Interventions to improve access to sexual and reproductive health services for adolescents living with HIV in sub-Saharan Africa: a scoping review

Objective Adolescents living with HIV (ALHIV) face barriers to accessing sexual and reproductive health (SRH) services, negatively affecting their health and quality of life. These challenges are particularly pronounced in sub-Saharan Africa (SSA), where HIV prevalence, unintended pregnancies and child marriage remain high.

This review aimed to map interventions designed to improve SRH access for ALHIV in SSA, applying Levesque's framework to identify facilitators and barriers from supply-side and demand-side perspectives. Design Review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR).

Data sources PubMed, EMBASE and Web of Science were searched, alongside institutional grey literature, for English and French language studies published between 2010 and 2024. Eligibility criteria Studies were included if they focused on ALHIV aged 10 - 19 years in SSA, regardless of HIV acquisition mode and used experimental, quasi-experimental, qualitative or observational designs.

Data extraction and synthesis Two independent reviewers screened studies in Covidence, extracted data on study design, population, intervention components and delivery settings and mapped barriers and facilitators using Levesque's framework. Findings were synthesised narratively.