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以及国际战略和承诺中受到越来越多的关注,但在为与健康相关的结果进行研究,资助和规划方面,青少年母亲及其子女仍然被忽视。我们对有关该地区受艾滋病毒感染的青春期母亲及其子女的经历的现有证据进行了范围广泛的回顾。我们收录了出版的文献和会议摘要,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档进行了审查。首先,我们总结了青春期母亲及其子女与艾滋病毒以及主要健康和发展指标相关的经验。在撒哈拉以南非洲,早孕和艾滋病毒的综合症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,这些计划的重点是通过新颖的方法来支持青春期的母亲。在撒哈拉以南非洲,支持生活在艾滋病毒高发地区的青春期母亲不仅对消除艾滋病毒/艾滋病至关重要,而且对于实现可持续发展目标也至关重要。尽管对青春期的母亲及其子女的研究和计划正在增长,但对这一弱势群体的复杂需求仍未得到满足。我们以受艾滋病毒及其子女影响的青春期母亲的证据差距和方案优先重点作为结论。

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