Uptake of services available through the DREAMS partnership, by study group
| DREAMS cities (N=538) | Non-DREAMS towns (N=481) | DREAMS vs non-DREAMS | ||
| n/N (%) | n/N (%) | OR (95% CI) | P value | |
| Direct HIV prevention and clinical services | ||||
| Recently HIV tested (within 6 months prior to the survey) | ||||
| No | 181/537 (33.7) | 152/478 (31.8) | ||
| Yes | 356/537 (66.3) | 326/478 (68.2) | 1.32 (0.83 to 2.10) | 0.237* |
| Ever been offered PrEP | ||||
| No | 285/538 (53.0) | 476/481 (99.0) | ||
| Yes | 253/538 (47.0) | 5/481 (0.9) | – | <0.001† |
| Current use of contraceptive methods (including condom) | ||||
| No | 61/495 (12.3) | 101/432 (23.4) | ||
| Yes | 434/495 (87.7) | 331/432 (76.6) | 1.37 (0.71 to 2.63) | 0.343* |
| Attendance to Sisters with a Voice clinic in past 12 months | ||||
| No | 221/538 (41.1) | 344/480 (71.7) | ||
| Yes | 317/538 (58.9) | 136/480 (28.3) | 12.51 (6.90 to 22.69) | <0.001* |
| Saw condom promotion activities in the past 12 months | ||||
| No | 175/536 (32.6) | 225/479 (47.0) | ||
| Yes | 361/536 (67.4) | 254/479 (53.0) | 1.91 (1.22 to 3.00) | 0.005* |
| Attendance to Sisters with a Voice community mobilisation meeting in past 12 months | ||||
| No | 464/537 (86.4) | 453/480 (94.4) | ||
| Yes | 73/537 (13.6) | 27/480 (5.6) | 22.76 (3.09 to 167.71) | 0.002* |
| Social and economic protection services | ||||
| Receipt of cash transfer or educational subsidy in past 12 months | ||||
| No | 516/538 (95.9) | 480/480 (100.0) | ||
| Yes | 22/538 (4.1) | 0/480 (0.0) | – | <0.001† |
| Participation in continuing education programme in past 12 months | ||||
| No | 528/538 (98.1) | 480/480 (100.0) | ||
| Yes | 10/538 (1.9) | 0/480 (0.0) | – | 0.002† |
| Participation in job preparation training in past 12 months | ||||
| No | 529/538 (98.3) | 480/480 (100.0) | ||
| Yes | 9/538 (1.7) | 0/480 (0.0) | – | 0.004† |
| Participation in apprenticeship in past 12 months‡ | ||||
| No | 538/538 (100.0) | 480/480 (100.0) | ||
| Yes | 0/538 (0.0) | 0/480 (0.0) | – | – |
| Participation in internal savings and loan group in past 12 months | ||||
| No | 514/537 (95.7) | 479/479 (100.0) | ||
| Yes | 23/537 (4.3) | 0/479 (0.0) | – | <0.001† |
| Gender-based violence care and support services | ||||
| Accessed healthcare services after experiencing GBV in past 12 months§ | ||||
| No | 49/63 (77.8) | 40/48 (83.3) | ||
| Yes | 14/63 (22.2) | 8/48 (16.7) | 1.38 (0.15 to 10.05) | 0.832* |
| Provided with shelter in past 12 months (among women experiencing GBV) | ||||
| No | 188/189 (99.5) | 181/183 (98.9) | ||
| Yes | 1/189 (0.5) | 2/183 (1.1) | – | 0.549† |
*Age and site adjusted Wald test p value.
†Fisher’s exact p value—OR and 95% CI could not be estimated using logistic regression due to sparse data.
‡Fisher’s exact p value or OR and 95% CI could not be estimated due to sparse data.
§Among YWSS who experienced sexual violence.
DREAMS, Determined, Resilient, Empowered, AIDS-free, Mentored and Safe; GBV, gender-based violence; PrEP, pre-exposure prophylaxis.