Innovative Strategies for Scale up of Effective Combination HIV Prevention Interventions in Sub-Saharan Africa

2015 ◽  
Vol 12 (2) ◽  
pp. 231-237 ◽  
Author(s):  
Kwame Shanaube ◽  
Peter Bock
Keyword(s):  
Hiv Prevention ◽  
Scale Up ◽  
Sub Saharan Africa ◽  
Innovative Strategies ◽  
Effective Combination ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions ◽  
Sub Saharan

scholarly journals Assessing cost and technical efficiency of HIV prevention interventions in sub-Saharan Africa: the ORPHEA study design and methods

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Sergio Bautista-Arredondo ◽  
Sandra G Sosa-Rubí ◽  
Marjorie Opuni ◽  
Ada Kwan ◽  
Claire Chaumont ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Technical Efficiency ◽  
Study Design ◽  
Sub Saharan Africa ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions ◽  
Sub Saharan ◽  
Design And Methods

scholarly journals Cost-effectiveness of HIV Prevention Interventions in Sub-Saharan Africa: A Systematic Review

2019 ◽  
Vol 10 ◽  
pp. 10-31 ◽  
Author(s):  
Supriya Sarkar ◽  
Phaedra Corso ◽  
Shideh Ebrahim-Zadeh ◽  
Patricia Kim ◽  
Sana Charania ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Hiv Prevention ◽  
Sub Saharan Africa ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions ◽  
Sub Saharan

scholarly journals Nothing as Practical as a Good Theory? The Theoretical Basis of HIV Prevention Interventions for Young People in Sub-Saharan Africa: A Systematic Review

2012 ◽  
Vol 2012 ◽  
pp. 1-18 ◽  
Author(s):  
Kristien Michielsen ◽  
Matthew Chersich ◽  
Marleen Temmerman ◽  
Tessa Dooms ◽  
Ronan Van Rossem
Keyword(s):  
Young People ◽  
Hiv Prevention ◽  
Sexual Behaviour ◽  
Cognitive Theory ◽  
Sub Saharan Africa ◽  
Personal Factors ◽  
Limited Effectiveness ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions ◽  
Sub Saharan

This paper assesses the extent to which HIV prevention interventions for young people in sub-Saharan Africa are grounded in theory and if theory-based interventions are more effective. Three databases were searched for evaluation studies of HIV prevention interventions for youth. Additional articles were identified on websites of international organisations and through searching references. 34 interventions were included; 25 mentioned the use of theory. Social Cognitive Theory was most prominent (n=13), followed by Health Belief Model (n=7), and Theory of Reasoned Action/Planned Behaviour (n=6). These cognitive behavioural theories assume that cognitions drive sexual behaviour. Reporting on choice and use of theory was low. Only three articles provided information about why a particular theory was selected. Interventions used theory to inform content (n=13), for evaluation purposes (n=4) or both (n=7). No patterns of differential effectiveness could be detected between studies using and not using theory, or according to whether a theory informed content, and/or evaluation. We discuss characteristics of the theories that might account for the limited effectiveness observed, including overreliance on cognitions that likely vary according to type of sexual behaviour and other personal factors, inadequately address interpersonal factors, and failure to account for contextual factors.

scholarly journals Participants’ accrual and delivery of HIV prevention interventions among men who have sex with men in sub-Saharan Africa: a systematic review

2018 ◽  
Author(s):  
Daniel Nyato
Keyword(s):  
Hiv Prevention ◽  
Sub Saharan Africa ◽  
Treatment Programs ◽  
Hiv Services ◽  
Hiv Intervention ◽  
Effective Interventions ◽  
Prevention Interventions ◽  
Use Of Services ◽  
Sub Saharan ◽  
Sex With Men

Background: Across sub-Saharan Africa (SSA), HIV disproportionately affects men who have sex with men (MSM) compared with other men of the same age group in the general population. Access to HIV services remains low among this group although several effective interventions have been documented. It is therefore important to identify what has worked well to increase the reach of HIV services among MSM.Methods: We searched MEDLINE, POPLINE and the Web of Science databases to collect published articles reporting HIV interventions among MSM across sub-Saharan Africa. Covidence was used to review the articles. The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) - CRD42017060808.Results: The search identified 2627 citations, and following removal of duplicates and inclusion and exclusion criteria,only 15 papers were eligible for inclusion in the review. The articles reported various accrual strategies, namely: respondent-driven sampling, known peers identified through hotspot or baseline surveys, engagement with existing community-based organizations, and through peer educators contacting MSM in virtual sites. Some programs, however, combined some of these accrual strategies. Peer-led outreach services were indicated to reach and deliver services to more MSM. A combination of peer outreach and mobile clinics increased uptake of health information and services. Health facilities, especially MSM-friendly facilities attract access and use of services by MSM and retention into care.Conclusions: There are various strategies for accrual and delivering services to MSM across SSA. However, each of these strategies have specific strengths and weaknesses necessitating combinations of interventions and integration of the specific context to inform implementation. If the best of intervention content and implementation are used to inform these services, sufficient coverage and impact of HIV prevention and treatment programs for MSM across SSA can be optimized.Keywords: HIV intervention, Accrual, Delivery, Men who have sex with men, sub-Saharan Africa

