman S, Halpern CT, Hobbs MM. Disclosure of HSV-2 serological test results in the context of an adolescent HIV prevention trial in Kenya. Sex Transm Infect. 2015 Sep;91(6):395-400. doi: 10.1136/sextrans-2015-052025. Epub 2015 Jul 2. |
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| Baseline and 2 years |
| Health-related quality of life | Baseline and 3 years |
| Eldoret |
| Kenya |
| 25378660 | Derived | Cho H, Luseno W, Halpern C, Zhang L, Mbai I, Milimo B, Hallfors DD. Discordance of HIV and HSV-2 biomarkers and self-reported sexual behaviour among orphan adolescents in Western Kenya. Sex Transm Infect. 2015 Jun;91(4):260-5. doi: 10.1136/sextrans-2014-051720. Epub 2014 Nov 6. |