Supporting adolescents living with HIV within boarding schools in Kenya

Autor: Cosima Lenz, Pieter Leendert Fraaij, Fred Kiiru, Job Akuno, Judith Kose, Natella Rakhmanina, Solomon Leselewa, Elizabeth A Okoth, Godfrey Woelk, Justine Odionyi, Rose Otieno-Masaba
Přispěvatelé: Pediatrics
Rok vydání: 2021
Předmět:
Male
RNA viruses
Epidemiology
Social Stigma
Psychological intervention
Social Sciences
HIV Infections
Pathology and Laboratory Medicine
Adolescents
Literacy
Geographical Locations
Families
Sociology
Immunodeficiency Viruses
Health care
Medicine and Health Sciences
Child
Children
media_common
Reproductive health
Multidisciplinary
Schools
Capacity building
Professions
Health Education and Awareness
Medical Microbiology
HIV epidemiology
Viral Pathogens
Viruses
Medicine
Pathogens
Psychology
Adolescent health
Research Article
medicine.medical_specialty
Pediatric AIDS
Adolescent
Science
media_common.quotation_subject
education
Stigma (botany)
Microbiology
Education
SDG 3 - Good Health and Well-being
Retroviruses
medicine
Humans
Microbial Pathogens
business.industry
Lentivirus
Organisms
Biology and Life Sciences
HIV
Teachers
Kenya
Health Care
Age Groups
Health Care Facilities
Family medicine
People and Places
Africa
Population Groupings
business
Zdroj: PLoS ONE
PLoS ONE, 16(12 December):e0260278. Public Library of Science
PLoS ONE, Vol 16, Iss 12, p e0260278 (2021)
ISSN: 1932-6203
Popis: Adolescents and youth living with HIV (AYLHIV) are a uniquely vulnerable population facing challenges around adherence, disclosure of HIV status and stigma. Providing school-based support for AYLHIV offers an opportunity to optimize their health and wellbeing. The purpose of this study was to evaluate the feasibility of school-based supportive interventions for AYLHIV in Kenya. From 2016–2019, with funding from ViiV Healthcare, the Elizabeth Glaser Pediatric AIDS Foundation implemented the innovative Red Carpet Program (RCP) for AYLHIV in participating public healthcare facilities and boarding schools in Homa Bay and Turkana Counties in Kenya. In this analysis, we report the implementation of the school-based interventions for AYLHIV in schools, which included: a) capacity building for overall in-school HIV, stigma and sexual and reproductive health education; b) HIV care and treatment support; c) bi-directional linkages with healthcare facilities; and d) psychosocial support (PSS). Overall, 561 school staff and 476 school adolescent health advocates received training to facilitate supportive environments for AYLHIV and school-wide education on HIV, stigma, and sexual and reproductive health. All 87 boarding schools inter-linked to 66 regional healthcare facilities to support care and treatment of AYLHIV. Across all RCP schools, 546 AYLHIV had their HIV status disclosed to school staff and received supportive care within schools, including treatment literacy and adherence counselling, confidential storage and access to HIV medications. School-based interventions to optimize care and treatment support for AYLHIV are feasible and contribute to advancing sexual and reproductive health within schools.
Databáze: OpenAIRE
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