Improving access to pre-exposure prophylaxis for adolescent girls and young women: recommendations from healthcare providers in eastern Zimbabwe.
Improving access to pre-exposure prophylaxis for adolescent girls and young women: recommendations from healthcare providers in eastern Zimbabwe.
复制标题
DOI：
10.1186/s12879-022-07376-5
复制
发表时间：
2022-04-23
影响因子：
3.7
通讯作者：
Gregson, Simon
中科院分区：
文献类型：
--
作者：
Skovdal, Morten;Magoge-Mandizvidza, Phyllis;Dzamatira, Freedom;Maswera, Rufurwokuda;Nyamukapa, Constance;Thomas, Ranjeeta;Mugurungi, Owen;Gregson, Simon
在撒哈拉以南非洲，少女和年轻妇女感染艾滋病毒的风险很高。越来越多的撒哈拉以南非洲国家开始使用暴露前预防，但成功有限。解开战略，以克服障碍的吸收PrEP是至关重要的，以防止艾滋病毒之间的AGYW。本文探讨了卫生专业人员的意见和建议，什么是需要增加摄取的PrEP. The研究利用访谈数据从12个艾滋病毒预防服务提供者在津巴布韦东部。医疗服务提供者是有目的地从提供PrEP的农村和城市卫生设施中招募的。访谈被转录并导入NVivo 12进行主题编码和网络分析。我们的分析揭示了六个广泛的战略和15个具体的建议，详细说明了医疗服务提供者认为促进PrEP参与的核心要素的范围。医疗服务提供者呼吁：（1）PrEP营销活动;（2）青少年友好的服务或角落;（3）改进PrEP交付机制;（4）改进PrEP治疗;（5）改善PrEP治疗;（6）改善PrEP治疗。（5）与关键利益相关者，包括年轻人本身的更多参与;（6）消除与PrEP使用相关的成本。这些建议使医疗保健提供者认识到，PrEP的获得取决于临床环境内外的一系列因素。卫生保健提供者处于艾滋病毒流行病应对的第一线。他们的社区嵌入性，加上他们的互动和遇到AGYW，使他们能够很好地阐明特定环境的措施，以改善获得PrEP。重要的是，他们的建议的广度表明，认识到PrEP使用作为一个复杂的社会实践，需要整合的干预措施的组合，跨越生物医学，结构和行为领域。在线版本包含补充材料，可通过10.1186/s12879-022-07376-5获得。
In sub-Saharan Africa, adolescent girls and young women (AGYW) are at high risk of acquiring HIV. A growing number of sub-Saharan African countries are beginning to avail pre-exposure prophylaxis, or PrEP, but with limited success. Unpacking strategies to overcome barriers to the uptake of PrEP is critical to prevent HIV amongst AGYW. This article explores health professionals’ views and recommendations on what is required to increase uptake of PrEP. The study draws on interview data from 12 providers of HIV prevention services in eastern Zimbabwe. The healthcare providers were purposefully recruited from a mix of rural and urban health facilities offering PrEP. The interviews were transcribed and imported into NVivo 12 for thematic coding and network analysis. Our analysis revealed six broad strategies and 15 concrete recommendations which detail the range of elements healthcare providers consider central for facilitating engagement with PrEP. The healthcare providers called for: (1) PrEP marketing campaigns; (2) youth-friendly services or corners; (3) improved PrEP delivery mechanisms; (4) improvements in PrEP treatment; (5) greater engagement with key stakeholders, including with young people themselves; and (6) elimination of costs associated with PrEP use. These recommendations exemplify an awareness amongst healthcare providers that PrEP access is contingent on a range of factors both inside and outside of the clinical setting. Healthcare providers are at the frontline of the HIV epidemic response. Their community-embeddedness, coupled with their interactions and encounters with AGYW, make them well positioned to articulate context-specific measures for improving access to PrEP. Importantly, the breadth of their recommendations suggests recognition of PrEP use as a complex social practice that requires integration of a combination of interventions, spanning biomedical, structural, and behavioural domains. The online version contains supplementary material available at 10.1186/s12879-022-07376-5.
登录
查看更多内容
影响因子：
4.5
作者：
Bjertrup PJ;Mmema N;Dlamini V;Ciglenecki I;Mpala Q;Matse S;Kerschberger B;Wringe A
通讯作者：
Wringe A
影响因子：
4.5
作者：
Jackson-Gibson M;Ezema AU;Orero W;Were I;Ohiomoba RO;Mbullo PO;Hirschhorn LR
通讯作者：
Hirschhorn LR
DOI：
10.1097/qai.0000000000000938
发表时间：
2016-05-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Cluver LD;Orkin FM;Yakubovich AR;Sherr L
通讯作者：
Sherr L
影响因子：
4.1
作者：
Krakower DS;Mayer KH
通讯作者：
Mayer KH
影响因子：
6
作者：
Velloza, Jennifer;Khoza, Nomhle;Delany-Moretlwe, Sinead
通讯作者：
Delany-Moretlwe, Sinead