Addressing the unique needs of adolescent mothers in the fight against <scp>HIV</scp>

Groves, Allison K.; Maman, Suzanne; Stankard, Petra; Gebrekristos, Luwam T; Amon, Joseph J; Moodley, Dhayendre

doi:10.1002/jia2.25155

Cited by 19 publications

(19 citation statements)

References 23 publications

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“…2. Group-based programming Many programmes identified provided support for adolescent mothers in group-based settings, though rates of participation were not always high (Groves et al, 2018). Low rates of engagement in group-based programmes highlight the need to reduce barriers to access for adolescent mothers, which are often different to the issues faced by older mothers.…”

Section: Programmes Reaching Adolescent Mothers Affected By Hiv and Tmentioning

confidence: 99%

“…The syndemic of early motherhood and HIV (whether living with HIV, being HEU, living in a household with HIV, living in a high HIV-endemic community or household) may increase the vulnerability of adolescent mothers and their children, especially in resource-constrained settings. However, to our knowledge, no existing reviews have been conducted on the intersection of these two health burdens, though several articles have called for additional research on this topic (Callahan et al, 2017;Groves et al, 2018). Considering high rates of early motherhood and HIV incidence in sub-Saharan Africa, it is critical that we understand and respond to this intergenerational issue through evidence-based programming that recognises the complexities of the lived realities of adolescent mothers and their children.…”

Section: Introductionmentioning

confidence: 99%

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Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

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While adolescents have received increasing attention in the global HIV response and international strategies and commitments, adolescent mothers and their children remain largely overlooked in research, funding and, programming for health-related outcomes. We conducted an extensive scoping review of current evidence on the experiences of adolescent mothers affected by HIV and their children in this region. We included published literature and conference abstracts, complemented by consultations with key stakeholders, and a review of documents through grey literature searching. First, we summarise the experiences of adolescent mothers and their children related to HIV and key health and development indicators. The syndemic of early motherhood and HIV in sub-Saharan Africa increases the vulnerability of adolescent mothers and their children. We then highlight lessons from a series of promising programmes focused on supporting adolescent mothers through novel approaches. In sub-Saharan Africa, supporting adolescent mothers living in high HIV-risk communities is critical not only to eliminate HIV/AIDS, but also to attain the Sustainable Development Goals. While research on and programming for adolescent mothers and their children is growing, the complex needs for this vulnerable group remain unmet. We conclude with evidence gaps and programming priorities for adolescent mothers affected by HIV and their children.

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Section: Programmes Reaching Adolescent Mothers Affected By Hiv and Tmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

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“…Nearly half of all unintended pregnancies among adolescent mothers end with terminations of pregnancy, most of which are unsafe [12,13]. Moreover, in several sub-Saharan African countries, many adolescent girls and young women report more than one pregnancy before age 20 [14], including adolescent girls living with HIV (ALHIV) [10,17,18]. Rapid repeat pregnancies within adolescence may pose further biological, developmental and economic risks for both the mother and her children.…”

Section: Introductionmentioning

confidence: 99%

“…The risks facing adolescent mothers are amplified for those living with HIV, who face additional vulnerabilities [17][18][19]. Adolescents living with HIV who become pregnant experience less consistent engagement in antenatal and HIV care, intermittent viral suppression [20][21][22], delayed initiation of antiretroviral therapy (ART) [23] and poorer access to infant HIV testing [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

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Reproductive aspirations, contraception use and dual protection among adolescent girls and young women: the effect of motherhood and HIV status

et al. 2020

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Introduction There is a growing interest in adolescent motherhood and HIV among policymakers and programme implementers. To better shape services and health outcomes, we need evidence on reproductive aspirations and contraception use in this high‐risk group, including the effect of motherhood and HIV status. We report data from a large survey of adolescent girls and young women conducted in a mixed rural‐urban district in South Africa. Methods Quantitative interviews were conducted with 1712 adolescent girls and young women (ages 10 to 24): 336 adolescent mothers living with HIV (AMLHIV), 454 nulliparous adolescent girls living with HIV (ALHIV), 744 HIV‐negative adolescent mothers (control adolescent mothers) and 178 HIV‐negative nulliparous adolescent girls (nulliparous controls) in 2018 to 2019. Standardized questionnaires included socio‐demographic measures, reproductive health and contraception experiences. Reproductive aspirations were measured as the number of children participants wanted to have. Dual protection was computed as use of both hormonal and barrier contraception or abstinence. Multivariate logistic regression and marginal effects models in STATA 15 were used to test associations between HIV status, adolescent motherhood and outcomes of reproductive aspirations, contraception use and dual protection, controlling for covariates. Results and discussion Nearly 95% of first pregnancies were unintended. Over two‐thirds of all participants wanted two or more children. Hormonal contraception, condom use and dual protection were low across all groups. In multivariate regression modelling, ALHIV were less likely to report hormonal contraception use (aOR 0.55 95% CI 0.43 to 0.70 p ≤ 0.001). In marginal effects modelling, adolescent mothers – independent of HIV status – were least likely to report condom use at last sex. Despite higher probabilities of using hormonal contraception, rates of dual protection were low: 17.1% among control adolescent mothers and 12.4% among AMLHIV. Adolescent mothers had the highest probabilities of not using any contraceptive method: 29.0% among control mothers and 23.5% among AMLHIV. Conclusions Among adolescent girls and young women in HIV‐endemic communities, reproductive aspirations and contraceptive practices affect HIV risk and infection. Tailored adolescent‐responsive health services could help young women plan their pregnancies for when they are healthy and well‐supported, and help interrupt the cycle of HIV transmission by supporting them to practice dual protection.

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Exploring the cognitive development of children born to adolescent mothers in South Africa

Roberts

Smith

Toska

et al. 2023

Infant and Child Development

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This study explores the cognitive development of children born to adolescent mothers within South Africa compared to existing reference data, and explores development by child age bands to examine relative levels of development. Cross-sectional analyses present data from 954 adolescents (10-19 years) and their first-born children (0-68 months). All adolescents completed questionnaires relating to themselves and their children, and standardized child cognitive assessments (Mullen Scales of Early Learning) were undertaken. Cognitive development scores of the sample were

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Addressing the unique needs of adolescent mothers in the fight against HIV

Cited by 19 publications

References 23 publications

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Reproductive aspirations, contraception use and dual protection among adolescent girls and young women: the effect of motherhood and HIV status

Exploring the cognitive development of children born to adolescent mothers in South Africa

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