TU'washindi: a relationship-focused intervention to reduce GBV and increase prep uptake and adherence among kenyan agyw

Active Project Grant Awarded Last action

Award ID
R01MH125671
Recipient
Awarding agency
Obligated
$6,113,901

Award facts

Assistance listing
93.242 Mental Health Research Grants
Completion date 87% complete
Originally
Place of performance
Durham, NC 27713, USA

Award details come from USAspending.gov.

Description

Abstract
This R01 application, led by an early stage investigator, aims to test the effectiveness of a multilevel community- based intervention to increase uptake and adherence to oral pre-exposure prophylaxis (PREP) among adolescent girls and young women (AGYW) in kenya. AGYW in this setting live in a context of heightened gender inequality and risk of intimate partner violence (IPV) and represent a large subpopulation who are uniquely vulnerable to HIV infection. In addition to having higher HIV incidence, women experiencing IPV are less likely to initiate and persist with PREP, limiting the protective benefit of this efficacious biomedical prevention intervention. Barriers to PREP uptake and adherence occur at multiple levels of the socioecological model, including low individual self-efficacy, partner opposition, and community stigma. TU'washindi NA PREP (we are winners with PREP) is a multi-level, community-based intervention designed specifically to address these challenges among AGYW in siaya county, kenya. Designed by our team using participatory methods engaging local AGYW (R34 MH114519), the intervention includes three components delivered over 6 months: an eight-session, empowerment-based support club for AGYW, community sensitization targeted toward male partners, and PREP education events for couples. Activities are designed to be integrated into youth-focused programming to ensure efficiency and sustainability. Results from a pilot cluster- randomized controlled trial conducted with 100 AGYW at six sites indicate high feasibility and acceptability, and preliminary effectiveness: intervention arm participants had 2-fold higher PREP uptake and adherence (P

Transactions

Action Obligated Date
Amendment $0
Amendment $909,729
Amendment A relationship-focused intervention to reduce intimate partner violence and increase PREP uptake and adherence among adolescent girls and young women in kenya -… $909,729
Amendment Competing revision: adding costing activities to the TU'washindi study $106,162
Amendment $106,162
Amendment A relationship-focused intervention to reduce intimate partner violence and increase PREP uptake and adherence among adolescent girls and young women in kenya -… $106,162
Amendment $670,476
Amendment $670,476
Amendment Competing revision: adding costing activities to the TU'washindi study $670,476
Amendment $651,257
Amendment $656,636
Amendment $656,636
Amendment $0
Amendment $0
Amendment $0
Original award $0
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Subawards

Subrecipient Amount Awarded
Impact Research And Development Organisation 1-312-0218223 Mod 6 $25,819
University Of Washington 3-312-0218223 Initial Award $41,629
Impact Research And Development Organisation Subcontract 1-312-0218223 Mod 5 $332,677

Quick answers

Who received award R01MH125671?

R01MH125671 was awarded to Research Triangle Institute by National Institute of Mental Health (National Institutes of Health) on August 19, 2021.

How much is award R01MH125671 worth?

$6,113,901 has been obligated on R01MH125671.

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