Introducing and Implementing HIV Self-Testing in Côte d'Ivoire, Mali, and Senegal: What Can We Learn From ATLAS Project Activity Reports in the Context of the COVID-19 Crisis?
Introducing and Implementing HIV Self-Testing in Côte d'Ivoire, Mali, and Senegal: What Can We Learn From ATLAS Project Activity Reports in the Context of the COVID-19 Crisis?
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DOI：
10.3389/fpubh.2021.653565
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发表时间：
2021
影响因子：
5.2
通讯作者：
Larmarange J
中科院分区：
文献类型：
--
作者：
Kra AK;Colin G;Diop PM;Fotso AS;Rouveau N;Hervé KK;Geoffroy O;Diallo B;Kabemba OK;Dieng B;Diallo S;Vautier A;Larmarange J
背景：ATLAS计划在科特迪瓦、马里和塞内加尔推广和实施HIVST。优先群体包括关键人群的成员--女性性工作者(FSW)、男男性行为者(MSM)和吸毒者(PWUD)--及其伴侣和亲属。2019年年中开始的艾滋病毒/艾滋病传播活动在2020年初受到新冠肺炎大流行的影响。方法：本文只关注重点人群的外展活动，分析项目实施过程中收集的定量和定性数据，以检验艾滋病感染者分布的时间趋势及其在新冠肺炎健康危机背景下的演变。具体地说，我们调查了对外地活动的影响、适应和中断。结果：在这三个国家中，在新冠肺炎之前，人类IVST的分布都是逐渐增加的。在与最初的紧急反应相对应的时期(2020年3月至5月)，活动发生了重大中断：塞内加尔全面暂停，科特迪瓦显著减少，马里减少不那么明显。二次分配也受到了负面影响。同伴教育者表现出韧性和适应能力，从公共区域搬迁到私人区域，减少小组规模，将夜间活动转移到白天，增加对社交网络的使用，整合卫生措施，并推广辅助HIVST作为传统快速测试的替代方案。从2020年6月起，在对新冠肺炎大流行的常规管理下，观察到了一种追赶现象，塞内加尔恢复了活动，开设了新的分发地点，分发的艾滋病毒检测试剂盒数量反弹，更大的群体活动重新抬头，每个主要接触者分发的艾滋病毒感染试剂盒平均数量反弹。结论：尽管不完善，计划数据提供了有用的信息来描述随着时间的推移HIVST外展活动实施情况的变化。在每月活动报告中可以看到新冠肺炎大流行对主要人群中艾滋病毒/艾滋病分布的影响。焦点小组和个人访谈使我们能够记录同行教育者所做的适应，不同国家和不同人口的情况有所不同。这些适应表明了同行教育者和关键人群的适应能力和学习能力。
Background: The ATLAS program promotes and implements HIVST in Côte d'Ivoire, Mali, and Senegal. Priority groups include members of key populations—female sex workers (FSW), men having sex with men (MSM), and people who use drugs (PWUD)—and their partners and relatives. HIVST distribution activities, which began in mid-2019, were impacted in early 2020 by the COVID-19 pandemic. Methods: This article, focusing only on outreach activities among key populations, analyzes quantitative, and qualitative program data collected during implementation to examine temporal trends in HIVST distribution and their evolution in the context of the COVID-19 health crisis. Specifically, we investigated the impact on, the adaptation of and the disruption of field activities. Results: In all three countries, the pre-COVID-19 period was marked by a gradual increase in HIVST distribution. The period corresponding to the initial emergency response (March-May 2020) witnessed an important disruption of activities: a total suspension in Senegal, a significant decline in Côte d'Ivoire, and a less pronounced decrease in Mali. Secondary distribution was also negatively impacted. Peer educators showed resilience and adapted by relocating from public to private areas, reducing group sizes, moving night activities to the daytime, increasing the use of social networks, integrating hygiene measures, and promoting assisted HIVST as an alternative to conventional rapid testing. From June 2020 onward, with the routine management of the COVID-19 pandemic, a catch-up phenomenon was observed with the resumption of activities in Senegal, the opening of new distribution sites, a rebound in the number of distributed HIVST kits, a resurgence in larger group activities, and a rebound in the average number of distributed HIVST kits per primary contact. Conclusions: Although imperfect, the program data provide useful information to describe changes in the implementation of HIVST outreach activities over time. The impact of the COVID-19 pandemic on HIVST distribution among key populations was visible in the monthly activity reports. Focus groups and individual interviews allowed us to document the adaptations made by peer educators, with variations across countries and populations. These adaptations demonstrate the resilience and learning capacities of peer educators and key populations.
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影响因子：
4.4
作者：
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