Interventions targeting sexual and reproductive health and rights outcomes of young people living with HIV: a comprehensive review of current interventions from sub-Saharan Africa
Identifieur interne : 001572 ( Main/Exploration ); précédent : 001571; suivant : 001573Interventions targeting sexual and reproductive health and rights outcomes of young people living with HIV: a comprehensive review of current interventions from sub-Saharan Africa
Auteurs : Leandri Pretorius ; Andrew Gibbs ; Tamaryn Crankshaw ; Samantha WillanSource :
- Global Health Action [ 1654-9716 ] ; 2015.
Abstract
A growing number of young people (ages 10–24) are living with HIV (YPLWH) in sub-Saharan Africa (SSA). These YPLWH have particular needs and challenges related to their sexual and reproductive health and rights (SRHR). Contextual factors including gender inequalities, violence, stigma, and discrimination and lack of tailored services undermine YPLWH's SRHR.
Understand the scope and impact of interventions targeting YPLWH to improve SRH-related outcomes in SSA.
We undertook a review to synthesise evaluated interventions (qualitative, quantitative, or mixed methods) aimed at improving the SRH outcomes of YPLWH in SSA with outcomes based on a World Health Organization framework of comprehensive SRHR approaches for women living with HIV. Using inclusion criteria, only six interventions were identified.
Interventions sought to improve a range of direct and indirect SRH outcomes, including sexual behaviour, adherence, disclosure, and mental health. Four overarching issues emerged: 1) all interventions were structured according to cognitive behavioural therapy theories of behaviour change – while showing promise they do not tackle the wider gender, social, and economic contexts that shape YPLWH's SRH; 2) ‘significant others’ were included in two of the interventions, but further work needs to consider how to leverage parental/guardian support appropriately; 3) interventions only accessed young people who were already linked to care, participants were likely to have better SRH outcomes than those potentially more vulnerable YPLWH; and 4) none of the interventions explored the sexuality of young people.
There have been a limited number of evaluated interventions to strengthen SRH of YPLWH in SSA, and gaps exist in addressing the SRHR needs of YPLWH. Intervention approaches require greater scope and depth, including the need to address structural and contextual challenges.
Url:
DOI: 10.3402/gha.v8.28454
PubMed: 26534721
PubMed Central: 4631708
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Interventions targeting sexual and reproductive health and rights outcomes of young people living with HIV: a comprehensive review of current interventions from sub-Saharan Africa</title><author><name sortKey="Pretorius, Leandri" sort="Pretorius, Leandri" uniqKey="Pretorius L" first="Leandri" last="Pretorius">Leandri Pretorius</name></author><author><name sortKey="Gibbs, Andrew" sort="Gibbs, Andrew" uniqKey="Gibbs A" first="Andrew" last="Gibbs">Andrew Gibbs</name></author><author><name sortKey="Crankshaw, Tamaryn" sort="Crankshaw, Tamaryn" uniqKey="Crankshaw T" first="Tamaryn" last="Crankshaw">Tamaryn Crankshaw</name></author><author><name sortKey="Willan, Samantha" sort="Willan, Samantha" uniqKey="Willan S" first="Samantha" last="Willan">Samantha Willan</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26534721</idno><idno type="pmc">4631708</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631708</idno><idno type="RBID">PMC:4631708</idno><idno type="doi">10.3402/gha.v8.28454</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000261</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000261</idno><idno type="wicri:Area/Pmc/Curation">000261</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000261</idno><idno type="wicri:Area/Pmc/Checkpoint">000C20</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000C20</idno><idno type="wicri:Area/Ncbi/Merge">003419</idno><idno type="wicri:Area/Ncbi/Curation">003419</idno><idno type="wicri:Area/Ncbi/Checkpoint">003419</idno><idno type="wicri:doubleKey">1654-9716:2015:Pretorius L:interventions:targeting:sexual</idno><idno type="wicri:Area/Main/Merge">001573</idno><idno type="wicri:Area/Main/Curation">001572</idno><idno type="wicri:Area/Main/Exploration">001572</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Interventions targeting sexual and reproductive health and rights outcomes of young people living with HIV: a comprehensive review of current interventions from sub-Saharan Africa</title><author><name sortKey="Pretorius, Leandri" sort="Pretorius, Leandri" uniqKey="Pretorius L" first="Leandri" last="Pretorius">Leandri Pretorius</name></author><author><name sortKey="Gibbs, Andrew" sort="Gibbs, Andrew" uniqKey="Gibbs A" first="Andrew" last="Gibbs">Andrew Gibbs</name></author><author><name sortKey="Crankshaw, Tamaryn" sort="Crankshaw, Tamaryn" uniqKey="Crankshaw T" first="Tamaryn" last="Crankshaw">Tamaryn Crankshaw</name></author><author><name sortKey="Willan, Samantha" sort="Willan, Samantha" uniqKey="Willan S" first="Samantha" last="Willan">Samantha Willan</name></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>A growing number of young people (ages 10–24) are living with HIV (YPLWH) in sub-Saharan Africa (SSA). These YPLWH have particular needs and challenges related to their sexual and reproductive health and rights (SRHR). Contextual factors including gender inequalities, violence, stigma, and discrimination and lack of tailored services undermine YPLWH's SRHR.</p></sec><sec id="st2"><title>Objective</title><p>Understand the scope and impact of interventions targeting YPLWH to improve SRH-related outcomes in SSA.