Formative research to inform the development of a peer-led HIV self-testing intervention to improve HIV testing uptake and linkage to HIV care among adolescents, young people and adult men in Kasensero fishing community, Rakai, Uganda: a qualitative study.
Formative research to inform the development of a peer-led HIV self-testing intervention to improve HIV testing uptake and linkage to HIV care among adolescents, young people and adult men in Kasensero fishing community, Rakai, Uganda: a qualitative study.
复制标题
DOI：
10.1186/s12889-020-09714-1
复制
发表时间：
2020-10-20
影响因子：
4.5
通讯作者：
Serwadda D
中科院分区：
文献类型：
--
作者：
Matovu JKB;Nambuusi A;Nakabirye S;Wanyenze RK;Serwadda D
尽管努力改进艾滋病毒检测以及青少年、青年和成年男子与艾滋病毒护理的联系，但接受率仍然低于全球目标。我们进行了形成性研究，以生成必要的数据，为同行领导的艾滋病毒自我检测（HIVST）干预措施的设计提供信息，旨在改善乌干达农村卡森塞罗渔业社区的艾滋病毒检测吸收和与艾滋病毒护理的联系。这项定性研究于2019年5月在乌干达Rakai区Kasensero渔业社区的三个研究社区进行。对青少年和年轻人（15-24岁）以及成年男性（25岁以上）进行了6次由7-8名参与者组成的单一性别焦点小组讨论（FGD）。我们收集的数据，人们的看法对同行领导的HIVST;潜在的可接受性的同行领导的HIVST干预和建议，如何改善联系后，积极的HIVST结果的艾滋病毒护理。同伴领导的艾滋病毒/艾滋病防治被定义为一种方法，即受过培训的外行人向社区中的其他人分发艾滋病毒/艾滋病防治工具包。经与会者许可，对论坛报告进行了录音，逐字转录，并按照专题框架方法进行了人工分析。47名参与者（31名男性和16名女性）参加了FGD。在各个社区和年龄组中，大多数与会者提到，渔业社区的人们通常可以接受同伴领导的艾滋病毒检测，但人们在进行检测时需要支持，因为他们担心检测错误或无法科普艾滋病毒阳性结果。大多数与会者认为，同侪领导的艾滋病毒检测和测试将使艾滋病毒检测服务更接近社区，“因为[同侪领导]可能是我的近邻”，使人们更容易在方便的任何时候获得试剂盒。为了改善与艾滋病毒护理的联系，与会者认为，利用同行领导人向自我检测的艾滋病毒阳性者提供初始抗逆转录病毒治疗剂量，比利用社区抗逆转录病毒治疗小组或家庭抗逆转录病毒治疗更可取。我们的研究表明，同行领导的HIVST在渔业社区是可以接受的。这些研究结果表明，这种方法可以提高艾滋病毒检测的接受率，并将传统艾滋病毒检测服务通常遗漏的人群与艾滋病毒护理服务联系起来。补充信息随附于10.1186/s12889-020-09714-1。
Despite efforts to improve HIV testing and linkage to HIV care among adolescents, young people and adult men, uptake rates remain below global targets. We conducted formative research to generate data necessary to inform the design of a peer-led HIV self-testing (HIVST) intervention intended to improve HIV testing uptake and linkage to HIV care in Kasensero fishing community in rural Uganda. This qualitative study was conducted in three study communities in Kasensero fishing community in Rakai district, Uganda, in May 2019. Six single-sex focus group discussions (FGDs) comprising 7–8 participants were conducted with adolescents and young people (15–24 years) and adult men (25+ years). We collected data on people’s perceptions about peer-led HIVST; potential acceptability of a peer-led HIVST intervention and suggestions on how to improve linkage to HIV care after a positive HIVST result. Peer-led HIVST was defined as an approach where trained lay people distribute HIVST kits to other people in the community. FGDs were audio-recorded with permission from the participants, transcribed verbatim and analysed manually following a thematic framework approach. Forty-seven participants (31 men and 16 women) participated in the FGDs. Across communities and age-groups, most participants mentioned that peer-led HIVST would be generally acceptable to people in the fishing community but people will need support in performing the test due to fear of performing the test wrongly or failing to cope with HIV-positive results. Most participants felt that peer-led HIVST would bring HIV testing services closer to the community “because [the peer-leader] could be my immediate neighbour”, making it easier for people to obtain the kits at any time of their convenience. To improve linkage to HIV care, participants felt that the use of peer-leaders to deliver the initial ART dose to self-tested HIV-positive individuals would be more preferable to the use of community-based ART groups or home-based ART initiation. Our study shows that peer-led HIVST is potentially acceptable in the fishing community. These findings suggest that this approach can improve uptake of HIV testing and linkage to HIV care services among populations that are usually missed through conventional HIV testing services. Supplementary information accompanies this paper at 10.1186/s12889-020-09714-1.
登录
查看更多内容
影响因子：
15.8
作者：
Masters SH;Agot K;Obonyo B;Napierala Mavedzenge S;Maman S;Thirumurthy H
通讯作者：
Thirumurthy H
影响因子：
120.7
作者：
Labhardt, Niklaus D.;Ringera, Isaac;Glass, Tracy R.
通讯作者：
Glass, Tracy R.
DOI：
10.1097/qai.0000000000001601
发表时间：
2018-03-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Lippman SA;Lane T;Rabede O;Gilmore H;Chen YH;Mlotshwa N;Maleke K;Marr A;McIntyre JA
通讯作者：
McIntyre JA
影响因子：
3.7
作者：
Kuteesa, Monica O.;Weiss, Helen A.;Kamali, Anatoli
通讯作者：
Kamali, Anatoli
影响因子：
120.7
作者：
Kong, Xiangrong;Kigozi, Godfrey;Gray, Ronald H.
通讯作者：
Gray, Ronald H.