Barriers and facilitators to implementing an evidence-based woman-focused intervention in South African health services.
Barriers and facilitators to implementing an evidence-based woman-focused intervention in South African health services.
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DOI：
10.1186/s12913-017-2669-2
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发表时间：
2017-11-21
影响因子：
2.8
通讯作者：
Wechsberg WM
中科院分区：
文献类型：
--
作者：
Howard BN;Van Dorn R;Myers BJ;Zule WA;Browne FA;Carney T;Wechsberg WM
自艾滋病毒流行开始以来，已经开发和测试了许多行为改变、降低风险和生物医学干预措施。虽然其中一些干预措施在随机试验中被证明是有效的，但通常需要近20年的时间才能将干预措施转化为实践。与此同时，南非仍然是全球艾滋病毒流行率最高的国家之一，育龄妇女承担着这一流行病的负担。鉴于南非脆弱妇女中艾滋病毒流行的紧迫性，必须迅速将循证干预措施付诸实践。这项研究是检查在南非开普敦的诊所和药物滥用康复机构实施妇女健康合作(WHC)的可接受性和可行性的第一步。我们与使用药物的妇女和服务提供者进行了焦点小组讨论，我们还与卫生服务规划者进行了深入的访谈。我们的目标是检查与跨诊所和药物滥用康复计划的WHC交付相关的实施和临床结果。所有嘉宾都同意有需要兴建西隧。被认为是实施WHC的促进者包括认识到需要制定方案来赋予妇女权力，并建设工作人员解决药物使用、性风险和亲密伴侣暴力问题的能力。与会者还确定了妇女参与这一计划的潜在障碍，包括妇女在寻求服务时感受到的耻辱，以及医疗机构缺乏以人为中心的护理。在一个育龄妇女艾滋病毒携带者人数最多的国家，以妇女为重点的循证干预措施全面解决妇女遵守不佳抗逆转录病毒药物的风险，对于减少艾滋病毒发病率可能是至关重要的。然而，在该计划能够完全融入医疗机构提供的服务之前，必须解决成功实施世界海底隧道的潜在障碍。临床试验NCT02733003。报名日期：2016年1月21日，参赛者报名后追溯报名。
Since the beginning of the HIV epidemic, numerous behavior change, risk-reduction, and biomedical interventions have been developed and tested. While some of these interventions have shown to be efficacious in randomized trials, it often takes almost two decades for an intervention to be translated into practice. Meanwhile, South Africa continues to have among the highest prevalence of HIV globally, with women of childbearing age bearing the burden of the epidemic. Given the urgency of the HIV epidemic among vulnerable women in South Africa, it is imperative that evidence-based interventions be implemented rapidly into practice. This study presents a first step toward examining the acceptability and feasibility of implementing the Women’s Health CoOp (WHC) in clinics and substance abuse rehab settings in Cape Town, South Africa. We conducted focus group discussions with women who use substances and with service providers, we also conducted in-depth interviews with health service planners. Our goal was to examine implementation and clinical outcomes associated with delivery of the WHC across clinics and substance abuse rehab programs. All participants agreed on the need for the WHC. Perceived facilitators to implementing the WHC included the recognizable need for programs to empower women and to build the capacity of staff to address issues of substance use, sexual risk, and intimate partner violence. Participants also identified potential barriers to women engaging with this program, including the stigma women experience when seeking services and the lack of person-centered care at healthcare facilities. In a country with the largest number of women of childbearing age living with HIV, an evidence-based woman-focused intervention that comprehensively addresses women’s risk for suboptimal antiretroviral adherence may be essential for reducing HIV incidence. However, potential barriers to implementing the WHC successfully must be addressed before the program can be fully integrated into the services delivered by healthcare facilities. Clinical trials NCT02733003. Date of Registration: January 21, 2016, registered retroactively after participant enrollment.
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影响因子：
4.4
作者：
Myers B;Petersen Z;Kader R;Koch JR;Manderscheid R;Govender R;Parry CD
通讯作者：
Parry CD
DOI：
10.1097/qai.0b013e3180415e07
发表时间：
2007-04-15
影响因子：
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作者：
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影响因子：
4.4
作者：
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通讯作者：
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