The quality of HIV testing services for adolescents in Cape Town, South Africa: do adolescent-friendly services make a difference?
We used adolescent simulated clients to evaluate whether HIV testing services in clinics participating in an adolescent-friendly initiative in Cape Town were superior to regular clinic services. We found improved accessibility to HIV testing, but no impact on adolescent's experience of negative attitudes from health workers and confidentiality breaches.
Mathews
Catherine
C
Health Systems Research Unit, Medical Research Council, and School of Public Health and Family Medicine, University of Cape Town, South Africa. Electronic address: cathy.mathews@mrc.ac.za.
Guttmacher
Sally J
SJ
Department of Nutrition, Food Studies and Public Health, New York University, New York, New York.
Flisher
Alan J
AJ
Adolescent Health Research Institute, University of Cape Town, Division of Child and Adolescent Psychiatry, University of Cape Town; Research Centre for Health Promotion, University of Bergen, Bergen, Norway.
Mtshizana
Yolisa Y
YY
Health Systems Research Unit, Medical Research Council, and School of Public Health and Family Medicine, University of Cape Town, South Africa.
Nelson
Tobey
T
Department of Nutrition, Food Studies and Public Health, New York University, New York, New York; Horizon's Program, Washington, DC; International Center for Research on Women, Washington, DC.
McCarthy
Jean
J
School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Daries
Vanessa
V
Health Systems Research Unit, Medical Research Council, and School of Public Health and Family Medicine, University of Cape Town, South Africa.
D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards*; D000554:Ambulatory Care Facilities / Q000592:standards*; D016009:Chi-Square Distribution; D003219:Confidentiality; D003376:Counseling / Q000592:standards; D015658:HIV Infections / Q000175:diagnosis*; D006297:Health Services Accessibility; D006801:Humans; D019370:Observation; D013019:South Africa; D011795:Surveys and Questionnaires