ArticleBMJ open2024
Exploring the barriers and facilitators to HIV information and health services among youth in N'Djamena, Chad: a qualitative descriptive study.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Adolescents and young adults dating and HIV perceptions: A phenomenological study in N'Djamena, Chad.Global public health · 2025Article
- Optimising HIV and related SRH service delivery for adolescents and young adults: a protocol for a discrete choice experiment.BMJ open · 2025Article
- Optimising adolescents and young adults' utilisation of sexual and reproductive health and HIV services in Chad: a sensemaking approach.BMJ global health · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesIdentifying the barriers and facilitators for Chadian youth (aged 15-24 years) along the pathway of access to HIV information and health services. STUDY
designQualitative descriptive study. STUDY
settingThe study was conducted in N'Djamena, Chad, with 20 high schools purposefully selected based on participation in a Blue Cross Chad (BCC) peer-to-peer education programme.
participantsA total of four focus groups, each consisting of 12 participants, stratified by gender and BCC programme participation (two each among participating and non-participating high schools), were conducted.
methodsA descriptive qualitative study using thematic analysis of content was conducted. The qualitative software ATLAS.ti V.22 was used to organise and code the data.
resultsFive main categories of barriers and facilitators for HIV information and health services were identified, including (1) societal expectations and norms; (2) power dynamics; (3) social networks; (4) peer-education programmes; and (5) bypassing the system. Barriers and facilitators to information information-seeking and access to health services were observed at individual, community and system levels. High school students expressed that access to information and health services were important when it comes to HIV and AIDS prevention and treatment. Societal expectations and power dynamics were identified as key barriers, while trust through social networks and peer-education programmes were key facilitators to accessing information and health services.
conclusionThis study allowed for the identification of both barriers and facilitators of HIV information and health-seeking in the context of N'Djamena, Chad. Our findings highlight the importance of comprehensive community- and youth-led approaches that are youth-friendly and youth-centric and are needed to effectively communicate HIV information.
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