Peer Support for Adolescents and Young People Living with HIV in sub-Saharan Africa: Emerging Insights and a Methodological Agenda
Peer Support for Adolescents and Young People Living with HIV in sub-Saharan Africa: Emerging Insights and a Methodological Agenda
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DOI：
10.1007/s11904-019-00470-5
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发表时间：
2019-11-27
影响因子：
4.6
通讯作者：
Hatane, Luann
中科院分区：
文献类型：
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作者：
Mark, Daniella;Hrapcak, Susan;Hatane, Luann
尽管有明确的需求和不成比例的风险，但艾滋病毒感染者（AYPLHIV）在艾滋病毒应对中得不到充分的服务。“同伴支持”日益成为青少年和青年响应服务包的一部分，作为一类可支持青少年获得、参与和持续治疗的实施战略。本文探讨了撒哈拉以南非洲地区艾滋病毒/艾滋病感染者同伴支持的例子，以探讨成功实施、成果和扩大规模的决定因素，以及政策和方案的影响。最近的调查结果虽然青少年同伴支持已被观察到被广泛实施，有几个例子，详细的程序描述描述业务物流或结果周围的同伴支持干预措施。尽管如此，现有的几个例子为同伴支持改善艾滋病毒/艾滋病感染者结果的潜在效用提供了初步支持。执行科学研究是一个迫切需要审查适用性的同行支持这一优先人口。与此同时，各方案应根据有希望的成果、方案经验、对挑战和差距的背景了解以及最佳做法范例推进执行工作。
Purpose Despite clear need and disproportionate risk, adolescents, and young people living with HIV (AYPLHIV) are underserved within the HIV response. "Peer support" increasingly forms part of adolescent and youth-responsive service packages as a class of implementation strategies that can support adolescents to access, engage, and sustain treatment. This paper examines examples of peer support for AYPLHIV within sub-saharan Africa to explore the determinants of successful implementation, outcomes and scale-up, as well as policy and programmatic implications. Recent Findings Although adolescent peer support has been observed to be widely implemented, there are few examples of detailed program descriptions describing operational logistics or outcomes around peer support interventions. Nevertheless the few examples available provide preliminary support for the potential utility of peer support to improve AYPLHIV outcomes. Implementation science research is an urgent imperative to examine applicability of peer support for this priority population. In the meantime, programs should move forward with implementation based on promising outcomes, programmatic experience, contextual understanding of challenges and gaps, and best practice examples.