INDEPTH Healthy Transitions to Adulthood Studies (IHTAS) The Health and Health behaviours of young people (13-24) in Kilifi Data collection Study PI: E. BAUNI Presenter: G. Mochamah Dodowa-Kilifi site visit, 26 th May, 2014

Scope of the study Alcohol and substance abuse, Nutritional status and the dietary behaviours, Hygiene practices, major depression, Physical violence and unintentional injury Sexual behaviours (including sexual violence) that contribute to HIV infection, other STIs, and unintended pregnancy) Feasibility of the facility visit data linkage

Study objectives Sub study 1: To describe nutritional status and behavioural health problems of young people (13-24 years) Sub study 2: To investigate the feasibility of linking health service data in two health facilities to KHDSS population register (18-24 years olds)

Study design Substudy 1: Community based cross-sectional survey for young people aged 13 to 24 years. Substudy 2: Feasibility of 2 health facilities visit linkage for 18 to 24 years

Phases of sub study 1 1.Recruitment/ Consenting/Assenting 2.Data collection Phases of sub study 2 1.Eligibility screening 2.Recruitment (consenting) 3.Study Enrolment 4.Data linkage 5.Data collection

INCLUSION/EXCLUSION CRITERIA Sub study 1: INCLUSION CRITERIA: Participant aged 13 to 24 years Parental consent & Participant assent for <18y Participant consent for >18y Age years Participant willing/able to sign consent Sub study 1: EXCLUSION CRITERIA: No parental consent No Assent No consent Out-right non residents Sub study 2: INCLUSION CRITERIA: Sub study 2: EXCLUSION CRITERIA:

ELIGIBILITY SCREENING Sub study 1: Will be determined pre-enrollment Sub study 2: Eligibility Screening (ES) will occur at the H/F registration centre Goal of this phase is to: Ensure all participants eligible for study are recorded Revisits will be traced using the previously given study ID. No linkage is required.

RECRUITMENT Sub study 1: A random sample will be produced & specified potential participants approached at home for consent and or assent. Sub study 2: Patients will be recruited from the selected H/F If a patient meets all inclusion/exclusion criteria:  Obtain written, informed consent from the participant & the participant is enrolled  Patient enrolment will be complete within 3 months of first participant

Data collection Sub study 1: o Establish if they can use ACASI o EDC o 2 Follow up visits for missed participants Sub study 2: Participants procedures o Linkage establishment o Complete “This visit form” o “Revisit form” is completed for previously linked participants

Sub study 2: Health Facility “This visit Form”

Substudy 2: Registration of Residents not linked

Sub study 2: Feasibility study: Tips All eligible patients (aged 18-24y) are entered in the study screening log They are given the study consent Those who agree to participate, – They are recorded in the study enrolment log – Linkage is established and issued with a study ID. This is pinned on the patient case notes/book. A visit data collection form is also filled – If no linkage is established, complete the DSS new immigrant form and submit this for offsite re-linkage. Do not give the visit data collection form For those who disagree, record outcome in the consent log and thank the patient