Introduction
HIV infections, HIV-
HIV INFECTIONS, SECONDARY
Across sub-Saharan Africa, the population of adolescents and young people (AYP) aged 15 to 24 years is growing rapidly. By 2030, it is estimated that youth aged 15 to 24 will account for 26% of the total African population [In Zambia, there were an estimated 4 new HIV infections per 1,000 uninfected people aged 15 to 24 in 2021 [Improving the SRH of youth is reflected in Sustainable Development Goal 3, target 3.7 [Calls for meaningful engagement of youth in research, including research to develop strategies to improve health and well-being, have led to an increase in their involvement; however, youth involvement in the design and evaluation of strategies to improve their SRH remains limited [Yathu Yathu combined the delivery of comprehensive SRH through community-based spaces (hubs) with a prevention points “loyalty” card system to incentivise service use. Being a community-level intervention, the impact of Yathu Yathu was evaluated using a cluster-randomised trial (CRT) design. We anticipated that comprehensive SRH services, including HIV services, developed for youth and delivered by youth, combined with incentives would facilitate progress towards the revised UNAIDS 95-95-95 targets among AYP and support AGYW with access to contraceptive services. In this paper, we present the results of the CRT to evaluate the impact of Yathu Yathu on the primary outcome of knowledge of HIV status as well as its impact on secondary HIV- and SRH-related health outcomes, including uptake of medical male circumcision and met need for family planning services.