Intervention Design, Content and Characteristics for Eight Youth HIV Prevention Interventions included in Systematic Review Project Name Curriculum and/or Intervention Details Intervention Development and/or Adaptation Adaptation of two USHAPS [HIV/AIDS Use of Amazing Prevention Study]32 Alternatives and Project based curricula, KwaZulu/Natal Northland curricula and Amazing Alternatives, media-campaign with and Project Northland drama HealthWise34 Mpondombili Project 33 US-based curricula, Life Participatory adaptation Skills Training and process involving target TimeWise, focused on population; qualitative risk reduction & research and feedback positive leisure time activities 15 session curriculum Compiled/adapted from focused on Dual diverse curricula in USA Protection and altering and SA; input to 18 gender role norms month process from teachers, nurses and students Population Council, 6 module curriculum specially designed for Adolescent context, age & socioLivelihoods35 cultural group SATZ 31 Locally developed curriculum for knowledge and skills on sexual behavior and financial literacy Sexual Health EducationDesigned using curriculum Intervention Mapping method, with curriculum advisor, teachers, research team Theoretical Framework Duration Theories of health 2 months behavior change: social learning theory, social inoculation, cognitive learning theory Human Development One school Theory; year (Grade Multidirectional 8) plus Influences (MDI) booster sessions in Grade 9 Empowerment 4 months Theory: individual (Zimmerman) and group levels (Freire) Not explicit; livelihoods support framework 6 months Intervention Mapping 2-3 months protocol to develop theory and evidencebased health promotion; social learning theory, with cultural adaptation Adaptation of Stepping Community 6-8 weeks Stepping Stones 11 Stepping Stones curriculum for group- Stones curriculum Development and based learning; gender developed in Uganda Process of Change transformative (Freire) Emphasis on role of Training and feedback Systems Theory; One school Tshwane Peer peer educator to raise for peer educators; no emphasis on year; Education and curriculum empowering peer embedded in Support Programme awareness, mobilize 36 youth & facilitate educators schools change in group norms IMAGE – Intervention with Microfinance fir AIDS and Gender Equity12,13 Combined intervention of group-based microfinance with gender & HIV training curriculum, Sisters for Life Intensity: Number & Frequency of Sessions 10 units, 30 minutes each Booster Sessions How Delivered: Teaching Where Method Delivered Who Delivered:Process Evaluation Intervention Personnel N Participatory learning with interactive techniques, including vignettes, drama and media Classrooms; Grade 9 Life Orientation period Teachers and Peer Leaders 12 lessons in Y: 6 booster Teacher-led participatory Grade 8, lessons in learning with learner delivered over Grade 9 workbooks; 2-3 class periods Classrooms Teachers; Youth Ongoing support for Development teachers and workshops Specialists for throughout year 40 comm’ty outreach Weekly one N hour sessions over 16 weeks Participatory learning via role playing, group exercises, modeling of HIV preventive behaviors Classroom, Peer educators, Grades 9-10 Teachers, Guidance or Nurses Life Orientation periods Weekly sessions N over x month implementation Group-based learning with Out-of-school,; Older peer facilitation by young adult community facilitators program mentors venues, such as community halls Teacher led sessions, along Life Orientation Teacherwith learner workbooks classes implemented curriculum Focus groups and in-depth interviews Participatory group-based On school learning, led by trained peer premises, after facilitators; role play, hours. drama, critical reflection Peer Education in Classrooms; classrooms: included HIV intermittent awareness via plays, sessions plus speakers, art, AIDS Days; peer education classroom lectures offices Researchers monitor implementation; qualitative research 16 lessons over N 25-55 periods (location dependent) Thirteen 3 hour N group sessions; approximately 50 hours total Peer educators N responsible for determining program at school level Adapted group gender & Participatory 12-15 months Every 2 weeks HIV curriculum, plus Learning and Action micro-lending to women’s groups for small business devm’t N 10 one hour sessions of Community Sisters for Life for women venues in microfinance intervention, followed by community mobilisation Trained facilitators, slightly older peers Peer educators, with support from post-grad group facilitators & teachers Trained peer facilitators, all women from community Staff visits, observation, formal monitoring system in place Member of Work Group was present at each lesson; in-depth interviews with key personnel: peer educators, teachers, nurses41 Process Evaluation: Staff observed classrooms, maintained informal contact with teachers; qualitative data collection Focus group discussions with peer educators and teachers In-depth and key informant interviews with women participants, FGDs with loan group members; observations & diaries42 Table 3: Additional Material