Abstract Detail

Abstract

Background: Eswatini has a high HIV rate compared to any other Southern Africa country. Even though the country have achieved much, it still records new HIV infections more especially amongst young women aged 25-29 years. This calls for more efficient and effective ways to reach, diagnose and link them to HIV care. Sabelo Sensha project implemented by Young Heroes Organization supports the government of Eswatini to prevent new HIV infections and reducing the HIV vulnerabilities among adolescent girls (AGYW). Objectives: 1) To ascertain the factors associated with completing an HIV testing service referral amongst adolescent girls at HIV risk. Description: A quantitative cross-sectional data analysis was conducted using STATA for December 2023 – December 2024 implementation period. Trained Mentors identify AGYWs in their communities and provide enrolment consents where an HIV risk assessment is administered. AGYW found to be at HIV risk (sexual intercourse under the influence of alcohol, sexual abuse exposure, STI experience, having multiple sexual partners and transactional sex) acquisition are referred for HIV testing and linkage services. Findings: About 5,001 AGYW took part in a HIV risk assessment, 26% (1,301/5,001) had never tested for HIV whilst 74% (3,700/5,001) have had an HIV test before. Of the 5,001 AGYW, 28% (1,411/5,001) were at risk of contracting HIV. Out of the AGYW at risk, 51% (738/1,411) were referred for HIV testing and 31% (231/738) completed HTS referral. From regression analysis, AGYW with STIs experience were most likely complete HIV testing and linkage services (AOR=0.62; 95% CI=0.52, 0.74) compared to the other HIV risk factors (sexual intercourse under the influence of alcohol, having multiple sexual partners, transactional sex). Concussion: Having an STI experience improves chances of HIV services linkages. There is a need for targeted HIV programs to ensure that all AGYW having any other HIV risk factors apart from STIs completes referrals for HTS.

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