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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.

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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.

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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.

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Household income and sticky floors in children’s cognitive development: Evidence from the United Kingdom Millennium Cohort Study

Yekaterina Chzhen, Zlata Bruckauf
Longitudinal and life course study, July 2019, vol. 10 (3), pp. 307-326.

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Linking Social Rights to Active Citizenship for the Most Vulnerable: the Role of Rights and Accountability in the ‘Making’ and ‘Shaping’ of Social Protection

Rachel Sabates-Wheeler, Nikhil Wilmink, Abdul-Gafaru Abdulai, Richard de Groot, Tayllor Spadafora
The Euroepan Journal of Development Research, July 2019

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Understanding the Relationships Between HIV and Child Marriage: Conclusions From an Expert Consultation

Suzanne Petroni, Rachel Yates, Mannahil Siddigi, Chewe Luo, Arwyn Finnie, Damilola Walker, Alice Welbourn, Catherine J. Langevin-Falcon, Tia Palermo, Claudia Cappa
Journal of Adolescent Health, June 2019, vol. 64 (6), pp. 694–696 .

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Government of Malawi's unconditional cash transfer improves youth mental health

Gustavo Angeles, Jacobus de Hoop, Sudhanshu Handa, Kelly Kilburn, Annamaria Milazzo, Amber Peterman
Social Science & Medicine, March 2019, vol. 225, pp. 108-119.

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Risk Factors for Childhood Violence and Polyvictimization: A Cross-Country Analysis from Three Regions

Tia Palermo, Audrey Pereira, Naomi Neijhoft, Ghaji Bello, Robert Buluma, Pierre Diem, Rocio Aznar Daban, Inah Fatoumata Kaloga, Aminul Islam, They Kheam, Birgithe Lund-Henriksenj, Nankali Maksudk, Mary Catherine Maternowska, Alina Potts, Chivith Rottanak, Chea Samnangm, Mary Shawan, Miho Yoshikawa, Amber Peterman
Child Abuse and Neglect, February 2019, vol. 88, pp. 348-361.

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Exploring Impacts of Community-Based Legal Aid on Intrahousehold Gender Relations in Tanzania

Valerie Mueller, Amber Peterman, Lucy Billings, Ayala Wineman
Feminist Economics, January 2019

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Perspectives of adolescent and young adults on poverty-related stressors: a qualitative study in Ghana, Malawi and Tanzania

Brian J. Hall, Melissa Garabiles, Jacobus de Hoop, Audrey Pereira, Leah Prencipe, Tia Palermo
BMJ Open, 2019, vol. 9 (10)

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Violence against children in Latin America and the Caribbean: What do available data reveal about prevalence and perpetrators?

Karen Devries, Katherine G. Merrill, Louise Knight, Sarah Bott, Alessandra Guedes, Betzabe Butron-Riveros
Rev Panam Salud Public, 2019, vol. 43, pp. 1-10.

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92 items found