Exploring the sexual and reproductive health needs of adolescents and young people living with vertically acquired HIV in South Africa.

The implementation of prevention of mother-to-child HIV transmission and pediatric HIV treatment has led to infected children transitioning into adolescence. Young people living with vertically acquired HIV face complex sexual and reproductive health (SRH) concerns, including challenges in relationships with parents, dating, and accessing services. This qualitative exploratory-descriptive study involved in-depth interviews with sixteen young individuals aged 18 to 24 who have vertically acquired HIV. Conducted in three healthcare facilities in Gauteng province, South Africa, the study utilised non-probability purposive sampling and thematic analysis for data analysis. Key themes included discomfort with dating, limited family support, and negative sexual experiences. Participants were hesitant to disclose their HIV status due to fear of rejection. Family support was primarily emotional, lacking focus on SRH needs. Healthcare providers often overlook individual sexual health needs, resulting in limited client-focused services. Despite regular healthcare contact, adolescents living with vertically acquired HIV experience unmet SRH communication needs, highlighting the necessity for improved sexual communication opportunities.