Exploring the sexual and reproductive health needs of adolescents and young people living with vertically acquired HIV in South Africa

Bandile E. Ndlazi, David D. Mphuthi, Thinavhuyo R. Netangaheni

Abstract

The implementation of prevention of mother-to-child HIV transmission and pediatric HIV treatment has led to infected children transitioning into adolescence. Young people living with vertically acquired HIV face complex sexual and reproductive health (SRH) concerns, including challenges in relationships with parents, dating, and accessing services. This qualitative exploratory-descriptive study involved in-depth interviews with sixteen young individuals aged 18 to 24 who have vertically acquired HIV. Conducted in three healthcare facilities in Gauteng province, South Africa, the study utilised non-probability purposive sampling and thematic analysis for data analysis. Key themes included discomfort with dating, limited family support, and negative sexual experiences. Participants were hesitant to disclose their HIV status due to fear of rejection. Family support was primarily emotional, lacking focus on SRH needs. Healthcare providers often overlook individual sexual health needs, resulting in limited client-focused services. Despite regular healthcare contact, adolescents living with vertically acquired HIV experience unmet SRH communication needs, highlighting the necessity for improved sexual communication opportunities.

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References

Joint United Nations Programme on HIV/AIDS (UNAIDS).

Global update AIDS update 2021. Seizing the

moments: Confronting inequalities, lessons for

pandemic response from 40 years of AIDS.

World Health Organisation (WHO). 2021. Global progress

report on HIV, viral hepatitis and sexually

transmitted infections, 2021. Accountability for the

global health sector strategies 2016–2021: Actions

for impact. Geneva: World Health Organization

Johnson LF, May MT, Dorrington RE, Cornel M, Boulle A,

Egger M and Davis, M. 2017. Estimating the impact

of antiretroviral treatment on adult mortality trends

in South Africa: A mathematical modelling study.

PLoS Med 2017; 14(12): e1002468.

Zungu N, Naidoo, I, Hodes R, Mabaso M, Skinner D, Gittings

L, Sewpaul R, Takatshana S, Jooste S, Ramlagan S,

Cloete A, Toska E and the ALHIV Team. 2020.

Being ALHIV: What do we know about adolescents

living with HIV in South Africa? The Human

Sciences Research Council and University of Cape

Town, AIDS and Society Research Unit. Pretoria:

Human Sciences Research Council.

Butts JB & Rich KL. 2015. Nursing ethics: across the

curriculum and into practice. 4th edition.

Burlington: Jones & Bartlett Learning.

Melesse D, Mutua MK, Choudhury A, Wado YD, Faye CM,

Neal S and Boerma T. 2020. Adolescent and sexual

and reproductive health in sub-Saharan Africa: who

is left behind? Biomed. J. of Glob Health 2020; 5(1)

:e002231.

Ndlazi BE and Masango TE. 2022. Sexual and reproductive

health needs of young people living with HIV in

Gauteng, South Africa. Southern Africa Journal of

HIV Medicine 2022; 23(1).

Thurman RT, Taylor TM, Luckett B, Spyleris A and Nice J.

Condom use correlates among youth living

with HIV in South Africa: lessons for promoting

safer sex. Vulnerable children and youth studies

; 19(1), 211-222.

Laborde-Balen G, Diop M, Sow K, Ndiaye NB, Diop K and

Taverne B. 2023. Sexuality of adolescent girls born

with HIV in Senegal, an anthropological analysis.

Therapeutic advances in infectious diseases; 2023,

: 1-2.

Okawa S, Mwanza-Kabaghe S, Mwiya M, Kikuchi K, Jimba

M, Kankasa C and Ishikawa N. 2018. Sexual and

reproductive health behaviour and unmet needs

among a sample of adolescents living in Zambia: a

cross-sectional study. Reproductive Health 2018;

:55.

Shapiro, K and Ray, S. 2007. Sexual health for people living

with HIV. Reproductive Health Matters 2007;

(29): 67-92.

Mabunda A and Madiba S. 2017. The context of parent-child

communication about sexuality and HIV

prevention: the perspective of high school learners

in Gauteng province, South Africa. Pula: Botswana

Journal of African Studies 2017; 31(1).

Duby Z, Verwoerd W, Isaksen K, Jonas K, Maruping K,

Dietrich J, Lovette A, Kuo C and Mathews C. 2022.

