影响社区对艾滋病毒辅助伴侣服务需求的因素:肯尼亚西部多层次的定性分析
Mercy Owuor1, Beatrice Wamuti2, David A Katz3
1CFK Africa, Nairobi, Kenya.
BMJ open
|March 16, 2025
概括
在肯尼亚,对辅助性伴侣服务 (APS) 和艾滋病毒检测服务 (HTS) 的需求受到耻辱,等待时间和性别规范的影响. 解决这些因素,以及提高认识和支持,可以促进吸收.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 定性研究是指质量研究.
背景情况:
- 社区层面对辅助合作伙伴服务 (APS) 和艾滋病毒检测服务 (HTS) 的需求对于有效的艾滋病毒预防和护理至关重要.
- 了解影响这些服务普及的因素对于优化它们融入常规医疗保健至关重要.
研究的目的:
- 探索影响肯尼亚西部社区对APS和HTS需求的因素.
- 确定影响参与APS的障碍和促进者.
主要方法:
- 多层次的定性分析,使用深入的电话采访.
- 67名参与者接受了采访:APS提供者,索引客户,男性性伴侣和社区成员.
- 在肯尼亚基苏穆和霍马巴伊的八个医疗机构进行了有目的的抽样.
主要成果:
- 感知障碍包括与艾滋病毒相关的耻辱感,性别规范,长时间的临床等待时间,以及对关系解散或暴力的恐惧.
- 不同的利益相关者群体强调了不同的因素:女性专注于性别动态,男性伴侣关注耻辱/障碍,HTS提供者关注可访问性,社区成员关注低意识.
- 吸收受到与艾滋病毒,性行为和身份相关的耻辱的影响.
结论:
- 减少耻辱和提高对APS的认识是提高需求的关键.
- 创建男性友好的入口点和提供社会支持机制可以提高服务利用率.
- 解决结构性和社会障碍对于增加APS和HTS采用至关重要.
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