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Expert client service delivery practices among adolescents living with HIV in Eswatini: A thematic analysis

Author

Listed:
  • Ahmed, Charisse V.
  • Weissinger, Guy
  • Teitelman, Anne
  • Sabelo Dlamini, Ndumiso
  • Patience Dlamini, Nontsikelelo
  • Cebsile Dlamini, Thuthukile
  • Nkambule, Angel
  • Nkambule, Siphesihle
  • Brawner, Bridgette M.
  • Calnan, Marianne

Abstract

In Eswatini (formerly known as Swaziland), expert clients are HIV-positive lay health workers known to provide psychosocial support to their seropositive peers. However, the existing literature does not specify the service delivery techniques used by expert clients to promote medication adherence and treatment retention among adolescents living with HIV. Therefore, our qualitative study sought to explore expert client service provision for adolescents with HIV using Braun and Clarke’s (2006) method of thematic analysis. We recruited 32 adolescents living with HIV to participate in focus groups as well as 20 expert clients and 12 key informants to participate in semi-structured interviews. We found that the adolescent service delivery techniques used by expert clients include 1) navigating issues of disclosure, 2) serving as role models, 3) tailoring speech and behavior, 4) building rapport and trust, 5) resolving adherence challenges, and 6) promoting resilience and independence. To our knowledge, our study is the first to illuminate the specific roles that expert clients play in promoting the health of adolescents living with HIV in Eswatini. Future research should explore strategies and resources necessary to support the work of expert clients in an adolescent context, especially with regard to disclosure challenges faced by adolescents and their caregivers as well as adolescent sexual and reproductive health needs.

Suggested Citation

  • Ahmed, Charisse V. & Weissinger, Guy & Teitelman, Anne & Sabelo Dlamini, Ndumiso & Patience Dlamini, Nontsikelelo & Cebsile Dlamini, Thuthukile & Nkambule, Angel & Nkambule, Siphesihle & Brawner, Brid, 2022. "Expert client service delivery practices among adolescents living with HIV in Eswatini: A thematic analysis," Children and Youth Services Review, Elsevier, vol. 132(C).
    • Handle: RePEc:eee:cysrev:v:132:y:2022:i:c:s0190740921003856
    DOI: 10.1016/j.childyouth.2021.106309
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    References listed on IDEAS

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    1. Woollett, Nataly & Cluver, Lucie & Hatcher, Abigail M. & Brahmbhatt, Heena, 2016. "“To be HIV positive is not the end of the world”: Resilience among perinatally infected HIV positive adolescents in Johannesburg," Children and Youth Services Review, Elsevier, vol. 70(C), pages 269-275.
    2. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    3. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
    4. Lowenthal, Elizabeth D. & Jibril, Haruna B. & Sechele, Mmapula L. & Mathuba, Keofentse & Tshume, Ontibile & Anabwani, Gabriel M., 2014. "Disclosure of HIV status to HIV-infected children in a large African treatment center: Lessons learned in Botswana," Children and Youth Services Review, Elsevier, vol. 45(C), pages 143-149.
    5. Winskell, Kate & Miller, Kim S. & Allen, Kristi Ann & Obong'o, Christopher O., 2016. "Guiding and supporting adolescents living with HIV in sub-Saharan Africa: The development of a curriculum for family and community members," Children and Youth Services Review, Elsevier, vol. 61(C), pages 253-260.
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