在马拉维制定针对男性的HIV治疗咨询课程
medRxiv : the preprint server for health sciences
|August 23, 2023
概括
马拉维的一项新的针对男性的抗逆转录病毒疗法 (ART) 咨询课程解决了男性的独特需求,改善了对艾滋病毒治疗计划的参与. 这种量身定制的方法提高了对ART在男性生活和健康目标中的作用的理解.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 行为科学 行为科学
背景情况:
- 撒哈拉以南非洲地区面临的挑战是,男性参与抗逆转录病毒疗法 (ART) 计划的比例不足.
- 马拉维的通用ART咨询课程没有充分解决男性的特定需求和动机.
- 定制健康教育对于改善艾滋病毒感染者的治疗坚持至关重要.
研究的目的:
- 开发和试点一个针对男性的ART辅导课程,以适应马拉维艾滋病毒感染者的需求.
- 评估课程对男性的知识,动机,障碍和对ART参与的看法的影响.
主要方法:
- 根据对男性需求的文献综述,调整了马拉维卫生部 (MOH) 的课程.
- 试点小组咨询与马拉维6个社区的85名男性,随后是焦点小组讨论.
- 使用Atlas.ti对定性数据进行理论分析,并与利益相关者进行协商以最终确定.
主要成果:
- 专门针对男性的课程整合了现有的课题,并增加了针对男性目标,卫生系统导航和自我同情的新课题.
- 确定的主要动机包括家庭福祉,财务稳定和社会尊重.
- 男人报告说,他们对ART对个人目标的贡献有了更好的理解,并对治疗,预防和管理副作用等特定主题表示兴趣.
结论:
- 针对男性的ART咨询课程对于解决撒哈拉以南非洲艾滋病毒感染者的独特需求至关重要.
- 开发的课程有效地提高了男性对ART的理解和动机.
- 未来的代应该专注于男性的目标,健康系统导航,自我同情和健康时管理治疗.
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