一项定性研究探讨了伊朗克尔曼艾滋病毒合作伙伴通知计划的方法,障碍和促进者
Fatemeh Tavakoli1, Mahlagha Dehghan2, Ali Akbar Haghdoost1
1HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
BMC health services research
|May 2, 2024
概括
艾滋病毒合作伙伴通知服务对艾滋病毒感染者 (PLHIV) 至关重要. 耻辱仍然是一个重要的障碍,但社会支持,特别是来自家庭的社会支持,有助于通知. 计划应侧重于消除耻辱化.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 流行病学 流行病学
背景情况:
- 艾滋病毒伴侣通知服务 (PNS) 有助于识别,定位和通知艾滋病毒感染者的暴露伴侣 (PLHIV).
- 在伊朗东南部的PLHIV中,PNS的利用和相关的障碍/促进因素仍未得到充分探索.
- 这项研究调查了伊朗PLHIV社区内的艾滋病毒通知实践,障碍和促进者.
研究的目的:
- 探索艾滋病毒合作伙伴通知服务在伊朗东南部的PLHIV中使用的程度.
- 确定阻碍艾滋病毒通知服务有效实施的障碍.
- 确定可增强艾滋病毒通知和咨询/测试吸收的促进者.
主要方法:
- 一项定性研究涉及23名参与者 (12名PLHIV,5名性伴侣,6名VCT中心工作人员) 在伊朗东南部的克尔曼.
- 通过从2022年11月到2023年2月的有目的抽样收集的数据.
- 使用格兰海姆和隆德曼方法的内容分析确定了与艾滋病毒通知相关的关键主题.
主要成果:
- 艾滋病毒通知方法各不相同,包括直接对话,逐步准备和通过第三方通知.
- 障碍被分为个人,社会,环境和医疗保健系统相关的障碍,耻辱是主要的障碍.
- 促进者包括社会支持,特别是来自家庭的支持,以及医疗保健工作人员和社区的支持.
结论:
- 艾滋病毒通知是一个复杂的过程,需要为PLHIV及其网络提供量身定制的支持和教育.
- 污名化仍然是揭露艾滋病毒状况和有效通知的主要障碍,尽管有努力减少歧视.
- 未来的干预措施应优先考虑脱污名化倡议,以改善艾滋病毒通知和护理结果.
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