客户对"动态选择预防"的体验,这是东非农村地区灵活的以患者为中心的HIV预防提供模式
Carol S Camlin1, Titus Arunga2, Jason Johnson-Peretz1
1University of California, San Francisco (UCSF), Obstetrics, Gynecology & Reproductive Sciences, San Francisco, California, USA.
在东非,以患者为中心的艾滋病毒预防模式通过提供产品,测试和护理选择来改善吸收. 灵活,友好的服务对于解决各种需求和促进卫生机构至关重要.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒预防研究 预防研究
- 质量健康研究 质量健康研究
背景情况:
- 优化艾滋病毒预防的交付对于扩大生物医学选择至关重要.
- 一种以患者为中心的"动态选择预防模型" (DCP) 在东非农村地区进行了研究.
- 了解客户体验是完善艾滋病毒预防策略的关键.
研究的目的:
- 在DCP模型中探索客户和提供商的体验.
- 识别HIV预防的促进者和障碍者.
- 为未来的艾滋病毒预防交付模式提供信息.
主要方法:
- 使用深度半结构面试进行的定性研究.
- 采访了56名参与者和21名医疗保健提供者.
- 翻译和编码的采访数据的框架分析.
主要成果:
- 艾滋病毒暴露前预防 (PrEP) 的吸收导致了缓解和赋权.
- 障碍包括耻辱感,有限的知识,权力动态和负面的看法.
- 参与者希望使用长效注射PrEP来克服与药物相关的挑战.
结论:
- 不同的偏好需要不同的预防选择,地点和传递方法.
- 灵活,有能力和友好的护理对于促进吸收至关重要.
- 珍视客户并满足他们的需求,增强了他们的健康机构.
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