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对于艾滋病毒预防方法的选择咨询,如口服暴露前预防 (PrEP) 和达皮维林阴道环 (DVR) 是至关重要的. 持续的支持和解决供应商偏见是有效实施和客户知情选择的关键.

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科学领域:

  • 公共卫生 公共卫生
  • 预防艾滋病毒 预防艾滋病毒
  • 实施科学 实施科学

背景情况:

  • 青少年女孩和年轻女性面临着不成比例的艾滋病毒负担.
  • 口服暴露前预防 (PrEP) 显著提升了艾滋病毒预防.
  • 南非的达比维林阴道环 (DVR) 引入扩大了艾滋病毒预防选择.

研究的目的:

  • 描述一个代的,参与的过程,以了解选择咨询培训和实施新的艾滋病毒预防方法.
  • 评估达比维林阴道环 (DVR) 和口服预暴露预防 (PrEP) 选择咨询的现场实施情况.
  • 识别差距,并为未来的培训和指导提供信息,以提供有效的选择咨询.

主要方法:

  • 与参与DVR交付的临床和非临床医疗保健提供者进行了42次采访.
  • 利用学习转移矩阵来指导评估过程.
  • 在音频录制和转录的采访中使用专题分析.

主要成果:

  • 医疗保健提供者必须中立地沟通,避免个人偏见.
  • 一次性培训和工作辅助对有效的选择咨询是不够的.
  • 对于持续的培训和指导,需要与现场提供者积极参与.

结论:

  • 有效的选择咨询需要持续的支持和适应.
  • 解决提供者偏见对于公平的艾滋病毒预防服务提供至关重要.
  • 持续的在职培训和指导对于解决实施差距至关重要.