Preliminary results from Hlanganani (Coming Together): A structured support group for HIV-infected adolescents piloted in Cape Town, South Africa

HIV positive adolescents require unique physical and emotional care as they navigate not only developmental challenges but also HIV-related issues including stigma, prevention, and maintaining long-term HIV health. The Hlanganani Program was created to address these issues and engage adolescents in care using a dynamic, 3-session cognitive behavioral support group facilitated by laypersons. Youth 16 to 24 years old, diagnosed within the previous 12 months, were invited to attend three sessions in clinics or other community spaces. Topics included: 1.) Coping and support; 2.) HIV health (including CD4 counts and ARVs); and 3.) HIV prevention. The program was developed and evaluated for feasibility, acceptability and improvements in participants' knowledge, attitudes and behavior. Impact on linkage to care was measured using participant clinic folders from two local youth clinics and was defined as attending at least one ART clinic visit if eligible (CD4