HEARD University of KwaZ

Interventions targeting sexual and reproductive health and rights outcomes of young people living with HIV: a comprehensive review of current interventions from sub-Saharan Africa

A study by Leandri Pretorius*, Andrew Gibbs, Tamaryn Crankshaw and Samantha Willan, sought to understand the scope and impact of interventions targeting young people (ages 10- 24) living with HIV (YPLWH) to improve SRH-related outcomes in sub-Saharan Africa (SSA)

This study found that there have been a limited number of interventions to improve SRHR outcomes of YPLWH in the region.
In addition, the findings reflect that more detailed information regarding description of interventions, such as session content, sex and age, and delivery method, need
to be provided so that others can more easily understand embedded theories of change and how interventions work. There also exists a need for broader, more inclusive interventions aimed at YPLWH that address structural and contextual issues, specifically gender equality and livelihoods strengthening, recognising how these are major determinants of realising SRHR for young people. More widely, understandings of SRHR remain narrow with limited engagement around sexuality and sexual identity. Only through articulating a comprehensive approach to improving SRHR that recognises the multiple underlying determinants, is it likely that the SRHR of YPLWH in SSA can be improved.

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Children’s psychosocial wellbeing in the context of HIV/AIDS and poverty: a comparative investigation of orphaned and non-orphaned children living in South Africa

psycholgical wellbeing of children.pdf

Recent studies have questioned whether orphanhood is primarily associated with key dimensions of psycho-social wellbeing in children living in circumstances of material deprivation and high prevalence of HIV and AIDS. This study uses cross-sectional data from a longitudinal study conducted between 2004-2007 to examine the psychosocial well-being of orphans and non-orphans in the Amajuba District of KwaZulu-Natal, South Africa. Psychosocial wellbeing included an assessment of orphans’ and non orphans’ level of anxiety and depression, affability and resilience. Stratified cluster sampling, based on both school and age, was used to construct a cohortof recent orphans and non-orphans and their households, randomly selected from schools.
Results: Levels of anxiety and depression, affability and resilience did not differ significantly between orphans and non-orphans, nor did salient household, poverty and caregiver characteristics vary substantially amongst orphans and non-orphans. Multivariate analyses indicated that children’s psychosocial outcomes, when controlling for orphan status and related demographic variables were more strongly influenced by household composition/size, living above or below the poverty threshold and factors associated with the caregiver-child relationship and caregiver health.
Conclusions: The results muster additional evidence for moving beyond narrow definitions of vulnerability associated exclusively with orphanhood to consider the multitude of material, social and relational factors affecting the psycho-social well-being of children in general who are living in circumstances of poverty and HIV and AIDS.