Evidence map›Paper›PMID 26534721›Full record

ReviewGlobal health action2015

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.

Leandri Pretorius, Andrew Gibbs, Tamaryn Crankshaw, Samantha Willan

Abstract readReview
In one paragraph

Review in Global health action, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Leandri PretoriusHealth Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal (UKZN), Durban, South Africa; pretoriusl@ukzn.ac.za.
Andrew GibbsHealth Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal (UKZN), Durban, South Africa.
Tamaryn CrankshawHealth Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal (UKZN), Durban, South Africa.
Samantha WillanHealth Economics and HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal (UKZN), Durban, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 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.

objectiveUnderstand the scope and impact of interventions targeting YPLWH to improve SRH-related outcomes in SSA.

designWe 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.

resultsInterventions 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.

conclusionsThere 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.

Indexed as

HIV InfectionsReproductive HealthReproductive RightsAdolescentAfrica South of the SaharaChildFemaleGlobal HealthHealth Status DisparitiesHumansReproductive Health ServicesSexual BehaviorSocial StigmaYoung AdultHIVinterventionsexual and reproductive health and rightssub-Saharan Africayoung people

Identifiers

PMID26534721
PMCPMC4631708

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.