{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:18:51Z","timestamp":1787681931370,"version":"build-2784847793"},"reference-count":23,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["5D43TW012493"],"award-info":[{"award-number":["5D43TW012493"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosmentalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Ment Health"],"abstract":"<jats:p>Adolescents and young people living with HIV (AYPLHIV) experience substantial mental health and psychosocial challenges, yet information on youth-responsive service availability is often limited for routine planning. We mapped mental health and psychosocial support services in Lusaka and Shibuyunji districts of Zambia and assessed alignment with AYPLHIV antiretroviral therapy (ART) program burden using treatment current (TX-CURR) ages 15\u201324 data. We conducted a cross-sectional mapping survey (10\u201321 February 2025) of facilities providing any mental health\/psychosocial service to characterize service modalities, operating days, eligibility\/consent requirements, privacy infrastructure, and ownership. We linked mapped facilities to ART sites and September 2024 TX-CURR using standardized facility names and districts, and calculated burden-weighted coverage among linked sites. As of September 2024, 16,550 AYPLHIV (15\u201324) were on ART across 87 sites, with 97.7% of burden in Lusaka. We mapped 88 facilities (73 Lusaka; 15 Shibuyunji); 58.0% were government-owned and 40.9% privately owned. Counseling was widely available (97.7%), whereas group therapy (31.8%), medication (37.5%), and medical supervision [observed medication] (38.6%) were less common; medication was frequently referral-based. Weekend availability was reported by 60.2% and parental\/guardian consent requirements by 28.4%. Routine data readiness was higher in Lusaka than Shibuyunji (93.2% vs 66.7%; OR 6.8, 95% CI 1.7\u201327.7; p\u2009=\u20090.011). Forty-seven facilities were linked to ART sites representing 11,194 AYPLHIV: burden-weighted coverage was 40.7% for weekend services, 47.2% for referral medication, and 23.0% for a composite package (weekend availability + on-site counseling\u2009+\u2009referral medication). AYPLHIV burden is concentrated in Lusaka, but key access features (weekend options, privacy) and biomedical support beyond counseling often depend on referral pathways and are not consistently aligned with high-burden sites. Strengthening youth-friendly service organization, referral functionality, and routine monitoring at high-burden sites may improve equitable access to mental health and psychosocial support.<\/jats:p>","DOI":"10.1371\/journal.pmen.0000610","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:25:51Z","timestamp":1787678751000},"page":"e0000610","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmen.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mapping mental health and psychosocial support service availability for adolescents and young people living with HIV in Lusaka and Shibuyunji districts, Zambia: Alignment with ART program burden (September 2024)"],"prefix":"10.1371","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7255-7287","authenticated-orcid":true,"given":"Carlos","family":"Muleya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary N.","family":"Likwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Chipimo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline J.","family":"Folotiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1006-3346","authenticated-orcid":true,"given":"Ngosa","family":"Mwiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lweendo","family":"Mapiki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asarf","family":"Sibuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godfrey","family":"Chulu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Baumhart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassidy W.","family":"Claassen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1647-8482","authenticated-orcid":true,"given":"Naeem","family":"Dalal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loyd B.","family":"Mulenga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"pmen.0000610.ref001","unstructured":"Joint United Nations Programme on HIV\/AIDS UNAIDS. Global HIV & AIDS statistics \u2014 fact sheet. https:\/\/www.unaids.org\/en\/resources\/fact-sheet"},{"key":"pmen.0000610.ref002","unstructured":"UNICEF. Adolescents and young people: HIV treatment. https:\/\/data.unicef.org\/topic\/hivaids\/adolescents-young-people\/#hiv-treatment"},{"key":"pmen.0000610.ref003","doi-asserted-by":"crossref","first-page":"1392872","DOI":"10.3389\/fpubh.2024.1392872","article-title":"Prevalence of mental disorders among young people living with HIV: a systematic review and meta-analysis","volume":"12","author":"S Zhan","year":"2024","journal-title":"Front Public Health"},{"issue":"1","key":"pmen.0000610.ref004","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s12981-021-00351-1","article-title":"The prevalence of depression among adolescent with HIV\/AIDS: a systematic review and meta-analysis","volume":"18","author":"G Ayano","year":"2021","journal-title":"AIDS Res Ther"},{"key":"pmen.0000610.ref005","volume-title":"Integrating psychosocial interventions and support into HIV services for adolescents and young adults: technical brief","author":"World