Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya.

Perspectives of education sector stakeholders on a teacher training module to reduce HIV/AIDS stigma in Western Kenya.
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DOI:
10.1186/s12889-021-11331-5
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发表时间:
2021-06-30
期刊:
影响因子:
4.5
通讯作者:
Vreeman R
Vreeman R
中科院分区:
医学2区
文献类型:
--
作者:
Chory A;Nyandiko W;Beigon W;Aluoch J;Ashimosi C;Munyoro D;Scanlon M;Apondi E;Vreeman R

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对于艾滋病毒携带者(ALWH)的青少年来说,学校可能是与艾滋病毒污名有关的最重要但研究较少的社会领域。教师是课堂上和社区内的榜样,他们对艾滋病毒携带者的态度和行为可能会产生严重的心理社会和治疗后果。改变教师对艾滋病毒的知识、态度和信念(K/A/B)可以减少他们的教学、教室和学校中的污名化内容,改善ALWH的环境。我们开发了一个为期一天的教师培训模块,以丰富K/A/B教师,其中包括讲座演示、艾滋病毒电影和教育动画、教师角色扮演情景的结构化指导,以及由训练有素的ALWH同行教育者主持的问答环节。我们还与教育部门的主题专家(SME)进行了关键的线人访谈,其中包括教育官员、县专员和校长,以审查和提供关于教师培训模块的反馈。我们组建了一个青少年社区咨询委员会,并招募了50家中小企业来审查培训模块并提供反馈。所有中小企业参与者都强调了干预措施的重要性和必要性,以减少课堂上的耻辱,并强调了他们自己观察到社区中的污名化行为的经验。参与者认为培训具有文化相关性,易于理解,并提出了一些改进建议,包括使用基于图像的资源和更鲜艳的颜色以便于阅读。所有与会者都认为应将培训扩展到学校之外,因为一个社区的所有人都可以在减少艾滋病毒污名方面发挥作用,并提出了其他实施环境的建议。与教育部门利益攸关方面谈的数据表明,我们制定适合文化的多媒体干预措施以减少学校中艾滋病毒污名的进程是可行的。网上版载有补充材料,可在10.1186/s12889-021-11331-5查阅。
For adolescents living with HIV (ALWH), school may be the most important but understudied social sphere related to HIV stigma. Teachers are role models in the classroom and within the community, and their attitudes and behavior towards people living with HIV may have critical psychosocial and treatment ramifications. Altering teachers’ knowledge, attitudes and beliefs (K/A/B) about HIV could reduce the stigmatizing content within their teaching, classrooms and school, improving the environment for ALWH. We developed a one-day teacher training module to enrich teacher K/A/B that included lecture presentations, HIV films and educational animation, structured instructions for teacher role play scenarios, and a question-and-answer session facilitated by a trained ALWH peer educator. We also conducted key informant interviews with education sector subject matter experts (SMEs), including education officers, county commissioners and head teachers to review and provide feedback on the teacher training module. We assembled an adolescent community advisory board and recruited 50 SMEs to review the training module and provide feedback. All SME participants stressed the importance and need for interventions to reduce stigma in the classroom, highlighting their own experiences observing stigmatizing behaviors in the community. The participants perceived the training as culturally relevant and easy to understand and had minor suggestions for improvement, including using image-based resources and brighter colors for ease of reading. All participants thought that the training should be expanded outside of the schools, as all people in a community have a role in the reduction of HIV stigma, and offered suggestions for other settings for implementation. Data from interviews with education sector stakeholders demonstrate that our process for developing a culturally appropriate multi-media intervention to reduce HIV stigma in the schools was feasible. The online version contains supplementary material available at 10.1186/s12889-021-11331-5.
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