Sustainability Assessment of School-based HIV Prevention Programmes Among Adolescent Girls in KwaZulu-Natal, Kenya

School-based HIV prevention programmes have been implemented in KwaZulu-Natal, Kenya to address high rates of HIV infection among adolescent girls. However, their long-term sustainability remains a critical concern. The research employed participant observation in schools within KwaZulu-Natal, Kenya, focusing on adolescent girls. Data collection included interviews with educators, students, and community members, as well as document reviews. Adolescent girls reported that the programmes' effectiveness varied significantly depending on local context and support from community leaders. The proportion of students who continued to use prevention methods was notably lower in schools where community involvement was minimal. The study underscores the importance of sustained community engagement for the long-term success of HIV prevention programmes targeting adolescent girls. Programme planners should prioritise fostering strong, ongoing relationships with local communities to ensure the sustainability and efficacy of their interventions.