准备和选择咨询 - 对实施的洞察力
Melanie Pleaner1, Faith Musvipwa1, Siphokazi Dada1
1Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
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.
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.
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