'I can't go to her when I have a problem': sexuality

communication between South African adolescent

girls and young women and their mothers.

SAHARA-J: J of Social Aspects of HIV/AIDS

; 19(1), 8-12.

Tisseron C, Djaha J, Dahourou DL, Khouadio K, Nindjin P,

N’Gbeche M, Moh C, Eboua F, Bouah B, Kanga E,

Manochehr MH, Doucet M, Msellati P, Jesson J and

Leroy V. 2024. Exploring the sexual and

reproductive health knowledge, practices and needs

of adolescents living with perinatally acquired HIV

in Cote d’Ivoire, a qualitative study. Reproductive

Health 2024; 21: 180.

Bergam S, Sibaya T, Ndlela N, Kuzwayo M, Fomo M,

Goldstein MH, Marconi VC, Haberer JE, Archary

M and Zanoni BC. 2022. I am not shy anymore, a

qualitative study of the role of an interactive

mHealth intervention on sexual health knowledge,

attitudes

and behaviors of South African

adolescents

with

perinatally

HIV. BMC

Reproductive Health 2022; 19: 217.

Mpondo F, Ruiter RAC, Schaafsma D, van den Borne B and

Reddy PS. 2018. Understanding the role played by

parents, culture and the school curriculum in

socializing young women on sexual health issues in

rural South African communities. SAHARA-J: J of

Social Aspects of HIV/AIDS 2018; 15(1), 42-49.

Mkumba LS, Nassali M, Bernner J and Ritchwood TD.

Sexual and reproductive health needs of

young people living with HIV in low and middle

income countries, a scoping review. BMC

Reproductive health 2024; 18: 219.

Mwalabu G, Evans C and Redsell S. 2017. Factors

influencing the experience of sexual and

reproductive healthcare for female adolescents with

perinatally acquired HIV, a qualitative case study.

BMC Women’s Health 2017; 17: 125.

Smith P, Marcus R, Bennie T, Nkala B, Nchabeleng M,

Latka MH, Gray G, Wallace M and Bekker L. 2018.

What do South African adolescents want in sexual

health services? Evidence from the South African

studies on HIV in adolescents (SASHA) project.

Southern African Journal Research 2018; 108(8):

-681.

Woollett N, Pahad S and Black V. 2021. We need our clinics,

adolescent living with HIV recommendations for a

responsive health systems. PLoS ONE 2021; 16(7):

e0253984.

Appollis TM, Jonas K, Beauclair R, Lombard C, Duby Z,

Cheyip M, Maruping K, Dietrich J and Mathews C.

Early Sexual Debut and the Effects on Well

Being among South African Adolescent Girls and

Young Women Aged 15 to 24 Years. International

Journal of Sexual Health 2022; 34(2): 242-253.

Davids LE, Zembe Y, de Vries PJ, Mathews C and Swartz

A. 2021. Exploring condom use decision-making

among adolescents: the synergistic role of affective

and rational processes. BMC Public Health 2021;

: 1894.

Lowenthal DE, Bakeera-Kitaka S, Marukutira T, Chapman

J, Goldrath K and Ferrand RA. 2014. Perinatally

acquired infection in adolescents from sub-Saharan

Africa, a review of emerging challenges. Lancet

Infectious Disease 2014; 14: 627-39.

Kavuma D, Ndibazza J, Kirwana VB, Kafeero HM,

Katongole SP and Baluku JB. 2022. Factors

Associated with Condom Use Among Out-of

School Young People on Anti-Retroviral Therapy

in Central Uganda. HIV/AIDS, Research and

Palliative Care 2022; 14: 217–230.

Simbayi LC, Zuma K, Zungu N, Moyo N, Marinda S, Jooste

E, Mabaso M, Ramlagan S, North A, Van Zyl J,

Mohlabane N, Dietrich I and the SABSSM V Team.

South African National HIV Prevalence,

incidence, behaviour and communication survey

Cape Town: HSRC Press.

Gursahaney PR, Cordes S, Ofotokun I, Walk KM, Jamieson

DJ and Haddad LB. 2019. Factors associated with

condom use among HIV positive women living in

Atlanta, Georgia. PLoS One 2019; 14(12): e0225406.

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