在马拉维制定针对男性的HIV治疗咨询课程
Misheck Mphande1, Isabella Robson1,2, Julie Hubbard1,2
1Partners in Hope, Lilongwe, Malawi.
Gates open research
|July 30, 2025
概括
男性需要量身定制的抗逆转录病毒疗法 (ART) 咨询,以改善艾滋病毒护理的参与和保留. 在马拉维开发和测试了一套针对男性的课程,该课程涉及个人目标和卫生系统导航.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 卫生教育卫生教育教育
背景情况:
- 撒哈拉以南非洲地区面临的挑战是,男性在抗逆转录病毒疗法 (ART) 计划中的参与不足.
- 马拉维现有的ART咨询不足以满足艾滋病毒感染者的具体需求和动机.
研究的目的:
- 开发和试点一个针对男性的ART辅导课程,以适应马拉维艾滋病毒感染者的需求.
- 评估男性专用课程对ART参与的可行性,可接受性和影响.
主要方法:
- 调整了现有的卫生部课程,并根据文献审查和男性需求纳入了新的课题.
- 在六个社区的85名男性中试行了课程,使用焦点小组讨论和基础理论分析.
- 与利益相关者完成了课程,并在两个随机试验 (IDEaL和ENGAGE) 中实施了课程.
主要成果:
- 参与ART的关键动机包括家庭福祉,财务稳定和社会尊重.
- 男人对ART如何支持个人目标,治疗作为预防和导航卫生系统特别感兴趣.
- 专门针对男性的课程挑战了人们对男性无法坚持终身治疗的看法.
结论:
- 针对男性的ART咨询课程对于改善男性获得和留在HIV护理的机会至关重要.
- 课程应该解决男性的目标,健康系统导航,自我同情和健康时的治疗.
- 开发的课程为其他资源有限的国家提供了可扩展的模型,这些国家面临着高艾滋病毒负担.
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