Evidence map›Paper›PMID 40181514›Full record

ArticleJournal of the International AIDS Society2025

Characterizing adolescent and youth-friendly HIV services: a cross-sectional assessment across 16 global sites.

Lonnie Embleton, Tavitiya Sudjaritruk, Daisy Maria Machado, Belinda Chihota, Françoise Musabyimana, Julie Jesson, Edith Apondi, Thanyawee Puthanakit, Marco Tulio Luque, Nicola Ellen van Dongen and 15 more

Abstract read
In one paragraph

Article in Journal of the International AIDS Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Health services' responses to transitioning adolescents to adult HIV care in South Africa.African journal of primary health care & family medicine · 2025
    Article
  4. Article
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

25 authors.

Lonnie EmbletonArnhold Institute for Global Health, Department of Global Health and Health Systems Design, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-9415-8903
Tavitiya SudjaritrukDivision of Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID https://orcid.org/0000-0002-3686-4623
Daisy Maria MachadoPediatric Infectious Diseases Division, Department of Pediatrics, Escola Paulista de Medicina-Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Belinda ChihotaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.ORCID https://orcid.org/0000-0001-6565-9306
Françoise MusabyimanaEinstein-Rwanda Research and Capacity Building Progam, Research for Development and Rwanda Military Hospital, Kigali, Rwanda.
Julie JessonCentre for Epidemiology and Research in POPulation Health (CERPOP), Inserm, Toulouse III University, Toulouse, France.
Edith ApondiMoi Teaching and Referral Hospital, Eldoret, Kenya.ORCID https://orcid.org/0000-0002-7968-9394
Thanyawee PuthanakitDepartment of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-0019-2183
Marco Tulio LuqueServicio de Infectología, Departamento de Pediatría, Hospital Escuela; Servicio de Infectología, Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras.
Nicola Ellen van DongenEmpilweni Services and Research Unit, Department of Paediatrics and Child Health, Rahima Moosa Mother and Child Hospital, University of the Witwatersrand, Johannesburg, South Africa.
Gad MurenziEinstein-Rwanda Research and Capacity Building Progam, Research for Development and Rwanda Military Hospital, Kigali, Rwanda.ORCID https://orcid.org/0000-0002-5513-5522
Madeleine Amorissani-FolquetPediatric Department, Centre Hospitalier Universitaire de Cocody, Abidjan, Côte d'Ivoire.
Zachary KwenaResearch, Care and Treatment Programme, Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-5117-5084
Nicole PerrerasDepartment of Health, AIDS Research Group, Research Institute for Tropical Medicine, Manila, Philippines.
Vanessa RouzierHaitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Rita LyamuyaMorogoro Regional Referral Hospital, Morogoro, Tanzania.
Kim AndersonCentre for Infectious Disease Epidemiology and Research, School of Public Health, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-2453-6219
Batya ElulMailman School of Public Health, Columbia University, New York, New York, USA.
Valériane LeroyCentre for Epidemiology and Research in POPulation Health (CERPOP), Inserm, Toulouse III University, Toulouse, France.ORCID https://orcid.org/0000-0003-3542-8616
Leslie A EnaneThe Ryan White Center for Pediatric Infectious Disease and Global Health, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0001-8390-5881
Roxanne MartinArnhold Institute for Global Health, Department of Global Health and Health Systems Design, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Kathryn LancasterDepartment of Implementation Science, Wake Forest University, School of Medicine, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0003-2389-6973
Angela M ParcesepeUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-4321-125X
Rachel VreemanArnhold Institute for Global Health, Department of Global Health and Health Systems Design, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0001-5460-8204
IeDEA

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI AGGREY SEMWENDERO SEMEERE, Kara Kay Wools-Kaloustian · 2006 to 2026
$57.7M
Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
CCASAnet: Caribbean, Central and South America NetworkU01AI069923 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Pedro Enrique Cahn, Jessica L Castilho · 2006 to 2026
$41.6M
Harmonist: A Scalable Toolkit for Standardizing and Coordinating Data Sharing Across International Research NetworksR24AI124872 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Stephany Norah Duda · 2016 to 2026
$12.5M
National Institute of Allergy and Infectious Diseases R24AI24872National Institute of Allergy and Infectious Diseases U01AI069907National Institute of Allergy and Infectious Diseases U01AI069911National Institute of Allergy and Infectious Diseases U01AI069918National Institute of Allergy and Infectious Diseases U01AI069919National Institute of Allergy and Infectious Diseases U01AI069923National Institute of Allergy and Infectious Diseases U01AI069924National Institute of Allergy and Infectious Diseases U01AI096299NIAID NIH HHS R24 AI124872NIAID NIH HHS U01 AI069911NIAID NIH HHS U01 AI069923NIAID NIH HHS U01 AI069924
6 · The paper itself

Abstract

introductionAdolescent and youth-friendly health services (AYFHS) have been promoted as a best practice for adolescents and young people living with HIV (AYLH). However, thorough descriptions of AYFHS for AYLH remain scarce. We sought to characterize adolescent-friendly HIV services in a global paediatric research consortium.

methodsCross-sectional data were collected from 16 global sites in the Adolescent and Young Adult Network of IeDEA (AYANI) of the International epidemiology Databases to Evaluate AIDS consortium between August 2020 and October 2022 using a standardized site assessment tool that collected data on clinic, patient and provider characteristics, differentiated care, and transition to adult services processes. Descriptive analyses characterized the health services available across the participating sites, using frequencies and proportions for categorical variables and medians and interquartile range for continuous variables. Data were analysed using RStudio.

resultsOverall, 13 of 16 sites (81%) reported having dedicated adolescent services, which most often consisted of dedicated clinic days (62%, n = 8/13), primarily offered on weekdays. Across all sites, nurses and counsellors delivered services to adolescents. Over half of all clinics (69%, n = 11/16) reported offering health education to adolescents to facilitate adolescent health literacy. Peer educators and navigators were involved in delivering services at 62% of sites, primarily in those with dedicated adolescent services (69%, n = 9/13). There was limited integration of sexual and reproductive health services into HIV clinics for adolescents. With 63% of clinics conducting pregnancy screening, 50% providing family planning methods and 38% providing cervical cancer screening. Under half of all HIV clinics screened for physical abuse or violence (44%, n = 7/16) and sexual abuse or rape (38%, n = 6/16). A low proportion of clinics screened for risk factors related to young key populations, including drug use (56%, n = 9/16), homelessness (38%, n = 6/16) young men having sex with men (31%, n = 5/16) and transactional sex (31%, n = 5/16). Mental health screening for concerns was variable.

conclusionsFindings suggest gaps in AYFHS for AYLH across the HIV clinics included in this analysis. There is a vital need to design health services for AYLH that are accessible, equitable, and effective and meet the global standards for delivering high-quality healthcare to adolescents.

Indexed as

Adolescent Health ServicesHIV InfectionsAdolescentCross-Sectional StudiesFemaleGlobal HealthHumansMaleYoung Adultadolescentadolescent‐friendly health servicescare servicesHIVimplementationtransition

Identifiers

PMID40181514
PMCPMC11968415

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