Integrated Health Care Delivery for Adolescents Living with and at Risk of HIV Infection:  A Review of Models and Actions for Implementation.

Autor: Subramanian S; RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA. ssubramanian@rti.org., Namusoke-Magongo E; Ministry of Health, Kampala, Uganda., Edwards P; RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA., Atujuna M; Desmond Tutu HIV Foundation, University of Cape Town, Cape Town, South Africa., Chimulwa T; Ministry of Health, Kampala, Uganda., Dow D; Duke Global Health Institute, Durham, NC, USA., Jalil E; Fiocrus, Lapclin-AIDS, Rio de Janeiro, Brazil., Torbunde N; Institute of Human Virology, Abuja, Nigeria., Agot K; Impact Research and Development Organization, Kisumu, Kenya., Arinaitwe I; Catholic Relief Services, Kampala, Uganda., Beizer J; RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA., Chelwa N; Population Council, Lusaka, Zambia., Mbalinda SN; Makerere University, Kampala, Uganda., Miti S; Copperbelt University School of Medicine, Ndola, Zambia., Mwangwa F; Infectious Disease Research Collaboration, Kampala, Uganda.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2023 May; Vol. 27 (Suppl 1), pp. 50-63. Date of Electronic Publication: 2022 Jul 16.
DOI: 10.1007/s10461-022-03787-2
Abstrakt: Integrated service delivery, providing coordinated services in a convenient manner, is important in HIV prevention and treatment for adolescents as they have interconnected health care needs related to HIV care, sexual and reproductive health and disease prevention. This review aimed to (1) identify key components of adolescent-responsive integrated service delivery in low and middle-income countries, (2) describe projects that have implemented integrated models of HIV care for adolescents, and (3) develop action steps to support the implementation of sustainable integrated models. We developed an implementation science-informed conceptual framework for integrated delivery of HIV care to adolescents and applied the framework to summarize key data elements in ten studies or programs across seven countries. Key pillars of the framework included (1) the socioecological perspective, (2) community and health care system linkages, and (3) components of adolescent-focused care. The conceptual framework and action steps outlined can catalyze design, implementation, and optimization of HIV care for adolescents.
(© 2022. The Author(s).)
Databáze: MEDLINE
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