The impact of the SKILLZ intervention on sexual and reproductive health empowerment among Zambian adolescent girls and young women: results of a cluster randomized controlled trial

Ahinkorah BO, Kang M, Perry L, Brooks F, Hayen A. Prevalence of first adolescent pregnancy and its associated factors in sub-Saharan Africa: A multi-country analysis. PLoS ONE. 2021;16(2):e0246308.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ameyaw EK, Budu E, Sambah F, et al. Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys. PLoS ONE. 2019;14(8):e0220970.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015;56(2):223–30.

Article  PubMed  PubMed Central  Google Scholar 

Williamson NE. Motherhood in childhood: facing the challenge of adolescent pregnancy. United Nations Population Fund. 2013.

S. MK. Gender, poverty, and intergenerational vulnerability to HIV/AIDS. Gend Dev. 2002;10(3):63–70.

Article  Google Scholar 

Maskew M, Technau K, Davies MA, Vreeman R, Fox MP. Adolescent retention in HIV care within differentiated service-delivery models in sub-Saharan Africa. Lancet HIV. 2022;9(10):e726–34. https://doi.org/10.1016/s2352-3018(22)00137-0. (In eng).

Article  CAS  PubMed  PubMed Central  Google Scholar 

UNAIDS. The path that ends AIDS: 2023 UNAIDS global AIDS update. Geneva, Switzerland: Joint United Nations Programme on HIV/AIDS; 2023.

Book  Google Scholar 

Pulerwitz J, Mathur S, Woznica D. How empowered are girls/young women in their sexual relationships? Relationship power, HIV risk, and partner violence in Kenya. PLoS ONE. 2018;13(7):e0199733.

Article  PubMed  PubMed Central  Google Scholar 

Singer SE, Wechsberg WM, Kline T, et al. Binge drinking and condom negotiation behaviours among adolescent girls and young women living in cape town, South Africa: sexual control and perceived personal power. BMC Public Health. 2023;23(1):2282.

Article  PubMed  PubMed Central  Google Scholar 

Jackson-Gibson M, Ezema AU, Orero W, et al. Facilitators and barriers to HIV pre-exposure prophylaxis (PrEP) uptake through a community-based intervention strategy among adolescent girls and young women in seme Sub-County, Kisumu, Kenya. BMC Public Health. 2021;21(1):1–13.

Article  Google Scholar 

Pintye J, O’Malley G, Kinuthia J, et al, et al. Influences on early discontinuation and persistence of daily oral PrEP use among Kenyan adolescent girls and young women: a qualitative evaluation from a PrEP implementation program. J Acquir Immune Defic Syndr. 2021;86(4):e83.

Article  PubMed  PubMed Central  Google Scholar 

Bhavaraju N, Shears K, Schwartz K, Mullick S, Jeckonia P, Murungu J, et al. Introducing the dapivirine vaginal ring in sub-Saharan Africa: what can we learn from oral PrEP? Curr HIV/AIDS Rep. 2021;18(6):508–17.

Ziraba A, Orindi B, Muuo S, et al. Understanding HIV risks among adolescent girls and young women in informal settlements of Nairobi, Kenya: lessons for DREAMS. PLoS ONE. 2018;13(5):e0197479.

Article  PubMed  PubMed Central  Google Scholar 

Mumah JN, Mulupi S, Wado YD, et al. Adolescents’ narratives of coping with unintended pregnancy in Nairobi’s informal settlements. PLoS ONE. 2020;15(10):e0240797.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Stoner MCD, Rucinski KB, Edwards JK, et al. The relationship between school dropout and pregnancy among adolescent girls and young women in South Africa: A HPTN 068 analysis. Health Educ Behav. 2019;46(4):559–68. https://doi.org/10.1177/1090198119831755.

Article  PubMed  PubMed Central  Google Scholar 

Fletcher JM, Wolfe BL. Education and labor market consequences of teenage childbearing: evidence using the timing of pregnancy outcomes and community fixed effects. J Hum Resour. 2009;44(2):303–25.

Google Scholar 

Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol. 2005;192(2):342–9.

Article  PubMed  Google Scholar 

Cluver LD, Orkin FM, Meinck F, Boyes ME, Sherr L. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents. J Int AIDS Soc. 2016;19(1):20646.

