Scale-up of Adolescent Contraceptive Services

Hainsworth, Gwyn; Engel, Danielle; Simon, Callie; Rahimtoola, Minal; Ghiron, Laura

doi:10.1097/qai.0000000000000180

Cited by 24 publications

(27 citation statements)

References 8 publications

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“…Strategies proposed to achieve this include training staff to interact sensitively with adolescent patients, allowing more time for appointments with adolescents, and consulting adolescents in the design of youth-friendly services. 30,31 …”

Section: Discussionmentioning

confidence: 99%

Gaps in Adolescent Engagement in Antenatal Care and Prevention of Mother-to-Child HIV Transmission Services in Kenya

Ronen

McGrath

Langat

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background Rates of pregnancy and HIV infection are high among adolescents. However, their engagement in prevention of mother-to-child HIV transmission (PMTCT) services is poorly characterized. We compared engagement in the PMTCT cascade between adult and adolescent mothers in Kenya. Methods We conducted a nationally representative cross-sectional survey of mother–infant pairs attending 120 maternal child health clinics selected by probability proportionate to size sampling, with a secondary survey oversampling HIV-positive mothers in 30 clinics. Antenatal care (ANC) attendance, HIV testing, and antiretroviral (ARV) use were compared between adolescent (age ≤19 years) and adult mothers using χ2 tests and logistic regression. Results Among 2521 mothers, 278 (12.8%) were adolescents. Adolescents were less likely than adults to be employed (16.5% vs. 37.9%), married (66.1% vs. 88.3%), have intended pregnancy (40.5% vs. 58.6%), or have disclosed their HIV status (77.5% vs. 90.7%) (P < 0.01 for all). Adolescents were less likely than adults to attend ≥4 ANC visits (35.2% vs. 45.6%, P = 0.002). This effect remained significant when adjusting for employment, household crowding, pregnancy intention, gravidity, and HIV status [adjusted odds ratio (95% confidence interval) = 0.54 (0.37 to 0.97), P = 0.001]. Among 2359 women without previous HIV testing, 96.1% received testing during pregnancy; testing levels did not differ between adolescents and adults. Among 288 HIV-positive women not on antiretroviral therapy before pregnancy, adolescents were less likely than adults to be on ARVs (65.0% vs. 85.8%, P = 0.01) or to have infants on ARVs (85.7% vs. 97.7%, P = 0.005). Conclusions Adolescent mothers had poorer ANC attendance and uptake of ARVs for PMTCT. Targeted interventions are needed to improve retention of this vulnerable population in the PMTCT cascade.

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Section: Discussionmentioning

confidence: 99%

Gaps in Adolescent Engagement in Antenatal Care and Prevention of Mother-to-Child HIV Transmission Services in Kenya

Ronen

McGrath

Langat

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Research has shown that rural youth in Ethiopia have more lifetime sexual partners than their urban counterparts, and that contraceptive use is 10 times lower among rural young people than urban young people (Seifu, Fantahun, & Worki 2006). Acknowledging the need for targeted health services for adolescents and youth, the Ethiopian Government has scaled-up and institutionalized youth friendly services (YFS) through intensive capacity building at all levels of the health system (Hainsworth et al 2014). However, since the introduction of YFS in Ethiopia, few studies have examined the utilization of adolescent and youth SRH services in urban areas, and even fewer have focused on utilization in rural areas.…”

Section: Executive Summarymentioning

confidence: 99%

“…Under Pathfinder's Integrated Family Health Program (IFHP), a USAID-funded project, 20 YFS sites in four regions in 2005 were scaled up to 163 sites in 6 regions in 2012 (Amhara, Benishangul-Gumuz, Oromia, SNNP, Somali, and Tigray), and transition to government implementation occurred from 2012-2014 (Hainsworth et al 2014). IFHP's program activities are aimed at reducing young people's barriers to health services by addressing barriers at the structural, social, and individual levels (Pathfinder 2012).…”

Section: Youth Friendly Services In Ethiopiamentioning

confidence: 99%

“…The greatest benefit comes from improving generic health services in local communities and by improving the competencies of health care providers to deal effectively with adolescents" (page 35 The Ethiopian Government, along with several international and local NGOs, has been supporting activities to increase access to SRH services for young people. The government of Ethiopia pursued scale-up and institutionalization of YFS through intensive capacity building at all levels of the health system over the past eight years (Hainsworth et al 2014). Youth friendly services were offered through multiple servicedelivery channels, including community-based distribution, and quarterly review meetings were held among district and regional health authorities and health providers to review monitoring data and address quality of care issues (Hainsworth et al 2014).…”

Section: Introductionmentioning

confidence: 99%

“…The government of Ethiopia pursued scale-up and institutionalization of YFS through intensive capacity building at all levels of the health system over the past eight years (Hainsworth et al 2014). Youth friendly services were offered through multiple servicedelivery channels, including community-based distribution, and quarterly review meetings were held among district and regional health authorities and health providers to review monitoring data and address quality of care issues (Hainsworth et al 2014).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Understanding adolescent and youth sexual and reproductive health-seeking behaviors in Ethiopia: Implications for youth friendly service programming

Jain¹,

Ismail²,

Tobey³

et al. 2017

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The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development

Chandra-Mouli

Ferguson²,

Plesons

et al. 2019

Journal of Adolescent Health

Self Cite

104

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Among the groundbreaking achievements of the International Conference on Population and Development (ICPD) was its call to place adolescent sexual and reproductive health (ASRH) on global health and development agendas. This article reviews progress made in low-and middle-income countries in the 25 years since the ICPD in six areas central to ASRHdadolescent pregnancy, HIV, child marriage, violence against women and girls, female genital mutilation, and menstrual hygiene and health. It also examines the ICPD's contribution to the progress made. The article presents epidemiologic levels and trends; political, research, programmatic and social responses; and factors that helped or hindered progress. To do so, it draws on research evidence and programmatic experience and the expertise and experiences of a wide number of individuals, including youth leaders, in numerous countries and organizations. Overall, looking across the six health topics over a 25-year trajectory, there has been great progress at the global and regional levels in putting adolescent health, and especially adolescent sexual and reproductive health and rights, higher on the agenda, raising investment in this area, building the epidemiologic and evidence-base, and setting norms to guide investment and action. At the national level, too, there has been progress in formulating laws and policies, developing strategies and programs and executing them, and engaging communities and societies in moving the agenda forward. Still, progress has been uneven across issues and geography. Furthermore, it has raced ahead sometimes and has stalled at others. The ICPD's Plan of Action contributed to the progress made in ASRH not just because of its bold call in 1994 but also because it provided a springboard for advocacy, investment, action, and research that remains important to this day.

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Scale-up of Adolescent Contraceptive Services

Abstract: This article contributes to a growing body of evidence around scale-up of AFCS, which can inform the implementation and sustainable scale-up of HIV and other services for adolescents.

Cited by 24 publications

References 8 publications

Gaps in Adolescent Engagement in Antenatal Care and Prevention of Mother-to-Child HIV Transmission Services in Kenya

Gaps in Adolescent Engagement in Antenatal Care and Prevention of Mother-to-Child HIV Transmission Services in Kenya

Understanding adolescent and youth sexual and reproductive health-seeking behaviors in Ethiopia: Implications for youth friendly service programming

The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development

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