Healthcare providers' attitudes towards care for men who have sex with men (MSM) in Malawi
Healthcare providers' attitudes towards care for men who have sex with men (MSM) in Malawi
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DOI：
10.1186/s12913-019-4104-3
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发表时间：
2019-05-17
影响因子：
2.8
通讯作者：
Muula, Adamson S.
中科院分区：
文献类型：
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作者：
Kapanda, Lester;Jumbe, Vincent;Muula, Adamson S.
背景 男男性行为者 (MSM) 是马拉维国家应对人类免疫缺陷病毒 (HIV) 和获得性免疫缺陷综合症 (AIDS) 的优先群体。关于服务提供者是否愿意提供与针对男男性行为者的艾滋病毒预防、护理和治疗相关的适当性健康服务的数据有限。我们评估了已在职的医疗保健提供者、卫生专业学生和卫生专业培训机构的教员对提供以 MSM 为重点的艾滋病毒相关卫生服务的态度。方法我们于 2017 年 4 月至 5 月在马拉维利隆圭进行了一项定性研究。我们有目的地招募了 15 名参与者（5 名卫生服务提供者、5 名卫生专业学生和 5 名大专健康培训机构的教员），并对他们进行了个人深度访谈。访谈进行录音、转录并按主题进行分析。结果参与者认识到 MSM 具有健康需求和权利。参与者普遍表示愿意提供适当的医疗保健，因为他们认为这是他们的职业责任。参与者建议，MSM 有责任在获得护理时披露其性取向和/或偏好，以便医疗保健提供者更好地预测他们的护理需求。他们建议需要增加以 MSM 为中心的友好卫生服务的可用性，以及训练有素的、非评判性、非歧视性的、尊重人们获得医疗保健权利的提供者。 结论 尽管马拉维普遍对 MSM 持不良态度，但卫生服务提供者和卫生专业学生和教师接受并愿意提供以 MSM 为重点的卫生服务。卫生服务提供者、卫生专业学生和教师对向 MSM 提供卫生服务的接受度和意愿为加强马拉维向 MSM 提供卫生服务和护理质量提供了希望和努力空间。
BackgroundMen who have sex with men (MSM) are a priority group in Malawi's national response to Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS). There are limited data on service providers' acceptability to deliver appropriate sexual health services in relation to HIV prevention, care and treatment targeting the MSM. We assessed attitudes of healthcare providers already working, health professions students and faculty at health professions training institutions regarding the provision of MSM focused HIV related health services.MethodsWe conducted a qualitative study between April and May 2017 in Lilongwe, Malawi. We purposively recruited 15 participants (5 health service providers, 5 health professions students and 5 faculty of tertiary health training institutions) among whom individual in-depth interviews were conducted. Interviews were audio recorded, transcribed and analysed thematically.ResultsParticipants recognized MSM as having health needs and rights. Participants generally expressed willingness to deliver appropriate healthcare because they perceived this as their professional responsibility. Participants suggested that it was the responsibility for MSM to disclose their sexual orientation and or preferences when they access care such that healthcare providers better anticipate their care needs. They suggested a need to increase the availability of MSM-centered and friendly health services as well as trained providers that are non-judgmental, non-discriminatory and have respect for people's right to health care access.ConclusionDespite widespread poor attitudes against MSM in Malawi, health service providers and health professions students and faculty accepted and were willing to provide MSM-focused health services. The acceptability and willingness of health service providers, health professions students and faculty to provide health services to MSM offer hope and scope for efforts to strengthen the delivery of health services and quality of care to MSM in Malawi.