scholarly journals Sexual behavior experiences and characteristics of male-female partnerships among HIV positive adolescent girls and young women: Qualitative findings from Zimbabwe

PLoS ONE ◽  
2018 ◽  
Vol 13 (3) ◽  
pp. e0194732 ◽  
Author(s):  
Webster Mavhu ◽  
Elizabeth Rowley ◽  
Ibou Thior ◽  
Natalie Kruse-Levy ◽  
Owen Mugurungi ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Adolescent Girls ◽  
Young Women ◽  
Hiv Positive

scholarly journals Correlates of ART Use Among Newly Diagnosed HIV Positive Adolescent Girls and Young Women Enrolled in HPTN 068

2020 ◽  
Vol 24 (9) ◽  
pp. 2606-2615
Author(s):  
Lindsey M. Filiatreau ◽  
Maya Wright ◽  
Linda Kimaru ◽  
F. Xavier Gómez-Olivé ◽  
Amanda Selin ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Young Women ◽  
Hiv Positive ◽  
Newly Diagnosed

scholarly journals Cash Transfer to Adolescent Girls and Young Women to Reduce Sexual Risk Behavior (CARE): Protocol for a Cluster Randomized Controlled Trial

10.2196/14696 ◽  
2019 ◽  
Vol 8 (12) ◽  
pp. e14696
Author(s):  
Mwita Wambura ◽  
Mary Drake ◽  
Evodius Kuringe ◽  
Esther Majani ◽  
Daniel Nyato ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Sexual Risk ◽  
Adolescent Girls ◽  
Young Women ◽  
Risky Sexual Behavior ◽  
Cash Transfer ◽  
Combination Prevention ◽  
Hiv Interventions ◽  
Hiv Epidemic ◽  
Prevention Interventions

Background The HIV epidemic in Eastern and Southern Africa is characterized by a high incidence and prevalence of HIV infection among adolescent girls and young women (AGYW) aged 15-24 years. For instance, in some countries, HIV prevalence in AGYW aged 20-24 years exceeds that in AGYW aged 15-19 years by 2:1. Sauti (meaning voices), a project supported by the United States Agency for International Development, is providing HIV combination prevention interventions to AGYW in the Shinyanga region, Tanzania. Objective The aim of this study is to determine the impact of cash transfer on risky sexual behavior among AGYW receiving cash transfer and HIV combination prevention interventions. This paper describes the research methods and general protocol of the study. Risky sexual behavior will be assessed by herpes simplex virus type 2 (HSV-2) incidence, compensated sex (defined as sexual encounters motivated by exchange for money, material support, or other benefits), and intergenerational sex (defined as a sexual partnership between AGYW and a man 10 or more years older). Through a qualitative study, the study seeks to understand how the intervention affects the structural and behavioral drivers of the HIV epidemic. Methods The trial employs audio computer-assisted self-interviewing, participatory group discussions (PGDs), and case studies to collect data. A total of 30 matched villages (15 intervention and 15 control clusters) were randomized to either receive cash transfer delivered over 18 months in addition to other HIV interventions (intervention arm) or to receive other HIV interventions without cash transfer (control arm). Study participants are interviewed at baseline and 6, 12, and 18 months to collect data on demographics, factors related to HIV vulnerabilities, family planning, sexual risk behavior, gender-based violence, and HSV-2 and HIV infections. A total of 6 PGDs (3 intervention, 3 control) were conducted at baseline to describe perceptions and preferences of different intervention packages, whereas 20 case studies are used to monitor and unearth the dynamics involved in delivery and uptake of cash transfer. Results The study was funded in June 2017; enrollment took place in December 2017. A total of two rounds of the follow-up survey are complete, and one round has yet to be conducted. The results are expected in December 2019 and will be disseminated through conferences and peer-reviewed publications. Conclusions This study will document the synergetic impact of cash transfer in the presence of HIV combination prevention interventions on risky sexual behavior among out-of-school AGYW. The results will strengthen the evidence of cash transfer in the reduction of risky sexual behavior and provide feasible HIV prevention strategies for AGYW. Trial Registration Clinicaltrials.gov NCT03597243; https://clinicaltrials.gov/ct2/show/NCT03597243. International Registered Report Identifier (IRRID) DERR1-10.2196/14696

