SidaSubSaharaV1, PubMed, Checkpoint, bibRecord, 000A03

Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa.

Identifieur interne : 000A03 ( PubMed/Checkpoint ); précédent : 000A02; suivant : 000A04

Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa.

Auteurs : Elona Toska [Afrique du Sud] ; Lesley Gittings [Afrique du Sud] ; Rebecca Hodes [Afrique du Sud] ; Lucie D. Cluver [Afrique du Sud] ; Kaymarlin Govender [Afrique du Sud] ; K Emma Chademana [Afrique du Sud] ; Vincent Evans Gutiérrez [Afrique du Sud]

Source :

African journal of AIDS research : AJAR [ 1727-9445 ] ; 2016.

RBID : pubmed:27399042

Descripteurs français

KwdFr :
- Adolescent, Afrique australe (épidémiologie), Afrique de l'Est (épidémiologie), Assistance, Comportement sexuel (psychologie), Enfant, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (), Infections à VIH (épidémiologie), Mâle, Pauvreté, Politique publique, Prise de risque, Prophylaxie pré-exposition (), Prophylaxie pré-exposition (utilisation), Prophylaxie pré-exposition (économie), Services de médecine préventive (utilisation), Services de médecine préventive (économie).
MESH :
- psychologie : Comportement sexuel.
- utilisation : Prophylaxie pré-exposition, Services de médecine préventive.
- économie : Prophylaxie pré-exposition, Services de médecine préventive.
- épidémiologie : Afrique australe, Afrique de l'Est, Infections à VIH.
- Adolescent, Assistance, Enfant, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH, Mâle, Pauvreté, Politique publique, Prise de risque, Prophylaxie pré-exposition.

English descriptors

KwdEn :
- Adolescent, Africa, Eastern (epidemiology), Africa, Southern (epidemiology), Child, Counseling, Female, HIV Infections (epidemiology), HIV Infections (prevention & control), Humans, Male, Poverty, Pre-Exposure Prophylaxis (economics), Pre-Exposure Prophylaxis (methods), Pre-Exposure Prophylaxis (utilization), Preventive Health Services (economics), Preventive Health Services (utilization), Public Policy, Risk-Taking, Sexual Behavior (psychology), Socioeconomic Factors.
MESH :
- economics : Pre-Exposure Prophylaxis, Preventive Health Services.
- epidemiology : Africa, Eastern, Africa, Southern, HIV Infections.
- methods : Pre-Exposure Prophylaxis.
- prevention & control : HIV Infections.
- psychology : Sexual Behavior.
- utilization : Pre-Exposure Prophylaxis, Preventive Health Services.
- Adolescent, Child, Counseling, Female, Humans, Male, Poverty, Public Policy, Risk-Taking, Socioeconomic Factors.

Abstract

Adolescents are the only age group with growing AIDS-related morbidity and mortality in Eastern and Southern Africa, making HIV prevention research among this population an urgent priority. Structural deprivations are key drivers of adolescent HIV infection in this region. Biomedical interventions must be combined with behavioural and social interventions to alleviate the socio-structural determinants of HIV infection. There is growing evidence that social protection has the potential to reduce the risk of HIV infection among children and adolescents. This research combined expert consultations with a rigorous review of academic and policy literature on the effectiveness of social protection for HIV prevention among children and adolescents, including prevention for those already HIV-positive. The study had three goals: (i) assess the evidence on the effectiveness of social protection for HIV prevention, (ii) consider key challenges to implementing social protection programmes that promote HIV prevention, and (iii) identify critical research gaps in social protection and HIV prevention, in Eastern and Southern Africa. Causal pathways of inequality, poverty, gender and HIV risk require flexible and responsive social protection mechanisms. Results confirmed that HIV-inclusive child-and adolescent-sensitive social protection has the potential to interrupt risk pathways to HIV infection and foster resilience. In particular, empirical evidence (literature and expert feedback) detailed the effectiveness of combination social protection particularly cash/in-kind components combined with "care" and "capability" among children and adolescents. Social protection programmes should be dynamic and flexible, and consider age, gender, HIV-related stigma, and context, including cultural norms, which offer opportunities to improve programmatic coverage, reach and uptake. Effective HIV prevention also requires integrated social protection policies, developed through strong national government ownership and leadership. Future research should explore which combinations of social protection work for sub-groups of children and adolescents, particularly those living with HIV.

