Rammela Mukovhe, Makhado Lufuno
Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou, Limpopo 0950, South Africa.
Office of the Executive Dean, Faculty of Health Sciences, University of Venda, Thohoyandou, Limpopo 0950, South Africa.
Trop Med Infect Dis. 2025 Sep 22;10(9):273. doi: 10.3390/tropicalmed10090273.
In developing countries, adolescent girls and young women (AGYW) continue to experience high rates of unintended pregnancy and sexually transmitted infections (STIs), including Human Immunodeficiency Virus (HIV). Several healthcare services are available at the primary level of healthcare to address the sexual and reproductive needs of adolescents in South Africa. Healthcare providers often face challenges such as limited resources, inadequate funds, and inadequate training, which hinder their ability to provide integrated care. Furthermore, cultural stigma and a lack of privacy prevent adolescents from seeking care. In response to increasing international calls for developing and implementing integrated person-centered care, which addresses both quality and access to care, this paper aims to develop and validate an integrated HIV/STI, and pregnancy prevention program for adolescent girls and young women in the Vhembe District of Limpopo. Multiphase mixed methods were employed in this study. This study consisted of three interconnected phases. As part of phase 1 of this study, a comprehensive literature review was conducted. In phase 2, an empirical study conducted using a concurrent triangulation strategy to collect and analyze both qualitative and quantitative data as a form of confirmation, dis-confirmation, cross-validation or corroboration of the findings. Consequently, a conceptual framework was developed using qualitative and quantitative analysis by merging, comparing, and interpreting the results. The findings of phase 2 interface were analyzed using the Political, Environmental, Social, and Technological (PEST) and Strength, Weakness, Opportunity, and Threat (SWOT) analyses. Additionally, the outcomes of the Logical Framework Analyses (LFA) informed the development of an integrated programme aimed at preventing HIV, STIs, and teenage pregnancy. Several stakeholders and experts ( = 35) were consulted as part of the Reduce the Risk (RTR) Coalition to validate the proposed integrated programme with an average of 94.3% on acceptability, feasibility, and appropriateness. In the Vhembe District of Limpopo province, there has been no published study that has developed an integrated HIV, STIs, and pregnancy prevention programme to improve the sexual health outcomes of adolescent girls and young women.
在发展中国家，少女和青年女性（AGYW）意外怀孕和性传播感染（STIs）的发生率仍然很高，包括感染人类免疫缺陷病毒（HIV）。在南非的初级卫生保健层面，有多种医疗服务可满足青少年的性健康和生殖健康需求。医疗服务提供者常常面临资源有限、资金不足和培训不够等挑战，这些阻碍了他们提供综合护理的能力。此外，文化污名和缺乏隐私使得青少年不愿寻求护理。为响应国际社会日益强烈的关于制定和实施以患者为中心的综合护理的呼吁，这种护理既要保证质量又要确保可及性，本文旨在为林波波省韦姆贝区的少女和青年女性开发并验证一个综合的HIV/性传播感染及预防怀孕项目。本研究采用了多阶段混合方法。该研究包括三个相互关联的阶段。作为本研究第一阶段的一部分，进行了全面的文献综述。在第二阶段，采用并行三角测量策略进行实证研究，收集和分析定性和定量数据，作为对研究结果的确认、否定、交叉验证或确证。因此，通过合并、比较和解释结果，运用定性和定量分析方法构建了一个概念框架。使用政治、环境、社会和技术（PEST）分析以及优势、劣势、机会和威胁（SWOT）分析对第二阶段的研究结果进行了分析。此外，逻辑框架分析（LFA）的结果为制定一项旨在预防HIV、性传播感染和少女怀孕的综合项目提供了参考。作为降低风险（RTR）联盟的一部分，咨询了若干利益相关者和专家（n = 35），以验证拟议的综合项目在可接受性、可行性和适宜性方面的平均认可度为94.3%。在林波波省的韦姆贝区，尚未有已发表的研究开发出一个综合的HIV、性传播感染及预防怀孕项目，以改善少女和青年女性的性健康状况。