Analisis Penatalaksanaan Fluor Albus Pada Remaja Putri Kelas X Di MA Al-Fatimah Bojonegoro Tahun 2016

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Fela Putri Hariastuti ◽  
Andin Ajeng Rahmawati
Keyword(s):  
Qualitative Research ◽  
Adolescent Girls ◽  
Young Women ◽  
Sexual Development ◽  
Primary Data ◽  
Physiological Changes ◽  
Hormonal Activity ◽  
Research Subjects ◽  
Teenage Girls ◽  
The Central Nervous System

ABSTRAK            Masa remaja mengalami perkembangan fisiologis, psikososial, kognitif, moral dan perkembangan seksual. Perubahan fisiologis pada masa remaja merupakan hasil aktivitas hormonal dibawah pengaruh sistem saraf pusat. Menarche pada umumnya menjadi masalah bagi remaja, hal ini terjadi karena remaja masih belum tahu tentang apa itu menstruasi dan bagaimana menanganinya, sehingga kebersihan daerah genetalia tidak terjaga dan dapat menimbulkan terjadinya keputihan (Soetjiningsih, 2007).            Penelitian ini bertujuan untuk mengetahui penatalaksanaan flour albus pada remaja putri kelas X di SMA AL-Fatimah Bojonegoro tahun 2016. Jenis penelitian ini adalah kualitatif yaitu penelitian expose facto (mengungkap fakta) dengan pendekatan pengukuran secara langsung dengan menggunakan data primer. Subjek penelitian semua remaja putri kelas X yang mengalami keputihan di MA AL- Fatimah Kecamatan Bojonegoro Kabupaten Bojonegoro tahun 2016 yang berjumlah 30 responden.            Hasil penelitian yang didapatkan sebanyak 25 responden remaja putri sudah bisa melaksanakan penatalaksanaan pada flour albus. Kata Kunci : flour albus,  remaja putri ABSTRACT            Adolescence develops physiological, psychosocial, cognitive, moral and sexual development. Physiological changes in adolescence are the result of hormonal activity under the influence of the central nervous system. Menarche is generally a problem for teenagers, this is because teenagers still do not know what menstruation is and how to handle it, so that the cleanliness of the genetalia area is not maintained and can lead to whitish (Soetjiningsih, 2007).This study aims to determine the management of flour albus in adolescent girls of class X in SMA AL-Fatimah Bojonegoro in 2016. The type of this research is qualitative research that is expose facto (revealing fact) with approach of measurement directly by using primary data. Research subjects of all teenage girls of class X who experienced whiteness in MA Al-Fatimah Bojonegoro District Bojonegoro District in 2016, amounting to 30 respondents.The results obtained as many as 25 female teenage respondents have been able to implement management on flour albus. Keywords: flour albus, young women

scholarly journals The Community PrEP Study: a randomized control trial leveraging community-based platforms to improve access and adherence to pre-exposure prophylaxis to prevent HIV among adolescent girls and young women in South Africa—study protocol

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Andrew Medina-Marino ◽  
Dana Bezuidenhout ◽  
Sybil Hosek ◽  
Ruanne V. Barnabas ◽  
Millicent Atujuna ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Girls ◽  
Young Women ◽  
Randomized Control Trial ◽  
Community Based ◽  
Adherence Support ◽  
Randomized Control ◽  
Exposure Prophylaxis ◽  
Effective Use ◽  
Improve Access

