| Autor: |
Kaunda-Khangamwa BN; Research Consultant, School of Global and Public Health, Kamuzu University of Health Sciences, MAC CDAC, Blantyre, Malawi.; Honorary Researcher, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa., Munthali A; Professor of Research, Centre for Social Research, University of Malawi, Zomba, Malawi., Manderson L; Distinguished Professor of Public Health and Medical Anthropology, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.; Adjunct Professor, School of Social Sciences, Monash University, Melbourne, Australia. |
| Jazyk: |
angličtina |
| Zdroj: |
Sexual and reproductive health matters [Sex Reprod Health Matters] 2023 Dec; Vol. 31 (1), pp. 2209956. |
| DOI: |
10.1080/26410397.2023.2209956 |
| Abstrakt: |
Sexual and reproductive health (SRH) care and support are provided to adolescents living with HIV, with the aim to build safer sex negotiation skills, sexual readiness and reproductive preparedness while reducing unintended pregnancies and sexually transmitted infections. We consider how different settings might either constrain or facilitate access to resources and support. Ethnographic research was conducted in Malawi in teen club clinic sessions at an enhanced antiretroviral clinic from November 2018 to June 2019. Twenty-one individual and five group interviews were conducted with young people, caregivers, and healthcare workers, and were digitally recorded, transcribed, and translated into English for thematic analysis . Drawing on socio-ecological and resilience theories, we considered the different ways in which homes, schools, teen club clinics, and community settings all functioned as interactional, relational, and transformational spaces to allow young people to talk about and receive information on sexuality and health. Young people perceived that comprehensive SRH support enhanced their knowledge, sexual readiness, and reproductive preparedness. However, their desire to reproduce at an early age complicated their adoption of safer sex negotiation skills and SRH care. Engaging and talking about SRH and related issues varied according to physical and social space, suggesting the value of multiple locations for support and resources for young people with HIV. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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