Underage and underserved: reaching young women who sell sex in Zimbabwe

Figures & data

Table 1. Activity Pack modules and activities.

Module	Activity title
Starting the Journey Together	Musical Chairs Conversation Starters Who are We? Setting Group Rules & CeSHHAR Project Principles
Friends & Peers	What makes a REAL friend? What is a Community? What are our Priorities?
Work & Play	I am a … Negotiation: Learning to get what you want! Supporting Each Other to Stay Safe at Work Staying Safe Outside Work
Caring for My Body	Knowing My Body Facts about Sexual and Reproductive Health Staying Healthy – Traffic Lights
Looking after Ourselves & Each Other	Overcoming Barriers to Seeking Help Tips for Problem Solving What is an Empowered Sex Worker? What is Community Mobilisation?
Planning for the Future	My Ideal Timeline Taking Responsibility for My Future Where can I find support? Guest Lecture Moving Forward

Table 2. Process evaluation guiding questions.

Measure	Key questions
Fidelity	Were YWSS activities delivered as planned and scheduled? Was the Activity Pack used as designed?
Feasibility	What challenges were encountered in implementing the YWSS program, and specifically in using the Activity Pack?
Coverage	How many women were reached in each site? Were the participants from the target group of 15–19 YWSS?
Acceptability	What are YWSS perceptions of the programme? Do YWSS actively participate in Activity Pack sessions? Are YWSS able to attend meetings and services easily? What are staff members’ perceptions of the programme?
Quality	Are activities included in the Activity Pack appropriate for the target audience? Does the Activity Pack reflect evidence-based best practices for working with YWSS? Were Activity Pack sessions well conducted?
Effectiveness	Are intended outputs (uptake of services, referrals to other services, enhanced confidence and skills) occurring?

Table 3. Process evaluation methods.

Source	Indicators
Monthly staff reports	Frequency and timing of workshops Numbers of women attending sessions per site Activities conducted per site Referrals to other services
Observations by external consultant (two per site)	Emerging challenges Levels of participation Staff competence in conducting activities
Discussions with Staff	Activity Pack usefulness and ease of delivery Facilitators and barriers to delivering intervention Suggested improvements
Participatory M&E activity (one per site)	Perception of YWSS programme by participants Feedback on specific Activity Pack sessions Attitudes to Sisters programme
Aggregated clinic records	Numbers of YWSS attending clinical services since 2013