Reaching Youth With Out-of-Facility HIV and Reproductive Health Services: A Systematic Review

Denno, Donna M.; Chandra-Mouli, Venkatraman; Osman, Majdi

doi:10.1016/j.jadohealth.2012.01.004

Cited by 44 publications

(47 citation statements)

References 65 publications

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“…Furthermore, clinics in high-risk areas might consider the additional provision of mobile youth-friendly sexual and reproductive health education programmes and services to reach those without access to or not utilising fixed healthcare facilities. [14] …”

Section: What Tools Do Healthcare Workers Have To Reduce the Risk Of mentioning

confidence: 99%

Understanding and responding to HIV risk in young South African women: Clinical perspectives

2015

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Young women (15 -24 years) contribute a disproportionate 24% to all new HIV infections in South Africa -more than four times that of their male peers. HIV risk in young women is driven by amplifying cycles of social, behavioural and biological vulnerability. Those most likely to acquire infection are typically from socioeconomically deprived households in high HIV-prevalence communities, have limited or no schooling, engage in transactional sex or other high-risk coping behaviours, and have a history of sexually transmitted infections (STIs) and/or pregnancy. Despite the imperative to prevent HIV acquisition in young women, there is a dearth of evidence-based interventions to do so. However, there are several steps that healthcare workers can take to improve outcomes for this key population at the individual level. These include being able to identify high HIV-risk young women, ensuring that they receive the maximum social support they are eligible for, providing reliable and non-judgemental counselling on sexual and reproductive health and relationships, delivering contraceptives and screening and treating STIs in the context of accessible, youth-friendly services.

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Section: What Tools Do Healthcare Workers Have To Reduce the Risk Of mentioning

confidence: 99%

Understanding and responding to HIV risk in young South African women: Clinical perspectives

2015

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“…The effects of out-of-facility HIV and reproductive health services for youth, compared to facility-based services, was explored in one review (Denno 2012). The review found, firstly, that access to emergency contraception through pharmacies without a doctor's prescription (over-the-counter access) may increase nonprescription emergency contraception use but may have mixed effects on overall use of emergency contraception, with increases in some settings but not others (low-certainty evidence).…”

Section: Out-of-facility Hiv and Reproductive Health Services For Youthmentioning

confidence: 99%

“…• Community-based interventions using lay health workers for childhood diarrhoea and pneumonia (Das 2013) • Youth HIV and reproductive health services provided outside of health facilities (Denno 2012) • Decentralising care for initiation and maintenance of HIV and AIDS medicine treatment to peripheral health centres or lower levels of healthcare (Kredo 2013) …”

Section: Coordination Of Carementioning

confidence: 99%

“…Site of service delivery -Out-of-facility vs facility-based HIV and reproductive health services for youth Denno 2012 Few studies that included data comparing out-of-facility services with facility-based services took place in low-and middle-income countries Improved access to self-test kits probably leads to more young people being screened for chlamydia compared to clinic-based testing Access to emergency contraception through pharmacies without a doctor's prescription ('over-the-counter' access) may increase non-prescription emergency contraception use, but may Table 6. Key messages of included reviews (Continued) have mixed effects on overall use of emergency contraception with increases in some settings but not others…”

Section: Site Of Service Delivery -Home Care (Different Models) Vs Famentioning

confidence: 99%

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Delivery arrangements for health systems in low-income countries: an overview of systematic reviews

Ciapponi

Lewin²,

Bastías

et al. 2014

Cochrane Database of Systematic Reviews

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“…Making these services "youth friendly" and providing outreach or out-of-facility services for those youth who are unwilling or unable to attend health care settings have been found to be effective (Denno et al 2012). Youthserving organizations that understand the needs of high-risk youth are well suited to offer tailored harm reduction interventions.…”

Section: Hiv Prevention Interventions For Youthmentioning

confidence: 99%

HIV Prevention in Youth

Gonzales¹,

González²,

Zea³

2014

Encyclopedia of AIDS

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Reaching Youth With Out-of-Facility HIV and Reproductive Health Services: A Systematic Review

Cited by 44 publications

References 65 publications

Understanding and responding to HIV risk in young South African women: Clinical perspectives

Understanding and responding to HIV risk in young South African women: Clinical perspectives

Delivery arrangements for health systems in low-income countries: an overview of systematic reviews

HIV Prevention in Youth

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