"Adolescents do not only require ARVs and adherence counseling": A qualitative investigation of health care provider experiences with an HIV youth peer mentoring program in Ndola, Zambia.

PloS One
Elizabeth A AbramsJulie A Denison

Abstract

Adolescents and young adults (AYAs) living with HIV face unique challenges and have poorer health outcomes than adults with HIV. Project YES! was a youth-led initiative to promote HIV self-management and reduce stigma among AYAs in four Ndola, Zambia clinics. Clinic health care providers (HCPs) were involved in multiple intervention aspects, including serving as expert resources during AYA and caregiver group meetings, facilitating resistance test-based AYA antiretroviral drug changes, meeting with participants referred through a safety protocol, and guiding a subset of participants' physical transition from pediatric to adult clinic settings. This study aimed to understand HCP insights on facilitators and barriers to implementing Project YES! and scaling up a clinic-based, youth-focused program. A trained interviewer conducted ten in-depth interviews with participating HCPs from November-December 2018 and analyzed data, identifying key themes. These themes were examined in terms of two implementation science outcomes-acceptability and feasibility-to inform scalability. HCPs found peer mentoring valuable for AYAs with HIV and the bimonthly caregiver meetings beneficial to AYA caregivers. HCPs voiced a desire for more involvemen...Continue Reading

References

Mar 14, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jean B NachegaGary Maartens
Oct 20, 2010·Administration and Policy in Mental Health·Enola ProctorMelissa Hensley
Jan 11, 2014·The Lancet Infectious Diseases·Elizabeth D LowenthalRashida A Ferrand
Feb 26, 2015·Journal of the International AIDS Society·Amir ShroufiRashida A Ferrand
Aug 18, 2017·AIDS and Behavior·Brendan Maughan-BrownAbigail Harrison
Apr 4, 2019·AIDS Research and Treatment·Chipo Mutambo, Khumbulani Hlongwana

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