Impact of the DREAMS Partnership on social support and general self-efficacy among adolescent girls and young women: causal analysis of population-based cohorts in Kenya and South Africa.
Annabelle J GourlaySian FloydFaith MagutSarah MulwaNondumiso MthiyaneElvis WambiyaMoses OtienoVivienne KamireJane OsindoNatsayi ChimbindiAbdhalah ZirabaDaniel KwaroMaryam ShahmaneshIsolde J BirdthistlePublished in: BMJ global health (2022)
DREAMS impacted on social support and, less consistently, on self-efficacy. Weakening effects over time may reflect changes in access to safe spaces and social networks as AGYW age and change circumstances, and withdrawal of DREAMS from uMkhanyakude in 2018, highlighting the importance of programme sustainability and improving programming for older participants.