ArticleReproductive health2020
The role of community leaders on adolescent's HIV and sexual reproductive health and rights in Mulanje, Malawi.
Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Acceptability of home-based HPV self-sampling for cervical cancer screening among users and providers in the West region of Cameroon: a cross-sectional study.BMC health services research · 2025Trial
- Barriers to healthcare access: a multilevel analysis of individual- and community-level factors affecting female youths' access to healthcare services in Senegal.BMC health services research · 2025Article
- Examining the roles and relationships of actors in community health systems in Nigeria through the lens of the expanded health systems framework.BMJ global health · 2024Article
- A Systems Approach in the Prevention of Undernutrition among Children under Five in Tanzania: Perspectives from Key Stakeholders.Nutrients · 2024Article
- A scoping review of strategies for adolescents' sexual and reproductive health role modelling.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Comprehensive sexuality education for out-of-school young people living with HIV and young people with disabilities: findings from a formative research study in Malawi.Sexual and reproductive health matters · 2023Article
- Article
- Community bylaws concerning sexual and reproductive health and rights in Machinga District, Malawi: to what extent are they responsive to young people's needs?International journal for equity in health · 2023Article
- 'We Should Not Be Quiet but We Should Talk': Qualitative Accounts of Community-Based Communication of HIV Pre-Exposure Prophylaxis.Qualitative health research · 2023Article
- Strategies to improve antiretroviral therapy (ART) initiation and early engagement among men in sub-Saharan Africa: A scoping review of interventions in the era of universal treatment.Tropical medicine & international health : TM & IH · 2023Article
- Socioecological analysis of determinants of early adolescent sexuality in Benin: a qualitative study.The Pan African medical journal · 2023Article
- An analysis on the roles and involvements of different stakeholders in the provision of adolescent sexual and reproductive health services in Southeast Nigeria.BMC public health · 2022Article
- Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria.BMC health services research · 2022Article
- Perception of men's need for preconception care-A qualitative exploration among health care providers and community members.Frontiers in public health · 2022Article
- Perceptions of the community leaders on adolescents' HIV status: cross sectional study in Mulanje, Malawi.The Pan African medical journal · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe conducted this study to understand roles of community leaders on adolescent's HIV and Sexual and Reproductive Health (SRH) rights in Mulanje-Malawi. We discussed how each role can influence health seeking behaviour and improve SRH rights among adolescents from the local perspective.
methodsA qualitative study approach was used. We conducted 17 Key Informant Interviews (KIIs) and 12 Focus Group Discussions (FGDs) with community leaders. Purposive sampling technique was used to select study participants for KIIs. We also used purposive sampling technique to identify two villages from each of the six Traditional Authorities (TAs) where FGDs were conducted. All participants in FGDs were purposively selected. Inductive thematic content analysis was done guided by the study objectives to generate emerging themes.
resultsCommunity leaders have many roles on adolescents HIV and SRH. These roles include advisory, encouragement, regulating and restricting cultural practices, formulating bye-laws and handling sexual abuse complaints. However, community leaders with religious affiliation have shown to have different views with those representing other institutions not affiliated to religion. In addition, the majority of community leaders indicated low level of knowledge on adolescent's SRH rights.
conclusionWe suggest that the roles of community leaders differ depending on the position held and institution represented. Those not affiliated with religious institutions can encourage certain behaviour in adolescents while those from religious background are discouraging it. Stakeholders involved in the fight against HIV, promotion of SRH and rights should invest more on capacity building among the community leaders.
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