Integrated youth-friendly health services lead to substantial improvements in uptake of HIV testing, condoms, and hormonal contraception among adolescent.

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Presentation transcript:

Integrated youth-friendly health services lead to substantial improvements in uptake of HIV testing, condoms, and hormonal contraception among adolescent girls and young women in Malawi Nora E. Rosenberg, PhD N. Bhushan, D. Vansia, T. Phanga, B. Maseko, A. Kachigamba, J. Tang, M. Hosseinipour, A. Pettifor, L-G. Bekker THPDE0101 The Girl Power study was funded by Evidence for HIV Prevention in Southern Africa (EHPSA), a DFID program managed by Mott MacDonald.

Background In SSA, adolescent girls and young women experience poor sexual and reproductive health outcomes. In Malawi: 10% are HIV-infected by age 25 More than half have a first birth in adolescence Provider, privacy, and access barriers result in poor service uptake among AGYW. Youth-friendly health services (YFHS) that address these barriers may impact HIV service uptake. Does a platform for integrated sexual and reproductive health services for young women increase use of HIV and family planning services?

Youth-Friendly Health Services (YFHS) Study Design Clinic 1 Standard of Care (SOC) Clinic 2 Youth-Friendly Health Services (YFHS) Clinic 3 Clinic 4 Vertical services HIV testing X STI syndromic management Hormonal contraception Youth Friendly health services (YFHS) Integrated youth services Removal of access barriers Privacy from older adults Youth-friendly/young providers Other Services Empowerment sessions Cash transfer Comparison of clinic 1 (SOC) with clinics 2-4 (YFHS)

Proportion who used each service at least once RD: 25% (20%, 31%) RD: 57% (50%, 63%) RD: 43% (38%, 48%) Mean number of times each service used N. Rosenberg et al. JAIDS, in press

Conclusion Adolescents have distinct needs that require different models of service delivery. Service uptake improves when provider, privacy, and access barriers are addressed. Implementation science is needed to guide scale-up of youth-friendly models of care.