在公共艾滋病毒治疗计划中实施基于性别的暴力查指南:乌干达的混合方法评估
Dorothy Thomas1, Alisaati Nalumansi2, Mira Reichman1
1Department of Global Health, University of Washington, Seattle, Washington, United States of America.
PLOS global public health
|June 4, 2024
概括
在艾滋病毒诊所进行的基于性别的暴力 (GBV) 查可以识别幸存者,但由于成本和文化障碍,转诊受到阻碍. 改善支持网络和资金对于艾滋病毒服务中有效的GBV护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 基于性别的暴力 (GBV) 和艾滋病毒是重要的公共卫生问题.
- 在乌干达的艾滋病毒护理机构推进行常规的GBV查,但实施数据很少.
- 这项研究评估了公共艾滋病毒诊所的GBV查实践.
研究的目的:
- 评估在乌干达的抗逆转录病毒疗法 (ART) 诊所实施的GBV查.
- 确定GBV查和转诊服务的促进者和障碍.
- 为优化艾滋病毒护理中的GBV查提供证据.
主要方法:
- 在12个公共ART诊所 (2019-2021) 中,从GBV登记册中对客户数据的定量分析.
- 与30个提供者和10个推合作伙伴进行定性访谈,以评估对查和推的看法.
- 对定性数据进行主题分析,以补充定量发现.
主要成果:
- 超过90%的提供者进行了GBV查,发现8.6%的客户患有GBV.
- 86%的客户接受了咨询,19%的客户被推到支持服务.
- 推成功受到提供者意识,客户数量,客户参与度,财务约束和社会文化规范的影响.
结论:
- 在ART诊所进行的GBV查有效地识别了暴露于暴力的客户.
- 推的有效性受到社会文化因素和资源有限的推网络的限制.
- 建议包括分配资金用于推和加强协作网络.
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