Showing 1 - 20 of 36 Results for "parents"

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Interventions are needed to assist parents dying of AIDS with planning for the future well-being of their children. [See also %{s:61}] Studies found that many parents dying from AIDS had not written wills nor provided custody arrangements for their children.
Orphans and Vulnerable Children
1 study
Unconditional cash transfers to parents’ households or to adolescent girls may lead to increased age of sexual debut and/or reduce transactional sex
Mitigating Risk
4 studies Gray II, IIIa, IIIb, IV cash transfers, orphans, sex behavior, sexual debut Kenya, South Africa
Interventions are needed to support parents and caregivers on taking care of children living with HIV. Needs include information and training as well as combating stigma and discrimination against HIV-positive children.
Women and Girls
1 study
Interventions are needed to bring men and women, youth and parents together to focus on the positive aspects of sexuality. Studies found sexual education focuses on disease, burdening girls with prohibitions, yet neglecting boys.
Mitigating Risk
1 study
Interventions are needed to reduce cross-generational sex and marriage. Studies found that young women relied on older men to pay their school fees in exchange for sex. Numerous studies found significant numbers of young girls having sexual relationships with older men, who are more likely to be HIV-positive and seek sexual partnerships with younger women. Studies also found that due to poverty, parents encouraged transactional sex and that efforts are needed to address parental pressures.
Mitigating Risk
1 study
Adolescents living with HIV need information and services through adolescent-friendly HIV services on a number of topics, including disclosure, safer sex, contraception, safe motherhood and gender-based violence. Studies found that health providers were unprepared to discuss HIV and contraception with adolescents who acquired HIV through perinatal transmission, despite the fact that significant numbers of these adolescents were already sexually active. Another study found that these adolescents need skills to disclose their serostatus to sexual partner. WHO recommends that perinatally infected adolescents be advised of their positive serostatus by age 6 (WHO, 2013) but there is little guidance on disclosure for adolescents. Facilitated disclosure by parents and providers to adolescents living with HIV may lead to higher retention in HIV care (Arrive et al., 2012). Parents living with HIV whose adolescents may be living with HIV also need assistance to disclose to their adolescents, as parents fear rejection from their children. Positive health dignity and prevention interventions can help people living with HIV lead healthy lives and reduce HIV transmission, but tailored interventions for adolescents and their parents have not been evaluated for effectiveness, although a trial is currently ongoing (Cunningham, 2015; Mofeson and Cotton, 2013). One study found that 29% of young women aged 16 to 24 living with HIV reported being forced to have sex. No validated curriculum that was shown to be effective for reducing unsafe sex among adolescents living with HIV was found, although some manuals have been developed (Parker et al., 2013c; UNESCO and GNP+, 2012).
Increasing Access to Services
1 study
Laws and practices that obstruct adolescents’ access to services, such as parental consent requirements, age, and marital status requirements, must be aligned with the actual behavior of adolescents. Studies found that legal requirements restricted adolescents from getting tested for HIV even if they were sexually active and at risk for HIV. "There is a strong evidence base that the stigma, discrimination and criminalization affecting adolescent key populations aged 10 to 17 is intensified due to domestic and international legal constructs that rely on law-enforcement based interventions dependent upon arrests, pre-trial detention, incarceration and compulsory ‘rehabilitation’ in institutional placements," particularly among adolescents who sell sex or inject drugs (Conner, 2015: para 1).
Increasing Access to Services
1 study
Interventions are needed to reduce the higher attrition rate among pregnant adolescents living with HIV, including those perinatally infected, and provide needed support by parents and others. [See also %{c:9}] Additional research may also be needed on how to best care for perinatally-infected pregnant women who have decreased virological suppression, increased risk of vertical transmission and increased challenges in remaining adherent. While currently noted in the United States, it is anticipated to be relevant to low- and middle-income countries as more perinatally-infected women give birth.
Antenatal Care - Treatment
1 study
Communication between adults and young people about reproductive health information can increase protective behaviors.
Mitigating Risk
6 studies Gray IIIa, IIIb adolescents, adults, communication, condom use, parents, sexuality Cameroon, South Africa, Tanzania
Treatment support sessions can increase adherence among adolescents.
Increasing Access to Services
5 studies Gray II, IIIb, V adherence, adolescents, parents, reatment, support, testing, treatment, ttesting South Africa, Thailand, Zambia, Zimbabwe
Orphans and Vulnerable Children
Care and Support
In some countries, three generations have been affected by HIV (Oladokun et al., 2010a). Even as incidence declines, there is a clear need to continue meeting the needs of children orphaned and made vulnerable due to HIV and AIDS. "Nowadays there is a deadly disease called AIDS. This disease is only treated but not cured. Anyone can be infected -- male, female, young, old, rich, poor, educated...
Accelerating treatment access for adults with children can reduce the number of orphans, improve pediatric mortality and social well-being. [See also %{c:13}]
Orphans and Vulnerable Children
4 studies Gray IIIa, IIIb, V child labor, education, mortality, orphans, treatment Kenya, South Africa, Uganda, Ukraine
Care and Support
Care and support generally includes both care of people living with HIV and AIDS and of families and children affected by HIV and AIDS. UNAIDS includes in its definition home- and community-based care (HCBC), palliative care, psychological support, carer support, and nutrition support. Among these, HCBC is meant to be the foundation on which national antiretroviral treatment programmes are buil...
Early HIV diagnosis and early HAART for HIV positive infants can drastically reduced infant mortality in resource-limited settings.
Postpartum
1 study Gray II PMTCT, testing, treatment South Africa
Conditional cash transfers can enable girls to stay in school and may result in reduced incidence of HIV. [See also %{s:63}]
Advancing Education
1 study Gray II cash transfers, education, sexual behavior Malawi
Providing community development projects, rather than a narrowly defined HIV/AIDS program, may reduce the stigma against OVC.
Orphans and Vulnerable Children
2 studies Gray IV OVC, community-based care, stigma Kenya, Tanzania
Community or school-based HIV education can reduce stigmatizing attitudes towards those living with HIV
Mitigating Risk
6 studies Gray IIIa, IIIb, V Lao PDR, adolescents, communication, education, knowledge, self-perception, sex education, sexual behavior, stigma China, South Africa, Thailand, Uganda
Increasing Access to Services
Prevention and Services for Adolescents and Young People
While the literature on access to HIV services by adolescents is limited, the literature on access to sexual and reproductive health services more broadly demonstrates that youth-friendly approaches can increase use of reproductive health care services by female adolescents (Gay et al., 2015). Young peoples service needs are frequently overlooked in HIV programming that is not specifically for ...
Mitigating Risk
Prevention and Services for Adolescents and Young People
Young People Need Information "I want to know if I can have a boyfriend because every time I ask my mum she tells me not to. I would also love to learn about safe sex and safe motherhood (14 year old adolescent girl living with HIV, Zambia cited in Mburu et al., 2013). A review of the global literature on adolescents found that "there is a significant unmet need for information, education, an...
Advancing Education
Strengthening the Enabling Environment
Increasing girls' access to education is critical to combating the AIDS pandemic. "There is a well-established protective effect of schooling on HIV risk" (Pettifor et al., 2008a; Hargreaves et al., 2008a; Jukes et al., 2008 cited in Pettifor et al., 2012a: 1). Education of girls is associated with delayed marriage and childbearing, lower fertility, healthier babies, and increased earning poten...