{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:48:41Z","timestamp":1787896121132,"version":"build-2784847793"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Adolescents living with HIV (ALHIV) face unique challenges resulting in persistent treatment gaps, particularly viral non-suppression. Country programs adopt policies, guidelines, and innovations, based on WHO recommendations and best practices from elsewhere. However, it is unclear to what extent these tools address the management of adolescents with viral non-suppression. We report on a review of guidelines for the provision of HIV services to ALHIV in Namibia. We conducted a systematic document review using Content Analysis and Thematic Analysis methodology, and the READ approach. We identified seven relevant policy documents, four of which somewhat addressed viral non-suppression (treatment gap) in ALHIV and outlined interventions to improve treatment outcomes in adolescents considering their lived experience and unique challenges. The persistent treatment gap may reflect policy implementation gaps in specifically addressing viral non-suppression. It may be worthwhile to leverage existing documents to develop specific operational guidance for ALHIV with unsuppressed viral loads.<\/jats:p>","DOI":"10.1177\/23259582241236061","type":"journal-article","created":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T03:12:21Z","timestamp":1709694741000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Policy and Programming Towards Addressing Treatment Gaps in Adolescents Living with HIV: A Content Analysis of Policy and Programme Documents in Namibia"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4410-7005","authenticated-orcid":false,"given":"Farai K.","family":"Munyayi","sequence":"first","affiliation":[{"name":"School of Public Health, University of the Western Cape, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian E.","family":"van Wyk","sequence":"additional","affiliation":[{"name":"School of Public Health, University of the Western Cape, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"bibr1-23259582241236061","unstructured":"UNAIDS. Understanding Fast-Track: Accelerating Action to End the AIDS Epidemic by 2030. UNAIDS; 2020."},{"key":"bibr2-23259582241236061","unstructured":"UNAIDS. The path that ends AIDS: UNAIDS Global AIDS Update 2023 [Internet]. Geneva, Switzerland; 2023. http:\/\/www.wipo.int\/amc\/en\/mediation\/rules."},{"key":"bibr3-23259582241236061","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-023-03943-0"},{"issue":"12","key":"bibr4-23259582241236061","volume":"8","author":"Han WM","year":"2021","journal-title":"Lancet HIV [Internet]"},{"key":"bibr5-23259582241236061","unstructured":"UNICEF. HIV and AIDS in Adolescents - UNICEF Data [Internet]. UNICEF. 2021. Accessed May 5, 2022. https:\/\/data.unicef.org\/topic\/hiv-aids\/."},{"key":"bibr6-23259582241236061","unstructured":"WHO. Adolescent health [Internet]. World Health Organization; 2022. Accessed May 5, 2022. https:\/\/www.who.int\/health-topics\/adolescent-health#tab=tab_1."},{"key":"bibr7-23259582241236061","doi-asserted-by":"publisher","DOI":"10.1016\/S2055-6640(20)30344-7"},{"key":"bibr8-23259582241236061","doi-asserted-by":"publisher","DOI":"10.31899\/hiv9.1006"},{"key":"bibr9-23259582241236061","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12517"},{"key":"#cr-split#-bibr10-23259582241236061.1","unstructured":"UNAIDS. 2021 UNAIDS Global AIDS Updates - CONFRONTING INEQUALITIES Lessons for pandemic responses from 40 years of AIDS [Internet]. UNAIDS"},{"key":"#cr-split#-bibr10-23259582241236061.2","unstructured":"2021. Accessed June 10, 2022. https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2021-global-aids-update_en.pdf."},{"key":"bibr11-23259582241236061","unstructured":"WHO. AIDS Free Framework to accelerate paediatric and adolescent HIV treatment [Internet]. Geneva, Switzerland; 2018. Accessed April 17, 2023. https:\/\/www.who.int\/publications\/i\/item\/WHO-CDS-HIV-18.20."},{"key":"bibr12-23259582241236061","unstructured":"WHO. Global HIV Programme: Treatment and care in children and adolescents [Internet]. Treatment and Care; 2023. Accessed April 17, 2023. https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/hiv\/treatment\/treatment-and-care-in-children-and-adolescents."},{"key":"bibr13-23259582241236061","unstructured":"WHO. Adolescent-Friendly Health Services for Adolescents Living with HIV: from Theory to Practice. Technical Brief. Peer Driven Adolescent HIV Models of Care [Internet]. Geneva, Switzerland: WHO; 2019. Accessed January 10, 2022. http:\/\/apps.who.int\/bookorders."},{"key":"bibr14-23259582241236061","unstructured":"NAMPHIA. Namibia Population-based HIV Impact Assessment (NAMPHIA) 2017 NAMPHIA 2017 COLLABORATING INSTITUTIONS The PHIA Project. 2019."},{"key":"bibr15-23259582241236061","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12656"},{"key":"bibr16-23259582241236061","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12048"},{"key":"bibr17-23259582241236061","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15356-w"},{"key":"bibr18-23259582241236061","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192214710"},{"key":"bibr19-23259582241236061","unstructured":"WHO. Health Systems Governance: Health Policy [Internet]. WHO; 2011. 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