Meeting the needs of women who use drugs and alcohol in North-east India - a challenge for HIV prevention services.
Meeting the needs of women who use drugs and alcohol in North-east India - a challenge for HIV prevention services.
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DOI：
10.1186/1471-2458-12-825
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发表时间：
2012-09-26
影响因子：
4.5
通讯作者：
Devine A
中科院分区：
文献类型：
--
作者：
Kermode M;Songput CH;Sono CZ;Jamir TN;Devine A
印度东北部的曼尼普尔邦和那加兰邦报告的艾滋病毒流行率一直较高。这两个州有针对性的艾滋病毒预防干预措施主要由非政府组织提供，预防注射吸毒传播艾滋病毒是其主要重点。大多数注射吸毒者是男性，服务主要是针对他们的需要，他们的需要不一定与妇女的需要相同。这项定性研究描述了曼尼普尔和那加兰吸毒和酗酒妇女的保健服务需求，目的是确定非政府组织可以实施的战略和活动，以改善其在弱势妇女中的影响。2009- 2010年，对27名主要知情人进行了半结构化深入访谈，并与吸毒和酗酒妇女进行了9次焦点小组讨论，与男性注射吸毒者进行了2次焦点小组讨论。所涉专题领域包括：女性吸毒和酗酒的背景;吸毒和酗酒模式;艾滋病毒风险行为;使用服务的障碍和促进因素;所认为的健康需要;以及所表示的健康服务需要。对数据进行了记录、转录、翻译和专题分析。对来自那加兰的妇女来说，最成问题的物质是酒精，对来自曼尼普尔的妇女来说，最成问题的物质是海洛因。最常见的健康问题主要与妇女吸毒和酗酒、生殖健康和心理健康有关。其他主要关切的问题包括社会排斥、暴力、儿童福利和财政困难。这些妇女所表达的服务需求是：仅限妇女的综合保健服务、仅限妇女的戒毒和康复服务、心理健康服务、主流保健工作者的脱敏、免费获得药品、满足基本需求的援助以及从事性工作的安全场所。在曼尼普尔和那加兰，吸毒和酗酒的妇女所表达的保健和其他服务需求与艾滋病毒预防非政府组织目前提供的服务不匹配，这可能是妇女接受这些服务相对较少的部分原因。确定了非政府组织可执行的战略和活动，以加强它们对弱势妇女的影响。然而，这些妇女的许多需求超出了预防艾滋病毒的非政府组织通常提供的服务范围，需要多部门协调应对。
The North-east Indian states of Manipur and Nagaland consistently report relatively high HIV prevalence. The targeted HIV prevention interventions in these two states are mostly delivered by non-government organizations (NGOs), and prevention of HIV transmission by injecting drug use is their main focus. Most injecting drug users (IDUs) are male, and the services are primarily tailored to meet their needs, which are not necessarily the same as those for women. This qualitative study describes the health service needs of women who use drugs and alcohol in Manipur and Nagaland, with the goal of identifying strategies and activities that can be implemented by NGOs wanting to improve their reach among vulnerable women. In 2009-10, semi-structured in-depth interviews were conducted with 27 key informants and nine focus group discussions (FGDs) with women who use drugs and alcohol, and two FGDs with male IDUs. The thematic areas covered included: the context of female drug and alcohol use; drug and alcohol use patterns; HIV risk behaviours; barriers and facilitators of service use; perceived health needs; and expressed health service needs. The data were recorded, transcribed, translated and thematically analysed. The most problematic substance for women from Nagaland was alcohol, and for women from Manipur it was heroin. The most commonly identified health problems were primarily related to the women’s drug and alcohol use, reproductive health and mental health. Other problems of major concern included social exclusion, violence, children’s welfare, and financial difficulties. The expressed service needs of these women were women-only integrated health services, women-only detoxification and rehabilitation services, mental health services, desensitization of mainstream health workers, free access to medicines, assistance to meet basic needs, and a safe place for engaging in sex work. The expressed health and other service needs of women who use drugs and alcohol in Manipur and Nagaland do not match the services currently provided by HIV prevention NGOs, and this may, in part, account for the relatively poor uptake of these services by women. Strategies and activities that can be implemented by NGOs to strengthen their reach to vulnerable women are identified. However, many of these women’s needs are beyond the scope of services typically offered by HIV prevention NGOs, and require a coordinated multi-sectoral response.
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影响因子：
4.4
作者：
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