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A mobile school-based HCT service - is it youth friendly

Bibliographic Data

ID2177746
AuthorsEstelle Lawrence (Western Cape Department of Health, corresponding author), Patricia Struthers (Western Cape Department of Health), Geert Van Hove (0000-0003-3266-0524, HOGENT University of Applied Sciences and Arts)
Year2016
Volume13
Issue1
Pages123-135
Publication date2016-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSAHARA-J Journal of Social Aspects of HIV/AIDS (JOURNAL)
Journal identifiersISSN: 1729-0376 • E-ISSN: 1813-4424
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/17290376.2016.1222597
PMID27576352
OpenAlexW2512401997
LanguageEN
Citations received3
References cited9

BACKGROUND: Despite an increase in HIV Counselling and Testing (HCT), few young people have been tested. It has been suggested that they do not test because formal health services (where HCT is provided) are often not youth friendly. The World Health Organisation describes a youth-friendly health service (YFHS) as one which is accessible, equitable, acceptable, appropriate, and effective. A mobile school-based model has been implemented by a non-governmental organisation in Cape Town in an attempt to make HCT more youth friendly and accessible to young people. The objective of this study was to explore whether this mobile school-based HCT service is youth friendly. METHODS: The study was descriptive, using three qualitative data collection methods: observation of the HCT site at two secondary schools; interviews with six service providers; and direct observation of 21 HCT counselling sessions. KEY RESULTS: The mobile school-based HCT service fulfilled some of the criteria for being a YFHS. The service was equitable in that all students, irrespective of race, gender, age, or socio-economic status, were free to use the service. It was accessible in terms of location and cost, but students were not well informed to make decisions about using the service. The service was acceptable in that confidentiality was guaranteed and the service providers were friendly and non-judgemental, but it was not considered acceptable in that there was limited privacy. The service was appropriate in that HCT is recommended as an intervention for decreasing the transmission of HIV, based on evidence and expert opinion; however, in this case, HCT was provided as a stand-alone service rather than part of a full package of services. Moreover, studies have suggested that young people want to know their HIV status. The service was ineffective in that it identified students who are HIV positive; however, these students were not assisted to access care. CONCLUSION: Providing HCT in the school setting may make HCT more accessible for students, but it needs to be provided in an equitable, accessible, acceptable, and effective way

Business · Computer security · Confidentiality · Medical education · Service delivery framework · Service provider · User Friendly · Adolescent Sexual and Reproductive Health · Computer Science · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · School Health and Nursing Education · Marketing

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Unique citing works3
Citations per year0,43
Citation span2019 - 2021 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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