Evaluation of an Intervention to Increase Human Immunodeficiency Virus Testing Among Youth in Manzini, Swaziland: A Randomized Control Trial

Burnett, Sarah; Weaver, Marcia R.; Mody-Pan, Priti N.; Thomas, Liz A. Reynolds; Mar, Corinne M.

doi:10.1016/j.jadohealth.2010.08.015

Cited by 20 publications

(45 citation statements)

References 11 publications

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“…Studies evaluated interventions that targeted three broad groups of health topics: sexual and reproductive health (six studies), communicable diseases (three studies) and non‐communicable diseases (one study). In terms of outcomes, the majority of studies measured healthcare utilisation (six studies) , whilst three studies measured compliance to treatment , and one study measured immunisation uptake (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 11 895 children were included in this review across the 10 studies (range 65–3754 children per study). The age of children varied across studies and included: 2–12 years , 7–16 years , 6–15 years , 10–14 years , 14–18 years , 12–20 years , 10–24 years , under 18 years , under 20 years and 15–18 years (students in school grades 9 and 11) . Thus, five studies in our review focussed on adolescents (aged >10 years), each of these focussing on sexual and reproductive health needs.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Bright

Felix

Kuper

et al. 2018

Tropical Med Int Health

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This review provides evidence of the range of interventions that were used to increase healthcare access for children above 5 years old in LMIC. Nevertheless, further research is needed to examine each of the identified intervention types and the influence of contextual factors, with robust study designs. There is also a need to assess the cost-effectiveness of the interventions to inform decision-makers on which are suitable for scale-up in their particular contexts.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Bright

Felix

Kuper

et al. 2018

Tropical Med Int Health

View full text Add to dashboard Cite

show abstract

“…Nine authors limited themselves to a brief explanation of the theory itself [31, 37, 42, 45, 48, 50, 51, 63, 67]. The remainder did not provide any information on theory selection.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies refer to their theoretical basis in their conclusions, criticizing the theory, specifically “the theoretical approaches underlying the program have built in shortcomings which could result in the program not having significant impact on the students' behavioural intentions” [69]; “the discrepancies in the findings may be substantiated by the lack of systematic information that was available on the empirical and theoretical underpinnings upon which the KwaZulu-Natal Department of Education's program was based—a finding similar to reports of those educational programs that were not grounded in a theoretical understanding of adolescent sexual behaviour […]” [54]; “These findings present mixed evidence regarding the relationship between self-efficacy and outcome expectations and HIV protective behaviours among adolescents in Swaziland.” [63]; “TPB has received considerably more support from research for its predictive power of safe sex behaviour than the HBM.” [42]. …”

Section: Resultsmentioning

confidence: 99%

Nothing as Practical as a Good Theory? The Theoretical Basis of HIV Prevention Interventions for Young People in Sub-Saharan Africa: A Systematic Review

Michielsen

Chersich

Temmerman

et al. 2012

AIDS Research and Treatment

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This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. Social Cognitive Theory was most prominent (n = 13), followed by Health Belief Model (n = 7), and Theory of Reasoned Action/Planned Behaviour (n = 6). These cognitive behavioural theories assume that cognitions drive sexual behaviour. Reporting on choice and use of theory was low. Only three articles provided information about why a particular theory was selected. Interventions used theory to inform content (n = 13), for evaluation purposes (n = 4) or both (n = 7). No patterns of differential effectiveness could be detected between studies using and not using theory, or according to whether a theory informed content, and/or evaluation. We discuss characteristics of the theories that might account for the limited effectiveness observed, including overreliance on cognitions that likely vary according to type of sexual behaviour and other personal factors, inadequately address interpersonal factors, and failure to account for contextual factors.

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“…Fewer studies evaluate access to treatment in children. An RCT in Swaziland showed the effectiveness of a school-based educational intervention in increasing HIV testing rates among students 128. A comprehensive care program in Kenya offering individual and group psychosocial support and treatment literacy for children and caregivers within a tailored, child-centered care model found improved clinical outcomes; however, individual components of the program could not be evaluated 129.…”

Section: Special Populationsmentioning

confidence: 99%

Current strategies for improving access and adherence to antiretroviral therapies in resource-limited settings

Scanlon

Vreeman

2013

HIV

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The rollout of antiretroviral therapy (ART) significantly reduced human immunodeficiency virus (HIV)-related morbidity and mortality, but good clinical outcomes depend on access and adherence to treatment. In resource-limited settings, where over 90% of the world’s HIV-infected population resides, data on barriers to treatment are emerging that contribute to low rates of uptake in HIV testing, linkage to and retention in HIV care systems, and suboptimal adherence rates to therapy. A review of the literature reveals limited evidence to inform strategies to improve access and adherence with the majority of studies from sub-Saharan Africa. Data from observational studies and randomized controlled trials support home-based, mobile and antenatal care HIV testing, task-shifting from doctor-based to nurse-based and lower level provider care, and adherence support through education, counseling and mobile phone messaging services. Strategies with more limited evidence include targeted HIV testing for couples and family members of ART patients, decentralization of HIV care, including through home- and community-based ART programs, and adherence promotion through peer health workers, treatment supporters, and directly observed therapy. There is little evidence for improving access and adherence among vulnerable groups such as women, children and adolescents, and other high-risk populations and for addressing major barriers. Overall, studies are few in number and suffer from methodological issues. Recommendations for further research include health information technology, social-level factors like HIV stigma, and new research directions in cost-effectiveness, operations, and implementation. Findings from this review make a compelling case for more data to guide strategies to improve access and adherence to treatment in resource-limited settings.

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Evaluation of an Intervention to Increase Human Immunodeficiency Virus Testing Among Youth in Manzini, Swaziland: A Randomized Control Trial

Cited by 20 publications

References 11 publications

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Nothing as Practical as a Good Theory? The Theoretical Basis of HIV Prevention Interventions for Young People in Sub-Saharan Africa: A Systematic Review

Current strategies for improving access and adherence to antiretroviral therapies in resource-limited settings

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