Policies and Practices Facilitating Access to and Uptake of HIV Testing Services among Adolescents in Sub-Sahara Africa: A Narrative Review.

IF 3.7 2区医学 Q2 INFECTIOUS DISEASES

Current HIV/AIDS Reports Pub Date : 2024-08-01 Epub Date: 2024-05-30 DOI:10.1007/s11904-024-00701-4

Dorothy Serwaa Boakye, Emmanuel Kumah, Samuel Adjorlolo

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Abstract

Purpose of review: Expanding access to HIV testing services and linking newly diagnosed positive adolescents to antiretroviral therapy is critical to epidemic control. However, testing coverage and treatment initiation rates continue to lag behind adult counterparts. This article synthesizes evidence on facilitative policies and service delivery practices focused on adolescents to inform programming.

Recent findings: Our narrative review found that national policies are growing more adolescent-inclusive but barriers around the age of consent, waiver frameworks and dissemination constrain translate into practice. Facility-based provider-initiated testing through integrated sexual health services and dedicated youth centres demonstrates uptake effectiveness if confidentiality and youth-friendly adaptations are assured. Supportive policies, youth-responsive adaptations across testing models and strengthening age-disaggregated monitoring are vital to improving adolescents' engagement across the HIV testing and treatment cascade. Further implementation research is imperative to expand the reach of adolescent HIV testing in sub-Saharan Africa.

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促进撒哈拉以南非洲青少年获得和接受 HIV 检测服务的政策与实践：叙述性综述》。

审查目的：扩大艾滋病毒检测服务的覆盖面，并将新确诊的阳性青少年与抗逆转录病毒治疗联系起来，对于控制疫情至关重要。然而，检测覆盖率和治疗启动率仍然落后于成人。本文综述了以青少年为重点的促进性政策和服务提供实践的证据，以便为计划制定提供参考：我们的叙述性综述发现，国家政策越来越多地将青少年纳入其中，但在同意年龄、豁免框架和传播方面存在的障碍制约了这些政策在实践中的转化。通过综合性健康服务机构和专门的青年中心进行的基于医疗机构的主动检测，如果能确保保密性和对青年友好的适应性，就能显示出其有效性。支持性政策、在各种检测模式中对青年做出相应调整以及加强按年龄分类的监测，对于提高青少年参与整个艾滋病检测和治疗过程至关重要。要在撒哈拉以南非洲扩大青少年艾滋病检测的覆盖面，进一步的实施研究势在必行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current HIV/AIDS Reports INFECTIOUS DISEASES-

CiteScore

8.10

自引率

2.20%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.

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