The sexual and reproductive health needs of young people living with HIV in Gauteng, South Africa

Ndlazi, Bandile Ernest; Masango, Thembekile

doi:10.4102/sajhivmed.v23i1.1377

Cited by 3 publications

(2 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Insufficient support hampers their ability to navigate healthcare systems and obtain necessary services 8. In addition, challenges in accessing comprehensive SRH services, including contraception and antenatal care, further exacerbate existing health disparities 9. They also have heightened vulnerability to sexual exploitation, abuse and violence 10…”

Section: Introductionmentioning

confidence: 99%

The health inequity and socioeconomic inequality faced by adolescent girls and women on the move living with or at high risk of HIV infection, during the COVID-19 pandemic in Nigeria

Lamontagne,

Nyako,

Enemo

et al. 2023

BMJ Glob Health

View full text Add to dashboard Cite

BackgroundWe assessed if women and girls on the move living with or at high risk of HIV faced increased health inequity and socioeconomic inequalities during the COVID-19 pandemic compared with other vulnerable women and girls.MethodsWe used data collected through a survey conducted in Nigeria between June and October 2021. Women and girls living with or at risk of HIV were recruited voluntarily, using a combination of venue-based and snowball sampling. We performed multivariable logistic regression models per mobility and HIV status to determine associations between health inequity, socioeconomic inequalities and macrosocial characteristics.FindingsThere were 3442 participants, of which 700 were on the move. We found no statistical difference between HIV-negative women and girls on the move and those not on the move. On the opposite, we found substantial differences in health inequity and socioeconomic inequalities between women and girls on the move living with HIV and those not on the move living with HIV. There are very strong associations between being a woman or girl on the move living with HIV and facing economic precarity (aOR 6.08, 95% CI 1.94 to 19.03), food insecurity (aOR 5.96, 95% CI 2.16 to 16.50) and experiencing more gender-based violence since COVID-19 started (aOR 5.61, 95% CI 3.01 to 10.47).InterpretationBeing a woman or girl on the move and living with HIV compound increased health and socioeconomic vulnerabilities. The COVID-19 crisis seems to have exacerbated inequalities and gender-based violence. These findings call for more feminist interventions to protect women on the move living with HIV during health crises.

show abstract

Section: Introductionmentioning

confidence: 99%

The health inequity and socioeconomic inequality faced by adolescent girls and women on the move living with or at high risk of HIV infection, during the COVID-19 pandemic in Nigeria

Lamontagne,

Nyako,

Enemo

et al. 2023

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…Tere have been improvements on SRHR-promoting behaviours such as the uptake of pre-exposure prophylaxis, antiretroviral therapy, and voluntary medical male circumcision [15]. However, other SRHR-promoting behaviours such as correct and consistent barrier contraceptive use, limiting the number of sexual partners, HIV status disclosure, and intergenerational communication, among others, remain the key challenges [5,16]. In addition, addressing the underlying sociocultural and sociostructural factors and conditions that infuence SRHR also remains challenging [5,14].…”

Section: Introductionmentioning

confidence: 99%

Understanding Community Engagement in Sexual and Reproductive Health and Rights Promotion in the Eastern Cape, South Africa: A Conceptual Framework to Inform Practice

