Towards an integrated framework for accelerating the end of the global HIV epidemic among young people

DiClemente, Ralph J.; Jackson, Jerrold M.

doi:10.1080/14681811.2014.901214

Cited by 11 publications

(7 citation statements)

References 82 publications

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“…A stand-alone intervention might result in greater costs as it does not have the capital, infrastructure and staffing support of an established service, therefore, is often thought to be less sustainable [ 52 ]. Moreover, this supports the idea that integrated programs can be more cost-effective due to the ability to originate from scaling-up existing programs to reach desirable populations such as sex workers [ 53 ]. Similarly, whether the intervention is an outreach or clinic/facility based or mixed intervention might affect the cost-effectiveness results.…”

Section: Discussionsupporting

confidence: 63%

Cost effectiveness of HIV and sexual reproductive health interventions targeting sex workers: a systematic review

Rinaldi

Kiadaliri

Haghparast‐Bidgoli

2018

Cost Eff Resour Alloc

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BackgroundSex workers have high incidences of HIV and other sexually transmitted diseases. Although, interventions targeting sex workers have shown to be effective, evidence on which strategies are most cost-effective is limited. This study aims to systematically review evidence on the cost-effectiveness of sexual health interventions for sex workers on a global level. It also evaluates the quality of available evidence and summarizes the drivers of cost effectiveness.MethodsA search of published articles until May 2018 was conducted. A search strategy consisted of key words, MeSH terms and other free text terms related to economic evaluation, sex workers and sexual and reproductive health (SRH) was developed to conduct literature search on Medline, Web of Science, Econlit and the NHS Economic Evaluation Database. The quality of reporting the evidence was evaluated using the CHEERS checklist and drivers of cost-effectiveness were reported.ResultsOverall, 19 studies met the inclusion criteria. The majority of the studies were based in middle-income countries and only three in low-income settings. Most of the studies were conducted in Asia and only a handful in Sub-Saharan Africa and Latin America. The reviewed studies mainly evaluated the integrated interventions, i.e. interventions consisted a combination of biomedical, structural or behavioural components. All interventions, except for one, were highly cost-effective. The reporting quality of the evidence was relatively good. The strongest drivers of cost-effectiveness, reported in the studies, were HIV prevalence, number of partners per sex worker and commodity costs. Furthermore, interventions integrated into existing health programs were shown to be most cost-effective.ConclusionThis review found that there is limited economic evidence on HIV and SRH interventions targeting sex workers. The available evidence indicates that the majority of the HIV and SRH interventions targeting sex workers are highly cost-effective, however, more effort should be devoted to improving the quality of conducting and reporting cost-effectiveness evidence for these interventions to make them usable in policy making. This review identified potential factors that affect the cost-effectiveness and can provide useful information for policy makers when designing and implementing such interventions.Electronic supplementary materialThe online version of this article (10.1186/s12962-018-0165-0) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 63%

Cost effectiveness of HIV and sexual reproductive health interventions targeting sex workers: a systematic review

Rinaldi

Kiadaliri

Haghparast‐Bidgoli

2018

Cost Eff Resour Alloc

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“…Although there are various other helpful suggestions available in the literature for developing (sexual) health interventions (for example, reviews that provide overviews of core components of effective sex education programmes such as those by Kirby and colleagues (Kirby, Laris, and Rolleri 2007) and the UNESCO guidelines (UNESCO 2009), the integrated framework proposed by DiClemente and Jackson (2014) and planning models like the precede-proceed model of Green and Kreuter (2005) or the Behavioural Change Wheel (Michie, van Stralen, and West 2011), none of these provided assistance on how to make theory-and evidence-based decisions concerning each step of intervention development, implementation and evaluation. In addition, IM helps provide a better understanding of the complexity of a behavior by delineating behaviours in terms of performance objectives and underlying change objectives.…”

Section: Discussionmentioning

confidence: 99%

Development of Long Live Love+, a school-based online sexual health programme for young adults. An intervention mapping approach

Mevissen

Empelen²,

Watzeels

et al. 2017

Sex Education

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This paper describes the development of a Dutch online programme called Long Live Love+ focusing on positive, coercion-free relationships, contraception use, and the prevention of STIs, using the Intervention Mapping (IM) approach. All six steps of the approach were followed.Step 1 confirmed the need for a sexual health programme targeting young people aged 15 and over enrolled in higher level secondary education.Step 2 resulted in the production of a series of matricesof-changes, including detailed programme objectives at the behavioural and the psycho-social level.Step 3 involved the selection of relevant methods and applications.Step 4 consisted of programme development, resulting in a sexual health programme with online and offline components, and including interactive exercises.Step 5 focused on adoption and implementation and included the production of a detailed teacher manual.Step 6 involved detailed planning for the process and effect evaluation and included interviews with teachers and focus group discussions with students to evaluate their experiences of the programme. The inclusion of a linkage group -and especially the inclusion of teachers in the development of the programme -turned out to be essential in terms of developing a programme in line with their context and needs.

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“…Behavioral interventions alone have demonstrated limited efficacy in reducing HIV incidence among adolescents and young adults, and few tested interventions have integrated behavioral, structural, and biomedical components. In contrast to either a purely biomedical or behavioral model, a biopsychosocial approach posits that health is best understood in terms of a combination of biological, psychological, and social factors [18–19]. In this paper, we review recent data on biomedical, behavioral and structural HIV prevention interventions that may be beneficial to youth (Table 1).…”

Section: Introductionmentioning

confidence: 99%

HIV Prevention Interventions for Adolescents

Hosek

Pettifor

2019

Curr HIV/AIDS Rep

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Purpose of Review: The goal of this paper is to review recent data on biomedical, behavioral and structural HIV prevention interventions for adolescents and young adults. Recent Findings: While it is accepted that HIV prevention interventions must take an integrated approach to achieve maximum effectiveness, to date, there have been limited, rigorously evaluated combination prevention interventions for adolescents. There are currently a range of effective biomedical, behavioral and structural approaches that can be integrated into prevention packages to address the prevention needs of adolescents, including oral PrEP, male circumcision, rapid HIV testing, numerous behavioral interventions and structural interventions such as cash transfers and community mobilization to address gender-based violence. Summary: There is still a need for rigorously evaluated, innovative combination prevention packages for adolescents. Prevention approaches must take into account the context of young people’s lives and address the multiple levels of influence on their lives including parents, partners and communities.

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Towards an integrated framework for accelerating the end of the global HIV epidemic among young people

Cited by 11 publications

References 82 publications

Cost effectiveness of HIV and sexual reproductive health interventions targeting sex workers: a systematic review

Cost effectiveness of HIV and sexual reproductive health interventions targeting sex workers: a systematic review

Development of Long Live Love+, a school-based online sexual health programme for young adults. An intervention mapping approach

HIV Prevention Interventions for Adolescents

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