“Khotla Bophelong Bo Botle”: a gathering of men for health

Stender, Stacie C.; Rozario, Aleisha

doi:10.1002/jia2.25511

Cited by 9 publications

(9 citation statements)

References 2 publications

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“…Studies have shown promising practices among the different approaches targeting men/male for improved HIV testing, prevention, treatment, care and support services. [43][44][45][46][47][48][49][50][51][52][53] Health facility-level factors We found significant variation in outcomes attributable to differences at the health facility level. The variations across facilities remained statistically significant, even after controlling for individual-level and facility-level factors (Models 2 and 3).…”

Section: Individual-level Factorsmentioning

confidence: 77%

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Multilevel modelling and multiple group analysis of disparities in continuity of care and viral suppression among adolescents and youths living with HIV in Nigeria

et al. 2020

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IntroductionSubstantial disparities in care outcomes exist between different subgroups of adolescents and youths living with HIV (AYLHIV). Understanding variation in individual and health facility characteristics could be key to identifying targets for interventions to reduce these disparities. We modelled variation in AYLHIV retention in care and viral suppression, and quantified the extent to which individual and facility characteristics account for observed variations.MethodsWe included 1170 young adolescents (10–14 years), 3206 older adolescents (15–19 years) and 9151 young adults (20–24 years) who were initiated on antiretroviral therapy (ART) between January 2015 and December 2017 across 124 healthcare facilities in Nigeria. For each age group, we used multilevel modelling to partition observed variation of main outcomes (retention in care and viral suppression at 12 months after ART initiation) by individual (level one) and health facility (level two) characteristics. We used multiple group analysis to compare the effects of individual and facility characteristics across age groups.ResultsFacility characteristics explained most of the observed variance in retention in care in all the age groups, with smaller contributions from individual-level characteristics (14%–22.22% vs 0%–3.84%). For viral suppression, facility characteristics accounted for a higher proportion of variance in young adolescents (15.79%), but not in older adolescents (0%) and young adults (3.45%). Males were more likely to not be retained in care (adjusted OR (aOR)=1.28; p<0.001 young adults) and less likely to achieve viral suppression (aOR=0.69; p<0.05 older adolescent). Increasing facility-level viral load testing reduced the likelihood of non-retention in care, while baseline regimen TDF/3TC/EFV or NVP increased the likelihood of viral suppression.ConclusionsDifferences in characteristics of healthcare facilities accounted for observed disparities in retention in care and, to a lesser extent, disparities in viral suppression. An optimal combination of individual and health services approaches is, therefore, necessary to reduce disparities in the health and well-being of AYLHIV.

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Section: Individual-level Factorsmentioning

confidence: 77%

“…Studies have shown promising practices among the different approaches targeting men/male for improved HIV testing, prevention, treatment, care and support services. 43–53 …”

Section: Discussionmentioning

confidence: 99%

Multilevel modelling and multiple group analysis of disparities in continuity of care and viral suppression among adolescents and youths living with HIV in Nigeria

et al. 2020

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“…One facility-based intervention to promote medical male circumcision (MMC) in Zambia promoted training for providers and male-focused educational sessions and was successful in increasing uptake of MMC [ 63 ], suggesting that facility-based interventions do have the potential to improve care. In Leostho, a male-centered HIV clinic program run by male providers has demonstrated high-demand and reach [ 64 ]. Gender-specific care delivered by community counsellors has been successful with the mentor mothers program to promote antenatal care and reduce perinatal transmission in South Africa and other settings in sub-Saharan Africa [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