Health Organization","year":"2023"},{"issue":"8","key":"pmen.0000610.ref006","doi-asserted-by":"crossref","DOI":"10.1002\/jia2.25741","article-title":"Psychosocial interventions for improving engagement in care and health and behavioural outcomes for adolescents and young people living with HIV: a systematic review and meta-analysis","volume":"24","author":"CA Laurenzi","year":"2021","journal-title":"J Int AIDS Soc"},{"key":"pmen.0000610.ref007","unstructured":"UNICEF, World Health Organization. Mental health a human right, but only 1 psychiatrist per 1,000,000 people in sub-Saharan Africa \u2013 UNICEF\/WHO. 2023. https:\/\/www.unicef.org\/esa\/press-releases\/mental-health-a-human-right-but-only-1-psychiatrist-1000000-people-sub-saharan"},{"key":"pmen.0000610.ref008","volume-title":"Mental health atlas 2024","author":"World Health Organization","year":"2025"},{"key":"pmen.0000610.ref009","volume-title":"Providing peer support for adolescents and young people living with HIV","author":"D Mark","year":"2019"},{"key":"pmen.0000610.ref010","volume-title":"Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach","author":"World Health Organization","year":"2021"},{"key":"pmen.0000610.ref011","volume-title":"mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: mental health Gap Action Programme (mhGAP), version 2.0","author":"World Health Organization","year":"2016"},{"key":"pmen.0000610.ref012","volume-title":"Global standards for quality health-care services for adolescents: a guide to implement a standards-driven approach to improve the quality of health care services for adolescents","author":"World Health Organization, Joint United Nations Programme on HIV\/AIDS (UNAIDS)","year":"2015"},{"key":"pmen.0000610.ref013","volume-title":"National Health Strategic Plan 2022-2026: Towards attainment of quality universal health coverage through decentralisation","author":"Ministry of Health, Republic of Zambia","year":"2022"},{"key":"pmen.0000610.ref014","volume-title":"National Adolescent Health Strategic Plan 2022 to 2026","author":"Ministry of Health, Republic of Zambia","year":"2022"},{"key":"pmen.0000610.ref015","unstructured":"U.S. President\u2019s Emergency Plan for AIDS Relief (PEPFAR). Monitoring, Evaluation, and Reporting (MER) Indicator Reference Guide: FY25 Q1 & Q2 MER Guidance (MER 2.0, Version 2.8.2). 2025. https:\/\/www.datim.org\/sites\/default\/files\/2025-03\/MER%20Indicator%20Reference%20Guide%20FY25%20Q1%20Q2%20MER%20Guidance%20MER%202.0%20Version%202.8.2%20-%20March%202025.pdf"},{"key":"pmen.0000610.ref016","unstructured":"UNAIDS Indicator Registry. Number of adults and children currently receiving antiretroviral therapy (ART). https:\/\/indicatorregistry.unaids.org\/indicator\/txcurrnat-subnat-percentage-adults-and-children-receiving-antiretroviral-therapy"},{"key":"pmen.0000610.ref017","volume-title":"Recommendations on digital interventions for health system strengthening","author":"World Health Organization","year":"2019"},{"key":"pmen.0000610.ref018","volume-title":"Global strategy on digital health 2020-2027","author":"World Health Organization","year":"2025"},{"issue":"4","key":"pmen.0000610.ref019","doi-asserted-by":"crossref","DOI":"10.2196\/25847","article-title":"Evidence on Digital Mental Health Interventions for Adolescents and Young People: Systematic Overview","volume":"8","author":"S Lehtimaki","year":"2021","journal-title":"JMIR Ment Health"},{"issue":"1","key":"pmen.0000610.ref020","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1007\/s10461-021-03376-9","article-title":"A Pilot Study of a Mobile Intervention to Support Mental Health and Adherence Among Adolescents Living with HIV in Western Kenya","volume":"26","author":"A Chory","year":"2022","journal-title":"AIDS Behav"},{"key":"pmen.0000610.ref021","doi-asserted-by":"crossref","first-page":"04182","DOI":"10.7189\/jogh.14.04182","article-title":"Assessing the impact of a community-based psychodrama intervention on mental health promotion of adolescents and young adults in Mozambique: A mixed-methods study","volume":"14","author":"R Benoni","year":"2024","journal-title":"J Glob Health"},{"issue":"1","key":"pmen.0000610.ref022","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1186\/s12889-025-22695-3","article-title":"Barriers and facilitators to accessing mental health services among young people living with HIV and healthcare professionals in Mozambique: a content and sentiment analysis using the capability, opportunity, motivation and behaviour (COM-B) framework","volume":"25","author":"R Benoni","year":"2025","journal-title":"BMC Public Health"},{"key":"pmen.0000610.ref023","unstructured":"Zambia. Mental Health Act, 2019 (Act No. 6 of 2019). https:\/\/zambialii.org\/akn\/zm\/act\/2019\/6\/eng%402019-04-11"}],"container-title":["PLOS Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pmen.0000610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:25:59Z","timestamp":1787678759000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pmen.0000610"}},"subtitle":[],"editor":[{"given":"Karli","family":"Montague-Cardoso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":23,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,25]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pmen.0000610","relation":{},"ISSN":["2837-8156"],"issn-type":[{"value":"2837-8156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]}}}