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 ◽  
...  
2019 ◽  
Vol 10 ◽  
pp. 10-31 ◽  
Author(s):  
Supriya Sarkar ◽  
Phaedra Corso ◽  
Shideh Ebrahim-Zadeh ◽  
Patricia Kim ◽  
Sana Charania ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-18 ◽  
Author(s):  
Kristien Michielsen ◽  
Matthew Chersich ◽  
Marleen Temmerman ◽  
Tessa Dooms ◽  
Ronan Van Rossem

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.


2018 ◽  
Author(s):  
Daniel Nyato

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


2014 ◽  
Author(s):  
J.L. Brown ◽  
J.M. Sales ◽  
A.L. Swartzendruber ◽  
M.D. Eriksen ◽  
R.J. DiClemente ◽  
...  

2006 ◽  
Author(s):  
Wendee M. Wechsberg ◽  
Wendy K. K. Lam ◽  
Rhonda S. Karg ◽  
Kara Riehman ◽  
Kyla M. Sawyer

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