Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania: a qualitative study of health professionals' experiences and health students' perspectives.
Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania: a qualitative study of health professionals' experiences and health students' perspectives.
复制标题
DOI：
10.1186/s12889-021-10696-x
复制
发表时间：
2021-04-07
影响因子：
4.5
通讯作者：
Bonilla ZE
中科院分区：
文献类型：
--
作者：
Mgopa LR;Rosser BRS;Ross MW;Lukumay GG;Mohammed I;Massae AF;Leshabari S;Mkonyi E;Mushy SE;Mwakawanga DL;Trent M;Wadley J;Bonilla ZE
撒哈拉以南非洲的卫生保健提供者在提供性保健服务时继续面临挑战。我们探讨了坦桑尼亚不同学科的卫生保健专业人员和卫生学生的经验，观点和挑战，为男男性行为者提供性健康服务。利用定性的方法，我们招募了121名来自坦桑尼亚达累斯萨拉姆助产士，护理和医学领域的医疗保健专业人员（提供者）和学生。我们进行了18个焦点小组讨论，按专业和经验分层，调查临床管理和挑战，同时解决一个成年男性直肠淋病的情况。研究结果表明，这种情况下，非常敏感，临床管理涉及建立融洽和同意，医疗照顾，从病史到治疗，并转介到其他专业。然而，坦桑尼亚同性恋的非法地位是参与者最关心的问题，这引发了该病例场景的临床护理具有挑战性。对于是否应向当局报告这类案件还存在不确定性。这项研究的结果表明，需要对坦桑尼亚的卫生专业学生进行培训，以解决性健康问题，包括在非洲大陆的法律的和社会文化背景下提供关于同性恋、报告要求和临床管理的准确信息。
Health care providers across sub-Saharan Africa continue to face challenges while delivering sexual health care services. We explored the experiences, views and challenges of health care professionals and health students across different disciplines in Tanzania, towards delivery of sexual health services to men who have sex with men. Utilizing a qualitative approach, we recruited 121 health care professionals (providers) and students from the fields of midwifery, nursing and medicine in Dar es Salaam, Tanzania. We conducted 18 focus groups discussions, stratified by profession and experience, to investigate clinical management and challenges while addressing a case of an adult male presenting with rectal gonorrhea. Findings indicated this case as extremely sensitive, clinical management involved establishing rapport and consent, medical care from history taking to treatment, and referral to other specialties. However, the illegal status of homosexuality in Tanzania was a primary concern to participants, this triggered the clinical care of this case scenario as challenging. There were uncertainties whether or not that such a case should be reported to the authorities. Findings from this study revealed a need for training health students in Tanzania to address sexual health issues including accurate information on homosexuality, reporting requirements and clinical management in the legal and socio-cultural context of the African continent.
登录
查看更多内容
DOI：
10.1177/0081246319859449
发表时间：
2020-06
期刊：
South African journal of psychology = Suid-Afrikaanse tydskrif vir sielkunde
影响因子：
--
作者：
Kaighobadi F;Collier KL;Reddy V;Lane T;Sandfort TGM
通讯作者：
Sandfort TGM
影响因子：
4.4
作者：
Fisher CB;Fried AL;Macapagal K;Mustanski B
通讯作者：
Mustanski B
影响因子：
4.5
作者：
Eluwa, George I. E.;Adebajo, Sylvia B.;Nzelu, Charles
通讯作者：
Nzelu, Charles
影响因子：
3
作者：
Dourado, Ines;Crosland Guimaraes, Mark Drew;da Silva, Francisca Sueli
通讯作者：
da Silva, Francisca Sueli
影响因子：
2.8
作者：
Kapanda, Lester;Jumbe, Vincent;Muula, Adamson S.
通讯作者：
Muula, Adamson S.