Roles and Responsibilities of Expert Clients in Adolescent HIV&amp;nbsp;Service Delivery in Eswatini: A Conventional Content Analysis

Ahmed, Charisse; Weissinger, Guy; Teitelman, Anne M.; Dlamini, Ndumiso Sabelo; Dlamini, Nontsikelelo Patience; Dlamini, Thuthukile Cebsile; Nkambule, Angel; Nkambule, Siphesihle; Brawner, Bridgette M.; Calnan, Marianne

doi:10.21203/rs.3.rs-122032/v1

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…This was similarly reported in a published paper from Namibia which described Teen Clubs being limited to meeting in places where physical distancing is possible, with no more than 10 adolescents participating at a time [28]. Prior to the pandemic, Teen Club meetings were also when adolescent participants received ART refills [29][30][31][32]. AHISA teams reported that medication dispensing shifted to localized community-based ART distribution sites to mitigate the need to travel for ART refills during the pandemic.…”

Section: Perceived Individual-level Impactsmentioning

confidence: 69%

Impact of COVID-19 on Adolescent HIV Prevention and Treatment Services in the AHISA Network

et al. 2022

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We investigated perceived impacts of COVID-19 on the delivery of adolescent HIV treatment and prevention services in sub-Saharan Africa (SSA) by administering a survey to members of the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA) from February to April 2021. We organized COVID-19 impacts, as perceived by AHISA teams, under three themes: service interruptions, service adjustments, and perceived individual-level health impacts. AHISA teams commonly reported interruptions to prevention programs, diagnostic testing, and access to antiretroviral therapy (ART). Common service adjustments included decentralization of ART refills, expanded multi-month ART distribution, and digital technology use. Perceived individual-level impacts included social isolation, loss to follow-up, food insecurity, poverty, and increases in adolescent pregnancies and sexually transmitted infections. The need for collaboration among stakeholders were commonly cited as lessons learned by AHISA teams. Survey findings highlight the need for implementation science research to evaluate the effects of pandemic-related HIV service adaptations in SSA.

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Section: Perceived Individual-level Impactsmentioning

confidence: 69%

Impact of COVID-19 on Adolescent HIV Prevention and Treatment Services in the AHISA Network

et al. 2022

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Implementation Determinants of Problem-Solving Therapy Delivered by Near-Peer Lay Counselors for Youth Living with HIV in Botswana: Lay Counsellor Perspectives

Ahmed,

Van Pelt,

Buttenheim

et al. 2024

Glob Implement Res Appl

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An evidence-based psychological intervention, known as Friendship Bench, for depression and anxiety was adapted among adolescents living with HIV (ALHIV) in Gaborone, Botswana, and renamed Safe Haven. The purpose of this study was to qualitatively describe the barriers and facilitators that influence the implementation of Safe Haven from the perspective of peer counselors delivering the intervention in Gaborone, Botswana. We conducted a secondary analysis using qualitative data from a pilot study to evaluate Safe Haven. Eight peer counselors participated in semi-structured interviews to describe their experiences with implementing Safe Haven during the pilot. We analyzed the interview data thematically using the Consolidated Framework for Implementation Research to guide theme development. We identified six barriers and two facilitators of Safe Haven implementation. The barriers were 1) client reticence and confidentiality concerns, 2) parent disapproval, 3) client accessibility, 4) counselor psychological wellbeing, 5) scheduling conflicts 6) limited financial resources for counselors. The facilitators were 1) peer delivery of counseling was deemed more acceptable among adolescents than counseling delivered by older adults, and 2) the counselors placed high value on the intervention. We found that parental disapproval and shared trauma among counselors and clients are key barriers that may negatively impact implementation outcomes such as sustainability and penetration. To improve accessibility of the intervention, peer counselors recommended implementation in school settings and to educate parents on mental health. Overall, the barriers and facilitators identified in our study can guide larger scale implementation of Safe Haven among ALHIV in resource-poor settings.

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Roles and Responsibilities of Expert Clients in Adolescent HIV Service Delivery in Eswatini: A Conventional Content Analysis

Cited by 2 publications

References 38 publications

Impact of COVID-19 on Adolescent HIV Prevention and Treatment Services in the AHISA Network

Impact of COVID-19 on Adolescent HIV Prevention and Treatment Services in the AHISA Network

Implementation Determinants of Problem-Solving Therapy Delivered by Near-Peer Lay Counselors for Youth Living with HIV in Botswana: Lay Counsellor Perspectives

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