非洲暴露前预防的采用,实施和障碍:范围审查协议
Silingene Joyce Ngcobo1, Tracy Zhandire1
1Discipline of Nursing and Public Health, University of KwaZulu-Natal, Durban 4001, South Africa.
概括
本范围审查审查了非洲的暴露前预防 (PrEP) 吸收情况,确定了改善持续使用的障碍和促进因素. 这些研究结果将指导各种非洲地区加强预防艾滋病的策略.
科学领域:
- 公共卫生
- 传染病流行病学
- 全球卫生安全
背景情况:
- 非洲的艾滋病毒负担很高,
- 尽管PrEP已被证明有效 (> 90%),但在许多非洲国家持续使用仍然是一个挑战.
研究的目的:
- 系统地绘制关于非洲PrEP使用和实施的文献.
- 确定PrEP提供障碍,促进者,目标群体和政策方法.
- 提供基于证据的策略,以提高PrEP的使用率和扩大艾滋病毒预防.
主要方法:
- 根据Arksey和O'Malley框架进行范围审查,由Levac等人改进.
- 在电子数据库,灰色文献和官方报告中进行全面搜索.
- 对数据进行主题综合,以识别趋势,差距和上下文变化.
主要成果:
- 绘制非洲目前的PrEP实施格局.
- 确定影响准备准备的关键障碍和促进因素.
- 分析不同非洲环境的背景差异和政策差距.
结论:
- 提供了关于非洲PrEP实施的全面概述.
- 突出了研究趋势,背景差异和服务供应差距.
- 这些研究结果将为提高PrEP使用率和支持艾滋病毒预防工作的未来策略提供信息.
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