From 2016 to the present day, the Global Fund to Fight AIDS, TB and Malaria (the Global Fund) has invested in a combination intervention for adolescent girls and young women (AGYW) in South Africa, with the aim of reducing HIV incidence, teenage pregnancy, and gender-based violence and increasing retention in school and access to economic opportunities. Combination HIV prevention interventions, which merge effective biomedical, behavioural and structural interventions for combined delivery, are one of the key strategies for reaching the 90-90-90 targets and achieving the Sustainable Development Goal (SDG) of ending the HIV epidemic by 2030 (UNAIDS, 2014).

The South African Medical Research Council conducted a process evaluation of the AGYW combination intervention being implemented during the 2019 to 2022 Global Fund grant period. During this grant period, the combination HIV prevention intervention for AGYW aged 15 to 24 years was being implemented in 12 South African districts.

The aim of this process evaluation was to assess whether the intervention was being implemented as planned and whether the implementers were on a trajectory to achieve the outcomes, with reference to the theory of change (logic model) for the intervention being delivered in the grant period 2019 to 2022. The focus was on interventions to promote high school completion, HIV prevention interventions such as condoms and PrEP, and sexual and reproductive health interventions such as contraception, and HIV care.

We produced five reports, one for each of the process evaluation sub-studies, and this overview report that summarises each of the sub-study components and presents a summary of the recommendations emanating from the process evaluation.

1. REPORT 1/5: OVERVIEW OF FINDINGS AND COMBINED RECOMMENDATIONS
2. REPORT 2/5: AGYW SURVEY
3. REPORT 3/5: QUALITATIVE EVALUATION
4. REPORT 4/5: LEADERSHIP AND MANAGEMENT EVALUATION
5. REPORT 5/5: RECORD REVIEW