“…Importantly while those who participated in interviews reported demand for and acceptability of the intervention, our findings highlight how challenging it is for people of reproductive age, who are otherwise healthy, to access this care through additional clinic visits when they are busy studying, working, or seeking employment [ 31 , 34 – 38 , 64 , 78 ]. Thus, it is important for future programming to consider working outside of the traditional clinic setting, possibly moving into communities with outreach and community mobilization efforts or using mHealth approaches [ 79 , 80 ] to address other structural factors that limit HIV-care engagement for men [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Acceptability of an Intervention to Promote Viral Suppression and Serostatus Disclosure for Men Living with HIV in South Africa: Qualitative Findings

et al. 2021

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Men living with HIV (MLWH) often have reproductive goals that can increase HIV-transmission risks to their pregnancy partners. We developed a safer conception intervention for MLWH in South Africa employing cognitive behavioral skills to promote serostatus disclosure, ART uptake, and viral suppression. MLWH were recruited from an HIV clinic near Durban, South Africa, and encouraged to include partners in follow-up visits. Exit in-depth interviews were conducted with eleven men and one female partner. The emerging over-arching theme is that safer conception care mitigates internalized and community-level HIV-stigma among MLWH. Additional related sub-themes include: (1) safer conception care acceptability is high but structural barriers challenge participation; (2) communication skills trainings helped overcome barriers to disclose serostatus; (3) feasibility and perceived effectiveness of strategies informed safer conception method selection. Our findings suggest that offering safer conception care to MLWH is a novel stigma-reducing strategy for motivating HIV prevention and treatment and serostatus disclosure to partners.

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“…Our findings on sex differences suggest the need to factor in gender considerations as services become increasingly differentiated for ALHIV. Studies have shown promising practices among the different approaches targeting men/male for improved HIV testing, prevention, treatment, care and support services(37–47)…”

Section: Discussionmentioning

confidence: 99%

Multi-level modeling and multiple group analysis of disparities in continuity of care and viral suppression among Nigerian adolescents and youths living with HIV

Badejo

Noëstlinger

Jolayemi

et al. 2020

Preprint

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Introduction: Substantial disparities in care outcomes exist between different sub-groups of adolescents and youths living with HIV(ALHIV). Understanding variation in individual and health-facility characteristics could be key to identifying targets for interventions to reduce these disparities. We modeled variation in ALHIV retention in care and viral suppression, and quantified the extent to which individual and facility characteristics account for observed variations. Methods: We included 1,177 young adolescents (10-14 years), 3,206 older adolescents (15-19 years) and 9,151 young adults (20-24 years) who were initiated on antiretroviral therapy (ART) between January 2015 and December 2017 across 124 healthcare facilities in Nigeria. For each age-group, we used multilevel modeling to partition observed variation of main outcomes(retention in care and viral suppression at 12 months post ART initiation) by individual (level one) and health facility (level two) characteristics. We used multiple group analysis to compare the effects of individual and facility characteristics across age-groups. Results: Facility characteristics explained most of the observed variance in retention in care in all the age-groups, with smaller contributions from individual-level characteristics (14-22.22% vs 0 - 3.84%). For viral suppression, facility characteristics accounted for a higher proportion of variance in young adolescents (15.79%), but not in older adolescents (0%) and young adults(3.45%). Males were more likely to not be retained in care(aOR=1.28; p<0.001 young adults) and less likely to achieve viral suppression (aOR=0.69; p<0.05 older adolescent). Increasing facility-level viral load testing reduced the likelihood of non-retention in care, while baseline regimen TDF/3TC/EFV or NVP increased the likelihood of viral suppression. Conclusions: Differences in characteristics of healthcare facilities accounted for observed disparities in retention in care and, to a lesser extent, disparities in viral suppression. An optimal combination of individual and health-services approaches is, therefore, necessary to reduce disparities in the health and wellbeing of ALHIV.

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“Khotla Bophelong Bo Botle”: a gathering of men for health

Cited by 9 publications

References 2 publications

Multilevel modelling and multiple group analysis of disparities in continuity of care and viral suppression among adolescents and youths living with HIV in Nigeria

Multilevel modelling and multiple group analysis of disparities in continuity of care and viral suppression among adolescents and youths living with HIV in Nigeria

Acceptability of an Intervention to Promote Viral Suppression and Serostatus Disclosure for Men Living with HIV in South Africa: Qualitative Findings

Multi-level modeling and multiple group analysis of disparities in continuity of care and viral suppression among Nigerian adolescents and youths living with HIV

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