Haintz

Hanna

Taket

2023

Health & Social Care in the Community

View full text Add to dashboard Cite

Background. Community engagement is crucial for effective and sustainable sexual and reproductive health and rights (SRHRs) promotion. Community engagement in community-based health promotion initiatives is contextual and influenced by individual, community, and societal factors. In South Africa, community engagement in SRHR promotion is challenging due to numerous historical and contemporary factors including the socionormative community context and socionormative perceptions regarding SRHR matters. There is little empirical literature to guide community-based practitioners working in health promotion in understanding the contextual influences on community engagement with SRHR promotion generally or in South Africa specifically. Objective. This research aimed to explore the influences on community engagement in community-based SRHR promotion initiatives in the Eastern Cape, South Africa. Methods. An ethnographic and multiqualitative study was conducted in the Eastern Cape, South Africa, involving 78 purposively and conveniently sampled participants. Findings. Three superordinate themes influence community engagement with SRHR promotion in South Africa (i) representations of the issues; (ii) perceived relevance of SRHR issues and SRHR promotion; and (iii) the relational environment, often operating in interactive ways. The themes are presented in a conceptual framework. Conclusions. Influences on community engagement in SRHR promotion in the Eastern Cape of South Africa are highly contextual. The conceptual framework arising from the study’s findings could be used in community-based health promotion and primary health care in other settings to develop the understanding of factors influencing community engagement in SRHR or other sensitive or emerging health issues, and inform relevant and appropriate design and implementation of community-based initiatives.

show abstract

Exploring the sexual and reproductive health knowledge, practices and needs of adolescents living with perinatally acquired HIV in Côte d’Ivoire: a qualitative study

Tisseron,

Djaha,

Dahourou

et al. 2024

Reprod Health

View full text Add to dashboard Cite

Introduction Adolescents face unique challenges in accessing appropriate information and services regarding sexuality and reproductive health (SRH). This poor access can lead to sexual behaviours that could put them at risk of unintended pregnancies and sexually transmitted infections. Adolescents living with HIV (ALHIV) have specific SRH needs that remain unmet. We explored the SRH knowledge, practices and needs of ALHIV in Abidjan, Côte d’Ivoire. Methods Between April and September 2023, a qualitative study using semi-structured individual interviews was conducted with nine male and nine female ALHIV without previous pregnancies, and eight ALHIV who became pregnant. All consented and were ALHIV acquired perinatally, aged 15–19 years, informed of their HIV status, and followed in three paediatric HIV care centres in Abidjan. participating in the paediatric IeDEA West African Cohort and enrolled in the ANRS12390 OPTIMISE-AO project aimed at improving HIV disclosure process and adherence to antiretroviral treatment. A focus group discussion was conducted with five peer-educators, aged 23–31 years, participating in the OPTIMISE-AO project to gather their perspectives on adolescent SRH. Interviews were conducted in French, and a thematic analysis was performed. Results All participants expressed difficulty in talking about SRH with their parents or health professionals and turned to their friends for advice. All feared transmitting HIV. One-third of female participants reported having experienced non-consensual sex and sexual violence. Participants reported low levels of condom use, despite having good knowledge of its purpose. Reasons for not using condoms included difficulties in negotiating for girls, as well as having an undetectable viral load, which was seen by adolescents as a condition for waiving condom use. As hormonal contraceptives were subject to many negative beliefs justifying their non-use, alternative methods, such as emergency contraceptive pills or traditional plants, were used to prevent pregnancy. Conclusion ALHIV reported unmet SRH needs, particularly in terms of accessing reliable information and appropriate support. Integrating SRH care into paediatric HIV care, organising SRH discussion groups led by peer-educators, and improving access to a range of contraceptives may address these needs to enhance SRH outcomes for ALHIV. Supplementary Information The online version contains supplementary material available at 10.1186/s12978-024-01919-6.

show abstract

The sexual and reproductive health needs of young people living with HIV in Gauteng, South Africa

Cited by 3 publications

References 26 publications

The health inequity and socioeconomic inequality faced by adolescent girls and women on the move living with or at high risk of HIV infection, during the COVID-19 pandemic in Nigeria

The health inequity and socioeconomic inequality faced by adolescent girls and women on the move living with or at high risk of HIV infection, during the COVID-19 pandemic in Nigeria

Understanding Community Engagement in Sexual and Reproductive Health and Rights Promotion in the Eastern Cape, South Africa: A Conceptual Framework to Inform Practice

Exploring the sexual and reproductive health knowledge, practices and needs of adolescents living with perinatally acquired HIV in Côte d’Ivoire: a qualitative study

Contact Info

Product

Resources

About