Evidence map›Paper›PMID 29409503›Full record

ArticleReproductive health2018

Perceptions of counsellors and youth-serving professionals about sexual and reproductive health services for adolescents in Soweto, South Africa.

Mamakiri Mulaudzi, Busisiwe Nkala Dlamini, Jenny Coetzee, Kathleen Sikkema, Glenda Gray, Janan Janine Dietrich

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 4% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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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

6 authors at 3 institutions in 2 countries.

Mamakiri MulaudziPerinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Chris Hani Road, Diepkloof, Soweto, Johannesburg, 1864, South Africa.
Busisiwe Nkala DlaminiPerinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Chris Hani Road, Diepkloof, Soweto, Johannesburg, 1864, South Africa.
Jenny CoetzeePerinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Chris Hani Road, Diepkloof, Soweto, Johannesburg, 1864, South Africa.
Kathleen SikkemaDuke University, Department of Psychology and Neuroscience, Durham, USA.
Glenda GrayPerinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Chris Hani Road, Diepkloof, Soweto, Johannesburg, 1864, South Africa.
Janan Janine DietrichPerinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of the Witwatersrand, Chris Hani Road, Diepkloof, Soweto, Johannesburg, 1864, South Africa. dietrichj@phru.co.za.
University of the Witwatersrand · ZADuke University · USSouth African Medical Research Council · ZA

Funding

Developing appropriate risk reduction interventions for pre-teensR21MH083308 · NIMH · WITS HEALTH CONSORTIUM (PTY), LTD · PI GRAY, GLENDA E, SIKKEMA, KATHLEEN J · 2008 to 2009
$331k
NIMH NIH HHS R21 MH083308
6 · The paper itself

Abstract

backgroundAdolescents in South Africa remain vulnerable to HIV. Therefore, it is crucial to provide accessible adolescent-friendly HIV prevention interventions that are sensitive to their needs. This study aimed to investigate the perceptions of HIV counsellors and other youth-serving professionals about the barriers to providing adolescent youth-friendly sexual and reproductive health services to adolescents in Soweto, South Africa. The study also explored how sexual and reproductive health services in South Africa could be improved to become more accessible to adolescents.

methodsThe research team conducted two focus group discussions with HIV counsellors, and 19 semi-structured interviews with youth-serving professionals from organisations working with adolescents. Audio-recorded data were transcribed verbatim and analysed using thematic analysis.

resultsThe results of the study reveal that counsellors were expected to give adolescents HIV counselling and testing (HCT) but felt restricted by what they perceived as inflexible standard operating procedures. Counsellors reported inadequate training to address adolescent psychosocial issues during HCT. Healthcare provider attitudes were perceived as a barrier to adolescents using sexual and reproductive health services. Participants strongly recommended augmenting adolescent sexual and reproductive health services to include counsellors and adolescents in developing age- and context-specific HIV prevention services for adolescents.

conclusionContinuous upskilling of HIV counsellors is a critical step in providing adolescent-friendly services. Input from all relevant stakeholders, including counsellors and adolescents, is essential in designing adolescent-friendly services.

Indexed as

Adolescent Health ServicesAttitude of Health PersonnelReproductive Health ServicesAdolescentAdultCounselingCounselorsCross-Sectional StudiesFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMiddle AgedPatient Acceptance of Health CareAdolescent-friendlyHIVHIV counselling and testing (HCT)QualitativeSexual and reproductive healthYouth-friendly

Identifiers

PMID29409503
PMCPMC5801675
OpenAlexW2790551402

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.