与社区一起寻找前进的道路:印度米佐拉姆的普遍艾滋病毒流行病的定性调查
Amrita Rao1, Megha Mamulwar1, Samiran Panda2
1Indian Council of Medical Research-National AIDS Research Institute (ICMR-NARI), Pune, Maharashtra, India.
Frontiers in public health
|August 9, 2023
概括
米佐拉姆面临着普遍的艾滋病毒流行,女性性工作者和注射毒品的人群中患病率很高. 通过社区参与来解决耻辱和改善艾滋病毒预防和护理服务,这对于一个有弹性的卫生系统至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 印度的米佐拉姆州正在经历一场严重的普遍艾滋病毒流行.
- 女性性工作者 (24.7%) 和注射毒品 (19.8%) 的人群中,艾滋病毒的患病率特别高.
- 在选定的地区 (1%) 的产前诊所参与者中,艾滋病毒的患病率远远超过了全国平均水平 (0.24%).
研究的目的:
- 评估米佐拉姆艾滋病毒预防和护理服务的现状.
- 捕捉社区对艾滋病毒服务的看法和担忧.
- 为该地区艾滋病毒干预的未来战略提供信息.
主要方法:
- 2020年10月至12月进行的定性研究.
- 与社区成员,青年领袖,弱势群体和项目官员进行深入采访.
- 对转录和翻译的采访数据进行主题分析.
主要成果:
- 确定的主要主题包括艾滋病毒脆弱性,获取服务的挑战以及程序改进领域.
- 歧视,不友好的服务提供者行为和中断的供应链阻碍了服务获取.
- 社区参与和加强地区级计划管理至关重要.
结论:
- 宏观社会和结构因素推动了与艾滋病毒有关的耻辱和歧视.
- 迫切需要将艾滋病毒服务与去中心化创新重新调整,并创造更安全的空间.
- 社区所有权,战略沟通和宣传对于弹性卫生服务至关重要.
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