Sexual reproductive healthcare utilisation and HIV testing in an integrated adolescent youth centre clinic in Cape Town, South Africa
Southern African Journal of HIV Medicine
| Field | Value | |
| Title | Sexual reproductive healthcare utilisation and HIV testing in an integrated adolescent youth centre clinic in Cape Town, South Africa | |
| Creator | Mendelsohn, Andrea S. Gill, Katherine Marcus, Rebecca Robbertze, Dante van de Venter, Claudine Mendel, Eve Mzukwa, Landisiwe Bekker, Linda-Gail | |
| Description | Background: HIV prevalence is increasing among South African youth, but HIV counselling and testing (HCT) remains low. Adolescent pregnancy rates are also high.Objectives: Innovative strategies are needed to increase HIV and pregnancy screening and prevention among youth.Method: The Desmond Tutu HIV Foundation Youth Centre (DTHF-YC) offers integrated, incentivised sexual and reproductive health (SRH), educational and recreational programmes. We compared HCT and contraception rates between the DTHF-YC and a public clinic (PC) in Cape Town to estimate the impact of DTHF-YC on youth contraception and HCT utilisation.Results: In 2015, females 18 years had 3.74 times (confidence interval [CI]: 3.37–4.15) more contraception visits at DTHF-YC versus PC. There were no differences in the contraception and adherence was suboptimal. DTHF-YC youth (aged 15–24 years) were 1.85 times (CI: 1.69–2.01) more likely to undergo HCT versus PC, while male youth were 3.83 times (CI: 3.04–4.81) more likely to test at DTHF-YC. Youth were a third less likely to test HIV-positive at DTHF-YC versus PC. Female sex, older age, clinic attendance for contraception and sexually transmitted infections (STIs), redeeming incentives and high DTHF-YC attendance were all independent factors associated with increased HCT.Conclusion: Youth were significantly more likely to access SRH services at DTHF-YC compared with the PC. The differences were greatest in contraception use by female adolescents 18 years and HCT by male youth. Increased HCT did not increase youth HIV case detection. Data from DTHF-YC suggest that youth-friendly healthcare providers integrated into community youth spaces may increase youth HCT and contraception rates. | |
| Publisher | AOSIS | |
| Date | 2018-11-26 | |
| Identifier | 10.4102/sajhivmed.v19i1.826 | |
| Source | Southern African Journal of HIV Medicine; Vol 19, No 1 (2018); 7 pages 2078-6751 1608-9693 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajhivmed.org.za/index.php/hivmed/article/view/826/1299
https://sajhivmed.org.za/index.php/hivmed/article/view/826/1298
https://sajhivmed.org.za/index.php/hivmed/article/view/826/1300
https://sajhivmed.org.za/index.php/hivmed/article/view/826/1297
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