Status:

RECRUITING

Zambian Informed Motivated Aware Responsible Adolescent Girls and Adults

Lead Sponsor:

Centre for Infectious Disease Research in Zambia

Collaborating Sponsors:

University of Illinois at Chicago

University of Alabama at Birmingham

Conditions:

HIV Infections

Sexually Transmitted Diseases

Eligibility:

FEMALE

15-70 years

Phase:

NA

Brief Summary

The proposed hybrid effectiveness-implementation study will systematically adapt the Informed, Motivated, Aware, Responsible Adolescent Girls and Adults (IMARA) curriculum that was previously adapted ...

Detailed Description

The overall purpose of this study is to adapt the IMARA-SA curriculum for use in the Zambian context and test its impact on AGYW sexual behavior, as well as HIV and STI testing uptake and incidence, a...

Eligibility Criteria

Inclusion

  • Adolescent girls and young women (AGYW)
  • 15-19 years-old females (sex assigned at birth)
  • Unmarried
  • Residing outside the five study catchment areas
  • Speak Nyanja, Bemba, or English or a combination (the primary regional languages)
  • Willing and able to provide consent (\> 18 years old) and/or assent (\< 18 years old)
  • Not known to be living with HIV (i.e., no positive test and not on ART)
  • Mother Figures (MF)
  • selected to participate by the AGYW
  • if not the guardian/mother, agreed upon by the guardian/mother
  • \> 24 years-old
  • living with or in daily contact with the AGYW
  • speak Nyanja, Bemba, or English or a combination
  • Willing and able to provide consent
  • Peer leaders (ZAIMARA \& Health Promotion)
  • live in the community where they will be working
  • have prior experience working with young people
  • have a minimum grade 12 education
  • be proficient in reading and writing English and/or Nyanja or Bemba
  • are 22-29 years old for AGYW sessions
  • are \>30 years-old for MF sessions

Exclusion

  • AGYW
  • AGYW who are enrolled in other SRH interventions at the time of recruitment (to prevent confounding) or are known to be living with HIV (the needs of AGYW living with HIV are unique and not well-addressed in IMARA-SA, e.g., learning to disclose) will be excluded. Importantly, AGYW who test positive for HIV at the study's baseline assessment will be able to complete the workshops and referred for treatment to avoid stigma.

Key Trial Info

Start Date :

April 7 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2028

Estimated Enrollment :

1200 Patients enrolled

Trial Details

Trial ID

NCT06503666

Start Date

April 7 2025

End Date

May 1 2028

Last Update

August 24 2025

Active Locations (1)

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1

Chainda, Matero, Chelston, Chongwe and Kalingalinga

Lusaka, Lusaka Province, Zambia, 10101