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Tytuł:
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Adapting an evidence-based gender, livelihoods, and HIV prevention intervention with street-connected young people in Eldoret, Kenya.
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Autorzy:
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Embleton L; Institute of Medical Science, Faculty of Medicine, University of Toronto , Toronto , Canada.
Di Ruggiero E; Dalla Lana School of Public Health, University of Toronto , Toronto , Canada.
Odep Okal E; Academic Model Providing Access to Healthcare , Eldoret , Kenya.
Chan AK; Dalla Lana School of Public Health, University of Toronto , Toronto , Canada.; Division of Infectious Diseases, Sunnybrook Health Sciences Centre, University of Toronto , Toronto , Canada.; Dignitas International , Zomba , Malawi.
Logie CH; Factor-Inwentash Faculty of Social Work, University of Toronto , Toronto , Canada.
Ayuku D; Department of Behavioural Science, College of Health Science, Moi University , Eldoret , Kenya.
Braitstein P; Dalla Lana School of Public Health, University of Toronto , Toronto , Canada.; Academic Model Providing Access to Healthcare , Eldoret , Kenya.; College of Health Sciences, School of Medicine, Moi University , Eldoret , Kenya.
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Źródło:
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Global public health [Glob Public Health] 2019 Dec; Vol. 14 (12), pp. 1703-1717. Date of Electronic Publication: 2019 Jun 04.
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Typ publikacji:
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Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Video-Audio Media
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Język:
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English
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Imprint Name(s):
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Publication: London : Informa Healthcare
Original Publication: Abingdon, UK : Routledge, c2006-
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MeSH Terms:
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Homeless Youth*
HIV Infections/*prevention & control
Health Promotion/*organization & administration
Adolescent ; Community-Based Participatory Research ; Evidence-Based Practice ; Female ; Focus Groups ; Humans ; Kenya ; Male ; Social Environment ; Young Adult
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References:
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Grant Information:
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R01 HD060478 United States HD NICHD NIH HHS; Canada CIHR
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Contributed Indexing:
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Keywords: HIV prevention; Kenya; Street youth; adaptation; intervention
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Entry Date(s):
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Date Created: 20190605 Date Completed: 20200526 Latest Revision: 20201201
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Update Code:
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20240105
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PubMed Central ID:
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PMC6906550
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DOI:
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10.1080/17441692.2019.1625940
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PMID:
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31162989
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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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