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Article: Young people's experiences of sexual and reproductive health interventions in rural KwaZulu-Natal, South Africa.

Zuma, Thembelihle / Seeley, Janet / Mdluli, Sakhile / Chimbindi, Natsayi / Mcgrath, Nuala / Floyd, Sian / Birdthistle, Isolde / Harling, Guy / Sherr, Lorraine / Shahmanesh, Maryam

International journal of adolescence and youth

2020  Volume 25, Issue 1, Page(s) 1058–1075

Abstract: Despite efforts to address HIV-infection, adolescents and young peoples' (AYP) engagement in interventions remains suboptimal. Guided by a risk protection framework we describe factors that support positive and negative experiences of HIV and SRH ... ...

Abstract Despite efforts to address HIV-infection, adolescents and young peoples' (AYP) engagement in interventions remains suboptimal. Guided by a risk protection framework we describe factors that support positive and negative experiences of HIV and SRH interventions among AYP in rural KwaZulu-Natal, South Africa, using data from: community mapping; repeat semi-structured individual interviews (n= 58 in 2017, n=50 in 2018, n=37 in 2019-2020); and group discussions (n=13). AYP who had appropriate and accurate HIV-and SRH-related information were reported to use health care services. Responsive health care workers, good family and peer relationships were seen to be protective through building close connections and improving self-efficacy to access care. In contrast to cross-generational relationships with men, alcohol and drug use and early pregnancy were seen to put AYP at risk. Policies and interventions are needed that promote stable and supportive relationships with caregivers and peers, positive social norms and non-judgemental behaviour within clinical services.
Language English
Publishing date 2020-10-18
Publishing country England
Document type Journal Article
ISSN 0267-3843
ISSN 0267-3843
DOI 10.1080/02673843.2020.1831558
Database MEDical Literature Analysis and Retrieval System OnLINE

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