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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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JOURNAL ARTICLES BY DATE

92 items found

Cash Transfers, Early Marriage, and Fertility in Malawi and Zambia

Fidelia Dake, Luisa Natali, Gustavo Angeles, Jacobus de Hoop, Sudhanshu Handa
November 2018

Income transfers, early marriage and fertility in Malawi and Zambia

Fidelia Dake, Luisa Natali, G. Angeles, Jacobus de Hoop, Sudhanshu Handa, Amber Peterman
Studies in Family Planning, November 2018

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Effects of Public Policy on Child Labor: Current Knowledge, Gaps, and Implications for Program Design

Ana C. Dammert, Jacobus de Hoop, Eric Mvukiyehe, Furio Camillo Rosati
World Development, October 2018, vol. 110, pp. 104-123.

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Mythbusting: confronting six common perceptions about cash transfer programs in sub-Saharan Africa

Sudhanshu Handa, Silvio Daidone, Amber Peterman, Benjamin Davis, Audrey Pereira, Tia Palermo, Jennifer Yablonski
World Bank Research Observer , October 2018, vol. 33 (2), pp. 259-298.

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A mixed-method review of Intimate partner violence and cash transfers in low- and middle-income countries

A.M. Buller, Amber Peterman, M. Raganathan, A. Bleile, M. Hidrobo, L. Heise
World Bank Research Observer , September 2018, vol. 33 (2), pp. 218-258.

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WASH and Nutrition Synergies: The Case of Tunisia

Jose Cuesta, L. Maratou-Kolias
Journal of Development Studies, Published online on 19 September 2018, September 2018

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Can unconditional cash transfers raise long-term living standards? Evidence from Zambia

Sudhanshu Handa, Luisa Natali, David Seidenfeld, Gelson Tembo, Benjamin Davis
Journal of Development Economics, July 2018, vol. 133, pp. 42-65.

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Children’s Roles in Social Reproduction: reexamining the discourse on care through a child lens

Elena Camilletti, Prerna Banati, Sarah Cook
The Journal of Law, Social Justice and Global Development, June 2018 (21), pp. 33-48.

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Examination of performance of the Center for Epidemiologic Studies Depression Scale Short Form 10 among African youth in poor, rural households

Kelly Kilburn, Leah Prencipe, Lisa Hjelm, Amber Peterman, Sudhanshu Handa, Tia Palermo
BMC Psychiatry, June 2018, vol. 18 (201)

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92 items found