Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.

<h4>Introduction</h4>Female adolescents living with Human Immunodeficiency Virus are a unique population facing lifelong challenges in reproductive and sexual health ranging from relational, social and legal-ethical considerations. While HIV prevalence of young females is higher than the...

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Autores principales:	Gertrude Mwalabu, Ida Mbendera, Pammla Petrucka, Violet Manjanja
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fe06b545fd7e444aa0ad378acc38a5c9
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spelling	oai:doaj.org-article:fe06b545fd7e444aa0ad378acc38a5c92021-12-02T20:16:53ZFemale adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.1932-620310.1371/journal.pone.0257126https://doaj.org/article/fe06b545fd7e444aa0ad378acc38a5c92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257126https://doaj.org/toc/1932-6203<h4>Introduction</h4>Female adolescents living with Human Immunodeficiency Virus are a unique population facing lifelong challenges in reproductive and sexual health ranging from relational, social and legal-ethical considerations. While HIV prevalence of young females is higher than the males (4.9% versus 1%), evidence show that these adolescents in Malawi initiate sex as early as 15 years mostly with adult partners. Yet, young people are frequently reported to be reluctant to discuss sexual matters and demonstrate avoidance of direct questions on sexual issues during interviews. It is critical therefore that researchers invoke youth-friendly approaches to address these complex issues and enable these vulnerable individuals to articulate and advocate for their preferred futures.<h4>Methods</h4>This study used an innovative visual qualitative approach known as 'my story' book which combined image selection and sentence completion exercises to enable adolescents living with HIV to share their stories through interviews. The study involved 14 cases comprising of 14 female adolescents aged 15 to 19, 14 caregivers and 14 health providers working at HIV multidisciplinary centres in Malawi.<h4>Results</h4>The 'my story' book enabled in-depth exploration of the experiences and issues faced by this vulnerable population. The use of images and sentence completion exercise enabled the researcher to appreciate the type of interactions (or lack of) on sexual issues and status disclosure to significant others including sexual partners. Three themes were revealed, included creating meanings, revealing confirmatory and/or complementary evidence and enabling intergenerational research.<h4>Conclusions</h4>The 'my story' book captured the life experiences and needs of the female adolescents. The book assisted the participants in constructing, communicating, and controlling the articulation of their stories. It positioned female adolescents as a diverse group of social agents able to construct and reflect on their social worlds and real-life issues. This approach was highly effective in creating a youth-friendly context for reflection and revelation regarding sensitive cultural and social issues faced by this group. As such, the 'my story' book could be used in one-on-one counselling or provide data to inform intervention development.Gertrude MwalabuIda MbenderaPammla PetruckaViolet ManjanjaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257126 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Gertrude Mwalabu Ida Mbendera Pammla Petrucka Violet Manjanja Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.
description	<h4>Introduction</h4>Female adolescents living with Human Immunodeficiency Virus are a unique population facing lifelong challenges in reproductive and sexual health ranging from relational, social and legal-ethical considerations. While HIV prevalence of young females is higher than the males (4.9% versus 1%), evidence show that these adolescents in Malawi initiate sex as early as 15 years mostly with adult partners. Yet, young people are frequently reported to be reluctant to discuss sexual matters and demonstrate avoidance of direct questions on sexual issues during interviews. It is critical therefore that researchers invoke youth-friendly approaches to address these complex issues and enable these vulnerable individuals to articulate and advocate for their preferred futures.<h4>Methods</h4>This study used an innovative visual qualitative approach known as 'my story' book which combined image selection and sentence completion exercises to enable adolescents living with HIV to share their stories through interviews. The study involved 14 cases comprising of 14 female adolescents aged 15 to 19, 14 caregivers and 14 health providers working at HIV multidisciplinary centres in Malawi.<h4>Results</h4>The 'my story' book enabled in-depth exploration of the experiences and issues faced by this vulnerable population. The use of images and sentence completion exercise enabled the researcher to appreciate the type of interactions (or lack of) on sexual issues and status disclosure to significant others including sexual partners. Three themes were revealed, included creating meanings, revealing confirmatory and/or complementary evidence and enabling intergenerational research.<h4>Conclusions</h4>The 'my story' book captured the life experiences and needs of the female adolescents. The book assisted the participants in constructing, communicating, and controlling the articulation of their stories. It positioned female adolescents as a diverse group of social agents able to construct and reflect on their social worlds and real-life issues. This approach was highly effective in creating a youth-friendly context for reflection and revelation regarding sensitive cultural and social issues faced by this group. As such, the 'my story' book could be used in one-on-one counselling or provide data to inform intervention development.
format	article
author	Gertrude Mwalabu Ida Mbendera Pammla Petrucka Violet Manjanja
author_facet	Gertrude Mwalabu Ida Mbendera Pammla Petrucka Violet Manjanja
author_sort	Gertrude Mwalabu
title	Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.
title_short	Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.
title_full	Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.
title_fullStr	Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.
title_full_unstemmed	Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.
title_sort	female adolescents living with hiv telling their story through 'my story' book in malawi: a visual methodology innovation.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/fe06b545fd7e444aa0ad378acc38a5c9
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Female adolescents living with HIV telling their story through 'my story' book in Malawi: A visual methodology innovation.

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