Journal
GLOBAL PUBLIC HEALTH
Volume 14, Issue 12, Pages 1703-1717Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/17441692.2019.1625940
Keywords
Street youth; HIV prevention; intervention; adaptation; Kenya
Categories
Funding
- International Development Research Centre, Ottawa, Canada [108279-16]
- Vanier Canada Graduate Scholarships
- Eunice Kennedy Shriver National Institute of Child Health and Human Development [R01HD060478]
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Despite being highly vulnerable to acquiring HIV, no effective evidence-based interventions (EBI) exist for street-connected young people (SCY) in low- and middle-income countries (LMICs). Therefore, this paper describes the research process of adapting an existing EBI in Eldoret, Kenya using a modified ADAPT-ITT model with a young key population. From May to August 2018 we adapted the combined Stepping Stones and Creating Futures interventions. We used community-based participatory methods, focus group discussions, and working groups with four Peer Facilitators and 24 SCY aged 16-24 years. At the inception of this project, a matched-savings programme was integrated into the intervention to further address structural drivers of HIV. Numerous adaptations came forth through the participatory process. Engaging SCY in the adaptation process ensured the programme was responsive to their needs, relevant to the street context, and respected their right to participate in the research process.
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