Integrated Health Care Delivery for Adolescents Living with and at Risk of HIV Infection: A Review of Models and Actions for Implementation

by | May 26, 2026

Sujha Subramanian1 · Eleanor Namusoke‑Magongo2 · Patrick Edwards1 · Millicent Atujuna3 · Teddy Chimulwa2 · Dorothy Dow4 · Emilia Jalil5 · Nguavese Torbunde6 · Kawango Agot7 · Ivan Arinaitwe8 · Jenny Beizer1 · Nachela Chelwa9 · Scovia Nalugo Mbalinda10 · Sam Miti11 · Florence Mwangwa12·
Journal: AIDS and Behaviour (2023)
Abstract

Integrated service delivery, providing coordinated services in a convenient manner, is important in HIV prevention and
treatment for adolescents as they have interconnected health care needs related to HIV care, sexual and reproductive health
and disease prevention. This review aimed to (1) identify key components of adolescent-responsive integrated service
delivery in low and middle-income countries, (2) describe projects that have implemented integrated models of HIV care
for adolescents, and (3) develop action steps to support the implementation of sustainable integrated models. We developed
an implementation science-informed conceptual framework for integrated delivery of HIV care to adolescents and applied
the framework to summarize key data elements in ten studies or programs across seven countries. Key pillars of the framework included (1) the socioecological perspective, (2) community and health care system linkages, and (3) components of
adolescent-focused care. The conceptual framework and action steps outlined can catalyze design, implementation, and
optimization of HIV care for adolescents.