VCT and PMTCT Services Research and HIV Counseling and Testing Guide

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VCT and PMTCT Services Research and HIV
Counseling and Testing Guide
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Activities

• Research Youth, VCT, and linkages to RH services
• Tanzania
• Haiti
• Research Youths RH needs in PMTCT
• Kenya
• Handbook HIV Counseling and Testing for Youth A
  Manual for Providers

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Haiti Tanzania Youth, VCT, and linkages to RH
services

• Presentation objective
• To assess how well the reproductive health needs
  of youth in VCT are being met
• Methods
• Data come from exit interviews with VCT and RH
  clients in Haiti and Tanzania

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Youth center client exit interview results
sample size by sex
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Client exit interview results background
characteristics
Interviews conducted with 15-24 year olds in
Haiti, 16-24 in Tanzania
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Client exit interview results risk of unintended
pregnancy
Defined as ever had sex, not using FP method and
do not want a pregnancy in the next two years
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Results clients reports of fertility and
prevention discussions
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Youth, VCT, and linkages to RH services discussion

• Youth attending youth centers have high levels of
  unmet need regardless of service
• Missed opportunities
• Counseling on HIV prevention in RH
• Counseling on pregnancy prevention in VCT

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Kenya Youths RH needs in PMTCT

• Objectives
• To assess the content of PMTCT services that
  youth receive
• To understand adolescents pattern of PMTCT use
  services vs. older womens

• Methods
• 4 ANC/PMTCT sites
• 637 ANC client interviews
• Ages 15-24
• Abstracted 1400 client records / site, ages 15-29

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Client characteristics

• 31 ages 15-19
• 69 ages 20-24
• 87 married
• 62 primary schooling
• 69 1st pregnancy
• Previous ANC/PMTCT visits
• 33 one, 33 two, 18 three, 17 four

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Proportion of HIV PMTCT Clients among those
tested by age (logbook data)
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Clients reports of HIV testing and results
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Clients reports of PMTCT counseling
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Clients reports of FP message timing, method
use, fertility desires
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Youths RH needs in PMTCT Discussion

• Adolescents 15-19 get less information compared
  to 20-24 year olds
• Demand for post-partum contraception appears high
• HIV testing and counseling in ANC increases
  likelihood of testing

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HIV Counseling and Testing for YouthA Manual for
Providers

• 1 in 3 clients have specific needs based on youth
  status
• Highlights
• Concrete tool to advocate for raising awareness
  of unique needs of youth
• Integrated and holistic approach to addressing
  youth sexual behaviors and RH needs
• Addresses models for HIV counseling and testing
  for youth as counseling and testing expands
• Includes easy to use resources on contraceptive
  options, STIs testing and treatment, and more

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Next steps

• Youth, VCT, and RH needs dissemination
• June 2005 (TZ) and Fall 2005 (Haiti)
• Youth and PMTCT dissemination
• June 2005 (Kenya)
• Handbook status
• At the printer