Strategies to sustain HIV prevention interventions among adolescents and young adults: analysis of data from a crowdsourcing open call in Nigeria

Ujunwa Onyeama, Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lauren Fidelak, Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Weiming Tang, Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Susan Nkengasong, Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England.
Titilola Gbaja-Biamila, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria; and Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Lateef Akeem, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.
Adesola Zaidat Musa, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.
Folahanmi Tomiwa Akinsolu, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria; and Department of Public Health, Faculty of Basic Medical and Health Sciences, Lead City University, Ibadan, Nigeria.
Tomilola Musari-Martins, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.
Jane Okwuzu, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.
Aishat Adedoyin Koledowo, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Suzanne Day, Department of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Temitope Ojo, Department of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Olufunto A. Olusanya, Department of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kadija M. Tahlil, Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Donaldson F. Conserve, Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Oluwaseun Adebayo Bamodu, Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Nora E. Rosenberg, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ucheoma Nwaozuru, Department of Implementation Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Chisom Obiezu-Umeh, Department of Medical Social Sciences, Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Collins Airhihenbuwa, School of Public Health, Georgia State University, Atlanta, GA, USA.
Oliver Ezechi, Clinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria; and Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO, USA.
Juliet Iwelunmor, Department of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Joseph D. Tucker, Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; and Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England.

Document Type

Journal Article

Publication Date

4-1-2025

Journal

Sexual health

Volume

22

DOI

10.1071/SH24233

Abstract

Background Crowdsourcing is a process whereby a large group, including experts and non-experts, collaborate to solve a problem and then share the solution with the public. Crowdsourcing can be used to identify strategies to sustain HIV services in low-and-middle-income countries. This study aims to identify innovative adolescent and young adult (AYA) solutions through a crowdsourcing open call to sustain HIV services. Methods Building on HIV prevention services developed by AYA from an initial open call, we organized a crowdsourcing open call to identify innovative, AYA-led strategies to sustain these services through partnerships with the community. The open call question was, 'How might we sustain the 4 Youth by Youth HIV prevention services while nurturing our existing relationships, practices, procedures and services that will last in our communities?'. All submissions were assessed based on prespecified judging criteria. Qualitative data were analyzed using thematic analysis and categorized into strategies for sustaining AYA-friendly HIV prevention services in Nigeria. Results We received 102 eligible submissions from AYA. Twenty-three submissions met the mean score threshold and were qualitatively analyzed. Through this analysis, we identified four strategies for sustaining AYA-friendly HIV prevention services in Nigeria: AYA engagement and leadership in research, digital health solutions, financing and efficiency, and partnerships. Conclusion This open call highlights how strategies developed by AYA may sustain AYA-friendly HIV prevention services. Our findings offer key insights for maintaining HIV prevention services in Nigeria and other similar settings.

Department

Prevention and Community Health

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