HIV Prevention in Young People in Sub-Saharan Africa: A Systematic Review

2011 ◽  
Vol 49 (6) ◽  
pp. 568-586 ◽  
Author(s):  
Sue M. Napierala Mavedzenge ◽  
Aoife M. Doyle ◽  
David A. Ross
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Hiv Prevention ◽  
Sub Saharan Africa ◽  
Sub Saharan

Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

AIDS ◽  
2010 ◽  
Vol 24 (8) ◽  
pp. 1193-1202 ◽  
Author(s):  
Kristien Michielsen ◽  
Matthew F Chersich ◽  
Stanley Luchters ◽  
Petra De Koker ◽  
Ronan Van Rossem ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hiv Prevention ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252745
Author(s):  
Luchuo Engelbert Bain ◽  
Hubert Amu ◽  
Elvis Enowbeyang Tarkang
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Contraceptive Use ◽  
Negative Attitude ◽  
Final Analysis ◽  
Qualitative Studies ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Sub Saharan ◽  
Barriers And Motivators

Background In sub-Saharan Africa, about 80% of young women either use a traditional method or do not use any form of contraception at all. The objectives of this review were to ascertain the barriers and motivators of contraceptive use among young people in Sub–Saharan Africa. Materials and methods We conducted electronic literature searches in PubMed, EMBASE, Ebsco/PsycINFO and Scopus. We identified a total of 4,457 publications and initially screened 2626 based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A total of 13 qualitative studies were retained for the final analysis based on the Joanna Briggs criteria for assessing qualitative studies. The systematic review is registered on PROSPERO with identifier CRD42018081877. Results Supportive social networks, respect for privacy and confidentiality, ready availability, affordability and accessibility of contraceptives, as well as the desire to prevent unintended pregnancy and sexually transmitted infections were the motivators of contraceptive use among young people in sub-Saharan Africa. Despite these motivators, myriad of personal, societal, and health systems-based barriers including myths and misconceptions, known side effects of contraceptives, prohibitive social norms, and negative attitude of health professionals were the major barriers to contraceptive use among young people. Conclusion Sub-Saharan African countries with widespread barriers to contraceptive use among young people may not be able to achieve the Sustainable Development Goal 3.8 target of achieving health for all by the year 2030. Interventions intended to improve contraceptive use need to be intersectoral and multi-layered, and designed to carefully integrate the personal, cultural, organizational and political dimensions of contraception.

scholarly journals Effectiveness of eHealth Interventions for HIV Prevention and Management in Sub-Saharan Africa: Systematic Review and Meta-analyses

2021 ◽  
Author(s):  
Louisa Manby ◽  
Catherine Aicken ◽  
Marine Delgrange ◽  
Julia V. Bailey
Keyword(s):  
Systematic Review ◽  
Hiv Prevention ◽  
Low Cost ◽  
Sub Saharan Africa ◽  
Hiv Management ◽  
Sub Saharan ◽  
Randomised Controlled ◽  
Meta Analyses ◽  
The Impact ◽  
Biological Outcomes

AbstractHIV is still the leading cause of death in Sub-Saharan Africa (SSA), despite medical advances. eHealth interventions are effective for HIV prevention and management, but it is unclear whether this can be generalised to resource-poor settings. This systematic review aimed to establish the effectiveness of eHealth interventions in SSA. Six electronic databases were screened to identify randomised controlled trials (RCTs) published between 2000 and 2020. Meta-analyses were performed, following Cochrane methodology, to assess the impact of eHealth interventions on HIV-related behaviours and biological outcomes. 25 RCTs were included in the review. Meta-analyses show that eHealth interventions significantly improved HIV management behaviours (OR 1.21; 95% CI 1.05–1.40; Z = 2.67; p = 0.008), but not HIV prevention behaviours (OR 1.02; 95% CI 0.78–1.34; Z = 0.17; p = 0.86) or biological outcomes (OR 1.17; 95% CI 0.89–1.54; Z = 1.10; p = 0.27) compared with minimal intervention control groups. It is a hugely important finding that eHealth interventions can improve HIV management behaviours as this is a low-cost way of improving HIV outcomes and reducing the spread of HIV in SSA. PROSPERO registration number: CRD42020186025.

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.

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