A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa

Adolescents living with human immunodeficiency virus (HIV) (ALHIV) globally, report worse treatment outcomes compared to adults and children on antiretroviral therapy (ART). We conducted a photovoice study with eighteen ALHIV to explore experiences and challenges of being on ART, and individual inte...

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Autores principales:	Zaida Orth, Brian van Wyk
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/b3e9a115a6b145f1b9d3846e0c7818b3
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spelling	oai:doaj.org-article:b3e9a115a6b145f1b9d3846e0c7818b32021-12-01T23:06:03ZA Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa2325-958210.1177/23259582211059289https://doaj.org/article/b3e9a115a6b145f1b9d3846e0c7818b32021-11-01T00:00:00Zhttps://doi.org/10.1177/23259582211059289https://doaj.org/toc/2325-9582Adolescents living with human immunodeficiency virus (HIV) (ALHIV) globally, report worse treatment outcomes compared to adults and children on antiretroviral therapy (ART). We conducted a photovoice study with eighteen ALHIV to explore experiences and challenges of being on ART, and individual interviews with 5 health workers to describe the challenges in treating ALHIV. The facility implemented the Family club intervention to facilitate caregivers (parent/guardians) supporting ALHIV on treatment. The health workers revealed that “ disclosing HIV status ” to children was the biggest challenge for caregivers and health workers. Participating ALHIV reported that family support and having a positive mentality were instrumental for continued treatment adherence. However, disclosure of HIV status to friends remained a challenge due to pervasive community stigma. Treatment fatigue and side - effects were also barriers to adherence. Family support was instrumental in facilitating adherence support for ALHIV. However, this (intervention) should include peer support to improve positive mental well-being in ALHIV.Zaida OrthBrian van WykSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENJournal of the International Association of Providers of AIDS Care, Vol 20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Zaida Orth Brian van Wyk A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa
description	Adolescents living with human immunodeficiency virus (HIV) (ALHIV) globally, report worse treatment outcomes compared to adults and children on antiretroviral therapy (ART). We conducted a photovoice study with eighteen ALHIV to explore experiences and challenges of being on ART, and individual interviews with 5 health workers to describe the challenges in treating ALHIV. The facility implemented the Family club intervention to facilitate caregivers (parent/guardians) supporting ALHIV on treatment. The health workers revealed that “ disclosing HIV status ” to children was the biggest challenge for caregivers and health workers. Participating ALHIV reported that family support and having a positive mentality were instrumental for continued treatment adherence. However, disclosure of HIV status to friends remained a challenge due to pervasive community stigma. Treatment fatigue and side - effects were also barriers to adherence. Family support was instrumental in facilitating adherence support for ALHIV. However, this (intervention) should include peer support to improve positive mental well-being in ALHIV.
format	article
author	Zaida Orth Brian van Wyk
author_facet	Zaida Orth Brian van Wyk
author_sort	Zaida Orth
title	A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa
title_short	A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa
title_full	A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa
title_fullStr	A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa
title_full_unstemmed	A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa
title_sort	facility-based family support intervention to improve treatment outcomes for adolescents on antiretroviral therapy in the cape metropole, south africa
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/b3e9a115a6b145f1b9d3846e0c7818b3
work_keys_str_mv	AT zaidaorth afacilitybasedfamilysupportinterventiontoimprovetreatmentoutcomesforadolescentsonantiretroviraltherapyinthecapemetropolesouthafrica AT brianvanwyk afacilitybasedfamilysupportinterventiontoimprovetreatmentoutcomesforadolescentsonantiretroviraltherapyinthecapemetropolesouthafrica AT zaidaorth facilitybasedfamilysupportinterventiontoimprovetreatmentoutcomesforadolescentsonantiretroviraltherapyinthecapemetropolesouthafrica AT brianvanwyk facilitybasedfamilysupportinterventiontoimprovetreatmentoutcomesforadolescentsonantiretroviraltherapyinthecapemetropolesouthafrica
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A Facility-based Family Support Intervention to Improve Treatment Outcomes for Adolescents on Antiretroviral Therapy in the Cape Metropole, South Africa

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