A Pilot Study of “Peer Navigators” to Promote Uptake of HIV Testing, Care and Treatment Among Street-Connected Children and Youth in Eldoret, Kenya
Bibliographic Data
| ID | 15334734 |
|---|---|
| Authors | Pooja Shah (0000-0001-5101-8129, AMPATH), M Kibel (0000-0001-9385-9575, University of Toronto), David Ayuku (0000-0001-7401-1165, Moi University), Regina Lobun (AMPATH), John Ayieko (AMPATH), Alfred Keter (0000-0003-2141-4838, AMPATH), Allan Kamanda (Moi University), Dominic Makori (0000-0002-5656-3801, AMPATH), Collins Khaemba (AMPATH), Anthony Ngeresa (AMPATH), Lonnie Embleton (0000-0002-9415-8903, University of Toronto), Katherine Macdonald (0000-0001-5173-8265), Katherine R MacDonald (0000-0001-9573-3335, Indiana University – Purdue University Indianapolis), Edith Apondi (0000-0002-7968-9394, Moi University), Paula Braitstein (0000-0003-0541-2955, Moi University, corresponding author) |
| Year | 2018 |
| Volume | 23 |
| Issue | 4 |
| Pages | 908-919 |
| Publication date | 2018-09-29 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-018-2276-1 |
| PMID | 30269232 |
| OpenAlex | W2892460999 |
| Language | EN |
| Citations received | 23 |
| References cited | 34 |
Research suggests a burden of HIV among street-connected youth (SCY) in Kenya. We piloted the use of peer navigators (PNs), individuals of mixed HIV serostatus and with direct experience of being street-connected, to link SCY to HIV testing and care. From January 2015 to October 2017, PNs engaged 781 SCY (585 male, 196 female), median age 16 (IQR 13-20). At initial encounter, 52 (6.6%) were known HIV-positive and 647 (88.8%) agreed to HIV testing. Overall, 63/781 (8.1%) SCY engaged in this program were HIV-positive; 4.6% males and 18.4% females (p < 0.001). Of those HIV-positive, 48 (82.8%) initiated ART. As of October 2017, 35 (60.3%) of the HIV-positive SCY were alive and in care. The pilot suggests that PNs were successful in promoting HIV testing, linkage to care and ART initiation. More research is needed to evaluate how to improve ART adherence, viral suppression and retention in care in this population
Environmental health · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Population · Public health · Serostatus · Viral load · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Nursing · Gerontology
Living the work
Determinants of HIV testing and oral PrEP uptake among youth at Malawi University of Business and Applied Sciences
Using scenario videos with Theatre Testing method to adapt a peer navigation model to improve street-connected youth's access to HIV care in Kenya and Canada
Improving access to healthcare services for people experiencing homelessness
Exploring the application of the navigation model with people experiencing homelessness
Who gets missed in Zambia’s antenatal HIV testing? Persistent inequities despite routine screening policies in Zambia
Sustainability of an evidence-based intervention supporting transition to independent care for youth living with HIV in Kenya
Peer and lay health work for people experiencing homelessness
Understanding motivations and resilience-associated factors to promote timely linkage to HIV care
Aligning Well‐Being Interventions and Sustainable Development Goals
Ethical Considerations for Engaging Youth Living with HIV in Research
Adapting and Scaling-up Peer Navigators to Targeted Populations of Street-Involved Youth in Kenya and Canada to Increase Engagement in HIV Prevention, Testing, and Treatment
Improving livelihoods and gender equitable attitudes of street‐connected young people in Eldoret, Kenya
From analog to digital”
Assessment of HIV and STI vulnerabilities and associated factors among street children in Islamabad capital territory, Pakistan
Adapting an evidence-based gender, livelihoods, and HIV prevention intervention with street-connected young people in Eldoret, Kenya
HIV and mental health among young people in low-resource contexts in Southeast Asia
Evaluating peer navigation in promoting digital secondary distribution of HIV self-testing among men who have sex with men in China
Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV
Strategies to Facilitate Service Utilization Among Youth at Risk for HIV
Using the Implementation Research Logic Model as a Lens to View Experiences of Implementing HIV Prevention and Care Interventions with Adolescent Sexual Minority Men—A Global Perspective
Expert client service delivery practices among adolescents living with HIV in Eswatini
Recommendations for improving access to healthcare for street-connected children and youth in Kenya
Improving Engagement in the HIV Care Cascade
Adherence to antiretroviral therapy in adolescents living with HIV
HIV System Navigation
The Joint United Nations Programme on HIV/Aids
Causes of death among street-connected children and youth in Eldoret, Kenya
“It is all about the fear of being discriminated [against]…the person suffering from HIV will not be accepted”
Initiation to street life
Harnessing the power of the grassroots to conduct public health research in sub-Saharan Africa
HIV Knowledge and Sexual Risk Behaviors of Street Children in Takoradi, Ghana
Eating sweets without the wrapper
Burning “Centre Bolt”
Rooting Inquiry in Tradition
Kunyenga, "Real Sex," and Survival
| Unique citing works | 23 |
|---|---|
| Citations per year | 3,29 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 22 |