User-informed tailoring of electronic and in-person peer navigation strategies to improve retention in HIV care for adolescents and young adults
A qualitative inquiry
Bibliographic Data
Poor adherence and retention in HIV care remain a major challenge among adolescents and young adults (AYA) living with HIV in sub-Saharan Africa (SSA). Strategies are urgently required to support AYA to remain in care for better health outcomes. We explored AYA preferences regarding the format and delivery of electronic and in-person peer navigation to improve HIV care outcomes. This formative qualitative study was conducted among AYA enrolled in HIV care at three clinics in western Kenya. We conducted two focus group discussions (FGDs) each with 8–9 participants (n = 17) purposively selected based on age, gender and clinic where they received care. The characteristics desired of a navigator are a person of the same age group and HIV status who has a good memory and is friendly and able to maintain confidentiality. AYA want the content of their interaction with the navigator to center on sharing motivational messages and also educating them on matters of HIV care, sexual and reproductive health and mental health. The preferred navigation formats for electronic communication are platforms considered confidential. AYA preferred interventions delivered through secure communication platforms by navigators with whom they have commonalities. The navigation interventions that prioritize confidentiality and holistic content will likely be most highly valued by AYA. Furthermore, electronic mechanisms can help support the relationship building that is at the core of our navigation approach and a fundamental aspect of social work in general
Confidentiality · Environmental health · Family medicine · Focus group · Formative assessment · Health care · Medical education · Mental health · Peer support · Population · Psychiatry · Psychological intervention · Qualitative research · Reproductive health · Adolescent Sexual and Reproductive Health · Computer Science · HIV/AIDS Research and Interventions · ICT in Developing Communities · Medicine · Nursing · Psychology
The qualitative content analysis process
A youth-centred approach to improving engagement in HIV services
Thetha Nami
Effectiveness of community adolescent treatment supporters (Cats) interventions in improving linkage and retention in care, adherence to ART and psychosocial well-being
How Many Focus Groups Are Enough? Building an Evidence Base for Nonprobability Sample Sizes
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