实施IMARA-南非母女HIV/STI预防干预措施的成果:一种混合方法研究
Katherine G Merrill1, Millicent Atujuna2, Saba Ahmed1
1Center for Dissemination and Implementation Science, University of Illinois Chicago, Chicago, IL, USA.
Journal of clinical and translational science
|December 15, 2025
概括
南非IMARA (南非) 针对青少年女孩和年轻女性 (AGYW) 的艾滋病毒/性传播感染预防计划是可实施的,表现出高度的可接受性和适当性. 发现了可行性和可持续性的挑战,主要是由于研究程序而不是干预本身.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 艾滋病毒/性传播疾病预防 预防
背景情况:
- 伊玛拉-南非 (SA) 是一个针对青少年女孩和年轻女性 (AGYW) 以及她们的护理人员 (FC) 的艾滋病毒/性传播感染预防计划.
- 该研究评估了六个实施结果:可接受性,适当性,可行性,覆盖范围,采用性和可持续性.
- 从研究人员,调查人员和合作者那里收集了观点.
研究的目的:
- 评估IMARA-SA计划的实施成果.
- 识别程序成功推出的促进者和障碍者.
- 为了告知未来的代和扩大类似干预的规模.
主要方法:
- 采用了一种连续解释性的混合方法设计.
- 数据收集包括调查,焦点小组讨论和关键信息员采访.
- 定量和定性数据进行了三角化,以便进行全面分析.
主要成果:
- 在可接受性 (2.8/3),适当性 (2.7/3) 和覆盖范围 (2.7/3) 中观察到高得分.
- 可行性 (2.1/3),采用性 (3.8/5),可持续性 (5.9/7) 提出了与研究程序相关的挑战,而不是核心干预.
- 参与者发现该计划具有文化相关性,并解决了AGYW的需求,建议未来在学校和诊所实施,并吸引男性.
结论:
- IMARA-SA被认为是可实施的,参与者认为它的价值很高.
- 实施结果和研究复杂性之间的权衡需要谨慎的导航.
- 结果为在区域范围内提供IMARA-SA和可比方案提供了有价值的见解.
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