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Information on positive living as well as sexual and reproductive health (SRH) is essential for HIV infected adolescents on anti-retroviral therapy (ART). There was very little intervention study among them and effects of intervention have not studied yet. A quasi-experimental study encompassing baseline assessment, intervention and post-intervention assessment after one month was done by applying a mixedmethods design at Mandalay and Magway in 2019. Current study aims to assess the effectiveness of the intervention in terms of knowledge and attitude on SRH and positive living. Intervention package included aspects of positive living incorporated with SRH information which were conducted in group sessions including body mapping, case scenarios and discussions. Flyers describing the messages on positive living and SRH were distributed at the end. Face-to-face interview with HIV infected adolescents on ART, focus group discussions with their guardians and key informant interviews with service providers were conducted. Descriptive statistics were shown accordingly and bivariate analysis was done using paired t-test and McNemar test. A total of 76 adolescents aged 10-15 years participated in the intervention. Mean age was 12.9±1.7 years and 56.6% were male. Over 88% were attending the school and 53.9% were double orphans. At post-intervention assessment, overall SRH knowledge score was significantly increased (19.8±8.7 and 31.6±7.2, p<0.001, total 44 items). Specifically, improved knowledge scores regarding puberty (3.6±1.9 and 6.3±1.6, p<0.001), adolescent pregnancy (3.1±1.5 and 4.4±0.9, p<0.001), contraception (3.3±2.2 and 6.9±2.5, p<0.001), sexually transmitted infections (2.2±1.3 and 3.3±1.2, p<0.001) and HIV (7.5±3.8 and 10.6±3.1, p<0.001) were seen. Improved knowledge score on positive living was also seen (9.0±6.9 and 14.9±5.9, p<0.001, total 22 items). Proportions of adolescents with negative attitude on SRH was reduced at postintervention assessment (27.6% and 9.2%, p<0.01). Health care providers indicated that provision of positive living and SRH information is one of the gaps in transitional care of HIV infected adolescents. Providers desired to extend the intervention by using the flyers at their ART clinics. Improved knowledge on positive living and SRH among HIV infected adolescents was achieved by applying the simple intervention package. Sustainability at the

international journal of scientific and research publications

Enhancing knowledge on positive living together with sexual and reproductive health among HIV infected adolescents on anti-retroviral therapy: A quasi-experimental study