Elona Toska, Siyanai Zhou, Christina A Laurenzi, Wylene Saal, William Rudgard, Camille Wittesaele, Nontokozo Langwenya, Janina Jochim, Boladé Hamed Banougnin, Laurie Gulaid, Alice Armstrong, Gayle Sherman, Olanrewaju Edun, Lorraine Sherr, Lucie Cluver
INTRODUCTION: Adolescent girls and young women (AGYW) living with HIV experience poor HIV outcomes and high rates of unintended pregnancy. Little is known about which healthcare provisions can optimize their HIV-related outcomes, particularly among AGYW mothers. METHODS: Eligible 12- to 24-year-old AGYW living with HIV from 61 health facilities in a South African district completed a survey in 2018-2019 (90% recruited). Analysing surveys and medical records from n = 774 participants, we investigated associations of multiple HIV-related outcomes (past-week adherence, consistent clinic attendance, uninterrupted treatment, no tuberculosis [TB] and viral suppression) with seven healthcare provisions: no antiretroviral therapy (ART) stockouts, kind and respectful providers, support groups, short travel time, short waiting time, confidentiality, and safe and affordable facilities...
February 2024: Journal of the International AIDS Society