What do South African adolescents want in a sexual health service? Evidence from the South African Studies on HIV in Adolescents (SASHA) project

Pk, Smith; Marcus, Rebecca; Bennie, Thola; Nkala, Busi; Nchabeleng, Maphoshane; Mh, Latka; Gray, Glenda; Wallace, Melissa; Bekker, Linda‐Gail

doi:10.7196/samj.2018.v108i8.13013

Cited by 27 publications

(38 citation statements)

References 25 publications

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“…Strategies are needed to reach men who are at-risk and untested (in past 12-months) as well as men previously diagnosed but not adhering to treatment. Clinic service delivery was defined as being unfriendly to males, especially adolescent males [3–5].…”

Section: Introductionmentioning

confidence: 99%

HIV Positivity and Referral to Treatment Following Testing of Partners and Children of PLHIV Index Patients in Public Sector Facilities in South Africa

Davey

Wall

Serrao

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background There is an imperative need for innovative interventions to identify people living with HIV and initiate them on antiretroviral therapy (ART). The objective of this study was to determine the feasibility of providing index partner/child testing of people living with HIV. Methods We trained 86 nurses and counsellors in 56 public health facilities in six high HIV burden Districts in 2017 to provide index partner/child testing (tracing and testing of partners/children of people living with HIV). We collected programmatic data including index partner/child HIV positivity by age, gender and location of testing. In sub-analyses, we evaluated factors associated with identifying HIV-positive partners and children in separate models using multivariable logistic regression. Results We tested 16,033 partners and children of index patients between October 2017 and June 2018. Most of those tested were female (61%) and 20–39 years old (39%). Overall, 6.4% were 10–14 years old, 9.5% were 15–19 years; 8% were >50 years. HIV positivity was 38% (95% CI=36%−40%). In children ages 10–14, 13% were HIV-infected (95% CI=11%−14%). In subanalyses, HIV positivity in partners was associated with their increased age (adjusted odds ratio [aOR] for increase in 5-year age category=1.21; 95% CI=1.04, 1.42), female gender (aOR=1.38; 95% CI=1.04, 1.82) and bringing the partner in for HIV testing vs. referring the partner through the provider or recommending testing to the partner (aOR=1.94, 95% CI=1.43, 2.63), adjusting for location of testing. Almost all patients diagnosed (97%) were referred to ART. Conclusion Providing index partner/child testing was feasible and we identified a very high yield when testing partners/children of index patients. Index partner/child testing should be offered to all patients living with HIV to improve case finding.

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Section: Introductionmentioning

confidence: 99%

HIV Positivity and Referral to Treatment Following Testing of Partners and Children of PLHIV Index Patients in Public Sector Facilities in South Africa

Davey

Wall

Serrao

et al. 2019

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…2 Interventions to facilitate risk awareness and access to testing and screening programmes reduce sexually transmitted infection (STI) rates and avoid unintended pregnancies, yet adolescents continue to face real and perceived barriers whilst accessing services. 3 …”

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confidence: 99%

“…Clear healthcare information strategies, including appropriate infographics, inside and outside the clinics could similarly streamline visits. 3 The fast-food production is optimised by efficient, automated machinery; the healthcare analogy is the point-of-care diagnostic systems and the same-day treatment, which would increase clinic efficiency, treatment initiation and retention. An example of a popular consumer-friendly healthcare model that provides convenient, rapid STI/HIV services with improved patient outcomes is the Dean Street Express clinic in London.…”

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confidence: 99%

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Adolescent healthcare: I’m Lovin’ it

Pike

Celum

Bekker

2020

Southern African Journal of HIV Medicine

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“…The youth want to see convenient, non-judgemental services prioritized and delivered. Yet despite support from research and the available WHO guidelines, widespread youth-friendly services remain elusive for many [13,14].…”

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confidence: 99%