Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved]
Background: Ukraine’s perinatally HIV-infected (PHIV) young people are ageing into adolescence/young adulthood and, alongside those with horizontally-acquired HIV infections, require transitional and other support services. We aimed to map this population and policies/service provision at specialist...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2019-05-01
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| Series: | F1000Research |
| Online Access: | https://f1000research.com/articles/8-323/v2 |
| _version_ | 1819290149972869120 |
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| author | Galyna Kyselyova Violeta Martsynovska Alla Volokha Nataliya Nizova Ruslan Malyuta Ali Judd Claire Thorne Heather Bailey |
| author_facet | Galyna Kyselyova Violeta Martsynovska Alla Volokha Nataliya Nizova Ruslan Malyuta Ali Judd Claire Thorne Heather Bailey |
| author_sort | Galyna Kyselyova |
| collection | DOAJ |
| description | Background: Ukraine’s perinatally HIV-infected (PHIV) young people are ageing into adolescence/young adulthood and, alongside those with horizontally-acquired HIV infections, require transitional and other support services. We aimed to map this population and policies/service provision at specialist HIV centres, to inform future service development. Methods: A national survey was conducted of 28 HIV/AIDS centres on number, characteristics (age group, HIV acquisition mode) and care setting (paediatric/adult) of 10-24 year olds in HIV care in each of 24 regions in January 2016. Information was collected on policies/service provision at each centre. Results: Of 13,286 young people aged 10-24 years registered for HIV care nationally in Ukraine in January 2016, 1,675 were aged 10-18 years. Three-quarters of ≤19 year olds were PHIV, while 72% of 20-24-year-olds had sexually-acquired infection. Five regions accounted for two-thirds of 10-18 year olds in paediatric and 85% of 19-24 year olds in adult services. In 2015, 97 young people transitioned from paediatric to adult services nationally, typically at 18 years although with flexibility in timing at 17/28 centres. At 27/28 centres, horizontally HIV-infected young people aged <18 years began their HIV care in paediatric services sometimes (5) or always (22). Transition support most commonly consisted of a joint appointment with paediatrician and adult doctor, and support from a psychologist/social worker (both at 24/28 centres). Only 5/28 centres offered routine HIV care during the evening or weekend, and availability of integrated sexual/reproductive health and harm reduction services was uneven. Of 16/28 centres selectively following-up patients who did not attend for care, 15 targeted patients in paediatric services. Conclusions: Heterogeneity in the population and in service availability at the main regional/municipal HIV/AIDS centres has implications for potential structural barriers to HIV care, and development of services for this group. |
| first_indexed | 2024-12-24T03:18:10Z |
| format | Article |
| id | doaj.art-70e8cb95e7cd4dc58e5ace5ec4eded65 |
| institution | Directory Open Access Journal |
| issn | 2046-1402 |
| language | English |
| last_indexed | 2024-12-24T03:18:10Z |
| publishDate | 2019-05-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj.art-70e8cb95e7cd4dc58e5ace5ec4eded652022-12-21T17:17:34ZengF1000 Research LtdF1000Research2046-14022019-05-01810.12688/f1000research.18573.221074Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved]Galyna Kyselyova0Violeta Martsynovska1Alla Volokha2Nataliya Nizova3Ruslan Malyuta4Ali Judd5Claire Thorne6Heather Bailey7Shupyk National Medical Academy of Postgraduate Education, Kiev, UkraineThe Public Health Center of the Ministry of Health of Ukraine, Kiev, UkraineShupyk National Medical Academy of Postgraduate Education, Kiev, UkraineThe Public Health Center of the Ministry of Health of Ukraine, Kiev, UkrainePerinatal Prevention of AIDS Initiative, Odessa, UkraineMRC Clinical Trials Unit at UCL, Institute of Clinical Trials and Methodology, University College London, London, UKPopulation, Policy and Practice Programme, UCL Great Ormond Street Institute of Child Health, University College London, London, UKPopulation, Policy and Practice Programme, UCL Great Ormond Street Institute of Child Health, University College London, London, UKBackground: Ukraine’s perinatally HIV-infected (PHIV) young people are ageing into adolescence/young adulthood and, alongside those with horizontally-acquired HIV infections, require transitional and other support services. We aimed to map this population and policies/service provision at specialist HIV centres, to inform future service development. Methods: A national survey was conducted of 28 HIV/AIDS centres on number, characteristics (age group, HIV acquisition mode) and care setting (paediatric/adult) of 10-24 year olds in HIV care in each of 24 regions in January 2016. Information was collected on policies/service provision at each centre. Results: Of 13,286 young people aged 10-24 years registered for HIV care nationally in Ukraine in January 2016, 1,675 were aged 10-18 years. Three-quarters of ≤19 year olds were PHIV, while 72% of 20-24-year-olds had sexually-acquired infection. Five regions accounted for two-thirds of 10-18 year olds in paediatric and 85% of 19-24 year olds in adult services. In 2015, 97 young people transitioned from paediatric to adult services nationally, typically at 18 years although with flexibility in timing at 17/28 centres. At 27/28 centres, horizontally HIV-infected young people aged <18 years began their HIV care in paediatric services sometimes (5) or always (22). Transition support most commonly consisted of a joint appointment with paediatrician and adult doctor, and support from a psychologist/social worker (both at 24/28 centres). Only 5/28 centres offered routine HIV care during the evening or weekend, and availability of integrated sexual/reproductive health and harm reduction services was uneven. Of 16/28 centres selectively following-up patients who did not attend for care, 15 targeted patients in paediatric services. Conclusions: Heterogeneity in the population and in service availability at the main regional/municipal HIV/AIDS centres has implications for potential structural barriers to HIV care, and development of services for this group.https://f1000research.com/articles/8-323/v2 |
| spellingShingle | Galyna Kyselyova Violeta Martsynovska Alla Volokha Nataliya Nizova Ruslan Malyuta Ali Judd Claire Thorne Heather Bailey Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved] F1000Research |
| title | Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved] |
| title_full | Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved] |
| title_fullStr | Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved] |
| title_full_unstemmed | Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved] |
| title_short | Young people in HIV care in Ukraine: a national survey on characteristics and service provision [version 2; peer review: 2 approved] |
| title_sort | young people in hiv care in ukraine a national survey on characteristics and service provision version 2 peer review 2 approved |
| url | https://f1000research.com/articles/8-323/v2 |
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