Policy and programming towards addressing treatment gaps in adolescents living with HIV: A content analysis of policy and programme documents in Namibia
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Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
SAGE Publications Inc.
Abstract
Adolescents living with HIV (ALHIV) face unique challenges resulting in persistent treatment gaps, particularly viral non-suppression. Country programs adopt policies, guidelines, and innovations, based on WHO recommendations and best practices from elsewhere. However, it is unclear to what extent these tools address the management of adolescents with viral non-suppression. We report on a review of guidelines for the provision of HIV services to ALHIV in Namibia. We conducted a systematic document review using Content Analysis and Thematic Analysis methodology, and the READ approach. We identified seven relevant policy documents, four of which somewhat addressed viral non-suppression (treatment gap) in ALHIV and outlined interventions to improve treatment outcomes in adolescents considering their lived experience and unique challenges. The persistent treatment gap may reflect policy implementation gaps in specifically addressing viral non-suppression. It may be worthwhile to leverage existing documents to develop specific operational guidance for ALHIV with unsuppressed viral loads.
Description
Keywords
Adolescents, Antiretroviral treatment, HIV, Policy, Viral suppression
Citation
Munyayi, F.K. and van Wyk, B.E., 2024. Policy and Programming Towards Addressing Treatment Gaps in Adolescents Living with HIV: A Content Analysis of Policy and Programme Documents in Namibia. Journal of the International Association of Providers of AIDS Care (JIAPAC), 23, p.23259582241236061.