The evaluation of the impact of adolescent sexual and reproductive
health interventions conducted under the Mema kwa Vijana Programme on
adolescents' knowledge, reported attitudes and reported behaviours, and
on biomedical outcomes, including HIV, other sexually transmitted
infections (STIs), and pregnancy rates is described.
The MEMA kwa Vijana trial showed that a local African NGO and existing
government health and education staff can successfully implement an
intensive, innovative adolescent sexual health programme on a large
scale. The trial also showed that this intervention caused substantial
improvements in knowledge, reported attitudes, and some reported sexual
risk behaviours in the short- to medium-term. Significant benefits in
knowledge were still present after 8 years of intervention
implementation, among a group of young people who had, on average, last
had exposure to the in-school intervention 5.4 years prior to the
In rural Tanzania this carefully designed, implemented and monitored
intervention did not result in any significant impact on HIV or genital
herpes (HSV-2) among the young people exposed to the intervention,
either after 3 years or after 8 years of implementation.
The implications for further research and policy are considered.
Anon. Long-term Evaluation of the MEMA kwa Vijana Adolescent Sexual Health Programme in Rural Mwanza, Tanzania: a Randomised Controlled Trial. Mema kwa Vijana Technical BriefingPaper: No. 7. (2008) 8 pp.
Long-term Evaluation of the MEMA kwa Vijana Adolescent Sexual Health Programme in Rural Mwanza, Tanzania: a Randomised Controlled Trial. Mema kwa Vijana Technical Briefing Paper: No. 7.