scholarly journals The Impact of Youth-Friendly Structures of Care on Retention Among HIV-Infected Youth

2016 ◽  
Vol 30 (4) ◽  
pp. 170-177 ◽  
Author(s):  
Lana Lee ◽  
Baligh R. Yehia ◽  
Aditya H. Gaur ◽  
Richard Rutstein ◽  
Kelly Gebo ◽  
...  
Keyword(s):  
Structures Of Care ◽  
The Impact ◽  
Youth Friendly ◽  
Hiv Infected Youth

scholarly journals SPECIALIST SERVICE IN LIVER TRANSPLANT IN A UNIVERSITY HOSPITAL: A CASE STUDY

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Sílvia Ferrazzo ◽  
Mara Ambrosina de Oliveira Vargas ◽  
Diana Coelho Gomes ◽  
Francine Lima Gelbcke ◽  
Karina Silveira de Almeida Hammerschimidt ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Transplant ◽  
Care Service ◽  
University Hospital ◽  
Structured Interviews ◽  
Specialist Service ◽  
Immunosuppressed Patients ◽  
Structures Of Care ◽  
The Impact

ABSTRACT Objective: was to describe the flow of a specialist service in the care of liver transplant in a university hospital. Method: a qualitative research in the form of a case study, performed in a transplant service in southern Brazil. Data collection occurred from November 2013 to February 2014 through the triangulation of data, document analysis, structured interviews with 11 professional and semi direct observations interviews. Data analysis was performed by analysis of thematic content. Results: describes the flow of service and revealed the involvement of a multidisciplinary team in a cohesive manner, with competence recognized by patients and other sectors of the institution and structural deficiencies in care service for immunosuppressed patients. Conclusion: it was found that there is a need for studies that address the structures of care in liver transplantation services and to evaluate the impact of the quality of the life expectancy and proper recovery of persons undergoing liver transplantation.

scholarly journals Scaling Access to Contraception for Youth in Urban Slums: The Challenge Initiative's Systems-Based Multi-Pronged Strategy for Youth-Friendly Cities

2021 ◽  
Vol 2 ◽  
Author(s):  
Krishna Bose ◽  
Kim Martin ◽  
Kathryn Walsh ◽  
Maheen Malik ◽  
Paul Nyachae ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Urban Slums ◽  
Sub Saharan Africa ◽  
City Governments ◽  
Coaching Model ◽  
Learning Platform ◽  
Program Support ◽  
The Impact ◽  
Youth Friendly

Introduction: More than half of all adolescents globally live in Asia, with India having the largest adolescent population in the world at 253 million. In sub-Saharan Africa, adolescents make up the greatest proportion of the population, with 23% of the population aged 10–19. And these numbers are predicted to grow rapidly—particularly in urban areas as rural youth migrate to cities for economic opportunities. While adolescents and youth are subject to high sexual and reproductive health risks, few efforts have been documented for addressing these in urban settings, especially in poor settlements.Methods: The Challenge Initiative (TCI) is a demand-driven, family planning platform for sustainable scale and impact that lets city governments—in particular urban slums—lead implementation. It is currently active in 11 countries in Africa and Asia. In June 2018, TCI heightened its focus on adolescent and youth sexual and reproductive health (AYSRH) for youth living in urban slums. It now supports 39 city governments. TCI dedicates technical and program support to married (including first-time parents) and unmarried youth ages 15–24 years. Using an innovative coaching model and an online learning platform (TCI University), TCI supports city governments as they implement AYSRH interventions to accelerate the impact of TCI's model for rapid scale.Results: TCI has been assessing the performance of cities implementing its AYSRH approaches using its RAISE tool and has found considerable improvement over two rounds of assessments through TCI coaching and support for adaptation of its high-impact interventions between the first and second round.Conclusions: TCI's AYSRH approach scaled rapidly to 39 cities and multiple urban slums since 2018, using its evidence-based interventions and coaching model. In the context of universal health coverage, TCI has supported segmented demand generation and improved access to quality and affordable contraceptive as well as youth-friendly health services. It provides a menu of interventions for cities to implement for youth—including such approaches as public-private partnerships with pharmacies and quality assurance using quick checklists—along with an innovative coaching model. This approach has facilitated greater access to contraceptive methods of choice for youth.

