Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12981-018-0195-x
Title: Social-support needs among adolescents living with HIV in transition from pediatric to adult care in Cambodia: findings from a cross-sectional study
Authors: Toth, Graham
Mburu, Gitau
Tuot, Sovannary
Khol, Vohith
Ngin, Chanrith
Chhoun, Pheak
Yi, Siyan 
Keywords: Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
HIV
Adolescents
Transition
Social support
Social protection
Cambodia
SUB-SAHARAN AFRICA
PERINATALLY ACQUIRED HIV
ANTIRETROVIRAL THERAPY
HEALTH
CHILDREN
OUTCOMES
ZAMBIA
YOUTH
EXPERIENCE
INFECTION
Issue Date: 28-Mar-2018
Publisher: BIOMED CENTRAL LTD
Citation: Toth, Graham, Mburu, Gitau, Tuot, Sovannary, Khol, Vohith, Ngin, Chanrith, Chhoun, Pheak, Yi, Siyan (2018-03-28). Social-support needs among adolescents living with HIV in transition from pediatric to adult care in Cambodia: findings from a cross-sectional study. AIDS RESEARCH AND THERAPY 15 (1). ScholarBank@NUS Repository. https://doi.org/10.1186/s12981-018-0195-x
Abstract: Background: Understanding the circumstances of adolescents living with HIV is critical in designing adolescent-riendly services that will facilitate successful transition from pediatric to adult care. This study describes access, utilization and ongoing social support needs among adolescents living with HIV aged 15-17 in transition from pediatric to adult HIV care in Cambodia. Methods: A cross-sectional study was conducted among 328 adolescents, randomly selected from 11 antiretroviral therapy (ART) clinics across the country. Descriptive analyses were conducted to summarize their characteristics, access to social support and ongoing support needs among male and female adolescents. Results: Mean age of the study participants was 15.8 (SD=0.8) years. Just over half (55.2%) were male. Most had at least one deceased parent (mother 50.9%; father 60.5%), and majority were living with biological parents (40.8%) or relatives (49.3%). A third came from families with an ID poor card, and 21.0% were working for pay. Almost half (46.6%) reported that their family had received social support for their health care, including food support (76.5%), school allowance (62.1%), transport allowance to ART clinics (53.6%), psychosocial counseling (35.3%), vocational training (22.9%) or home visits (11.1%). Several ongoing social support needs were identified, including ongoing inability to cover health expenses unless they are supported by health insurance or health equity fund (55.0%). In addition, adolescents reported having been asked to come back earlier than their scheduled appointment (13.7%), having had to purchase their own drugs (2.7%), experiencing HIV stigma (32.0%), having been denied housing or food due to HIV (8.2%) or failing to attend school within the past month partly because of HIV (16.8%). Two-thirds did not have access to peer support groups. Conclusions: Social protection mechanisms are reaching some adolescents in need, while other remain without social support due to discontinuities in health and social care. Multi-sectoral interventions, supporting school attendance, adolescent-friendly clinic scheduling, reductions in child employment, mitigation of HIV-related stigma and strengthening of peer-to-peer support are required to improve coverage of social protection interventions for adolescents in transition.
Source Title: AIDS RESEARCH AND THERAPY
URI: https://scholarbank.nus.edu.sg/handle/10635/239606
ISSN: 1742-6405
DOI: 10.1186/s12981-018-0195-x
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