Article  PubMed  PubMed Central  Google Scholar 

Toska E, Cluver L, Laurenzi CA, et al. Reproductive aspirations, contraception use and dual protection among adolescent girls and young women: the effect of motherhood and HIV status. J Int AIDS Soc. 2020;23:e25558.

Article  PubMed  PubMed Central  Google Scholar 

Gona PN, Gona CM, Ballout S, et al. Burden and changes in HIV/AIDS morbidity and mortality in Southern Africa development community countries, 1990–2017. BMC Public Health. 2020;20:1–14.

Article  Google Scholar 

Fwemba I, Musonda P. Modelling adverse treatment outcomes of HIV-infected adolescents attending public-sector HIV clinics in Lusaka. Public Health. 2017;147:8–14. https://doi.org/10.1016/j.puhe.2017.01.022.

Article  CAS  PubMed  Google Scholar 

Kulig K, Brener ND, McManus T. Sexual activity and substance use among adolescents by category of physical activity plus team sports participation. Arch Pediatr Adolesc Med. 2003;157(9):905–12.

Article  PubMed  Google Scholar 

Miller KE, Sabo DF, Farrell MP, Barnes GM, Melnick MJ. Athletic participation and sexual behavior in adolescents: the different worlds of boys and girls. J Health Soc Behav. 1998;39(2):108–23. https://doi.org/10.2307/2676394.

Article  CAS  PubMed  Google Scholar 

Miller KE, Farrell MP, Sabo DF, Barnes GM, Melnick MJ. Sports, sexual behavior, contraceptive use, and pregnancy among female and male high school students: testing cultural resource theory. Sociol Sport J. 1999;16(4):366–87.

Article  CAS  PubMed  Google Scholar 

Lehman SJ, Koerner SS. Adolescent women’s sports involvement and sexual behavior/health: A Process-Level investigation. J Youth Adolesc. 2004;33(5):443–55. https://doi.org/10.1023/B:JOYO.0000037636.22596.41.

Article  Google Scholar 

Hershow RB, Gannett K, Merrill J, et al. Using soccer to build confidence and increase HCT uptake among adolescent girls: a mixed-methods study of an HIV prevention programme in South Africa. Sport Soc. 2015;18(8):1009–22.

Article  PubMed  PubMed Central  Google Scholar 

Mashale R, Kelly K, Motuba T, Myers L. TESTING TIMES: A Review of HIV Counselling and Testing within Sports for Development Programmes for Young People in Southern Africa. Centre for AIDS Development. Research and Evaluation (CADRE). 2012.

Kaufman Z, Spencer T, Ross D. Effectiveness of sport-based HIV prevention interventions: a systematic review of the evidence. AIDS Behav. 2013;17:987–1001.

Article  CAS  PubMed  Google Scholar 

Pike C, Coakley C, Lee D, et al. Lessons learned from the implementation of a school-based sexual health education program for adolescent girls in cape town, South Africa. Global Health Sci Pract. 2023;11(6). https://www.ghspjournal.org/content/11/6/e2300026.

Brady M. Creating safe spaces and Building social assets for young women in the developing world: A new role for sports. Women’s Stud Q. 2005;33(1/2):35–49.

Google Scholar 

Collumbien M, Das M, Bankar S, Cislaghi B, Heise L, Verma RK. Practice-based insights in developing and implementing a sport-based programme for girls. Dev Pract. 2019;29(1):53–64.

Article  Google Scholar 

Pike C, Coakley C, Ahmed N, et al. Goals for girls: a cluster-randomized trial to investigate a school-based sexual health programme amongst female learners in South Africa. Health Educ Res. 2023;38(5):375–91. https://doi.org/10.1093/her/cyad025.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Dunkle KL, Jewkes RK, Brown HC, Gray GE, McIntryre JA, Harlow SD. Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet. 2004;363(9419):1415–21.

Article  PubMed  Google Scholar 

Pulerwitz J, Amaro H, Jong WD, Gortmaker SL, Rudd R. Relationship power, condom use and HIV risk among women in the USA. AIDS Care. 2002;14(6):789–800.

Article  CAS  PubMed  Google Scholar 

Stephenson R, Bartel D, Rubardt M. Constructs of power and equity and their association with contraceptive use among men and women in rural Ethiopia and Kenya. Glob Public Health. 2012;7(6):618–34.

Article  PubMed  Google Scholar 

Hill JP, Lynch ME. The intensification of

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