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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

An empirical exploration of female child marriage determinants in Indonesia

Lauren Rumble, Amber Peterman, Nadira Irdiana, Margaret Triyana, Emilie Minnick
BMC Public Health, March 2018

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The Role of Productive Activities in the Lives of Adolescents: Photovoice Evidence from Malawi

Susannah Zietz, Jacobus de Hoop, Sudhanshu Handa
Children and Youth Services Review, February 2018, vol. 86, pp. 246-255.

Children, HIV, emergencies and Sustainable Development Goals: roadblocks ahead and possible solutions

Dick Chamla, Chewe Luo, Priscilla Idele
JIAS - Journal of the International AIDS Society, February 2018

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Who perpetrates violence against children? A systematic analysis of age- and sex-specific data

K. Devries, L. Knight, M Petzold, L. Maxwell, A. Williams, Claudia Cappa, E. Chan, C. Garcia-Moreno, H. Hollis, H. Kress, Amber Peterman, S.D. Walsh, A. Guedes, S. Kishor, S. Bott, B. Butron, C. Watts, N. Abrahams
BMJ Paediatrics Open , February 2018, vol. 2

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International trends in ‘bottom-end’inequality in adolescent physical activity and nutrition: HBSC study 2002–2014

Yekaterina Chzhen, Irene Moor, William Pickett, Emilia Toczydlowska, Gonneke W J M Stevens
European Journal of Public Health, 2018

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Does money buy happiness? Evidence from an unconditional cash transfer in Zambia

Luisa Natali, Sudhanshu Handa, Amber Peterman, David Seidenfeld, Gelson Tembo
SSM - Population Health, 2018

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Poverty, Disputes and Access to Justice in Conflict Affected Areas of Indonesia

Jose Cuesta, E. Skoufias, L. Madrigal
Journal of Economic Policy Reform, 2018, vol. 21 (1), pp. 21-38.

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Tackling Income Inequality: What Works and Why?

Jose Cuesta, Mario Negre, Ana Revenga, Maika Schmidt
Journal of Income Distribution, 2018, vol. 26 (1)

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92 items found