Prevention of HIV infection among adolescents and young people in South Kivu: challenges and prospectives

Bahizire Raziki Richard, Muciza Bayunvanye Freud, Mandjo Aholoma J-Lambert, Aganze Mitima Synthia, Mapendo Ndeko Fefe, Kininga Amisi David, Ampire Bagalwa Espoir, Rwizibuka Mugisho Binvenue


Background : It’s worldwide established that interventions to combat HIV are being carried out, but most of them target adults and leave out adolescents and young people, who constitute one of the most exposed sections of the population.

Methods : A cross-sectional and qualitative study on prevention of HIV among adolescent and young people conducted from 15 and 30 June 2019 in seven health zones of South Kivu in the democratic republic of Congo. All interviews and focus groups were transcribed in full, the obtained corpus; a thematic manual analysis was carried out.

Results : Several stakeholders are involved in the fight against HIV/AIDS among adolescents and young people, in spite, available services are not sufficiently accessible to adolescents and young people due to many constraints: political, organisational, legal, economic-financial, socio-cultural and religious. Prevention services for adolescents and young people are, according to them, inadequate, insufficient and not user-friendly.

Conclusions: Stakeholders should use findings of this study as a basis for reflection for the implementation of more effective interventions for adolescents and young people to reverse the current trend of the HIV epidemic in South Kivu province.


Prevention, HIV, adolescents, South Kivu

Full Text:



Teenage girls bear brunt of a far-from-over HIV/AIDS epidemic. Available at :https://www. Accessed on 13 July 2020.

Hausse des nouvelles infections à VIH. Available at: tions-par-le-vih-e.html. Accessed on 13 July 2020.

DHS report. Available at : publications/publication-fr300-dhs-final-reports.cfm. Accessed on 13 July 2020.

PNMLS, Plan stratégique National de lutte contre le Sida. Available at : Accessed on 13 July 2020.

Joint United Nations Programme on HIV/AIDS (UNAIDS). Available at: default/files/2011-08-17-UNAIDSStrategy-en.pdf. Accessed on 26 August 2021.

Bahizire R. Mécanismes de survie et modèle de réinsertion socio-économique des personnes vivant avec le VIH dans la ville de Bukavu. Available at : Accessed on 13 July 2020.

UNICE, UNAIDS, Youg people and HIV/AIDS, opportunity in crisis. Available at: Accessed 13 July 2020

Institut National de prévention et d’éducation pour la santé. Avalable at : https:// www.inpes.santé.fr. Accessed on 18 July 2020.

Biglan A, Metzler CW, Wirt R, Ary D, Noell J, Ochs L, French C, Hood D. Social and behavioral factors associated with high-risk sexual behavior among adolescents. J Behav Med. 1990;13(3):245-61.

Small SA, Luster T. Adolescent sexual activity: an ecological, risk-factor approach. J Marriage Family. 1998 ; 56 : 181-92.

Di-Clemente RJ. Parental monitoring and its association with a spectrum of adolescent health riskb ehaviours. Pediatrics. 2001;107:1363-8.

Some DT, Some DA, Hien H, Diallo R, Zingue D, Diallo I, Diagbouga S, Dao B. Sexual and reproductive health of adolescent girls in Bo bo Dioulasso, Burkina Faso: the role of parent-adolescent communication for risk reduction. Pan Afr Med J. 2012;11:65.

Pair éducateur, Manuel du pair éducateur: techniques de communication interpersonnelle appliquées à la prévention des HIV, 2003. Available at: Accessed on 18 July 2020.

PNLS DRC, Training of Trainers Module on HIV/AIDS. Available at: pdf_docs/PA00HVGB.pdf, Accessed on 18 July 2020.