在设施和社区环境中对HIV指数接触测试的障碍和促进者
Nyeleti Pretty Chauke1, Cathrine Chinyandura1, Fezile Buthelezi1
1Anova Health Institute, Johannesburg, South Africa.
Southern African journal of HIV medicine
|November 7, 2025
概括
在约翰内斯堡实施艾滋病毒指数接触测试面临挑战. 关键的障碍包括复杂的指导方针和耻辱感,而支持者包括客户对PrEP的教育和在家进行接触者的测试.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 艾滋病毒/艾滋病研究研究
背景情况:
- 世界卫生组织 (WHO) 建议接触调查以发现艾滋病毒病例.
- 索引接触测试的满意实施仍然是约翰内斯堡的一个重大挑战.
研究的目的:
- 探索医疗保健工作者 (HCWs) 对索引接触测试实施障碍和促进因素的见解.
- 利用实施研究综合框架 (CFIR) 作为探索指导.
主要方法:
- 在约翰内斯堡对23名HCW (辅导员和护士) 进行了半结构化采访.
- 从2023年10月至11月期间从医疗机构和非营利组织 (NPO) 收集的数据.
- 在CFIR框架的指导下,进行了主题分析.
主要成果:
- 在CFIR的创新,外部设置和内部设置领域中确定了主要障碍.
- 障碍包括指导方针的复杂性,时间限制,对亲密伴侣暴力 (IPV) 的恐惧,耻辱和地理分散.
- 关键的推动因素包括客户对暴露前预防 (PrEP) 的教育,将测试纳入咨询,并提供家庭测试.
结论:
- 解决障碍需要简化指导方针,有针对性的培训,资源配置和耻辱/IPV减少策略.
- 利用PrEP教育和家庭测试等推动因素可以改善艾滋病毒指数接触测试的实施和参与.
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