The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Young people’s experiences of sexual and reproductive health interventions in rural KwaZulu-Natal, South Africa

Young people’s experiences of sexual and reproductive health interventions in rural KwaZulu-Natal, South Africa
Young people’s experiences of sexual and reproductive health interventions in rural KwaZulu-Natal, South Africa

Despite efforts to address HIV-infection, adolescents and young peoples’ (AYP) engagement in interventions remain suboptimal. Guided by a risk protection framework we describe factors that support positive and negative experiences of HIV and SRH interventions among AYP in rural KwaZulu-Natal, South Africa, using data from: community mapping; repeat semi-structured individual interviews (n = 58 in 2017, n = 50 in 2018, n = 37 in 2019–2020); and group discussions (n = 13). AYP who had appropriate and accurate HIV-and SRH-related information were reported to use health-care services. Responsive health-care workers, good family and peer relationships were seen to be protective through building close connections and improving self-efficacy to access care. In contrast to cross-generational relationships with men, alcohol and drug use and early pregnancy were seen to put AYP at risk. Policies and interventions are needed that promote stable and supportive relationships with caregivers and peers, positive social norms and non-judgemental behaviour within clinical services.

adolescents, HIV, prevention interventions, protective factors, risk, South Africa
0267-3843
1058-1075
Zuma, Thembelihle
6e5dfc5e-d0b9-4a52-be15-fa78a3aa4a53
Seeley, Janet
d054fcce-891e-492e-855e-ccdb122dc120
Mdluli, Sakhile
01448e45-7e32-4833-a425-6b9e074c0eb6
Chimbindi, Natsayi
c518d13f-6c0b-4eb2-92f5-89d260eeba87
Mcgrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Floyd, Sian
e9de12a7-bb1d-46c6-ab0e-12f30c6e8659
Birdthistle, Isolde
de32dd88-7206-4bc3-9cb9-b86f15707cfa
Harling, Guy
0403b83a-0afe-472c-a184-7a6357afe29a
Sherr, Lorraine
dcc07842-49e3-44fc-bf87-d56dd0f15323
Shahmanesh, Maryam
d88581c9-0ef2-4506-b8d3-d72682936a09
Zuma, Thembelihle
6e5dfc5e-d0b9-4a52-be15-fa78a3aa4a53
Seeley, Janet
d054fcce-891e-492e-855e-ccdb122dc120
Mdluli, Sakhile
01448e45-7e32-4833-a425-6b9e074c0eb6
Chimbindi, Natsayi
c518d13f-6c0b-4eb2-92f5-89d260eeba87
Mcgrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Floyd, Sian
e9de12a7-bb1d-46c6-ab0e-12f30c6e8659
Birdthistle, Isolde
de32dd88-7206-4bc3-9cb9-b86f15707cfa
Harling, Guy
0403b83a-0afe-472c-a184-7a6357afe29a
Sherr, Lorraine
dcc07842-49e3-44fc-bf87-d56dd0f15323
Shahmanesh, Maryam
d88581c9-0ef2-4506-b8d3-d72682936a09

Zuma, Thembelihle, Seeley, Janet, Mdluli, Sakhile, Chimbindi, Natsayi, Mcgrath, Nuala, Floyd, Sian, Birdthistle, Isolde, Harling, Guy, Sherr, Lorraine and Shahmanesh, Maryam (2020) Young people’s experiences of sexual and reproductive health interventions in rural KwaZulu-Natal, South Africa. International Journal of Adolescence and Youth, 25 (1), 1058-1075. (doi:10.1080/02673843.2020.1831558).

Record type: Article

Abstract

Despite efforts to address HIV-infection, adolescents and young peoples’ (AYP) engagement in interventions remain suboptimal. Guided by a risk protection framework we describe factors that support positive and negative experiences of HIV and SRH interventions among AYP in rural KwaZulu-Natal, South Africa, using data from: community mapping; repeat semi-structured individual interviews (n = 58 in 2017, n = 50 in 2018, n = 37 in 2019–2020); and group discussions (n = 13). AYP who had appropriate and accurate HIV-and SRH-related information were reported to use health-care services. Responsive health-care workers, good family and peer relationships were seen to be protective through building close connections and improving self-efficacy to access care. In contrast to cross-generational relationships with men, alcohol and drug use and early pregnancy were seen to put AYP at risk. Policies and interventions are needed that promote stable and supportive relationships with caregivers and peers, positive social norms and non-judgemental behaviour within clinical services.

Text
Revised_Full_Manuscript_23_09_2020 - Accepted Manuscript
Download (88kB)

More information

Accepted/In Press date: 28 September 2020
e-pub ahead of print date: 18 October 2020
Published date: 31 December 2020
Keywords: adolescents, HIV, prevention interventions, protective factors, risk, South Africa

Identifiers

Local EPrints ID: 445795
URI: http://eprints.soton.ac.uk/id/eprint/445795
ISSN: 0267-3843
PURE UUID: be6fd783-f54c-43b5-a9f7-bdf183ead7f3
ORCID for Nuala Mcgrath: ORCID iD orcid.org/0000-0002-1039-0159

Catalogue record

Date deposited: 07 Jan 2021 17:34
Last modified: 10 Jan 2022 05:14

Export record

Altmetrics

Contributors

Author: Thembelihle Zuma
Author: Janet Seeley
Author: Sakhile Mdluli
Author: Natsayi Chimbindi
Author: Nuala Mcgrath ORCID iD
Author: Sian Floyd
Author: Isolde Birdthistle
Author: Guy Harling
Author: Lorraine Sherr
Author: Maryam Shahmanesh

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×