Widespread closure of HIV prevention and care services places youth at higher risk during the COVID-19 epidemic (Preprint)

2020 ◽  
Author(s):  
Rob Stephenson ◽  
Alison Walsh ◽  
Tanaka Chavanduka ◽  
Gregory Sallabank ◽  
Keith Horvath ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Service Provider ◽  
Service Providers ◽  
Pearson Correlation ◽  
Lgbtq Youth ◽  
Related Services ◽  
Care Services ◽  
Hiv Service Providers ◽  
The Impact ◽  
Youth Friendly

BACKGROUND Central to measuring the impact of the COVID-19 epidemic on HIV is understanding the role of loss of access to essential HIV prevention and care services created by clinic and community-based organization closures. OBJECTIVE In this paper, we use data from a large, randomized controlled trial for adolescent GBMSM aged 13-18 to map HIV prevention services in four corridors of the US heavily impacted by HIV METHODS We identified and mapped LGBTQ+ friendly services offering at least one of the following HIV-related services: HIV testing; STI testing, PrEP/PEP; HIV treatment and care; other HIV-related services in 109 counties across four major interstate corridors heavily affected by HIV (US Census regions: Pacific (San Francisco, CA to San Diego, CA; 14 counties); South-Atlantic (Washington, DC to Atlanta, GA; 57 counties). RESULTS There were a total of 831 LGBTQ+ youth-friendly HIV service providers across the 109 counties. There was a range of LGBTQ+ youth-friendly HIV-service provider availability across counties (range: 0-14.33 per 10,000 youth aged 13-24 (IQR: 2.13), median: 1.09); 9 (8.26%) analyzed counties did not have any LGBTQ+ youth-friendly HIV service providers. The Pearson correlation coefficient for the correlation between county HIV prevalence and LGBTQ+ youth-friendly HIV service provider density was 0.16 (p=0.09), suggesting only a small, non-statistically significant linear relationship between a county’s available LGBTQ+ youth-friendly HIV service providers and their HIV burden. CONCLUSIONS As the COVID-19 epidemic continues, we must find novel, affordable ways to continue to provide sexual health, mental health and support services to LGBTQ+ youth. CLINICALTRIAL NA

scholarly journals Widespread closure of HIV prevention and care services places youth at higher risk during the COVID-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0249740
Author(s):  
Rob Stephenson ◽  
Alison R. Walsh ◽  
Tanaka M. D. Chavanduka ◽  
Gregory Sallabank ◽  
Keith J. Horvath ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Service Provider ◽  
Service Providers ◽  
Lgbtq Youth ◽  
Related Services ◽  
Care Services ◽  
South Central ◽  
Hiv Service Providers ◽  
The Impact ◽  
Youth Friendly

Background Central to measuring the impact of the COVID-19 pandemic on HIV is understanding the role of loss of access to essential HIV prevention and care services created by clinic and community-based organization closures. In this paper, we use a comprehensive list of HIV prevention services in four corridors of the US heavily impacted by HIV, developed as part of a large RCT, to illustrate the potential impact of service closure on LGBTQ+ youth. Methods We identified and mapped LGBTQ+ friendly services offering at least one of the following HIV-related services: HIV testing; STI testing; PrEP/PEP; HIV treatment and care; and other HIV-related services in 109 counties across four major interstate corridors heavily affected by HIV US Census regions: Pacific (San Francisco, CA to San Diego, CA); South-Atlantic (Washington, DC to Atlanta, GA); East-North-Central (Chicago, IL to Detroit, MI); and East-South-Central (Memphis, TN to New Orleans, LA). Results There were a total of 831 LGBTQ+ youth-friendly HIV service providers across the 109 counties. There was a range of LGBTQ+ youth-friendly HIV-service provider availability across counties (range: 0–14.33 per 10,000 youth aged 13–24 (IQR: 2.13), median: 1.09); 9 (8.26%) analyzed counties did not have any LGBTQ+ youth-friendly HIV service providers. The Pearson correlation coefficient for the correlation between county HIV prevalence and LGBTQ+ youth-friendly HIV service provider density was 0.16 (p = 0.09), suggesting only a small, non-statistically significant linear relationship between a county’s available LGBTQ+ youth-friendly HIV service providers and their HIV burden. Conclusions As the COVID-19 pandemic continues, we must find novel, affordable ways to continue to provide sexual health, mental health and other support services to LGBTQ+ youth.

