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A cross-sectional household survey was conducted from 2017 to 2018 among a representative sample of AGYW aged 15\u201324\u00a0years living in the six districts. We used an electronic questionnaire for self-reported demographic and behavioural questions and blood samples were taken to confirm HIV status in the laboratory. Chi-Squared tests and multivariate binary logistic regression were used to examine associations between demographic characteristics, HIV acquisition and transmission risk factors and the likelihood of participating in any of the key components of the combination HIV-prevention intervention. Among the 4399 participants, 45.3% reported inconsistent condom use with casual partner and 46.6% with a main partner. Almost half of participants (47.8%) had participated in one or more components of the HIV-prevention intervention, and in a multivariate logistic regression, those reporting a higher number of HIV risk behaviours were no more (or less) likely to participate. Participants who were not in high school were significantly less likely to have participated in the intervention compared to those still in high school, when adjusting for age and HIV risk factors. The barriers to access and uptake of combination HIV prevention interventions among AGYW who are out of the education system need to be explored and combination HIV prevention interventions and implementation strategies need to be tailored to reach this population.<\/jats:p>","DOI":"10.1007\/s10461-023-04023-1","type":"journal-article","created":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T06:04:01Z","timestamp":1677650641000},"page":"2997-3011","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Who is Exposed to HIV Prevention Interventions? 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The study protocol and research tools were also approved by the Associate Director for Science in the Center for Global Health in the Centers for Disease Control and Prevention (2017-194a). All participants provided informed consent. For participants under 18\u00a0years of age, parent\/guardian\/foster parent\/caregiver consent was obtained before getting consent from the AGYW. Reimbursements in the form of supermarket vouchers (approximately 3 USD), and refreshments were provided for all participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"All participants provided consent to all findings and results from the study findings being published.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Publish"}}]}}