While adolescents have received increasing attention in the global HIV response and international strategies and commitments, adolescent mothers and their children remain largely overlooked in research, funding and, programming for health-related outcomes. We conducted an extensive scoping review of current evidence on the experiences of adolescent mothers affected by HIV and their children in this region. We included published literature and conference abstracts, complemented by consultations with key stakeholders, and a review of documents through grey literature searching. First, we summarise the experiences of adolescent mothers and their children related to HIV and key health and development indicators. The syndemic of early motherhood and HIV in sub-Saharan Africa increases the vulnerability of adolescent mothers and their children. We then highlight lessons from a series of promising programmes focused on supporting adolescent mothers through novel approaches. In sub-Saharan Africa, supporting adolescent mothers living in high HIV-risk communities is critical not only to eliminate HIV/AIDS, but also to attain the Sustainable Development Goals. While research on and programming for adolescent mothers and their children is growing, the complex needs for this vulnerable group remain unmet. We conclude with evidence gaps and programming priorities for adolescent mothers affected by HIV and their children.

译文

尽管青少年在全球艾滋病毒应对措施以及国际战略和承诺中受到越来越多的关注,但青少年母亲及其子女在与健康有关的成果的研究,资金和方案编制方面仍然被忽视。我们对该地区受艾滋病毒影响的青春期母亲及其子女的经历的当前证据进行了广泛的范围界定审查。我们包括了已发表的文献和会议摘要,并与主要利益相关者进行了磋商,并通过灰色文献搜索对文件进行了审查。首先,我们总结了青春期母亲及其子女与艾滋病毒有关的经验以及关键的健康与发展指标。撒哈拉以南非洲地区早期孕产和艾滋病毒的共同感染增加了青春期母亲及其子女的脆弱性。然后,我们重点介绍了一系列有前途的计划的教训,这些计划侧重于通过新颖的方法支持青春期母亲。在撒哈拉以南非洲,支持生活在艾滋病毒高风险社区的青春期母亲不仅对消除艾滋病毒/艾滋病至关重要,而且对实现可持续发展目标也至关重要。尽管对青少年母亲及其子女的研究和规划正在增长,但对这一弱势群体的复杂需求仍未得到满足。最后,我们为受艾滋病毒影响的青春期母亲及其子女提供了证据空白和计划优先事项。

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