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The HIV SEERs Project: A Qualitative Analysis of Program Facilitators' Experience
Tiffany Chenneville1, Kemesha Gabbidon1, Hunter Drake1
11 Department of Psychology, University of South Florida St. Petersburg, St. Petersburg, FL, USA.
Journal of the International Association of Providers of AIDS Care
|February 26, 2019
Summary
Community health workers in Kenya facilitated a stigma-reduction project for youth, improving HIV care access. Their experiences offer valuable lessons for future community-based participatory research (CBPR) initiatives.
Area of Science:
- Public Health
- Community-Based Participatory Research (CBPR)
- Qualitative Research
Background:
- HIV-related stigma presents significant barriers to essential healthcare services, including testing, treatment adherence, and ongoing care.
- The Stigma-reduction through Education, Empowerment, and Research (SEERs) project was co-designed with youth in Nakuru, Kenya, utilizing Community-Based Participatory Research (CBPR) principles.
- Community Health Workers (CHWs) are integral to delivering community-level health interventions and addressing stigma.
Purpose of the Study:
- To explore the experiences of CHWs serving as facilitators within the SEERs project.
- To gather insights into the community impact of the SEERs project from the facilitators' perspectives.
- To identify lessons learned and challenges related to the implementation and sustainability of the SEERs project.
Main Methods:
- A qualitative study employing thematic content analysis of open-ended survey responses from 37 CHW facilitators.
- Data collection focused on facilitators' experiences, perceived community impact, lessons learned, and recommendations for sustainability.
- Participant demographics included a mean age of 30.58 years (SD=9.62), with ages ranging from 18 to 53.
Main Results:
- Facilitators reported positive community impact and valuable learning experiences through their involvement in the SEERs project.
- Key themes identified included facilitators' experiences, the project's influence on the community, lessons learned during implementation, and obstacles to long-term sustainability.
- CHWs provided recommendations crucial for refining the SEERs project and informing future CBPR endeavors.
Conclusions:
- The SEERs project, facilitated by CHWs, demonstrates a promising approach to reducing HIV-related stigma among youth in Kenya.
- Facilitator experiences and recommendations are vital for enhancing the project's effectiveness, implementation, and long-term sustainability.
- Findings offer valuable guidance for designing and sustaining similar CBPR initiatives aimed at mitigating health-related stigma in diverse community settings.

