Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017

Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017–2021

Published:2023-07 Issue:Supplement A Volume:35 Page:39-51
ISSN:0899-9546
Container-title:AIDS Education and Prevention
language:en
Short-container-title:AIDS Education and Prevention

Author:

Kanagasabai Udhayashankar¹,Valleau Christopher²,Cain Meagan¹,Chevalier Michelle S.¹,Hegle Jennifer¹,Patel Pragna¹,Benevides Regina¹,Trika Joseph B.³,Angumua Carrine³,Mpingulu Minlangu³,Ferdinand Kamanga⁴,Sida Fikirte³,Galloway Katelyn³,Kambona Caroline³,Oluoch Patricia³,Msungama Wezi³,Katengeza Hans⁴,Correia Della³,Duffy Meghan³,Cossa Raquel Maria Violeta⁴,Coomer Rachel³,Ayo Adeola³,Ukanwa Chioma⁴,Tuyishime Elysee³,Dladla Sibongile³,Drummond Jennifer³,Magesa Daniel³,Kitalile Jane³,Apondi Rose³,Okuku Jackson³,Chisenga Tina⁴,Cham Haddi J.¹

Affiliation:

1. Division of Global HIV and TB, Center for Global Health (CGH), U.S. Centers for Disease Control and Prevention (CDC), Atlanta Georgia.

2. Hubert Department of Global Health, Emory University, Atlanta, Georgia.

3. The following authors are affiliated with the respective country offices of the Division of Global HIV and TB, CGH, CDC: Joseph B. Trika (Cote d'Ivoire), Carrine Angumua (Cameroon), Minlangu Mpingulu (Democratic Republic of Congo), Fikirte Sida (Ethiopia), Katelyn Galloway (Eswatini), Caroline Kambona and Patricia Oluoch (Kenya), Wezi Msungama (Malawi), Della Correia, and Meghan Duffy (Mozambique), Rachel Coomer (Namibia), Adeola Ayo (Nigeria), Elysee Tuyishime (Rwanda), Sibongile Dladla, and Jennifer...

4. The following authors are affiliated with their respective country's Ministry of Health: Kamanga Ferdinand (Democratic Republic of Congo), Hans Katengeza (Malawi), Raquel Maria Violeta Cossa (Mozambique), Chioma Ukanwa (Nigeria), and Tina Chisenga (Zambia)

Abstract

Gender-based violence (GBV) is a complex issue deeply rooted in social structures, making its eradication challenging. GBV increases the risk of HIV transmission and is a barrier to HIV testing, care, and treatment. Quality clinical services for GBV, which includes the provision of HIV postexposure prophylaxis (PEP), vary, and service delivery data are lacking. We describe GBV clinical service delivery in 15 countries supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention. Through a descriptive statistical analysis of PEPFAR Monitoring, Evaluation, and Reporting (MER) data, we found a 252% increase in individuals receiving GBV clinical services, from 158,691 in 2017 to 558,251 in 2021. PEP completion was lowest (15%) among 15–19-year-olds. Understanding GBV service delivery is important for policy makers, program managers, and providers to guide interventions to improve the quality of service delivery and contribute to HIV epidemic control.

Publisher

Guilford Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health,Health (social science)

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