Abstract Background HIV incidence among South African adolescent girls and young women (AGYW) remains high, but could be reduced by highly effective pre-exposure prophylaxis (PrEP). Unfortunately, AGYW report significant barriers to clinic-based sexual and reproductive health services. Even when AGYW access PrEP as an HIV prevention method, poor prevention-effective use was a serious barrier to achieving its optimal HIV prevention benefits. Determining the acceptability and feasibility of community-based platforms to increase AGYW’s access to PrEP, and evaluating behavioural interventions to improve prevention-effective use of PrEP are needed. Methods We propose a mixed-methods study among AGYW aged 16–25 years in Eastern Cape Province, South Africa. In the first component, a cross-sectional study will assess the acceptability and feasibility of leveraging community-based HIV counselling and testing (CBCT) platforms to refer HIV-negative, at-risk AGYW to non-clinic-based, same-day PrEP initiation services. In the second component, we will enrol 480 AGYW initiating PrEP via our CBCT platforms into a three-armed (1:1:1) randomized control trial (RCT) that will evaluate the effectiveness of adherence support interventions to improve the prevention-effective use of PrEP. Adherence will be measured over 24 months via tenofovir-diphosphate blood concentration levels. Qualitative investigations will explore participant, staff, and community experiences associated with community-based PrEP services, adherence support activities, study implementation, and community awareness. Costs and scalability of service platforms and interventions will be evaluated. Discussion This will be the first study to assess the acceptability and feasibility of leveraging CBCT platforms to identify and refer at-risk AGYW to community-based, same-day PrEP initiation services. It will also provide quantitative and qualitative results to inform adherence support activities and services that promote the prevention-effective use of PrEP among AGYW. By applying principles of implementation science, behavioural science, and health economics research, we aim to inform strategies to improve access to and prevention-effective use of PrEP by AGYW. Trial registration ClinicalTrials.govNCT03977181. Registered on 6 June 2019—retrospectively registered.

scholarly journals Wealth-related inequalities in demand for family planning satisfied among married and unmarried adolescent girls and young women in sub-Saharan Africa

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Martin K. Mutua ◽  
Yohannes D. Wado ◽  
Monica Malata ◽  
Caroline W. Kabiru ◽  
Elsie Akwara ◽  
...  
Keyword(s):  
Family Planning ◽  
West Africa ◽  
Adolescent Girls ◽  
Young Women ◽  
Rate Of Change ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Sexually Active ◽  
Sub Saharan ◽  
Over Time

Abstract Background The use of modern contraception has increased in much of sub-Saharan Africa (SSA). However, the extent to which changes have occurred across the wealth spectrum among adolescents is not well known. We examine poor-rich gaps in demand for family planning satisfied by modern methods (DFPSm) among sexually active adolescent girls and young women (AGYW) using data from national household surveys. Methods We used recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys to describe levels of wealth-related inequalities in DFPSm among sexually active AGYW using an asset index as an indicator of wealth. Further, we used data from countries with more than one survey conducted from 2000 to assess DFPSm trends. We fitted linear models to estimate annual average rate of change (AARC) by country. We fitted random effects regression models to estimate regional AARC in DFPSm. All analysis were stratified by marital status. Results Overall, there was significant wealth-related disparities in DFPSm in West Africa only (17.8 percentage points (pp)) among married AGYW. The disparities were significant in 5 out of 10 countries in Eastern, 2 out of 6 in Central, and 7 out of 12 in West among married AGYW and in 2 out of 6 in Central and 2 out of 9 in West Africa among unmarried AGYW. Overall, DFPSm among married AGYW increased over time in both poorest (AARC = 1.6%, p < 0.001) and richest (AARC = 1.4%, p < 0.001) households and among unmarried AGYW from poorest households (AARC = 0.8%, p = 0.045). DPFSm increased over time among married and unmarried AGYW from poorest households in Eastern (AARC = 2.4%, p < 0.001) and Southern sub-regions (AARC = 2.1%, p = 0.030) respectively. Rwanda and Liberia had the largest increases in DPFSm among married AGYW from poorest (AARC = 5.2%, p < 0.001) and richest (AARC = 5.3%, p < 0.001) households respectively. There were decreasing DFPSm trends among both married (AARC = − 1.7%, p < 0.001) and unmarried (AARC = − 4.7%, p < 0.001) AGYW from poorest households in Mozambique. Conclusion Despite rapid improvements in DFPSm among married AGYW from the poorest households in many SSA countries there have been only modest reductions in wealth-related inequalities. Significant inequalities remain, especially among married AGYW. DFPSm stalled in most sub-regions among unmarried AGYW.

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