CONNECT
search advanced search
UNICEF Innocenti
Office of Research-Innocenti
search menu
Innocenti experts produce high quality research that is frequently published in international peer reviewed journals. The themes of publications featured here reflect the entire spectrum of issues shaping global policies and outcomes for children.

LATEST

Uptake of HIV testing among adolescents and associated adolescent-friendly services

Uptake of HIV testing among adolescents and associated adolescent-friendly services

Jennifer Waidler, Rachel Kidman, Tia Palermo
BMC Health Services Research, September 2020 (20), pp. 10.

VIEW ARTICLE


ABSTRACT

HIV testing remains low among adolescents. Making public health services more adolescent-friendly is one strategy used to encourage testing. However, it remains unclear whether government-led initiatives have a meaningfully impact. The current study is observational and utilizes two sources of data (health-facility and adolescent-level) from one round of data collection of an on-going, longitudinal impact evaluation of a pilot cash plus program targeting adolescents. This study linked data from adolescent surveys (n = 2191) to data collected from nearby government-run health facilities (n = 91) in two rural regions of Tanzania. We used log binomial regression models to estimate the association between specific adolescent-friendly health service (AFHS) characteristics and adolescents’ uptake of 1) HIV testing and 2) visiting a health care facility in the past year for sexual and reproductive health (SRH) services.

Most adolescents (67%) lived in a village with a health facility, and all offered HIV services. We find, however, that AFHS have not been fully implemented. For example, less than 40% of facilities reported that they had guidelines for adolescent care. Only 12% of facilities had a system in place for referral and follow-up with adolescent clients, yet this was an important predictor of both past-year HIV testing (RR = 1.28, p < 0.1) and SRH visits (RR = 1.44, p < 0.05). Less than half (44%) offered services for survivors of gender-based violence (GBV), a significant predictor of past-year HIV testing (RR = 1.20, p < 0.05) and SRH visits (RR = 1.41, p < 0.01) among sexuallyactive adolescents.

We find that national guidelines on AFHS have not been fully translated into practice at the local level. We highlight particular gaps in adolescent referral systems and GBV services. Scaling up these two essential services could encourage greater HIV testing among a high-risk population, in addition to providing much needed support for survivors of violence.

MORE

JOURNAL ARTICLES BY DATE

92 items found

Comparing the Productive Effects of Cash and Food Transfers in a Crisis Setting: Evidence from a Randomised Experiment in Yemen

Benjamin Schwab
Journal of Development Studies, Supplement 1, December 2019, vol. 55, pp. 29-54.

VIEW ARTICLE


Economic Transfers and Social Cohesion in a Refugee-Hosting Setting

Elsa Valli, Amber Peterman, Melissa Hidrobo
Journal of Development Studies, Supplement 1, December 2019, vol. 55, pp. 128-146.

VIEW ARTICLE


Estimating the Welfare Costs of Reforming the Iraq Public Distribution System: A Mixed Demand Approach

Nandini Krishnan, Sergio Olivieri, Racha Ramadan
Journal of Development Studies, Supplement 1, December 2019, vol. 55, pp. 91-106.

VIEW ARTICLE


How to Target Households in Adaptive Social Protection Systems? Evidence from Humanitarian and Development Approaches in Niger

Pascale Schnitzer
Journal of development Studies, Supplement 1, December 2019, vol. 55, pp. 75-90.

VIEW ARTICLE


No Lost Generation: Supporting the School Participation of Displaced Syrian Children in Lebanon

Jacobus de Hoop, Mitchell Morey, David Seidenfeld
Journal of Development Studies, Supplement 1, December 2019, vol. 55, pp. 107-127.

VIEW ARTICLE


School Feeding or General Food Distribution? Quasi-Experimental Evidence on the Educational Impacts of Emergency Food Assistance during Conflict in Mali

Elisabetta Aurino, Jean-Pierre Tranchant, Amadou Sekou Diallo, Aulo Gelli
Journal of Development Studies, Supplement 1, December 2019, vol. 55, pp. 7-28.

VIEW ARTICLE


Social Protection in Contexts of Fragility and Forced Displacement: Introduction to a Special Issue

Tilman Brück, Jose Cuesta, Jacobus de Hoop, Ugo Gentilini, Amber Peterman
The Journal of Development Studies, Supplement 1, December 2019, vol. 55, pp. 1-6.

VIEW ARTICLE


Impact evaluation of a social protection programme paired with fee waivers on enrolment in Ghana’s National Health Insurance Scheme

Tia Palermo, Elsa Valli, Gustavo Angeles, Marlous de Milliano, Clement Adamba, Tayllor Renee Spadafora, Clare Barrington
BMJ Open, November 2019, vol. 9 (11)

VIEW ARTICLE


Aligning evidence generation and use across health, development, and environment

Heather Tallis, Katharine Kreis, Lydia Olander, Claudia Ringler, David Ameyaw, Mark E. Borsuk, Amber Peterman, et al.
Current Opinions in Environmental Sustainability, August 2019, vol. 39, pp. 81-93.

VIEW ARTICLE


92 items found