scholarly journals Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study.

2011 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Arun Kumar De ◽  
Souvik Mitra ◽  
Kollol Das ◽  
Sebanti Goswami ◽  
Sukanta Chatterjee
Keyword(s):  
Sexual Health ◽  
School Setting ◽  
Health Clinic ◽  
Health Issues ◽  
Medical Sciences ◽  
Prospective Longitudinal Study ◽  
Reproductive And Sexual Health ◽  
Prospective Longitudinal ◽  
The Impact ◽  
Youth Friendly

Objective: Adolescent Reproductive and Sexual Health Issue is an important component of Youth Friendly Health Services. The objective of this study to compare the impact of sensitization on adolescent reproductive and sexual health issues of adolescent clients between clinic and school setting using the youth-friendly principles. Material & Methods: An urban–based prospective longitudinal study, conducted at adolescent health clinic and schools. The participants are adolescents in the age group of 14-18 years (both boys and girls). Intervention: Youth-friendly sensitization. Main outcome measures: Change in the knowledge on different ARSH issues among adolescent clients in both clinics and schools. Results: Statistically significant improvement (p values< 0.05) in knowledge on various aspects of ARSH issues among adolescent clients in both clinic and school setting. Conclusion: Youth-friendly sensitization makes positive change in the knowledge of adolescents on ARSH issues in both clinics and schools. Key Words: Adolescent; ARSH (adolescent reproductive and sexual health); Condom; Menstruation; Sensitization DOI: 10.3126/ajms.v2i1.3537 Asian Journal of Medical Sciences 2 (2011) 23-27

scholarly journals Development prospects of youth-friendly clinics under healthcare reform

2020 ◽  
Vol 1 (2) ◽  
pp. 33-42
Author(s):  
Yuliia Matvieieva ◽  
Salvin Paul ◽  
Tetiana Honchar
Keyword(s):  
Young People ◽  
Social Relations ◽  
Healthcare Reform ◽  
Social Assistance ◽  
Well Being ◽  
Children And Youth ◽  
The Impact ◽  
Development Prospects ◽  
Youth Friendly ◽  
Youth Friendly Services

This article analyzes the preconditions for «youth-friendly» services development. The study aims to justify the development prospects and identify ways to improve the efficiency of the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic» in Shostka under healthcare reform. The object of the study is the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic». The study’s subject is the organizational, economic and social relations that arise of the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic» under healthcare reform. The methodological basis of this study is a systematic approach and fundamental premises of the general economic theory. The study involved scientific research methods such as abstract-logical and system-structural analysis to determine the problems leading to the need for «youth-friendly» services; statistical and expert assessments methods to determine the number of visits to the «Youth-Friendly Clinic». The research involved data for 2017-2019. The study determined several global problems that caused the emergence and development of youth-friendly clinics as follows: the risk of morbidity of young people through an active lifestyle; low awareness of young people about the importance of maintaining their own health; lack of specialists competent in socio-psychological problems of today’s youth. Besides, the findings showed that the main prerequisite for youth-friendly clinic development is achieving sustainable development goals, especially goal 3 «Good health and well-being». This study considered preventive work, voluntary counselling and testing for HIV (VCT), medical-diagnostic and social areas of the Center for Health and Social Assistance to Children and Youth «Youth-Friendly Clinic» in Shostka. The authors analyzed the visit dynamic and the share of specialists in-demand among clients of the Center. The most active groups of clients were identified by age and sex. The obtained results allowed identifying the effective management tools of the researched Center, prospects and ways to improve its activity under healthcare reform. The authors indicated further research directions considering the impact of the COVID-19 pandemic on the youth-friendly clinics and the best world practice in the youth clinics management system.

