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Improving HIV and Contraception Uptake among Adolescent Girls in Malawi with Integrated Youth-Friendly Health Services

This study examines the impact of integrated sexual and reproductive health services on the uptake of HIV testing, condoms, and hormonal contraception among adolescent girls and young women in Malawi. The findings show that youth-friendly health services significantly improve service uptake and highlight the need for scaling up these models of care.

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Improving HIV and Contraception Uptake among Adolescent Girls in Malawi with Integrated Youth-Friendly Health Services

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  1. Integrated youth-friendly health services lead to substantial improvements in uptake of HIV testing, condoms, and hormonal contraception among adolescent girls and young women in MalawiNora E. Rosenberg, PhDN. Bhushan, D. Vansia, T. Phanga, B. Maseko, A. Kachigamba, J. Tang, M. Hosseinipour, A. Pettifor, L-G. BekkerTHPDE0101 The Girl Power study was funded by Evidence for HIV Prevention in Southern Africa (EHPSA), a DFID program managed by Mott MacDonald.

  2. Background • In SSA, adolescent girls and young women experience poor sexual and reproductive health outcomes. In Malawi: • 10% are HIV-infected by age 25 • More than half have a first birth in adolescence • Provider, privacy, and access barriers result in poor service uptake among AGYW. • Youth-friendly health services (YFHS) that address these barriers may impact HIV service uptake. Does a platform for integrated sexual and reproductive health services for young women increase use of HIV and family planning services?

  3. Study Design Comparison of clinic 1 (SOC) with clinics 2-4 (YFHS)

  4. Proportion who used each service at least once RD: 25% (20%, 31%) RD: 43% (38%, 48%) RD: 57% (50%, 63%) Mean number of times each service used N. Rosenberget al. JAIDS, in press

  5. Conclusion • Adolescents have distinct needs that require different models of service delivery. • Service uptake improves when provider, privacy, and access barriers are addressed. • Implementation science is needed to guide scale-up of youth-friendly models of care.

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