圣路易斯加强参与和保留艾滋病毒/艾滋病护理 (STEER):参与式的跨部门需求评估,用于干预和实施规划
Debbie Humphries1, Phillip Marotta2, Yue Hu1
1Yale University.
Research square
|May 15, 2024
概括
圣路易斯的结构性种族主义和经济不平等为艾滋病毒感染者 (PLWH) 创造了障碍. 基于交叉性的政策分析 (IBPA) 框架确定了关键挑战,并制定了旨在改善艾滋病毒结果的知情计划.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 定性研究是指质量研究.
背景情况:
- 密苏里州是结束艾滋病毒流行病倡议的优先状态.
- 圣路易斯有显著的结构性种族主义和经济不平等影响健康结果.
- 基于交叉性的政策分析 (IBPA) 框架被用来解决这些差异.
研究的目的:
- 在圣路易斯进行参与性需求评估,以开发艾滋病毒计划.
- 利用IBPA框架来理解和解决艾滋病毒不平等的交叉驱动因素.
- 为改善艾滋病毒结果提供计划和程序开发的信息.
主要方法:
- 由IBPA框架指导的18个月的参与式规划过程.
- 现有数据与采访PLWH,社区和临床领导人,CHW和CHW监督员的定性数据的整合.
- 与前线卫生工作者聚焦小组,并对所有收集的数据进行快速定性分析.
主要成果:
- IBPA框架强调了艾滋病毒服务中不平等的交叉驱动因素.
- 发现的挑战包括高供应商流动,社区卫生工作者 (CHWs) 缺乏整合,以及组织限制.
- 艾滋病毒感染者 (PLWH) 面临的障碍包括耻辱,缺乏社会支持,并发症和未满足的基本需求.
结论:
- 解决健康不平等问题需要多层次的结构性方法.
- IBPA是参与式规划和社区参与计划设计的宝贵工具.
- 整合社区参与原则可以改善艾滋病毒的结果.
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