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WhatsApp-based sexual and reproductive health education for adolescents with perinatally acquired HIV

Lessons learned from an mHealth pilot intervention in South Africa

Bibliographic Data

ID19515461
AuthorsScarlett Bergam (0000-0001-6550-8508, University of KwaZulu-Natal, corresponding author), Thobekile Sibaya (0000-0001-6819-9712, University of KwaZulu-Natal), Casiel T Gethers (0000-0003-1285-0072, Emory University School of Medicine), Nompumelelo Ndlela (University of KwaZulu-Natal), Mpume Kuzwayo (University of KwaZulu-Natal), Vincent C Marconi (0000-0001-8409-4689, Emory University School of Medicine), Jessica E Haberer (0000-0001-5845-3190, Massachusetts General Hospital), Moherndran Archary (0000-0003-3082-9234, University of KwaZulu-Natal), Brian C Zanoni (0000-0002-8640-7703, Emory University School of Medicine)
Year2025
Volume25
Issue4
Pages481-495
Publication date2025-07-04
Open AccessYes
TypeARTICLE
VenueSex Education (JOURNAL)
Journal identifiersISSN: 1468-1811 • E-ISSN: 1472-0825
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14681811.2024.2357223
PMID40546818
OpenAlexW4399484752
LanguageEN
Citations received1
References cited18

Adolescents with perinatally-acquired HIV in South Africa have limited access to relevant sexual and reproductive health (SRH) education. Mobile health (mHealth) can discreetly deliver such education but has not been tested with members of this population. In this study, we describe the effects of an mHealth intervention to support transition to adult care-Interactive Transition Support for Adolescents with HIV (InTSHA)-on SRH attitudes. Between May 2021 and February 2022, we enrolled adolescents with perinatally-acquired HIV aged 15-19 from a government clinic in urban KwaZulu-Natal, South Africa. Baseline and six-month SRH questionnaires were adapted from a WHO adolescent SRH survey, consisting of nine positively worded items on a four-point Likert scale. Transcripts of the mHealth intervention modules were thematically analysed. Of 80 participants enrolled, 47 completed the SRH survey at both time points (mean age: 17.2 years); 25 (53.2%) were female and 19 (40.4%) were randomised to InTSHA. Likert scores improved from baseline to follow-up for the InTSHA group for specific SRH questions, overlapping with the frequency that topics such as 'Defining Sexuality', 'Discussing Sex with Caregivers', and 'Comfort Saying No to Sex'-were discussed by adolescents. mHealth is a tool for interactive SRH education that should be further developed

Biology · Developing country · Environmental health · Family medicine · Human sexuality · mHealth · Population · Psychological intervention · Reproductive health · Reproductive rights · Sex education · Sexual and reproductive health and rights · Sexuality education · Sociology · Clinical Psychology · Focus Groups and Qualitative Methods · Gender Studies · HIV/AIDS Research and Interventions · Medicine · Mobile Health and mHealth Applications · Nursing · Psychology

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  • Analyzing and Interpreting Data From Likert-Type Scales

    Gail M Sullivan, Anthony R Artino•Journal of Graduate Medical…•2013

  • An mHealth HIV prevention programme for youth

    Maretha Visser, Marinda Kotzé et al.•AIDS Care•2020

  • Consistent Provisions Mitigate Exposure to Sexual Risk and HIV Among Young Adolescents in South Africa

    Open Access•Elona Toska, Laurence Campeau et al.•AIDS and Behavior•2019

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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