Our narrative review found that national policies are growing more adolescent-inclusive but barriers around the age of consent, waiver frameworks and dissemination constrain translate into practice. Facility-based provider-initiated testing through integrated sexual health services and dedicated youth centres demonstrates uptake effectiveness if confidentiality and youth-friendly adaptations are assured. Supportive policies, youth-responsive adaptations across testing models and strengthening age-disaggregated monitoring are vital to improving adolescents' engagement across the HIV testing and treatment cascade. Further implementation research is imperative to expand the reach of adolescent HIV testing in sub-Saharan Africa.
Keyphrases
- hiv testing
- young adults
- mental health
- primary care
- men who have sex with men
- healthcare
- public health
- physical activity
- quality improvement
- childhood cancer
- high intensity
- randomized controlled trial
- human immunodeficiency virus
- systematic review
- social media
- drug delivery
- cancer therapy
- long term care
- hiv infected
- combination therapy