Navigating HIV prevention policy and Islam in Malaysia: contention, compatibility or reconciliation? Findings from in-depth interviews among key stakeholders
Navigating HIV prevention policy and Islam in Malaysia: contention, compatibility or reconciliation? Findings from in-depth interviews among key stakeholders
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DOI：
10.1186/s12889-016-3247-y
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发表时间：
2016-07-07
影响因子：
4.5
通讯作者：
Aljunid, Syed Mohamed
中科院分区：
文献类型：
--
作者：
Barmania, Sima;Aljunid, Syed Mohamed
背景：马来西亚是一个多元文化社会，主要由穆斯林占多数的人口组成，伊斯兰教很有影响力。马来西亚的艾滋病毒疫情集中在高风险群体中，如静脉注射吸毒者、性工作者、变性妇女和男男性行为者。本研究的目的是通过采访被确定为有影响力的三个主要利益攸关方群体，即卫生部、宗教领袖和艾滋病毒感染者，了解伊斯兰教如何影响马来西亚的艾滋病毒预防战略。方法：2013年下半年采用有目的抽样的方法，对宗教领袖、卫生部和艾滋病毒感染者进行了35次深度半结构化访谈。访谈遵循主题指南，录音，逐字记录，并使用框架分析进行分析。结果：出现了伊斯兰教对健康的重要性、利益攸关方关系和关于预防艾滋病毒的意见等主题。伊斯兰教被视为在马来西亚直接和间接地制定与艾滋病毒预防有关的战略方面发挥关键作用。利益攸关方往往对预防艾滋病毒采取不同的方法，必须加以敏感考虑，有些人赞成宣传伊斯兰原则，而另一些人则倾向于采取更加以公共卫生为中心的方法。结论：这项研究表明，伊斯兰教确实在制定马来西亚与艾滋病毒预防有关的卫生政策和战略方面发挥了重要作用。当然，利益相关者确实持有不同的观点，例如对什么是正确的艾滋病毒预防方法的立场。然而，也有广泛共识的领域，例如伊斯兰传统对预防伤害和疾病的重要性，这可以纳入马来西亚以及更广泛的穆斯林世界现有和未来的艾滋病毒预防战略。
Background: Malaysia is a multicultural society, predominantly composed of a Muslim majority population, where Islam is influential. Malaysia has a concentrated HIV epidemic amongst high risk groups, such as, Intravenous Drug Users (IVDU), sex workers, transgender women and Men who have sex with Men (MSM). The objective of this study is to understand how Islam shapes HIV prevention strategies in Malaysia by interviewing the three key stakeholder groups identified as being influential, namely the Ministry of Health, Religious leaders and People living with HIV.Methods: Thirty-Five in depth semi structured interviews were undertaken with religious leaders, Ministry of Health and People living with HIV in the last half of 2013 using purposive sampling. Interviews adhered to a topic guide, were audiotaped, and transcribed verbatim and analyzed using a framework analysis.Results: Themes including the importance of Islam to health, stakeholder relationships and opinions on HIV prevention emerged. Islam was seen to play a pivotal role in shaping strategies relating to HIV prevention in Malaysia both directly and indirectly. Stakeholders often held different approaches to HIV prevention, which had to be sensitively considered, with some favouring promotion of Islamic principles, whilst others steering towards a more public health centred approach.Conclusions: The study suggests that Islam indeed plays an important role in shaping health policies and strategies related to HIV prevention in Malaysia. Certainly, stakeholders do hold differing viewpoints, such as stances of what constitutes the right approach to HIV prevention. However there are also areas of broad consensus, such as the importance in Islamic tradition to prevent harm and disease, which can be crafted into existing and future HIV prevention strategies in Malaysia, as well as the wider Muslim world.