DOI: 10.2989/16085906.2016.1194299
PubMed: 27399042

Affiliations:

Afrique du Sud

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<term>Child</term>
<term>Counseling</term>
<term>Female</term>
<term>HIV Infections (epidemiology)</term>
<term>HIV Infections (prevention & control)</term>
<term>Humans</term>
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<term>Pre-Exposure Prophylaxis (methods)</term>
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<front><div type="abstract" xml:lang="en">Adolescents are the only age group with growing AIDS-related morbidity and mortality in Eastern and Southern Africa, making HIV prevention research among this population an urgent priority. Structural deprivations are key drivers of adolescent HIV infection in this region. Biomedical interventions must be combined with behavioural and social interventions to alleviate the socio-structural determinants of HIV infection. There is growing evidence that social protection has the potential to reduce the risk of HIV infection among children and adolescents. This research combined expert consultations with a rigorous review of academic and policy literature on the effectiveness of social protection for HIV prevention among children and adolescents, including prevention for those already HIV-positive. The study had three goals: (i) assess the evidence on the effectiveness of social protection for HIV prevention, (ii) consider key challenges to implementing social protection programmes that promote HIV prevention, and (iii) identify critical research gaps in social protection and HIV prevention, in Eastern and Southern Africa. Causal pathways of inequality, poverty, gender and HIV risk require flexible and responsive social protection mechanisms. Results confirmed that HIV-inclusive child-and adolescent-sensitive social protection has the potential to interrupt risk pathways to HIV infection and foster resilience. In particular, empirical evidence (literature and expert feedback) detailed the effectiveness of combination social protection particularly cash/in-kind components combined with "care" and "capability" among children and adolescents. Social protection programmes should be dynamic and flexible, and consider age, gender, HIV-related stigma, and context, including cultural norms, which offer opportunities to improve programmatic coverage, reach and uptake. Effective HIV prevention also requires integrated social protection policies, developed through strong national government ownership and leadership. Future research should explore which combinations of social protection work for sub-groups of children and adolescents, particularly those living with HIV.</div>
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<Abstract><AbstractText>Adolescents are the only age group with growing AIDS-related morbidity and mortality in Eastern and Southern Africa, making HIV prevention research among this population an urgent priority. Structural deprivations are key drivers of adolescent HIV infection in this region. Biomedical interventions must be combined with behavioural and social interventions to alleviate the socio-structural determinants of HIV infection. There is growing evidence that social protection has the potential to reduce the risk of HIV infection among children and adolescents. This research combined expert consultations with a rigorous review of academic and policy literature on the effectiveness of social protection for HIV prevention among children and adolescents, including prevention for those already HIV-positive. The study had three goals: (i) assess the evidence on the effectiveness of social protection for HIV prevention, (ii) consider key challenges to implementing social protection programmes that promote HIV prevention, and (iii) identify critical research gaps in social protection and HIV prevention, in Eastern and Southern Africa. Causal pathways of inequality, poverty, gender and HIV risk require flexible and responsive social protection mechanisms. Results confirmed that HIV-inclusive child-and adolescent-sensitive social protection has the potential to interrupt risk pathways to HIV infection and foster resilience. In particular, empirical evidence (literature and expert feedback) detailed the effectiveness of combination social protection particularly cash/in-kind components combined with "care" and "capability" among children and adolescents. Social protection programmes should be dynamic and flexible, and consider age, gender, HIV-related stigma, and context, including cultural norms, which offer opportunities to improve programmatic coverage, reach and uptake. Effective HIV prevention also requires integrated social protection policies, developed through strong national government ownership and leadership. Future research should explore which combinations of social protection work for sub-groups of children and adolescents, particularly those living with HIV.</AbstractText>
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<AffiliationInfo><Affiliation>b Centre for Evidence-Based Intervention, Department of Social Policy & Intervention , University of Oxford Barnett House , Oxford , UK.</Affiliation>
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<AffiliationInfo><Affiliation>c School of Public Health and Family Medicine, Division of Social and Behavioural Sciences , University of Cape Town , Cape Town , South Africa.</Affiliation>
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<PMID Version="1">24938864</PMID>
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<MeshHeading><DescriptorName UI="D011314" MajorTopicYN="N">Preventive Health Services</DescriptorName>
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<MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">HIV/AIDS</Keyword>
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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa.

Resourcing resilience: social protection for HIV prevention amongst children and adolescents in Eastern and Southern Africa.

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