Translating primary into 'positive' prevention for adolescents in Eastern Africa

摘要: Summary There is an urgent need to develop positive prevention interventions for adolescents living with HIV in high endemic regions. Adapting existing evidence-based resource-constrained settings effective when the intervention’s theoretical core elements are preserved while achieving cultural relevance. We describe process of adapting a primary secondary/positive programme Kenya and Uganda. The systematic adaptation was guided by Centers Diseases Control’s map process, describing iterative process. procedure included: assessing target group’s needs (safer sex; fertility-related issues), identifying potential through literature review, conducting qualitative research identify areas ensuring relevance (revising intervention logic adding topics such as adherence; HIV-related stigma; HIVdisclosure; safer sex), pilot-testing adapted evaluation its first implementation. Areas added onto original framework, based on social cognitive theory, theories reasoned action planned behaviour were information skills building sexual relationships protection behaviour, vertical transmission, contraception, HIV-disclosure, stigma, HIV-treatment adherence. using mixed methods showed that we delivered feasible acceptable HIV-positive aged 13–17 years. approach adopted facilitated development contextualized developmentally appropriate (i.e. age-specific) HIV.