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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
835
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.
Pacific Institute for Research and Evaluation
Chapel Hill, North Carolina, United States
Moi University, Department of Nursing Sciences
Eldoret, Kenya
Dropped out of school
Time frame: From date of randomization until drop out from school, up to 3 years
Change from baseline in ever had sexual intercourse at 1 year
Time frame: Baseline and 1 year
Change from baseline in ever had sexual intercourse at 2 years
Time frame: Baseline and 2 years
Change from baseline in ever had sexual intercourse at 3 years
Time frame: Baseline and 3 years
HIV Incidence
Time frame: 3 years
HSV-2 Incidence
Time frame: 3 years
Ever married or ever pregnant
Time frame: From date of randomization until marriage or preganancy, up to 3 years
Health-related quality of life
Time frame: Baseline and 1 year
Health-related quality of life
Time frame: Baseline and 2 years
Health-related quality of life
Time frame: Baseline and 3 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.