Temporal shifts in HIV-related risk factors among cohorts of adolescent girls and young women enrolled in DREAMS programming: evidence from Kenya, Malawi and Zambia

Four decades into the HIV epidemic, adolescent girls and young women (AGYW, aged 15–24 years) remain at high risk for HIV. Globally, over 7000 AGYW seroconvert weekly, and even though they comprise 1/10th of the population, 20% of sub-Saharan Africa’s (SSA) seroconversions occur among AGYW. In eastern and southern Africa, which has the world’s highest regional prevalence (7.0% (5.9%–7.9%)), 2 the HIV epidemic is magnified by gendered disparities.