卫生系统对乌干达西南部艾滋病毒感染者和残疾人的反应
Emmanuel Kibet1, Florence Namirimu1, Felista Nakazibwe1
1Faculty of Medicine, Mbarara University of Sciences and Technology, Mbarara City, Uganda.
HIV/AIDS (Auckland, N.Z.)
|August 14, 2023
概括
乌干达的卫生系统对残疾人获得艾滋病毒服务的响应能力较低,特别是在尊严和保密方面. 需要采取紧急的意识倡议,以改善对所有利益相关者的护理.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 关于残疾人的研究.
背景情况:
- 对于残疾人 (PWD) 来说,不平等地获得艾滋病毒/艾滋病治疗和护理服务 (HATCS) 阻碍了全球结束大流行的努力.
- 在乌干达西南部,了解卫生系统对PWD访问HATCS的响应能力 (HSR) 是至关重要的.
研究的目的:
- 评估卫生系统对乌干达西南部参加HATCS的残疾人 (PWD) 的响应能力 (HSR).
- 为了确定与HATCS访问的PWD的HSR相关的因素.
主要方法:
- 一项涉及106名PWD和14名关键信息者的定量研究在乌干达西南部进行.
- 使用了世卫组织多国研究的残疾评估表2.0和HSR问卷.
- 使用了描述性分析,二进制和多变量后勤回归以及定性数据的主题分析.
主要成果:
- 总体来说,HSR为47.62%,其中社会考虑 (68.57%) 和自主性 (67.62%) 的表现最好.
- 尊严 (2.83%),保密 (2.91%),及时关注 (17.35%) 和选择 (30.48%) 显示了最低的表现.
- 没有社会人口统计学或残疾变量预测了HATCS响应能力;PWD报告了耻辱和沟通不良.
结论:
- 在乌干达西南部,PWD访问HATCS的HSR相对较低,在尊严,保密性,及时关注和选择方面存在重大缺陷.
- 迫切需要采取措施,提高所有利益相关者的意识,以解决PWD在获得护理方面的需求.
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