</p></sec><sec id="st3"><title>Design</title><p>We undertook a review to synthesise evaluated interventions (qualitative, quantitative, or mixed methods) aimed at improving the SRH outcomes of YPLWH in SSA with outcomes based on a World Health Organization framework of comprehensive SRHR approaches for women living with HIV. Using inclusion criteria, only six interventions were identified.</p></sec><sec id="st4"><title>Results</title><p>Interventions sought to improve a range of direct and indirect SRH outcomes, including sexual behaviour, adherence, disclosure, and mental health. Four overarching issues emerged: 1) all interventions were structured according to cognitive behavioural therapy theories of behaviour change – while showing promise they do not tackle the wider gender, social, and economic contexts that shape YPLWH's SRH; 2) ‘significant others’ were included in two of the interventions, but further work needs to consider how to leverage parental/guardian support appropriately; 3) interventions only accessed young people who were already linked to care, participants were likely to have better SRH outcomes than those potentially more vulnerable YPLWH; and 4) none of the interventions explored the sexuality of young people.</p></sec><sec id="st5"><title>Conclusions</title><p>There have been a limited number of evaluated interventions to strengthen SRH of YPLWH in SSA, and gaps exist in addressing the SRHR needs of YPLWH. Intervention approaches require greater scope and depth, including the need to address structural and contextual challenges.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Cortez, R" uniqKey="Cortez R">R Cortez</name></author><author><name sortKey="Quinlan Davidson, M" uniqKey="Quinlan Davidson M">M Quinlan-Davidson</name></author><author><name sortKey="Saadaat, S" uniqKey="Saadaat S">S Saadaat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mavhu, W" uniqKey="Mavhu W">W Mavhu</name></author><author><name sortKey="Berwick, J" uniqKey="Berwick J">J Berwick</name></author><author><name sortKey="Chirawu, P" uniqKey="Chirawu P">P Chirawu</name></author><author><name sortKey="Makamba, M" uniqKey="Makamba M">M Makamba</name></author><author><name sortKey="Copas, A" uniqKey="Copas A">A Copas</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Forman</name></author><author><name sortKey="Beck, At" uniqKey="Beck A">AT Beck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, C" uniqKey="Campbell C">C Campbell</name></author><author><name sortKey="Jovchelovitch, S" uniqKey="Jovchelovitch S">S Jovchelovitch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marks, D" uniqKey="Marks D">D Marks</name></author><author><name sortKey="Murray, M" uniqKey="Murray M">M Murray</name></author><author><name sortKey="Evans, B" uniqKey="Evans B">B Evans</name></author><author><name sortKey="Willig, C" uniqKey="Willig C">C Willig</name></author><author><name sortKey="Skyes, C" uniqKey="Skyes C">C Skyes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Sousa, J" uniqKey="De Sousa J">J de Sousa</name></author><author><name sortKey="Burgess, W" uniqKey="Burgess W">W Burgess</name></author><author><name sortKey="Fanslow, J" uniqKey="Fanslow J">J Fanslow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cooke, B" uniqKey="Cooke B">B Cooke</name></author><author><name sortKey="Kothari, U" uniqKey="Kothari U">U Kothari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gibbs, A" uniqKey="Gibbs A">A Gibbs</name></author><author><name sortKey="Jewkes, R" uniqKey="Jewkes R">R Jewkes</name></author><author><name sortKey="Mbatha, N" uniqKey="Mbatha N">N Mbatha</name></author><author><name sortKey="Washington, L" uniqKey="Washington L">L Washington</name></author><author><name sortKey="Willan, S" uniqKey="Willan S">S Willan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petersen, I" uniqKey="Petersen I">I Petersen</name></author><author><name sortKey="Bhana, A" uniqKey="Bhana A">A Bhana</name></author><author><name sortKey="Myeza, N" uniqKey="Myeza N">N Myeza</name></author><author><name sortKey="Alicea, S" uniqKey="Alicea S">S Alicea</name></author><author><name sortKey="John, S" uniqKey="John S">S John</name></author><author><name sortKey="Holst, H" uniqKey="Holst H">H Holst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wight, D" uniqKey="Wight D">D Wight</name></author><author><name sortKey="Williamson, L" uniqKey="Williamson L">L Williamson</name></author><author><name sortKey="Henderson, M" uniqKey="Henderson M">M Henderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zanoni, Bc" uniqKey="Zanoni B">BC Zanoni</name></author><author><name sortKey="Mayer, Kh" uniqKey="Mayer K">KH Mayer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Temmerman, M" uniqKey="Temmerman M">M Temmerman</name></author><author><name sortKey="Khosla, R" uniqKey="Khosla R">R Khosla</name></author><author><name sortKey="Say, L" uniqKey="Say L">L Say</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berer, M" uniqKey="Berer M">M Berer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Crankshaw, Tamaryn" sort="Crankshaw, Tamaryn" uniqKey="Crankshaw T" first="Tamaryn" last="Crankshaw">Tamaryn Crankshaw</name><name sortKey="Gibbs, Andrew" sort="Gibbs, Andrew" uniqKey="Gibbs A" first="Andrew" last="Gibbs">Andrew Gibbs</name><name sortKey="Pretorius, Leandri" sort="Pretorius, Leandri" uniqKey="Pretorius L" first="Leandri" last="Pretorius">Leandri Pretorius</name><name sortKey="Willan, Samantha" sort="Willan, Samantha" uniqKey="Willan S" first="Samantha" last="Willan">Samantha Willan</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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