{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T18:31:28Z","timestamp":1764959488630,"version":"3.46.0"},"reference-count":79,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Washington Global Mental Health Program"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Common mental disorders (CMDs) are prevalent among adolescent girls and young women (AGYW) in high HIV-burden settings. However, mental health is underprioritized within HIV interventions targeting AGYW. We conducted a qualitative study to explore AGYW and healthcare providers\u2019 perceptions of mental health service delivery within HIV clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 16th February and 14th June 2021, we conducted in-depth interviews with AGYW receiving HIV services and healthcare providers from eight clinics in Central Kenya. Eligible AGYW were aged 16\u201325 years and reported mild-to-moderate CMD symptoms, determined by the Self-Reporting Questionnaire 20-item (SRQ-20) mental health screening tool. Eligible providers currently provided HIV or mental health services. Interviews explored AGYW\u2019s experiences with CMDs and factors influencing mental health service delivery by providers within HIV clinics. We analyzed data deductively and inductively using thematic analysis and organized findings using the socio-ecological model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median age among AGYW (n\u2009=\u200920) was 21 years (IQR:18\u201324), and SRQ-20 screening score was 9 (IQR: 8\u201311). Providers (n\u2009=\u200910) comprised seven females; and included six HIV and four mental healthcare providers. AGYW described experiences of CMDs due to multi-level risk factors, including HIV stigma, financial problems, and relationship challenges. AGYW reported a high demand for mental health services but described a systemic lack of access. Convenience and positive experiences with providers facilitated AGYW\u2019s access to services. Conversely, HIV care providers felt less confident in delivering mental health services due to inadequate mental health training compared to mental healthcare providers. Providers also reported inadequate training, poor referral systems, and unclear guidelines that hindered service delivery. AGYW and providers endorsed mental health service integration within HIV clinics to potentially reduce referral burden for AGYW and improve service quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings highlight gaps in mental health service delivery among AGYW receiving HIV services. Integrated service delivery within HIV clinics could improve AGYW\u2019s access to mental health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0337795","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T18:26:22Z","timestamp":1764959182000},"page":"e0337795","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental health service delivery among adolescent girls and young women (AGYW) seeking HIV prevention and treatment services in central Kenya: A qualitative study of AGYW and healthcare providers\u2019 perceptions"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4167-7897","authenticated-orcid":true,"given":"Emmah","family":"Owidi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Ngure","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Mogere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Njoroge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Snaidah","family":"Ayub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy","family":"Njiru","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boaz","family":"Kipkorir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9568-721X","authenticated-orcid":true,"given":"Edinah","family":"Casmir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Kiptinness","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2180-3534","authenticated-orcid":true,"given":"Tessa","family":"Concepcion","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Owens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6176-6374","authenticated-orcid":true,"given":"Pamela","family":"Kohler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley 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Osok","year":"2018","journal-title":"BMC Psychiatry"},{"issue":"1","key":"pone.0337795.ref035","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0290868","article-title":"Adolescent perspectives on peripartum mental health prevention and promotion from Kenya: Findings from a design thinking approach","volume":"19","author":"J Kathono","year":"2024","journal-title":"PLoS One"},{"key":"pone.0337795.ref036","author":"National AIDS and STI Control Programme, Ministry of Health","year":"2020"},{"key":"pone.0337795.ref037","doi-asserted-by":"crossref","first-page":"932948","DOI":"10.3389\/fpubh.2022.932948","article-title":"Assessing young Kenyan women\u2019s willingness to engage in a peer-delivered HIV self-testing and referral model for PrEP initiation: A qualitative formative research study","volume":"10","author":"M McGowan","year":"2022","journal-title":"Front Public Health"},{"key":"pone.0337795.ref038","volume-title":"A user\u2019s guide to the self-reporting questionnaire (SRQ) [Internet]","author":"M Beusenberg","year":"1994"},{"issue":"4","key":"pone.0337795.ref039","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1007\/s11019-023-10169-5","article-title":"Research ethics in practice: An analysis of ethical issues encountered in qualitative health research with mental health service users and relatives","volume":"26","author":"S Potthoff","year":"2023","journal-title":"Med Health Care Philos"},{"issue":"5","key":"pone.0337795.ref040","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research","volume":"42","author":"LA Palinkas","year":"2015","journal-title":"Adm Policy Ment Health"},{"issue":"9","key":"pone.0337795.ref041","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"H-F Hsieh","year":"2005","journal-title":"Qual Health Res"},{"key":"pone.0337795.ref042","volume-title":"Dedoose: Web application for managing, analyzing, and presenting qualitative and mixed method research data","author":"Dedoose version 8.0.35","year":"2018"},{"key":"pone.0337795.ref043","first-page":"37","article-title":"Ecological models of human development","volume-title":"International encyclopedia of education","author":"U Bronfenbrenner","year":"1994","edition":"2"},{"issue":"4","key":"pone.0337795.ref044","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1177\/109019818801500401","article-title":"An ecological perspective on health promotion programs","volume":"15","author":"KR McLeroy","year":"1988","journal-title":"Health Educ Q"},{"key":"pone.0337795.ref045","author":"PJ Erickson","year":"2024"},{"key":"pone.0337795.ref046","first-page":"101068","article-title":"A socio-ecological approach of evidence on associations between social environmental factors and mental health outcomes of young adults: A systematic review","volume":"10","author":"S Slimmen","year":"2024","journal-title":"Soc Sci Human Open"},{"issue":"4","key":"pone.0337795.ref047","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0231080","article-title":"Behavioural and socio-ecological factors that influence access and utilisation of health services by young people living in rural KwaZulu-Natal, South Africa: Implications for intervention","volume":"15","author":"N Ngwenya","year":"2020","journal-title":"PLoS One"},{"key":"pone.0337795.ref048","author":"National AIDS and STI Control Programme (NASCOP), Kenya Medical Research Institute (KEMRI)","year":"2015"},{"issue":"17","key":"pone.0337795.ref049","doi-asserted-by":"crossref","first-page":"2054","DOI":"10.1001\/jama.2008.570","article-title":"The CAGE questionnaire for detection of alcoholism: a remarkably useful but simple tool","volume":"300","author":"CP O\u2019Brien","year":"2008","journal-title":"JAMA"},{"issue":"6","key":"pone.0337795.ref050","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1001\/archpedi.153.6.591","article-title":"A New Brief Screen for Adolescent Substance Abuse","volume":"153","author":"JR Knight","year":"1999","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"1","key":"pone.0337795.ref051","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/00005650-198601000-00007","article-title":"Concurrent and predictive validity of a self-reported measure of medication adherence","volume":"24","author":"DE Morisky","year":"1986","journal-title":"Med Care"},{"issue":"9","key":"pone.0337795.ref052","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern 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