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Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic

The COVID-19 pandemic has been associated with reduced access to health services and worsening health outcomes for HIV and sexual and reproductive health (SRH). Through the analysis of data from an evaluation study of a combination intervention for adolescent girls and young women (AGYW) in South Af...

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Autores principales: Duby, Zoe, Bunce, Brittany, Fowler, Chantal, Jonas, Kim, Govindasamy, Darshini, Wagner, Colleen, Mangoale, Kgahliso, Ambrose, Anthony, Mathews, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012768/
https://www.ncbi.nlm.nih.gov/pubmed/36925833
http://dx.doi.org/10.3389/frhs.2022.903583
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author Duby, Zoe
Bunce, Brittany
Fowler, Chantal
Jonas, Kim
Govindasamy, Darshini
Wagner, Colleen
Mangoale, Kgahliso
Ambrose, Anthony
Mathews, Catherine
author_facet Duby, Zoe
Bunce, Brittany
Fowler, Chantal
Jonas, Kim
Govindasamy, Darshini
Wagner, Colleen
Mangoale, Kgahliso
Ambrose, Anthony
Mathews, Catherine
author_sort Duby, Zoe
collection PubMed
description The COVID-19 pandemic has been associated with reduced access to health services and worsening health outcomes for HIV and sexual and reproductive health (SRH). Through the analysis of data from an evaluation study of a combination intervention for adolescent girls and young women (AGYW) in South Africa, we sought to examine the way in which implementation and service provision were impacted by the COVID-19 pandemic and related restrictions, describing the adaptation implementers made to respond to this context. The intervention was implemented from 2019 in South African districts identified as high priority, given the high rates of HIV and teenage pregnancy amongst AGYW. The South African government introduced the first COVID-19 lockdown in March 2020. We conducted in-depth interviews with 38 intervention implementers in the period from November 2020 to March 2021. Respondents described various ways in which the COVID-19 pandemic and related restrictions had limited their ability to implement the intervention and provide services as planned. As a result, AGYW intervention beneficiary access to SRH and psychosocial services was disrupted. Implementers described several ways in which they attempted to adapt to the pandemic context, such as offering services remotely or door-to-door. Despite attempts to respond to the context and adapt services, overall COVID-19 negatively affected implementation and service provision, and heightened issues around community acceptability of the programs. Our findings can help to inform efforts to reduce health service disruption, increase health system resilience, and ensure continuous SRH service provision to AGYW in times of pandemics and other crises.
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spelling pubmed-100127682023-03-15 Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic Duby, Zoe Bunce, Brittany Fowler, Chantal Jonas, Kim Govindasamy, Darshini Wagner, Colleen Mangoale, Kgahliso Ambrose, Anthony Mathews, Catherine Front Health Serv Health Services The COVID-19 pandemic has been associated with reduced access to health services and worsening health outcomes for HIV and sexual and reproductive health (SRH). Through the analysis of data from an evaluation study of a combination intervention for adolescent girls and young women (AGYW) in South Africa, we sought to examine the way in which implementation and service provision were impacted by the COVID-19 pandemic and related restrictions, describing the adaptation implementers made to respond to this context. The intervention was implemented from 2019 in South African districts identified as high priority, given the high rates of HIV and teenage pregnancy amongst AGYW. The South African government introduced the first COVID-19 lockdown in March 2020. We conducted in-depth interviews with 38 intervention implementers in the period from November 2020 to March 2021. Respondents described various ways in which the COVID-19 pandemic and related restrictions had limited their ability to implement the intervention and provide services as planned. As a result, AGYW intervention beneficiary access to SRH and psychosocial services was disrupted. Implementers described several ways in which they attempted to adapt to the pandemic context, such as offering services remotely or door-to-door. Despite attempts to respond to the context and adapt services, overall COVID-19 negatively affected implementation and service provision, and heightened issues around community acceptability of the programs. Our findings can help to inform efforts to reduce health service disruption, increase health system resilience, and ensure continuous SRH service provision to AGYW in times of pandemics and other crises. Frontiers Media S.A. 2022-06-03 /pmc/articles/PMC10012768/ /pubmed/36925833 http://dx.doi.org/10.3389/frhs.2022.903583 Text en Copyright © 2022 Duby, Bunce, Fowler, Jonas, Govindasamy, Wagner, Mangoale, Ambrose and Mathews. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
Duby, Zoe
Bunce, Brittany
Fowler, Chantal
Jonas, Kim
Govindasamy, Darshini
Wagner, Colleen
Mangoale, Kgahliso
Ambrose, Anthony
Mathews, Catherine
Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic
title Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic
title_full Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic
title_fullStr Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic
title_full_unstemmed Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic
title_short Adaptation and Resilience: Lessons Learned From Implementing a Combination Health and Education Intervention for Adolescent Girls and Young Women in South Africa During the COVID-19 Pandemic
title_sort adaptation and resilience: lessons learned from implementing a combination health and education intervention for adolescent girls and young women in south africa during the covid-19 pandemic
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012768/
https://www.ncbi.nlm.nih.gov/pubmed/36925833
http://dx.doi.org/10.3389/frhs.2022.903583
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