ArticleInternational journal of integrated care
Service Use and Resilience among Adolescents Living with HIV in Blantyre, Malawi.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Ethnographic understandings of sexual and reproductive health and HIV care for adolescents in Blantyre, Malawi.Sexual and reproductive health matters · 2023Article
- Integrated Care as a Model for Interprofessional Disease Management and the Benefits for People Living with HIV/AIDS.International journal of environmental research and public health · 2023Review
- 'If I am playing football, I forget that I have this virus': the challenges and coping strategies of adolescents with perinatally acquired HIV in KwaZulu-Natal, South Africa.BMC infectious diseases · 2022Article
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Authors and funding
10 authors at 4 institutions in 4 countries.
Funding
Abstract
introductionAdolescents living with HIV (ALHIV) experience social and health challenges that warrant the provision of services and relational support to build resilience. Little is known about how social, community and health services help. We examine formal and alternative service use by and resilience of ALHIV participating in an enhanced teen-club clinic (TCC) programme. DESCRIPTION: TCC is an adolescent-centred differentiated care model offering a 'one-stop-shop' for HIV/Sexual and Reproductive Health (SRH) services to ALHIV. A survey was conducted with 406 ALHIV to determine frequency of use and satisfaction with services. In addition, we conducted 26 in-depth interviews with ALHIV, 12 group discussions with 144 caregivers, and observations of workshops held for 35 health workers to capture multiple perspectives on service use and relational support systems for adolescent's wellbeing. DISCUSSION: About 70% of ALHIV were concurrently clients of three or more services. The multi-method analysis showed variations on risks, range of services, frequency of use and satisfaction. Interview data reflected complex factors influencing access to formal services, and caregivers and adolescents also sought alternative care from spiritual and traditional healers.
conclusionAdolescent centred-approaches have the potential to enhance resilience promoting resources and outcomes. A multi-sectoral approach to service use and provision is critical to inform adolescent intervention programs and wellbeing.
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Registered trials
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