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Using the Lifeworld Approach to Improve HIV Testing.

Michael Wurm1, Anja Neumann1, Jürgen Wasem1

  • 1a Institute for Health Care Management and Research, University of Duisburg-Essen , Essen , Germany.

Social Work in Public Health
|July 9, 2019
PubMed
Summary
This summary is machine-generated.

Adapting HIV testing to clients' lifeworlds is crucial for effectiveness. Key factors include flexible hours, diverse languages, and comfortable waiting areas, with specific needs for men who have sex with men, drug users, and migrants.

Keywords:
HIVHIV testinglifeworldprogram evaluationsetting

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Area of Science:

  • Public Health
  • Social Sciences
  • Infectious Disease Prevention

Background:

  • Major guidelines advocate for HIV testing adapted to the lifeworld of at-risk populations.
  • A lack of precise definitions for 'lifeworld adaptation' hinders effective implementation.
  • Voluntary Counseling and Testing (VCT) services need practical strategies to improve HIV testing efficacy.

Purpose of the Study:

  • To operationalize the lifeworld approach in HIV testing.
  • To identify factors that enhance the efficacy of VCT services through lifeworld adaptation.
  • To provide specific recommendations for adapting HIV testing to diverse at-risk groups.

Main Methods:

  • A survey was conducted among VCT providers in Germany.
  • The survey assessed factors influencing the adaptation of HIV testing services to the lifeworld of at-risk groups.
  • Data analysis focused on identifying common and group-specific needs.

Main Results:

  • VCT providers reported a limited number of factors influencing lifeworld adaptation.
  • Convenience factors (opening hours, languages, waiting area comfort) are universally important.
  • Specific needs identified: social networks/peer volunteers for men who have sex with men; participation/cost/counseling for drug users; staff training/anonymity for migrants.

Conclusions:

  • Operationalizing the lifeworld approach requires attention to practical service delivery aspects.
  • Tailoring HIV testing strategies to the specific needs of diverse at-risk groups is essential for improving uptake and efficacy.
  • VCT services can enhance their effectiveness by implementing group-specific adaptations informed by client lifeworlds.