南非公共初级卫生保健系统中跨性别特异化的艾滋病毒服务提供模式 (Jabula Uzibone):实施研究协议
Tonia Poteat1, Rutendo Bothma2, Innocent Maposa3
1Duke University School of Nursing, Durham, NC, United States.
JMIR research protocols
|September 13, 2024
概括
南非的跨性别特异化服务 (TG-DSD) 改善了艾滋病毒预防和治疗的参与. 这项研究评估了TG-DSD.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒研究 艾滋病毒研究
- 跨性别者健康 跨性别者健康
背景情况:
- 在南非的跨性别者中,高艾滋病毒患病率 (近60%) 需要改善医疗保健准入.
- 基于设施的耻辱和缺乏性别肯定护理等障碍,阻碍了跨性别人士利用卫生服务.
- 跨性别特有的差异化服务提供模式 (TG-DSD) 提供了一个潜在的解决方案,以加强对艾滋病毒预防和治疗的参与.
研究的目的:
- 评估南非跨性别人口的TG-DSD的实施,有效性和成本.
- 与标准护理相比,评估接受TG-DSD的跨性别个体之间的病毒抑制和预防有效的坚持.
- 为在撒哈拉以南非洲地区更广泛地实施TG-DSD提供证据.
主要方法:
- 贾布拉乌兹本研究采用混合方法方法,从8个地点收集数据 (4个TG-DSD和4个标准护理地点).
- 招生包括600多名跨性别人士,重点关注艾滋病毒感染者和艾滋病毒阴性者.
- 数据收集包括季度调查,基线和12个月的血液抽取病毒载量和药物水平,以及深入的定性访谈.
主要成果:
- 截至2024年7月31日,593名跨性别参与者 (348名艾滋病毒阳性,245名艾滋病毒阴性) 招生即将完成.
- 该研究由美国国家心理健康研究所资助,并在2022-2023年获得了道德批准.
- 全校预计将于2024年8月31日完成招生,最后的学习访问将于2025年8月完成.
结论:
- 贾布拉·乌兹博内研究将提供关键数据,为南非的艾滋病毒政策和实践提供信息.
- 它旨在产生关于撒哈拉以南非洲TG-DSD实施的第一个证据.
- 预计这些发现将指导使用TG-DSD策略来改善护理参与和推进全球艾滋病毒消除目标.
相关概念视频
Sexually Transmitted Infections
286
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
286
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Specialized Care Centers and Settings-II
718
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
718
Immunodeficiency Diseases
923
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
923


