Linking at-risk South African girls to sexual violence and reproductive health services: A mixed-methods assessment of a soccer-based HIV prevention program and pilot SMS campaign

Merrill, Katherine G.; Merrill, Jamison; Hershow, Rebecca B.; Barkley, Chris; Rakosa, Boitumelo; DeCelles, Jeff; Harrison, Abigail

doi:10.1016/j.evalprogplan.2018.04.010

Cited by 29 publications

(47 citation statements)

References 39 publications

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“…Following our secondary search for studies that described the interventions identified, we found 27 additional manuscripts. Thus, the total number of manuscripts reviewed was 112 [19‐130]. These manuscripts described 74 unique intervention research studies (Table 1) […”

Section: Resultsmentioning

confidence: 99%

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Asuquo

Tahlil

Muessig

et al. 2021

J. Intern. AIDS Soc.

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Introduction Youth engagement in HIV research is generally recognized as essential, but often neglected or minimally implemented in practice. Engagement is a process of working collaboratively with diverse groups of people to address common issues. We conducted a scoping review of youth HIV prevention interventions in sub‐Saharan Africa to identify and categorize forms and levels of youth engagement across the lifespan of intervention research. Methods We followed Arksey and O'Malley's framework for organizing a scoping review. We searched seven databases for related articles on identified intervention studies through May 28 th 2020. Included studies focused on youth (10 to 24 years old) HIV prevention interventions in sub‐Saharan Africa. Two reviewers independently examined citations and full manuscripts for inclusion. Data were extracted on study characteristics, location, description of youth engagement and extent of engagement. Youth engagement approaches were categorized based on Hart’s ladder as substantial engagement (strong youth decision‐making power), moderate engagement (shared decision making with adults), minimal engagement (no youth decision‐making power) or no engagement. Results We identified 3149 citations and included 112 studies reporting on 74 unique HIV interventions. Twenty‐two interventions were in low‐income countries, 49 in middle‐income countries, and three were in both. Overall, only nine interventions (12%) had substantial or moderate youth engagement, two‐thirds (48, 65%) had minimal youth engagement and 17 interventions (23%) had no youth engagement. We also identified specific engagement strategies (e.g. youth‐led research, crowdsourcing) that were feasible in multiple settings and resulted in substantial engagement. Conclusions We found limited youth engagement in youth HIV prevention intervention studies in sub‐Saharan Africa. However, several activities resulted in substantial youth engagement and could be relevant in many low‐and‐middle‐income‐country (LMIC) settings.

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Section: Resultsmentioning

confidence: 99%

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Asuquo

Tahlil

Muessig

et al. 2021

J. Intern. AIDS Soc.

View full text Add to dashboard Cite

show abstract

“…peer mentors were trained to refer youth to healthcare providers for violence, they were not trained as counsellors. Nevertheless, these findings strengthen calls for further testing of peer-mentoring approaches (Denison et al, 2015a;Denison et al, 2020;Willis et al, 2018), which have shown promise in supporting ART adherence in clinic settings (Strasser & Gibbons, 2014;WHO, 2013) and increasing awareness about violence services among youth outside the clinic (Merrill et al, 2018). The Zambian government has taken important steps to address sexual and gender-based violence (EU, 2019), building on its passage of the continent's most comprehensive act on genderbased violence in 2011 (Anti-Gender-Based Violence Act, 2011).…”

Section: Discussionmentioning

confidence: 77%

‘So hurt and broken’: A qualitative study of experiences of violence and HIV outcomes among Zambian youth living with HIV

Merrill

Campbell

Kennedy

et al. 2021

Global Public Health

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Emerging data show associations between violence victimisation and negative HIV outcomes among youth in sub-Saharan Africa. We conducted in-depth interviews with adolescents and young adults living with HIV (aged 15-24 years) in Ndola, Zambia, to better understand this relationship. We purposively selected 41 youth (24 females, 17 males) with varied experiences of violence and virologic results. Analysis used thematic coding. Two-thirds of participants said violence affected their medication adherence, clinic attendance, and/or virologic results. They focused on the negative effects of psychological abuse from family members in homes and peers at schools, which were the most salient forms of violence raised, and sexual violence against females. In contrast, they typically depicted physical violence from caregivers and teachers as a standard discipline practice, with few impacts. Youth wanted HIV clinic settings to address verbal abuse and emotional maltreatment, alongside physical and sexual violence, including through peer mentoring. Violenceespecially verbal and emotional formsmust be recognised as a potential barrier to HIV selfmanagement among youth living with HIV in the region. Further testing of clinic, home, and school-based interventions may be critical to reducing levels of violence and improving HIV outcomes in this vulnerable but resilient population.Trial registration: ClinicalTrials.gov identifier: NCT04115813.

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“…From the 455 identified records, 20 studies met the inclusion criteria [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of interventions (n = 13) targeted adolescents 10-19 years old, and two also included youths of 20-24 years old. Adolescents benefited from sexuality education were of both sexes; however, three studies targeted only girls [29,35,39]. One program provided sexuality education to students with learning disabilities [27] and one to orphan adolescent girls [35].…”

Section: General Description Of Included Interventionsmentioning

confidence: 99%

How Sexuality Education Programs Have Been Evaluated in Low- and Lower-Middle-Income Countries? A Systematic Review

Ivanova

Rai

Michielsen

et al. 2020

IJERPH

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Background: Complex sexual and reproductive health interventions, such as sexuality education (SE), contain multiple components and activities, which often requires a comprehensive evaluation design and adaptation to a specific context. In this review, we synthetize available scientific literature on types of evaluation designs used for SE programs in low- and lower-middle-income countries. Methods: Two databases yielded 455 publications, from which 20 articles met the inclusion criteria. Narrative synthesis was used to summarize the findings. Evaluation approaches were compared to recommended evaluation frameworks. The quality of articles was assessed by using MMAT 2018. Results: A total of 15 interventions employed in 10 countries were evaluated in the 20 selected articles, with the quality of publications being moderate to high. Randomized controlled trial was the predominant study design, followed by quasi-experimental design. There were seven process evaluation studies, using mixed methods. Main outcomes reported were of public health or behavioral nature—condom use, sexual debut or delay, and number of sexual partners. By comparing evaluation designs to recommended frameworks, few studies fulfilled at least half of the criteria. Conclusions: Evaluations of SE are largely dominated by quantitative (quasi-)experimental designs and use of public health outcomes. To improve understanding of SE program effectiveness, it is important to assess the quality of the program development, its implementation, and its impact, using existing evaluation frameworks and recommendations.

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Linking at-risk South African girls to sexual violence and reproductive health services: A mixed-methods assessment of a soccer-based HIV prevention program and pilot SMS campaign

Cited by 29 publications

References 39 publications

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

‘So hurt and broken’: A qualitative study of experiences of violence and HIV outcomes among Zambian youth living with HIV

How Sexuality Education Programs Have Been Evaluated in Low- and Lower-Middle-Income Countries? A Systematic Review

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