scholarly journals Which HIV-infected youth are at risk of developing depression and what treatments help? A systematic review focusing on Southern Africa

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Cara Haines ◽  
Maria E. Loades ◽  
Bronwynè J. Coetzee ◽  
Nina Higson-Sweeney
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Southern Africa ◽  
Large Scale ◽  
Protective Factor ◽  
Psychosocial Interventions ◽  
Hiv Status ◽  
Inclusion Criteria ◽  
The Impact ◽  
Hiv Infected Youth

AbstractBackgroundDepression is common in people with HIV and is associated with lower quality of life, reduced medication adherence, worse disease progression and higher risk of transmission to others. While the majority of HIV-infected youth live in Southern Africa, research has largely focused on adults from Western countries, with limited generalisability across these populations. This review sought to identify and synthesise research on the risk factors for depression in HIV-infected youth in Southern Africa, and to summarise the available evidence on psychosocial interventions to reduce depression.MethodA systematic review was conducted of studies using a validated measure of depression in HIV-infected youth (aged ≤19) in Southern Africa. Eligible studies included either analysis of variables associated with depression, or evaluation of the impact of psychosocial interventions on depression in this population.ResultsTwelve studies met inclusion criteria for assessing risk factors, based on nine independent samples, constituting 3573 HIV-infected youth (aged 9–19 years). Study quality varied, with heterogeneous methodology limiting comparability and conclusions. There is some evidence that female gender, older age, food insecurity, exposure to abuse and internalised stigma are risk factors for depression, while disclosure of HIV status, satisfaction with relationships and social support are protective. Only one study met inclusion criteria for assessing psychosocial interventions (n = 65; aged 10–13 years). The intervention study did not successfully reduce depression, demonstrating a need for low-cost, large scale interventions to be developed and trialled.ConclusionThis review has highlighted the dearth of research into depression in HIV-infected youth in Southern Africa. Disclosing HIV status could be an important protective factor.

Formation of Lunar Craters and Bright Rays as a Result of Meteorite Impacts

1962 ◽  
Vol 14 ◽  
pp. 415-418
Author(s):  
K. P. Stanyukovich ◽  
V. A. Bronshten
Keyword(s):  
Explosive Charge ◽  
The Moon ◽  
Meteorite Impacts ◽  
The Earth ◽  
Lunar Craters ◽  
The Impact

The phenomena accompanying the impact of large meteorites on the surface of the Moon or of the Earth can be examined on the basis of the theory of explosive phenomena if we assume that, instead of an exploding meteorite moving inside the rock, we have an explosive charge (equivalent in energy), situated at a certain distance under the surface.

The Geosciences Applied to Lunar Exploration

1962 ◽  
Vol 14 ◽  
pp. 169-257 ◽  
Author(s):  
J. Green
Keyword(s):  
Lunar Surface ◽  
Probable Mechanism ◽  
Point Of View ◽  
Lunar Exploration ◽  
Geological Model ◽  
Apply Geophysics ◽  
Surface Features ◽  
The Impact

The term geo-sciences has been used here to include the disciplines geology, geophysics and geochemistry. However, in order to apply geophysics and geochemistry effectively one must begin with a geological model. Therefore, the science of geology should be used as the basis for lunar exploration. From an astronomical point of view, a lunar terrain heavily impacted with meteors appears the more reasonable; although from a geological standpoint, volcanism seems the more probable mechanism. A surface liberally marked with volcanic features has been advocated by such geologists as Bülow, Dana, Suess, von Wolff, Shaler, Spurr, and Kuno. In this paper, both the impact and volcanic hypotheses are considered in the application of the geo-sciences to manned lunar exploration. However, more emphasis is placed on the volcanic, or more correctly the defluidization, hypothesis to account for lunar surface features.

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