Reaching 90 90 90 in Adolescents in Zambia: Using All Our SKILLZ

Summary

"SKILLZ," is a mixed methods evaluation of the Grassroots Soccer (GRS) SKILLZ Package based in Lusaka, Zambia. The package is made up of three football-based programs: (1) SKILLZ-Girl - implemented in schools as part of a 10-week program culminating in a tournament event; (2) SKILLZ-Club - implemented as an ongoing extra-curricular activity after the completion of SKILLZ-Girl; (3) SKILLZ-Plus - a clinic based football group targeted at girls that are HIV-positive.

The programs work together to build a continued support system which encourages uptake of Sexual Reproductive Health (SRH) and HIV services, while facilitating ART adherence (for HV-positive participants) and continued engagement with health services over the long-term (whether to contraceptive methods, HIV prevention services, HIV repeat testing, and/or HIV treatment and care).

The study team has developed an enhanced SKILLZ-Girl offering, which will include a comprehensive module on HIVST, contraceptives and PrEP, access to a nurse during the implementation of sessions and the additional offering of HIVST and contraceptive services at the event along with ongoing engagement through the SKILLZ-Club program (Enhanced Arm) , The central hypothesis is that this enhanced curriculum will increase HIV testing and contraceptive uptake compared to the standard SKILLZ curriculum \& standard event (SOC Arm). The investigators further hypothesize that the intervention in the enhanced arm will positively and directly affect a number of mediating factors including attendance at soccer events where community-based SRH services are offered, SRH knowledge, empowerment, self-confidence, and perceptions of gender balance, and (reduced) stigma.

For girls found to be HIV-positive, the follow-on SKILLZ intervention (SKILLZ-Plus) has been designed to facilitate linkage to HIV care and treatment, reduce HIV-related stigma, increase disclosure to family and partners, increase feelings of social support, empowerment, self-efficacy, and ultimately adherence to ARVs, viral load suppression (VLS) and retention in HIV care and treatment.

This study will be conducted in up to 32 secondary schools that GRS currently serves in the Lusaka Urban District.

Conditions

• HIV Infections
• Pregnancy Related
• STI
• Mental Health Wellness 1

Interventions

BEHAVIORAL

SKILLZ-Girl curriculum

Participation in the SKILLZ-Girl curriculum and SKILLZ-Club

Sponsors & Collaborators

• University of California, San Francisco

  collaborator OTHER

• Centre for Infectious Disease Research in Zambia

  collaborator OTHER

• Grassroot Soccer

  collaborator OTHER

• Washington University School of Medicine

  collaborator OTHER

• National Institute of Mental Health (NIMH)

  collaborator NIH

• University of Alabama at Birmingham

  lead OTHER

Principal Investigators

• Carolyn Bolton, MPH, MD · UAB/ CIDRZ

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

16 Years

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2020-02-01

Primary Completion

2022-12-31

Completion

2023-12-31

Countries

• Zambia

Study Locations