Adolescents living with HIV (ALHIV) face unique challenges resulting in persistent treatment gaps, particularly viral non-suppression. Country programs adopt policies, guidelines, and innovations, based on WHO recommendations and best practices from elsewhere. However, it is unclear to what extent these tools address the management of adolescents with viral non-suppression.
View Article and Find Full Text PDFBackground: Long-term engagement in HIV care is essential to achieving and maintaining viral suppression. Adolescents living with HIV (ALHIV) experience many barriers to remaining engaged in care and treatment programs. Higher attrition among adolescents compared to adults remains a huge concern due to unique psychosocial and health systems challenges adolescents face, and recently the COVID-19 pandemic effects.
View Article and Find Full Text PDFBackground: In 2019, about 1.7 million adolescents between the ages of 10 and 19 years were living with HIV worldwide, of which 170 000 were newly infected with HIV in 2019. South Africa has the highest number of persons living with HIV.
View Article and Find Full Text PDFBackground: Adolescents living with HIV (ALHIV) are challenged to adhere to antiretroviral therapy (ART) and achieve and maintain virologic suppression. Group-based adherence support interventions, such as adherence clubs, have been shown to improve long-term adherence in ART patients. The teen club intervention was introduced in 2010 in Namibia to improve treatment outcomes for ALHIV by providing adherence support in a peer-group environment.
View Article and Find Full Text PDFThe inclusion of race/skin color in Health Information Systems makes it possible to measure health inequities. Brazil and South Africa correspond to countries marked by profound inequalities, multiracial constituted that suffered from the historical process of colonization, and had racism legitimized as a structuring model of state development. The objective is to compare the information systems of Brazil and South Africa regarding the configuration and implementation of the item race/skin color.
View Article and Find Full Text PDFSouth Afr J HIV Med
October 2019
Background: Despite the successful rollout of anti-retroviral therapy (ART) and steep declines in HIV incidence in South Africa, this has not been the case for adolescents (10-19 years). Adolescents on HIV treatment have lower rates of viral load suppression and adherence compared to adults and children.
Objectives: This article reports on the adherence challenges faced by adolescents receiving ART in a primary health care clinic in a low socio-economic urban setting in Cape Town.
Cochrane Database Syst Rev
April 2014
This review was merged with the review titled: Preventing occupational stress in healthcare workers because of major overlap between the two. The editorial group responsible for this previously published document have withdrawn it from publication.
View Article and Find Full Text PDFBackground: Lay health workers (LHWs) are widely used to provide care for a broad range of health issues. Little is known, however, about the effectiveness of LHW interventions.
Objectives: To assess the effects of LHW interventions in primary and community health care on maternal and child health and the management of infectious diseases.
Background: Healthcare workers need to be supported to maintain sufficient levels of motivation and productivity, and to prevent the debilitating effects of stress on mental and physical well-being.
Objectives: To assess the effects of preventive staff-support interventions to healthcare workers.
Search Strategy: We searched The Cochrane Effective Practice and Organisation of Care Group (EPOC) Specialised Register (and the database of studies awaiting assessment), Biblioweb (searched 28 August 2008); The Cochrane Central Register of Controlled Trials (The Cochrane Library 2008, Issue 3) (searched 28 August 2008); MEDLINE, Ovid 1950 to August Week 2 2008 (searched 26 August 2008); CINAHL, Ovid 1982 to August Week 4 2008 (searched 26 August 2008); EMBASE, Ovid 1980 to 2008 Week 34 (searched 26 August 2008); PsycINFO, Ovid 1806 to July Week 5 2008 (searched 27 August 2008); Soc iological Abstracts, CBA 1952 to present (searched 28 August 2008).