A Global Research Agenda for Adolescents Living With HIV.

Journal: Journal of acquired immune deficiency syndromes (1999)

Volume: 78 Suppl 1

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  Department of HIV and Global Hepatitis Programme, World Health Organization, Geneva, Switzerland. Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco (UCSF), San Francisco, CA. HIV Programmes and Advocacy, International AIDS Society, Geneva, Switzerland. Department of Social Policy and Intervention, Oxford University, Oxford, United Kingdom. TREAT Asia/amfAR-The Foundation for AIDS Research, Bangkok, Thailand. Healthy Adolescents & Young Adults Research Unit, Africa Health Research Institute, Mtubatuba, South Africa. International HIV/AIDS Alliance, Cape Town, South Africa. Positive Young Women Voices, Kenya. Adolescent Treatment Coalition, Geneva, Switzerland. Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland. Center of Excellence Pediatric Infectious Diseases and Vaccines, Chulalongkorn University, Bangkok, Thailand.

Abstract summary 

Despite growing interest in undertaking research in adolescent HIV, the current pace of interventional research in particular remains very low compared with the needs of adolescents living with HIV (ALHIV). More robust evidence is needed to inform innovative and targeted interventions that bridge research gaps, inform policy, and improve outcomes for adolescents. A global research prioritization exercise was undertaken by WHO and CIPHER to focus efforts on priority research in the context of diminishing resources.The Child Health and Nutrition Research Initiative (CHNRI) methodology was adapted and used. Outcomes were reviewed by an expert group and 5 priority themes identified for testing, treatment, and service delivery, accounting for existing policies, published literature, and ongoing research.A total of 986 research questions were submitted by 323 individuals from 67 countries. For HIV testing, priority themes included strategies and interventions to improve access, uptake, and linkage to care, and self-testing, particularly for key populations. For treatment, priorities included strategies to monitor and improve adherence, novel drug delivery systems, preventions and management of coinfections, optimal drug sequencing, and short- and long-term outcomes. For service delivery, priorities included service delivery models across the cascade, strategies to improve retention in care and sexual and reproductive health, support for pregnant ALHIV, and the provision of psychosocial support.This prioritized research agenda assists in focusing future research in ALHIV and will help to fill critical knowledge gaps. Key stakeholders, donors, program managers, and researchers should all support these priority questions and themes to collaboratively drive the adolescent HIV research agenda forward.

Authors & Co-authors:  Armstrong Nagata Vicari Irvine Cluver Sohn Ferguson Caswell Njenga Oliveras Ross Puthanakit Baggaley Penazzato

Study Outcome 

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Statistics
Citations :  United Nations-Every Woman, Every Child. Global Strategy for Women's, Children's, and Adolescents' Health (2016–2030): Survive, Thrive, Transform. New York, NY; 2015. Available at: http://www.who.int/pmnch/media/events/2015/gs_2016_30.pdf. Accessed: November 7, 2017.
Authors :  14
Identifiers
Doi : 10.1097/QAI.0000000000001744
SSN : 1944-7884
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Study Approach
Country of Study
Kenya
Publication Country
United States