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Multi-level challenges and opportunities in providing antiretroviral treatment to adolescents in Kenya.
- Source :
- AIDS Care; Mar2021, Vol. 33 Issue 3, p364-367, 4p, 1 Chart
- Publication Year :
- 2021
-
Abstract
- Adolescents have poor antiretroviral therapy (ART) outcomes due to multi-level factors. Adolescent and youth-friendly services (AYFS) have been implemented to address this. Adolescents on ART and HIV clinic managers were interviewed on their experiences with HIV care provision. Facility infrastructure was assessed using a standardized checklist. A 10-point criterion was set for AYFS. Descriptive analysis was used for quantitative data while qualitative data were thematically grouped and coded. Eighty-nine adolescents were interviewed including 46 males (52%) and 43 females (48%). The median age was 16.9 years (Interquartile range: 14.6–19.1 years). Some 36 (40.4%) adolescents raised the following facility-level challenges: long turnaround time, 12 (33.3%); clinic-school calendar conflict, 6 (16.7%); lack of digital media, 4 (11.1%); inadequate staff, 4 (11.1%) while another 10 (27.6%) cited lack of privacy, adolescent day and support groups. Clinic managers listed the availability of separate adolescents' days, adolescent-specific support groups, adolescent champion and use of social media as best practices. They listed several facility-related, society-related and adolescent-related challenges. Six facilities met six criteria of adolescent-friendliness (60%), one met five (50%) while two met four (40%). Although progress has been made in providing AYFS, key challenges remain that call for multi-sectoral interventions to ensure good ART outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infections
HEALTH services administrators
HIV-positive persons
ANTI-HIV agents
HEALTH services accessibility
MEDICAL care for teenagers
HEALTH facility administration
ATTITUDE (Psychology)
CROSS-sectional method
ANTIRETROVIRAL agents
MEDICAL personnel
PATIENTS' attitudes
QUESTIONNAIRES
DESCRIPTIVE statistics
THEMATIC analysis
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 33
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 148883018
- Full Text :
- https://doi.org/10.1080/09540121.2020.1717422