Avert developed Be in the Know Zambia as part of a research project in partnership with CIDRZ (Centre for Infectious Disease Research in Zambia) to understand the potential impact of digital communications on young people’s knowledge and confidence on sexual health.

The project was carried out in three phases:

• Formative research: in depth interviews with young people in Zambia, to better understand their sexual health needs and concerns, and the barriers they face accessing sexual health services.
• Co-design: through an online co-creation process, young people from across Zambia identified knowledge gaps and priorities for content, co-created relatable characters and stories, and contributed to the development of functionality and branding for what would become the Be in the Know Zambia web app.
• Independent evaluation: after the app was launched, CIDRZ carried out an independent large scale evaluation with more than 3,000 participants to understand the real-world impact of the app and get detailed feedback on what worked, to help improve digital sexual health interventions in future.

Be in the Know Zambia was developed as an implementation research project to increase understanding of how digital communications interventions can support sexual health choices and actions in young people in Southern Africa.

Young people in Zambia are highly vulnerable to HIV, and need information and services to increase their knowledge of sexual and reproductive health and provide tools that support better sexual health choices.

Digital health communications has the potential to empower young people with the knowledge, skills and motivation they need to make informed choices that protect their sexual health. However, there is limited evidence on what works, particularly in the Southern Africa context, and whether a digital intervention can have significant impact on young people’s real lives.

This project has provided evidence for the impact of digital content on young people’s knowledge and behaviour in the real world.

An independent, large-scale evaluation of Be in the Know Zambia included more than 3,000 participants. The research showed that those using the web app were more likely to score higher for intention to test for HIV and other STIs, and for resisting peer pressure than those in the control group. Users were also 35% more likely to have an increase in condom-related knowledge.

In interviews, Be in the Know Zambia users provided examples of more open communication about sexual health with their partners and peers. Both men and women who participated described how engagement with Be in the Know Zambia led them to consider, adopt, and influence others to adopt healthier behaviours. This included examples of taking up STI/HIV testing because they felt more knowledgeable, motivated, and self-confident.