Contraception, HIV Services, and PrEP in South African Hair Salons: A Qualitative Study of Owner, Stylist, and Client Perspectives
Contraception, HIV Services, and PrEP in South African Hair Salons: A Qualitative Study of Owner, Stylist, and Client Perspectives
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DOI：
10.1007/s10900-019-00698-7
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发表时间：
2019-12-01
影响因子：
5.9
通讯作者：
Psaros, Christina
中科院分区：
文献类型：
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作者：
Bassett, Ingrid V.;Govere, Sabina;Psaros, Christina
妇女在参与保健系统方面遇到挑战，但经常利用发廊;这些是计划生育和艾滋病毒预防服务的有希望的场所。我们的目标是评估在南非德班的美发沙龙护士提供的避孕和PrEP服务的可接受性。我们采访了沙龙业主（N = 10）和客户（N = 42），并与发型师进行了焦点小组（N = 43造型师; 6个焦点小组在五个美发沙龙），以探讨在沙龙提供避孕和PrEP的障碍和促进因素。在开发了一个码本后，我们进行了内容分析，以确定每个概念领域内的主题; 10%的成绩单由两个编码器编码，以确保可靠性。根据以下类别对内容进行了分析：（1）利用这些服务的促进因素和（2）利用这些服务的障碍，以及（3）计划实施时需要考虑的因素。与会者认为，便利和面向女性的，支持性的气氛，促进提供艾滋病毒和避孕服务的沙龙。业主和造型师指出，建立合法性是项目成功的重要因素，包括提供宣传小册子和雇用护士。客户指出，在公共场所进行艾滋病毒检测的隐私问题是使用这些服务的一个重大障碍。总的来说，参与者对该计划充满热情。便利和有利的环境被认为是在美发沙龙接受保健服务的促进因素;必须注意建立隐私和方案的合法性。发廊是接触意外怀孕和感染艾滋病毒高风险年轻妇女的一个创新场所。
Women experience challenges engaging with the healthcare system, but frequently utilize hair salons; these are promising venues for family planning and HIV prevention services. Our objective was to assess the acceptability of nurse-offered contraceptive and PrEP services at hair salons in Durban, South Africa. We interviewed salon owners (N = 10) and clients (N = 42) and conducted focus groups with hair stylists (N = 43 stylists; 6 focus groups across five hair salons) to explore barriers and facilitators to providing contraception and PrEP in salons. After developing a codebook, we performed content analysis to identify themes within each conceptual area; 10% of transcripts were coded by two coders to ensure reliability. Content was analyzed according to the following categories: (1) facilitators of and (2) barriers to utilizing these services, and (3) factors to consider for program implementation. Participants identified convenience and female-oriented, supportive atmosphere as facilitators to offering HIV and contraceptive services in salons. Owners and stylists noted that establishing legitimacy was important for program success, including providing promotional pamphlets and employing nurses. Clients cited privacy concerns surrounding HIV testing in a public space as a significant barrier to using these services. Overall, participants were enthusiastic about the program. Convenience and a conducive environment were noted as facilitators to receiving health services in the hair salon; attention will have to be directed to establishing privacy and program legitimacy. Hair salons represent an innovative venue for reaching young women at high-risk for unintended pregnancy and HIV infection.