| Titre : | HIV Prevention through Sexual Health Intervention among Youth (15-24 years) in Sub-Saharan Africa : A Scoping Review of Existing Efforts |
| Auteurs : | Fatahiya Sumaila ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2024 |
| Description : | 45p. / fig., tabl |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | VIH ; Prévention santé ; Jeunes ; Adolescent ; Afrique du Sud ; Botswana ; Tanzanie ; Kenya ; Afrique subsaharienne |
| Résumé : |
Introduction: Human Immunodeficiency Virus (HIV) remains a significant public health challenge in Sub-Saharan Africa (SSA), particularly among young people aged 15-24, despite progress in recent years. Sexual health and education interventions prove to be an effective way of targeting this demographic, yet little is known of the strategies already in place in SSA in order to assess their efficacy. To address this, we conducted a scoping review focusing on five priority countries in SSA: Kenya, Tanzania, Botswana, Eswatini, and South Africa.
Methods: We conducted a scoping review using the PRISMA-ScR checklist, focusing on studies published in the ten-year period between January 2013 and December 2023. Eligibility criteria included studies addressing HIV prevention/treatment, involving interventions related to sexual health, within a study population aged 15 to 24 years, and conducted in Kenya, Tanzania, Botswana, Eswatini, or South Africa. Additionally, studies had to be published in English. Exclusion criteria comprised observational studies, studies not within the specified age range or geographic scope, multi-country studies involving countries outside the selected ones, and non-English articles. The screening process involved title and abstract screening followed by full-text screening. Results: Our search strategy yielded 2,494 records from database searches and an additional 15 from gray literature. After identifying and removing duplicate records, 2,362 unique records remained. Following title and abstract screening, 215 records underwent full-text screening, with 196 records excluded. Ultimately, 19 studies met all inclusion criteria and were included in the final synthesis. Findings from the review revealed positive impacts on healthcare access, economic empowerment, antiretroviral therapy (ART) adherence rates, mental health outcomes, and reduced HIV transmission risks among young people. Conclusion: The study highlights the importance of comprehensive, sustained, and multifaceted approaches in HIV prevention and intervention efforts. Recommendations for future interventions include prioritizing broader demographic groups, segmenting interventions by age groups, integrating diverse strategies, incorporating long-term follow-up in evaluations, and sustaining research efforts to address the unique vulnerabilities of young people in SSA |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2024/mph/fatahiya_sumaila.pdf |
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