scholarly journals Implementation determinants and mechanisms for the prevention and treatment of adolescent HIV in sub-Saharan Africa: concept mapping of the NIH Fogarty International Center Adolescent HIV Implementation Science Alliance (AHISA) initiative

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Gregory A. Aarons ◽  
Kendal Reeder ◽  
Nadia A. Sam-Agudu ◽  
Susan Vorkoper ◽  
Rachel Sturke
Keyword(s):  
Hiv Prevention ◽  
Implementation Science ◽  
Concept Mapping ◽  
Scale Up ◽  
Sub Saharan Africa ◽  
Successful Implementation ◽  
Evidence Based ◽  
Treatment Implementation ◽  
Prevention And Treatment ◽  
Sub Saharan

Abstract Introduction Adolescent HIV prevention and treatment is a high priority for youth healthcare in sub-Saharan Africa. Methods This study employed concept mapping to identify factors that impact the implementation of HIV prevention and intervention programs for adolescents in sub-Saharan Africa. Key stakeholders including researchers, policymakers, and non-governmental organization (NGO) personnel constituting membership of the NIH-sponsored Adolescent HIV Prevention and Treatment Implementation Science Alliance responded to the question: “In your experience, what factors have facilitated or hindered implementation of evidence-based HIV prevention or treatment for adolescents in sub-Saharan Africa?” Participants generated statements in response to the focus question, sorted them into thematically relevant groups, and rated each statement on its importance and changeability. Results Through data analyses and participant feedback, 15 distinct themes were derived. “Workforce/Workflow” and “HIV Stigma and Adolescent Development” were rated highest for importance, and “Threshold Conditions for Treatment” and “Structure of Implementation Efforts” were rated most changeable. Conclusions Understanding implementation science determinants and mechanisms can facilitate the uptake of successful implementation and sustainment strategies for the prevention and treatment of HIV in a given context. We placed determinants and mechanisms within the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to provide greater contextual integration with broader theories in implementation science. Implementers across multiple disciplines can use these findings to improve the scale-up of evidence-based practices for adolescent HIV prevention and treatment in sub-Saharan Africa. Implementation approaches that consider the determinants and mechanisms identified in this study and integrated in implementation frameworks will likely have utility for other health conditions and contexts.

scholarly journals A systematic review of evidence to inform HIV prevention interventions among men who have sex with men in Europe

2015 ◽  
Vol 20 (15) ◽  
Author(s):  
S Strömdahl ◽  
F Hickson ◽  
A Pharris ◽  
M Sabido ◽  
S Baral ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Regional Scale ◽  
Scale Up ◽  
Universal Coverage ◽  
Treatment As Prevention ◽  
Post Exposure Prophylaxis ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions ◽  
Sex With Men ◽  
Implementation Data

An estimated 42% of all newly diagnosed HIV cases in Europe in 2013 were transmitted during sex between men. This review was performed to identify and describe studies evaluating the efficacy and effectiveness of HIV prevention interventions among men who have sex with men (MSM), in relation to implementation data from European settings. A systematic search was performed individually for 24 interventions. Data were extracted from studies including efficacy or implementation data from European settings, appraised for efficacy, implementation and plausibility, and assigned a grade (1-4) according to the Highest Attainable Standard of Evidence (HASTE) framework. Four interventions (condom use, peer outreach, peer-led groups, and using universal coverage of antiretroviral treatment and treatment as prevention) were assigned the highest HASTE grade, 1. Another four interventions were assigned 2a for probable recommendation, including voluntary counselling and testing for HIV, using condom-compatible lubricant, using post-exposure prophylaxis, and individual counselling for MSM living with HIV. In addition, seven interventions were assigned a grade of 2b, for possible recommendation. Encouragingly, 15 interventions were graded to be strongly, probably or possibly recommended. In the relatively resource-rich European setting, there is an opportunity to provide global leadership with regard to the regional scale-up of comprehensive HIV prevention interventions for MSM.

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