'We must treat them like all the other people': Evaluating the Integrated Key Populations Sensitivity Training Programme for Healthcare Workers in South Africa
'We must treat them like all the other people': Evaluating the Integrated Key Populations Sensitivity Training Programme for Healthcare Workers in South Africa
复制标题
DOI：
10.4102/sajhivmed.v20i1.909
复制
发表时间：
2019-01-01
影响因子：
1.7
通讯作者：
Scheibe, Andrew
中科院分区：
文献类型：
--
作者：
Duby, Zoe;Fong-Jaen, Francisco;Scheibe, Andrew
背景：敏感性培训可以减少医务工作者的判断和歧视态度。“南非保健工作者重点人群敏感性综合培训方案”旨在通过提高保健工作者的敏感性，改善“重点人群”，特别是男男性行为者、性工作者和吸毒者获得适当和非评判性保健服务的机会。本研究的目的是评估综合性重点人群敏感性培训干预对医护人员的影响，方法：本研究采用定性和定量相结合的方法。定性方法比较了接受培训干预的医护人员和没有接受培训干预的医护人员之间的态度。定量方法被用来比较类似的变化之间的认识在医护人员接受培训之前和之后。我们探讨了对关键人群态度的转变、对与耻辱、歧视相关的健康问题认识的变化以及管理性健康和艾滋病毒风险行为（包括药物使用和肛交）能力的变化。结果：研究结果表明，培训干预导致了态度的转变，增加了对关键人群的同情，减少对重点人群及其行为的负面和歧视性道德判断，增强自我感知的能力，为重点人群提供适当的保健服务。超过70%接受过该方案培训的医护人员强烈同意，这种干预有助于提高对重点人群心理社会脆弱性的认识，并解决污名化态度。研究结果表明，敏感性培训增加了医护人员对艾滋病毒相关的特定健康需求和重点人群的心理社会脆弱性的知识和认识，减少了道德和判断态度，并且导致保健工作者感觉更熟练以提供适当和敏感的服务。
Background: Sensitisation training can reduce judgemental and discriminatory attitudes amongst healthcare workers. The 'Integrated Key Populations Sensitivity Training Programme for Healthcare Workers in South Africa' aimed to improve access to appropriate and non-judgemental health services for 'key populations', specifically men who have sex with men, sex workers and people who use drugs, through the sensitisation of healthcare workers.Objectives: The aim of this study was to evaluate the effects of the integrated key population sensitisation training intervention for healthcare workers, conducted between 2013 and 2014 in South Africa.Methods: This study used a combination of qualitative and quantitative methods. Qualitative methods compared attitudes between healthcare workers who received the training intervention and those who did not. Quantitative methods were used to compare similar changes in awareness amongst healthcare workers before and after receiving the training. We explored shifts in attitudes towards key populations, changes in awareness of health issues related to stigma, discrimination, and changes in capacity to manage sexual health and HIV risk behaviours, including substance use and anal sex.Results: The findings indicate that the training intervention resulted in a shift in attitudes, increased empathy for key populations, a reduction in negative and discriminatory moral-based judgements towards key populations and their behaviours, and increased self-perceived capacity to provide appropriate health services to key populations. Over 70% of healthcare workers trained in this programme strongly agreed that this intervention helped to increase awareness of psychosocial vulnerabilities of key populations, and address stigmatising attitudes.Conclusion: The findings suggest that sensitisation training increases healthcare workers' knowledge and awareness about specific HIV-related health needs and psychosocial vulnerabilities of key populations, reduces moralising and judgemental attitudes, and results in healthcare workers feeling more skilled to provide appropriate and sensitive services.