MEMA kwa Vijana Project NIMRAMREFLSHTM Adolescent Sexual

1
Results Biological Outcomes
2
Baseline Biological Characteristics

• Summary
• Low baseline prevalences
• Females gtgt Males
• Two groups generally similar, though higher
  prevalence of chlamydia in intervention
  communities

3
Biological Outcomes
Primary HIV incidence, HSV-2 prevalence Secondar
y Prevalence of Syphilis, Chlamydia,
Gonorrhoea, Trichomonas Pregnancy (1. By test 2.
Reported)
4
Impact in Males Biological Outcomes

• Summary
• No significant differences in either direction

5
Impact in Females Biological Outcomes
Summary No consistent differences in either
direction Gonorrhoea increased (borderline
significant)
6
Impact in Males by School Year at Recruitment
Biological Outcomes

• Summary
• Hint of greater benefit on biological outcomes
  with more years of in-school intervention

7
Impact in Females by School Year at Recruitment
Biological Outcomes

• Summary
• Hint of greater benefit on HIV syphilis with
  more years of in-school intervention
• No excess of gonorrhoea with 2 years of
  in-school intervention

8
ImpactPrimary Biological Outcomes by Marital
Status
Summary Hint of more benefit in those who had
never married
9
Summary

• Despite substantial improvements in sexual
  reproductive health knowledge, reported
  attitudes, reported sexual behaviours
• No consistent impact on the biological outcomes
  in either direction, within the 3 years of the
  trial
• HIV incidence
• Prevalence of other STIs
• Pregnancy
• A suggestion that any benefit may have been
  greater in
• Males
• Those who received all 3 years of the in-school
  intervention
• Those who were not married