Table 1. Configuration of the CHIEDZA intervention to provide Youth-Friendly Services.
Environment | • Convenient location
• Adequate and attractive space where youth can socialise • Comfortable surroundings • Female and male service providers (to avoid a “female-centred” environment) • Providers known by first names • Encouragement of youth-focused “non-health” activities e.g., music, dancing, darts, pool, soccer, film evenings • Outreach - sensitisation of youth and community gatekeepers |
Confidentiality and
privacy |
• Multipurpose use venue (so clients not marked out)
• Visual and auditory privacy • Names and identifying information not recorded a, b |
Information | • Paper and electronic IEC materials (posters, videos, manuals) appropriate for
various age and literacy levels • Bouquet of SMS messages |
Flexibility | • Services will be provided from 11am to 7pm and at weekends (e.g., CAPS groups)
• Drop-in service delivery (no appointments) |
Youth as equal partners | • Youth involved in design of space and intervention content and delivery
• Youth involved in selection of providers (on interview panel) • Youth Advisory Board for feedback • Youth involved in mobilization and sensitization activities |
Appropriate, quality and
affordable services |
• Wide range of services available (see above)
• Choice of products where relevant e.g., menstrual management products, contraceptives, • All services and commodities free of charge • High quality products • Trained and mentored providers • System to “red-flag” youth with concerns • Well-established linkages to other services |
aBiometrics used for recording service uptake and pseudonyms used for managing STI test results
bExcept where required for clinical care e.g., registration with national HIV care programme
IEC - Information, Education and Counselling
SMS - Short Message Service
CAPS - CHIEDZA Adolescent Peer Support