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Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls

Within South Africa's HIV epidemic, foreign migrant adolescent girls and young women (AGYW) face unique challenges in an environment typified by xenophobia and structural inequity. The intersection of age, gender, and migrant-related factors creates threats that may exacerbate their HIV risk, i...

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Autores principales: Temin, Miriam, Milford, Cecilia, Beksinska, Mags, Van Zyl, Debbie, Cockburn, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580656/
https://www.ncbi.nlm.nih.gov/pubmed/36304008
http://dx.doi.org/10.3389/frph.2021.629246
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author Temin, Miriam
Milford, Cecilia
Beksinska, Mags
Van Zyl, Debbie
Cockburn, Jonathan
author_facet Temin, Miriam
Milford, Cecilia
Beksinska, Mags
Van Zyl, Debbie
Cockburn, Jonathan
author_sort Temin, Miriam
collection PubMed
description Within South Africa's HIV epidemic, foreign migrant adolescent girls and young women (AGYW) face unique challenges in an environment typified by xenophobia and structural inequity. The intersection of age, gender, and migrant-related factors creates threats that may exacerbate their HIV risk, including discrimination, limited social capital, and economic dependency. This paper explores HIV-related determinants of risk from the perspective of foreign migrant AGYW who participated in a Girls' Club project implemented by Community Media Trust. Within clubs, foreign migrant AGYW met weekly with a female mentor to discuss HIV, safety planning, financial literacy, and other topics. Focus group discussions (FGDs) were conducted with club members and parents to learn about pressing challenges in a context characterized by early sexual debut, high rates of teenage pregnancy, and relationships typified by material exchange. FGDs addressed HIV risk factors such as social isolation and limited access to services, exacerbated by migrant-related stigma and discrimination and lack of identity documents. The foreign migrant AGYW appreciated the role of the Girls' Clubs and mentors in helping them overcome barriers to school and health services as well as building their social and other assets. FGD results indicate that HIV prevention in South Africa should prioritize action to address the specific determinants of foreign migrant AGYW's HIV risk, as well as inclusive policies that recognize migrants' heterogeneity based on gender and age.
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spelling pubmed-95806562022-10-26 Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls Temin, Miriam Milford, Cecilia Beksinska, Mags Van Zyl, Debbie Cockburn, Jonathan Front Reprod Health Reproductive Health Within South Africa's HIV epidemic, foreign migrant adolescent girls and young women (AGYW) face unique challenges in an environment typified by xenophobia and structural inequity. The intersection of age, gender, and migrant-related factors creates threats that may exacerbate their HIV risk, including discrimination, limited social capital, and economic dependency. This paper explores HIV-related determinants of risk from the perspective of foreign migrant AGYW who participated in a Girls' Club project implemented by Community Media Trust. Within clubs, foreign migrant AGYW met weekly with a female mentor to discuss HIV, safety planning, financial literacy, and other topics. Focus group discussions (FGDs) were conducted with club members and parents to learn about pressing challenges in a context characterized by early sexual debut, high rates of teenage pregnancy, and relationships typified by material exchange. FGDs addressed HIV risk factors such as social isolation and limited access to services, exacerbated by migrant-related stigma and discrimination and lack of identity documents. The foreign migrant AGYW appreciated the role of the Girls' Clubs and mentors in helping them overcome barriers to school and health services as well as building their social and other assets. FGD results indicate that HIV prevention in South Africa should prioritize action to address the specific determinants of foreign migrant AGYW's HIV risk, as well as inclusive policies that recognize migrants' heterogeneity based on gender and age. Frontiers Media S.A. 2021-05-20 /pmc/articles/PMC9580656/ /pubmed/36304008 http://dx.doi.org/10.3389/frph.2021.629246 Text en Copyright © 2021 Temin, Milford, Beksinska, Van Zyl and Cockburn. 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 Reproductive Health
Temin, Miriam
Milford, Cecilia
Beksinska, Mags
Van Zyl, Debbie
Cockburn, Jonathan
Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls
title Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls
title_full Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls
title_fullStr Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls
title_full_unstemmed Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls
title_short Inclusive HIV Prevention in South Africa: Reaching Foreign Migrant Adolescent Girls
title_sort inclusive hiv prevention in south africa: reaching foreign migrant adolescent girls
topic Reproductive Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580656/
https://www.ncbi.nlm.nih.gov/pubmed/36304008
http://dx.doi.org/10.3389/frph.2021.629246
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