“I can be a source of motivation”: Perspectives from stakeholders of the I’mPossible fellowship, a peer-led differentiated service delivery model for adolescents with perinatally acquired HIV in India DOI Creative Commons
Siddhaparna Sannigrahi,

Michael Babu Raj,

Babu Seenappa

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: March 13, 2025

Abstract Youth living with HIV (YLHIV) face multidimensional challenges, including stigma, mental health struggles, and socioeconomic instability, which are further magnified among adolescents young adults perinatally acquired (APHIV). Peer-led differentiated service delivery (DSD) models providing tailored support for this population have demonstrated improved outcomes, though their adaptation implementation in India remain underexplored. We examined multi-stakeholder perceptions within a peer-support DSD intervention India, the I’mPossible Fellowship, designed to address health, educational, livelihood needs of APHIV. Between May December 2023, we enrolled three stakeholder groups involved fellowship intervention: (1) deliverers (APHIV “fellows”), (2) facilitators (“supervisors” APHIV), (3) beneficiaries “peers”). To examine fellows’ roles growth, conducted in-depth interviews fellows (n=8; 75% female; mean age: 22.5 years) supervisors (n=7). Aiming explore fellow-peer interactions perceived program impact, focus group discussions purposefully sampled peers (n=18; 66.7% male; 16.7 years). Data collected were audio recorded, transcribed, translated from Kannada English coding analysis. Thematic deductive analysis was combined data triangulation across participant synthesize findings. Five key themes emerged, highlighting layered influences Fellowship. First, mentorship an important theme that provided informational emotional peers; second, peer influence arising peer-to-peer contributed sense trust affirmation. Third, personal growth experienced by stimulated motivation fulfil effectively. Fourth, complex systemic such as stigma discrimination, hindered educational employment advancement Fifth, sustainability, through robust post-fellowship systems continued mentoring support, emphasized crucial supporting APHIV transitioning independent living. This study highlights pivotal role bi-directional power mentorships addressing multilevel factors enhance outcomes By knowledge empathy serving credible lived experience HIV, exemplify successful model incorporating essential attributes support: informational, emotional, affirmative support. While these findings underscore importance integrating peer-led interventions into care frameworks youth also reframes active agents change, recognizing capacity empowerment meaningful societal contribution rather than passive recipients care.

Language: Английский

“I can be a source of motivation”: Perspectives from stakeholders of the I’mPossible fellowship, a peer-led differentiated service delivery model for adolescents with perinatally acquired HIV in India DOI Creative Commons
Siddhaparna Sannigrahi,

Michael Babu Raj,

Babu Seenappa

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: March 13, 2025

Abstract Youth living with HIV (YLHIV) face multidimensional challenges, including stigma, mental health struggles, and socioeconomic instability, which are further magnified among adolescents young adults perinatally acquired (APHIV). Peer-led differentiated service delivery (DSD) models providing tailored support for this population have demonstrated improved outcomes, though their adaptation implementation in India remain underexplored. We examined multi-stakeholder perceptions within a peer-support DSD intervention India, the I’mPossible Fellowship, designed to address health, educational, livelihood needs of APHIV. Between May December 2023, we enrolled three stakeholder groups involved fellowship intervention: (1) deliverers (APHIV “fellows”), (2) facilitators (“supervisors” APHIV), (3) beneficiaries “peers”). To examine fellows’ roles growth, conducted in-depth interviews fellows (n=8; 75% female; mean age: 22.5 years) supervisors (n=7). Aiming explore fellow-peer interactions perceived program impact, focus group discussions purposefully sampled peers (n=18; 66.7% male; 16.7 years). Data collected were audio recorded, transcribed, translated from Kannada English coding analysis. Thematic deductive analysis was combined data triangulation across participant synthesize findings. Five key themes emerged, highlighting layered influences Fellowship. First, mentorship an important theme that provided informational emotional peers; second, peer influence arising peer-to-peer contributed sense trust affirmation. Third, personal growth experienced by stimulated motivation fulfil effectively. Fourth, complex systemic such as stigma discrimination, hindered educational employment advancement Fifth, sustainability, through robust post-fellowship systems continued mentoring support, emphasized crucial supporting APHIV transitioning independent living. This study highlights pivotal role bi-directional power mentorships addressing multilevel factors enhance outcomes By knowledge empathy serving credible lived experience HIV, exemplify successful model incorporating essential attributes support: informational, emotional, affirmative support. While these findings underscore importance integrating peer-led interventions into care frameworks youth also reframes active agents change, recognizing capacity empowerment meaningful societal contribution rather than passive recipients care.

Language: Английский

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