Increasing Uptake of HIV, Sexually Transmitted Infection, and Family Planning Services, and Reducing HIV-Related Risk Behaviors Among Youth Living With HIV in Uganda

Vu, Lung; Burnett-Zieman, Brady; Banura, Cecily; Okal, Jerry; Elang, Margret; Ampwera, Rodgers; Caswell, Georgina; Amanyire, Diana; Alesi, Jacquelyne; Yam, Eileen A.

doi:10.1016/j.jadohealth.2016.09.007

Cited by 44 publications

(28 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…ART initiation can be improved through a variety of mechanisms, including peer support to adolescents [36,37]; integration of ART with antenatal and family care services [38, 39 •• ]; health services strengthening, community outreach and linkage to facilities [15 •• , 23, 85]; and provision of point-of-care services [21,24]. These interventions, however, were not universally successful, and impact varied by context and/or study methods [17,20,30,31].…”

Section: Discussionmentioning

confidence: 99%

“…In South Africa, a small peer-to-peer mobile phone-based system linked newly diagnosed youth with stable youth in care, resulting in increased ART initiation (80% versus 42% in matched controls) [36]. Similarly, in a pre-post cohort design, ART uptake increased 2.5 times (95% CI = 1.6-4.0) for youth in Uganda attending peer-delivered targeted counselling and health education linked to youth-oriented sexual and reproductive health and rights facilities [37].…”

Section: Adolescents and Young Adultsmentioning

confidence: 99%

See 1 more Smart Citation

A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

et al. 2020

View full text Add to dashboard Cite

Purpose of Review We reviewed interventions to improve uptake and adherence to antiretroviral therapy (ART) in African countries in the Treat All era. Recent Findings ART initiation can be improved by facilitated rapid receipt of first prescription, including community-based linkage and point-of-care strategies, integration of HIV care into antenatal care and peer support for adolescents. For people living with HIV (PLHIV) on ART, scheduled SMS reminders, ongoing intensive counselling for those with viral non-suppression and economic incentives for the most deprived show promise. Adherence clubs should be promoted, being no less effective than facility-based care for stable patients. Tracing those lost to follow-up should be targeted to those who can be seen face-to-face by a peer worker. Summary Investment is needed to promote linkage to initiating ART and for differentiated approaches to counselling for youth and for those with identified suboptimal adherence. More evidence from within Africa is needed on cost-effective strategies to identify and support PLHIV at an increased risk of non-adherence across the treatment cascade.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Adolescents and Young Adultsmentioning

confidence: 99%

A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

et al. 2020

View full text Add to dashboard Cite

show abstract

“…However, its effect is reliant on social conditions such as family environment, presence or absence of peer support and the attitudes of HCWs working with youth. Inclusion of supportive social conditions at different levels of the SEM, such as community support groups, family counselling and HIV /sexual and reproductive health education, has the potential to bolster self-efficacy and motivate ALHIV through the stages of care [80][81][82][83]. In the absence of supportive conditions, ALHIV self-efficacy may fail to develop or result in rebellion against their care management [84] as they gain further independence with age, yet maintain a sense of social isolation and frustration surrounding treatment adaptation.…”

Section: Discussionmentioning

confidence: 99%

Scaling a waterfall: a meta‐ethnography of adolescent progression through the stages of HIV care in sub‐Saharan Africa

Williams

Renju

Ghilardi

et al. 2017

Journal of the International AIDS Society

View full text Add to dashboard Cite

Introduction: Observational studies have shown considerable attrition among adolescents living with HIV across the “cascade” of HIV care in sub-Saharan Africa, leading to higher mortality rates compared to HIV-infected adults or children. We synthesized evidence from qualitative studies on factors that promote or undermine engagement with HIV services among adolescents living with HIV in sub-Saharan Africa. Methods: We systematically searched five databases for studies published between 2005 and 2016 that met pre-defined inclusion criteria. We used a meta-ethnographic approach to identify first, second and third order constructs from eligible studies, and applied a socio-ecological framework to situate our results across different levels of influence, and in relation to each stage of the HIV cascade. Results and discussion: We identified 3089 citations, of which 24 articles were eligible for inclusion. Of these, 17 were from Southern Africa while 11 were from Eastern Africa. 6 explored issues related to HIV testing, 11 explored treatment adherence, and 7 covered multiple stages of the cascade. Twelve third-order constructs emerged to explain adolescents’ engagement in HIV care. Stigma was the most salient factor impeding adolescents’ interactions with HIV care over the past decade. Self-efficacy to adapt to life with HIV and support from family or social networks were critical enablers supporting uptake and retention in HIV care and treatment programmes. Provision of adolescent-friendly services and health systems issues, such as the availability of efficient, confidential and comfortable services, were also reported to drive sustained care engagement. Individual-level factors, including past illness experiences, identifying mechanisms to manage pill-taking in social situations, financial (in)stability and the presence/absence of future aspirations also shaped adolescents HIV care engagement. Conclusions: Adolescents’ initial and ongoing use of HIV care was frequently undermined by individual-level issues; although family, community and health systems factors played important roles. Interventions should prioritise addressing psychosocial issues among adolescents to promote individual-level engagement with HIV care, and ultimately reduce mortality. Further research should explore issues relating to care linkage and ART initiation in different settings, particularly as “test and treat” policies are scaled up.

show abstract

“…Existing interventions tend to be specifically designed to promote adherence to ART and prevent risky sexual behaviours such as unprotected intercourse [38], which are seen as essential to supporting adolescent health and preventing onward transmission. At the same time, these interventions tend to employ content and delivery mechanisms that are also likely to benefit mental health, such as decision-making skills, self-esteem, coping skills, support networking, psychoeducation and peer support [35,39,40]. As such, it is critical that measures that capture selfreported or parent-reported mental health are included in these types of studies as primary or secondary outcomes.…”

Section: Invest In High-quality Research To Test the Effectiveness mentioning

confidence: 99%

Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence

et al. 2020

View full text Add to dashboard Cite

Introduction As adolescents transition from childhood to adulthood, they experience major physical, social and psychological changes, and are at heightened risk for developing mental health conditions and engaging in health‐related risk behaviours. For adolescents living with HIV (ALHIV), these risks may be even more pronounced. Research shows that this population may face additional mental health challenges related to the biological impact of the disease and its treatment, the psychosocial burdens of living with HIV and HIV‐related social and environmental stressors. Discussion Psychosocial interventions delivered to adolescents can promote positive mental health, prevent mental health problems and strengthen young people’s capacity to navigate challenges and protect themselves from risk. It is likely that these interventions can also benefit at‐risk populations, such as ALHIV, yet there is little research on this. There is an urgent need for more research evaluating the effects of interventions designed to improve the mental health of ALHIV. We highlight four priorities moving forward. These include: generating more evidence about preventive mental health interventions for ALHIV; including mental health outcomes in research on psychosocial interventions for ALHIV; conducting intervention research that is sensitive to differences among ALHIV populations and involving adolescents in intervention design and testing. Conclusions More robust research on promotive and preventive mental health interventions is needed for ALHIV. Programmes should be informed by adolescent priorities and preferences and responsive to the specific needs of these groups.

show abstract

Increasing Uptake of HIV, Sexually Transmitted Infection, and Family Planning Services, and Reducing HIV-Related Risk Behaviors Among Youth Living With HIV in Uganda

Cited by 44 publications

References 22 publications

A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

Scaling a waterfall: a meta‐ethnography of adolescent progression through the stages of HIV care in sub‐Saharan Africa

Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence

Contact Info

Product

Resources

About