The role of women's health care providers in improving retention in HIV treatment and care for women after pregnancy in the Russian Federation

妇女保健提供者在提高俄罗斯联邦妇女怀孕后继续接受艾滋病毒治疗和护理方面的作用

• 批准号: 9769812
• 负责人: Elizabeth Jane King
• 金额: $ 6.91万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-24 至 2022-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9769812
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adherence; Affect; Africa South of the Sahara; Area; Caring; Clinic; Collaborations; Communities; Community Networks; Counseling; Country; Data; Diagnosis; Enrollment; Epidemic; Ethics; Goals; Government; HIV; HIV Seropositivity; HIV diagnosis; Health Personnel; Healthcare; Human immunodeficiency virus test; Improve Access; Infrastructure; Institution; International; Intervention; Interview; Learning; Location; Medical; Methodology; Michigan; Nongovernmental Organizations; Phase; Play; Policy Maker; Positioning Attribute; Postpartum Period; Pregnancy; Pregnant Women; Prevention; Process; Provider; Public Health; Qualitative Research; Reporting; Research; Research Design; Research Methodology; Research Personnel; Role; Russia; Services; Site; Specialist; Testing; Time; Universities; Vertical Disease Transmission; Vulnerable Populations; Woman; Women' s Health; Women' s Role; antenatal; antiretroviral therapy; base; care providers; care systems; community based participatory research; community partnership; design; evidence base; experience; implementation research; improved; member; multidisciplinary; postpartum care; programs; research study; success; systematic review; testing services; treatment services; trend

Russia has one of the fastest growing HIV epidemics and also one of the worst situations with antiretroviral therapy coverage in the world. Major efforts have been made to improve the prevention of mother-to-child transmission (PMTCT) in the country in recent years; however, enrollment in and adherence to longer-term HIV treatment and care remains a problem. HIV counseling and testing is part of routine antenatal care in Russia, and pregnancy is an important opportunity for diagnosing HIV. AIDS Centers are the centralized health care centers for the provision of HIV services across Russia and the collaboration between providers at AIDS Centers and providers at women's health clinics (where antenatal care is provided) remains a much needed area for exploration throughout the country. The objective of this qualitative study is to better understand how antenatal care providers may influence longer-term engagement in HIV treatment and care among women who are diagnosed with HIV during pregnancy in Russia. The proposed study aims to 1. Describe what, if any, actions women who are diagnosed with HIV during pregnancy take in regard to getting further HIV treatment and care services postpartum; 2. Understand the current practice of providers in women's health clinics in diagnosing and counseling women about HIV during pregnancy and the extent to which these providers collaborate with local AIDS Centers to improve linkage to longer-term HIV treatment and care for women who are diagnosed with HIV during pregnancy; and, 3. Identify intervention opportunities for the improvement of longer-term retention in HIV care and treatment among women who are diagnosed with HIV during pregnancy. This community-based, exploratory study utilizes qualitative research methods in order to obtain the in-depth, contextual data necessary to address these aims. We will conduct in-depth interviews with 56 women who received their HIV diagnosis during pregnancy and in-depth interviews with 35 health care providers at women's health clinics and AIDS Centers in seven sites across Russia. The proposed study is reflective of a strong university-community partnership dedicated to improving adherence to HIV treatment and care for women living with HIV. Ultimately, the results of the proposed study will serve as preliminary data to develop an intervention that strengthens the capacity of and collaboration between providers at women's health clinics with AIDS Centers in order to advance linkage to and adherence to longer-term HIV treatment and care for women living with HIV.

俄罗斯是艾滋病毒流行增长最快的国家之一，也是抗逆转录病毒治疗情况最差的国家之一 治疗覆盖率最高的医院已作出重大努力，改善预防母婴传播 近年来，在该国，艾滋病毒/艾滋病传播（PMTCT）;然而， 艾滋病毒的治疗和护理仍然是一个问题。艾滋病毒咨询和检测是常规产前护理的一部分， 俄罗斯，怀孕是诊断艾滋病毒的重要机会。艾滋病中心是集中的健康中心 在俄罗斯各地提供艾滋病毒服务的护理中心以及艾滋病服务提供者之间的合作 妇女保健诊所（提供产前保健的诊所）的中心和提供者仍然是一个迫切需要解决的问题。 在全国范围内进行探索。这项定性研究的目的是更好地了解如何 产前保健提供者可能会影响长期参与艾滋病毒治疗和护理的妇女， 在俄罗斯怀孕期间被诊断出感染艾滋病毒。本研究旨在1。如果有的话， 怀孕期间被诊断感染艾滋病毒的妇女在接受进一步艾滋病毒治疗方面采取的行动 产后护理服务; 2.了解妇女健康诊所提供者的现行做法， 诊断和咨询妇女在怀孕期间关于艾滋病毒和程度，这些提供者 与当地艾滋病中心合作，改善与长期艾滋病毒治疗和护理的联系， 怀孕期间被诊断出感染艾滋病毒;以及，3。确定干预机会， 在怀孕期间被诊断感染艾滋病毒的妇女中，长期保持艾滋病毒护理和治疗。 这项以社区为基础的探索性研究利用定性研究方法，以获得深入， 背景数据，以满足这些目标。我们将对56名女性进行深入采访， 在怀孕期间接受了艾滋病毒诊断，并与35名卫生保健提供者进行了深入访谈， 妇女健康诊所和艾滋病中心在俄罗斯各地的七个地点。拟议的研究反映了一个 大学与社区建立强有力的伙伴关系，致力于提高对艾滋病毒治疗和护理的坚持， 感染艾滋病毒的妇女。最终，拟议研究的结果将作为初步数据， 加强妇女保健诊所提供者的能力和合作的干预措施 与艾滋病中心合作，以促进与长期艾滋病毒治疗和护理的联系和坚持， 感染艾滋病毒的妇女。