Centre for Social Science Research, University of Cape Town, Cape Town, South Africa.
Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Glob Public Health. 2020 Nov;15(11):1655-1673. doi: 10.1080/17441692.2020.1775867. Epub 2020 Jun 6.
While adolescents have received increasing attention in the global HIV response and international strategies and commitments, adolescent mothers and their children remain largely overlooked in research, funding and, programming for health-related outcomes. We conducted an extensive scoping review of current evidence on the experiences of adolescent mothers affected by HIV and their children in this region. We included published literature and conference abstracts, complemented by consultations with key stakeholders, and a review of documents through grey literature searching. First, we summarise the experiences of adolescent mothers and their children related to HIV and key health and development indicators. The syndemic of early motherhood and HIV in sub-Saharan Africa increases the vulnerability of adolescent mothers and their children. We then highlight lessons from a series of promising programmes focused on supporting adolescent mothers through novel approaches. In sub-Saharan Africa, supporting adolescent mothers living in high HIV-risk communities is critical not only to eliminate HIV/AIDS, but also to attain the Sustainable Development Goals. While research on and programming for adolescent mothers and their children is growing, the complex needs for this vulnerable group remain unmet. We conclude with evidence gaps and programming priorities for adolescent mothers affected by HIV and their children.
尽管青少年在全球艾滋病应对和国际战略及承诺中得到了越来越多的关注,但在与健康相关的研究、资金和规划中,青少年母亲及其子女仍然在很大程度上被忽视。我们对该地区受艾滋病影响的青少年母亲及其子女的现有经验进行了广泛的范围界定审查。我们纳入了已发表的文献和会议摘要,同时还与主要利益攸关方进行了磋商,并通过搜索灰色文献对文件进行了审查。首先,我们总结了青少年母亲及其子女与艾滋病以及关键健康和发展指标相关的经历。撒哈拉以南非洲地区早育和艾滋病的综合征增加了青少年母亲及其子女的脆弱性。然后,我们强调了一系列有前途的方案的经验教训,这些方案通过新颖的方法来支持青少年母亲。在撒哈拉以南非洲,支持生活在高艾滋病毒风险社区的青少年母亲不仅对于消除艾滋病毒/艾滋病至关重要,而且对于实现可持续发展目标也至关重要。虽然针对青少年母亲及其子女的研究和规划在不断增加,但这一弱势群体的复杂需求仍未得到满足。最后,我们提出了受艾滋病影响的青少年母亲及其子女的证据空白和规划重点。