ArticleAIDS (London, England)2017
Continuous quality improvement intervention for adolescent and young adult HIV testing services in Kenya improves HIV knowledge.
Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation Strategies to Enhance Youth-Friendly Sexual and Reproductive Health Services in Sub-Saharan Africa: A Systematic Review.Frontiers in reproductive health · 2021Pooled it
- Use of interrupted time series methods in the evaluation of health system quality improvement interventions: a methodological systematic review.BMJ global health · 2020Pooled it
- Determinants of implementation of a stepped care intervention for adolescents and youth living with HIV in Kenya: a qualitative evaluation.BMC health services research · 2025Trial
- A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact.BMC health services research · 2024Article
- Providing "a beam of light to see the gaps": determinants of implementation of the Systems Analysis and Improvement Approach applied to the pediatric and adolescent HIV cascade in Kenya.Implementation science communications · 2022Article
- From research to international scale-up: stakeholder engagement essential in successful design, evaluation and implementation of paediatric HIV testing intervention.Health policy and planning · 2020Article
- Residence and young women's comprehensive HIV knowledge in Ethiopia.BMC public health · 2020Article
- Uptake of HIV testing among adolescents and associated adolescent-friendly services.BMC health services research · 2020Observational
- Article
- Engaging Stakeholders, from Inception and Throughout the Study, is Good Research Practice to Promote use of Findings.AIDS and behavior · 2019Article
- Making Smarter Decisions Faster: Systems Engineering to Improve the Global Public Health Response to HIV.Current HIV/AIDS reports · 2019Review
- Adolescent Friendly Health Clinics in India - Don't We Need Respectful Adolescent Health Care?Indian journal of pediatrics · 2019Article
- Influence and involvement of support people in adolescent and young adult HIV testing.AIDS care · 2019Article
- Strategies for Identifying and Linking HIV-Infected Infants, Children, and Adolescents to HIV Treatment Services in Resource Limited Settings.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Adolescents, young people, and the 90-90-90 goals: a call to improve HIV testing and linkage to treatment.AIDS (London, England) · 2017Article
- Can Adolescents and Young Adults in Kenya Afford Free HIV Testing Services?The Journal of the Association of Nurses in AIDS Care : JANACArticle
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Authors and funding
12 authors.
Funding
Abstract
objectivesTo determine whether continuous quality improvement (CQI) improves quality of HIV testing services for adolescents and young adults (AYA).
designCQI was introduced at two HIV testing settings: Youth Centre and Voluntary Counseling and Testing (VCT) Center, at a national referral hospital in Nairobi, Kenya.
methodsPrimary outcomes were AYA satisfaction with HIV testing services, intent to return, and accurate HIV prevention and transmission knowledge. Healthcare worker (HCW) satisfaction assessed staff morale. T tests and interrupted time series analysis using Prais-Winsten regression and generalized estimating equations accounting for temporal trends and autocorrelation were conducted.
resultsThere were 172 AYA (Youth Centre = 109, VCT = 63) during 6 baseline weeks and 702 (Youth Centre = 454, VCT = 248) during 24 intervention weeks. CQI was associated with an immediate increase in the proportion of AYA with accurate knowledge of HIV transmission at Youth Centre: 18 vs. 63% [adjusted risk difference (aRD) 0.42,95% confidence interval (CI) 0.21 to 0.63], and a trend at VCT: 38 vs. 72% (aRD 0.30, 95% CI -0.04 to 0.63). CQI was associated with an increase in the proportion of AYA with accurate HIV prevention knowledge in VCT: 46 vs. 61% (aRD 0.39, 95% CI 0.02-0.76), but not Youth Centre (P = 0.759). In VCT, CQI showed a trend towards increased intent to retest (4.0 vs. 4.3; aRD 0.78, 95% CI -0.11 to 1.67), but not at Youth Centre (P = 0.19). CQI was not associated with changes in AYA satisfaction, which was high during baseline and intervention at both clinics (P = 0.384, P = 0.755). HCW satisfaction remained high during intervention and baseline (P = 0.746).
conclusionCQI improved AYA knowledge and did not negatively impact HCW satisfaction. Quality improvement interventions may be useful to improve adolescent-friendly service delivery.
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