HIV Prevention in Young People in Sub-Saharan Africa: A Systematic Review

Napierala, Sue; Doyle, Aoife; Ross, David A.

doi:10.1016/j.jadohealth.2011.02.007

Cited by 111 publications

(77 citation statements)

References 35 publications

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“…In Ghana, Opoku (2010) and Hindin, McGough, and Adanu (2014) have reported similar barriers to condom use, including shyness in buying contraceptives, the cost of contraceptives, and non-youth friendly health services being barriers to access. Two recent reviews show the critical importance of changing selfefficacy and behavioural control beliefs in increasing young people's condom use (Gottschalk and Ortayli 2014;Napierala Mavedzenge, Doyle, and Ross 2011). Our results suggest that changing efficacy beliefs towards buying and negotiating condom use among young women could be a useful focus of future interventions aiming at preventing teenage pregnancies in Ghana.…”

Section: Discussionmentioning

confidence: 66%

Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana

Krugu

Mevissen

Münkel

et al. 2016

Culture, Health & Sexuality

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Globally, an estimated 16 million young women aged 15 to 19 years give birth every year. Most teenage pregnancies are unintended and being pregnant or delivering a baby as a teenager can have serious adverse consequences. Knowledge of the environmental factors and social cognitive determinants influencing young women's failure to protect against unintended pregnancy is necessary to address the high rate of teenage pregnancies. We conducted semi-structured in-depth interviews with 21 young women, who had experience of pregnancy, in Bolgatanga, Ghana. The interview protocol included themes (relationships, sex, pregnancy, family planning) and determinants (knowledge, attitudes, self-efficacy, norms, risk perceptions) derived from empirical studies and theories related to sexuality behaviour. Findings show that young women's motivations for sexual relationships are mostly 'beyond love' and seem to focus on economic factors. The main means of sexual protection seems to be condom use. Other forms of contraception were believed to be linked to infertility. Sexuality remains a largely taboo topic for open discussion and sex education in schools seems limited to abstinence-only messages. The need for more open communication on matters of sexuality with young people and the provision of a more comprehensive sexuality education in school to address teenage pregnancies in Ghana, is discussed.

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Section: Discussionmentioning

confidence: 66%

Beyond love: a qualitative analysis of factors associated with teenage pregnancy among young women with pregnancy experience in Bolgatanga, Ghana

Krugu

Mevissen

Münkel

et al. 2016

Culture, Health & Sexuality

View full text Add to dashboard Cite

show abstract

“…Ideally, there should be specialised services at accessible sites such as mobile or outreach clinics together with consultation with HIV and other experts. [15] Transition to adult services may pose a challenge to the young adult and consideration should be given to a stepwise transition plan to a multidisciplinary team, e.g. gynaecology services, general primary care providers and adult HIV specialists.…”

Section: Resultsmentioning

confidence: 99%

Adolescent HIV treatment issues in South Africa

Dawood

2015

S Afr Med J

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“…[29][30][31][32] However, poor implementation of schoolbased programs at scale, including problems of curricula lacking basic information on condoms and contraception, poor teaching, and short program durations, have often resulted in a lack of fidelity to the designed intervention, reducing program effectiveness. 33 Our study supports the idea that text-messaging programs may be effective ways to fill this gap, by providing accurate and complete information via a medium with which adolescents are comfortable.…”

Section: Public Health Implicationsmentioning

confidence: 99%