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Santé sexuelle et reproductive des adolescent(e)s vivant avec le VIH dans les programmes de prise en charge pédiatrique à Abidjan : offre de services des structures et perceptions des professionnels de santé en 2019
   

Santé sexuelle et reproductive des adolescent(e)s vivant avec le VIH dans les programmes de prise en charge pédiatrique à Abidjan : offre de services des structures et perceptions des professionnels de santé en 2019

Marc Harris Dassi Tchoupa Revegue, Julie Jesson, Hortense Aka Dago-Akribi, D.L. Dahourou, P. Ogbo, C. Moh, U.B. Amoussou-Bouah, Marie-Sylvie N'Gbeche, François Tanoh Eboua, Eugène Messou Kouassi, …
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique, Vol.70(4), pp.163-176
08/2022
: https://doi.org/10.1016/j.respe.2022.04.003
: PMC9926011
: 35752510
Teenagers Sexual and reproductive health services Health care professionals HIV Africa Adolescents Professionnels de santé Afrique VIH Adolescents Services de santé sexuelle et reproductive Adolescent Child Reproductive Health Services* Sexual Behavior Cote d'Ivoire / epidemiology Cross-Sectional Studies Female HIV Infections* / epidemiology HIV Infections* / therapy Health Personnel Humans Reproductive Health
Introduction: The majority of adolescents living with HIV (ALHIV) reside in sub-Saharan Africa, with sexual and reproductive health (SRH) needs to be met. The health care facilities and professionals involved have a major role to assume in the quality of SRH services offered to these teenagers.Objective: To investigate the SRH services offered to ALHIV subjects in pediatric facilities in Abidjan, Ivory-Coast.Methods: In 2019 we conducted an exploratory cross-sectional study using qualitative and quantitative methods in three pediatric facilities caring for ALHIV subjects (CIRBA, CTAP and CePReF) and participating in the IeDEA (International epidemiologic databases to Evaluate AIDS project) in Abidjan, Ivory Coast. This study included: (1) an inventory of SRH services, using a questionnaire and direct observation, describing their adaptation to the teenagers' needs and their inclusion in provision of care; (2 an assessment by means of semi-structured interviews of 14 health professionals' perceptions of the SRH needs of the ALHIV subjects with whom they worked. Quantitative data were expressed in percentages and qualitative data from the interviews were analyzed through inductive thematic analysis.Results: The care provided in the three facilities was poorly adapted to the teenagers' needs. Few SRH services were effectively provided to the ALHIV subjects in the different centers. The services essentially consisted in condom distribution and organization of SRH-based focus groups. Exceptionally, hormonal contraception was offered to teenage girls. Barriers to the services were largely due to poorly equipped facilities, particularly in terms of SRH offer, health professionals' experience, and support provided for ALHIV subjects and their parents. The health professionals were desirous of SRH skill-building programs enabling them to deliver optimal, adequately contextualized SRH services to the teenagers.Conclusions: In pediatric programs addressed to ALHIV subjects in three Abidjan facilities, the teenagers' SRH needs remain unmet. It is urgently necessary to strengthen the health facilities by means of improved equipment, enhanced awareness of teenagers' needs, and training programs enabling the health professionals to provide more adapted sexual and reproductive health services.

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