Testing experiences of HIV positive refugees in Nakivale Refugee Settlement in Uganda: informing interventions to encourage priority shifting.
Testing experiences of HIV positive refugees in Nakivale Refugee Settlement in Uganda: informing interventions to encourage priority shifting.
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DOI：
10.1186/1752-1505-7-2
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发表时间：
2013-02-14
影响因子：
3.6
通讯作者：
Ware NC
中科院分区：
文献类型：
--
作者：
O'Laughlin KN;Rouhani SA;Faustin ZM;Ware NC
国际卫生和人道主义援助组织最近采取的举措更加注重向弱势群体更广泛地提供艾滋病毒检测服务。为了从新服务中实现潜在的健康效益，必须加以利用。这项研究探讨了如何鼓励和增加因冲突而流离失所的难民利用检测服务的问题，以便更好地利用现有资源。开放式的采访进行了艾滋病毒感染的难民（N=73）谁检测艾滋病毒和艾滋病毒诊所工作人员（N=4）在纳基瓦莱难民定居点在乌干达西南部。访谈的重点是获得艾滋病毒/艾滋病相关检测和护理的机会，以及对如何改善检测服务利用率的看法。2011年3月至7月在Nakivale艾滋病毒/艾滋病诊所收集了数据。采用归纳法进行数据分析，以确定与利用率有关的因素。一般来说，受访者报告说，他们每天的工作重点是满足生存需要。艾滋病毒检测并没有优先于这些责任。但在某些情况下，会进行艾滋病毒检测。这种情况发生在：（a）情况重新调整，导致优先事项暂时从日常生存任务转移;（B）生存需求暂时得到满足;和/或（c）条件发生变化，减少艾滋病毒检测的障碍。为难民提供的艾滋病毒检测服务不仅必须提供，而且必须加以利用。了解是什么使已接受检测的难民能够接受艾滋病毒检测，可以为采取干预措施增加这一人群的检测提供信息。通过鼓励将重点转向艾滋病毒检测、帮助确保满足生存需求以及消除检测障碍等方式进行干预，可能会使难民更好地利用现有的检测服务。
Recent initiatives by international health and humanitarian aid organizations have focused increased attention on making HIV testing services more widely available to vulnerable populations. To realize potential health benefits from new services, they must be utilized. This research addresses the question of how utilization of testing services might be encouraged and increased for refugees displaced by conflict, to make better use of existing resources. Open-ended interviews were conducted with HIV-infected refugees (N=73) who had tested for HIV and with HIV clinic staff (N=4) in Nakivale Refugee Settlement in southwest Uganda. Interviews focused on accessibility of HIV/AIDS-related testing and care and perspectives on how to improve utilization of testing services. Data collection took place at the Nakivale HIV/AIDS Clinic from March to July of 2011. An inductive approach to data analysis was used to identify factors related to utilization. In general, interviewees report focusing daily effort on tasks aimed at meeting survival needs. HIV testing is not prioritized over these responsibilities. Under some circumstances, however, HIV testing occurs. This happens when: (a) circumstances realign to trigger a temporary shift in priorities away from daily survival-related tasks; (b) survival needs are temporarily met; and/or (c) conditions shift to alleviate barriers to HIV testing. HIV testing services provided for refugees must be not just available, but also utilized. Understanding what makes HIV testing possible for refugees who have tested can inform interventions to increase testing in this population. Intervening by encouraging priority shifts toward HIV testing, by helping ensure survival needs are met, and by eliminating barriers to testing, may result in refugees making better use of existing testing services.