■撒哈拉以南非洲的艾滋病毒流行对性别的影响不成比例,女性首当其冲。南非在全球艾滋病毒负担中占最大份额,由于不平等的社会文化和经济地位,妇女也出现了类似的趋势。
这项研究旨在了解30-49岁女性获得艾滋病毒服务的障碍和促进者,以便在资源有限的环境中最大限度地提高健康水平,并帮助失去艾滋病毒护理的女性。
■采用方便的抽样策略,我们招募了,被告知,并同意在诊所和公共区域的参与者。面试以受访者的首选语言进行,逐字转录,如果需要,翻译成英语,并使用扎根理论进行主题分析。
■我们对30-49岁的女性进行了81次访谈,这些女性要么因护理而失踪(n=21),在两个地点内具有未知的HIV状况(n=30)或与护理有关(n=30):约翰内斯堡市地区,豪登省和莫帕尼区,林波波省.
■护理缺失的参与者报告员工态度消极,队列,家庭拒绝,药物副作用,痛苦的血液测试是关键的威慑。身份不明的参与者因害怕被诊断为HIV阳性和家庭排斥而被吓倒,这类似于因实际家庭拒绝而经常退出护理的妇女。与护理相关的参与者报告说,排长队和人员短缺是挑战,但由于愿意为自己和子女生活而留在护理中,除了咨询和情感支持。有趣的是,从护理中失踪的参与者经常从朋友那里获得药物,但是,类似于身份不明的人,指出,如果有支持性护士和非临床艾滋病毒服务,他们将获得护理。
这项研究中对妇女的描述凸显了在南非抗击艾滋病毒方面解决不平等现象所需的重大改进。此外,需要进一步定量探讨30-49岁女性的医疗服务获取偏好,以便设计政策相关干预措施。
了解南非30-49岁女性的艾滋病毒服务偏好缺失或与护理相关:对豪登省和林波波省的一项探索性研究撒哈拉以南非洲的艾滋病毒流行对女性的伤害大于对男性的伤害。南非在全球艾滋病毒负担中占最大份额,女性也有类似的趋势。这项研究旨在了解30-49岁女性获得艾滋病毒服务的能力,以帮助失去艾滋病毒护理的女性。我们对30-49岁的女性进行了81次访谈,这些女性要么因护理而失踪(n=21),身份不明(n=30)或与两个地点的护理(n=30)相关:约翰内斯堡市区,豪登省和莫帕尼区,林波波省.我们招募了,被告知,并同意在诊所和公共区域的参与者。面试以受访者的首选语言进行,转录,并翻译成英文进行分析。护理缺失的参与者报告员工态度消极,队列,家庭拒绝,药物副作用和痛苦的血液测试是关键的威慑。身份不明的参与者因害怕被诊断为HIV阳性和家庭排斥而被吓倒,这类似于因家庭排斥而经常退出护理的失踪妇女。与护理相关的参与者报告说,排长队和人员短缺是挑战,但由于愿意为自己和子女生活而留在护理中,除了咨询和情感支持。有趣的是,从护理中失踪的参与者经常从朋友那里获得药物,但是,类似于身份不明的人,指出,如果有支持性护士和非临床艾滋病毒服务,他们将获得护理。需要进一步探索30-49岁女性的医疗保健服务获取偏好,以改善干预措施。
UNASSIGNED: The HIV epidemic in sub-Saharan Africa has a disproportionate gender impact, with
women bearing the brunt of the epidemic. South Africa carries the largest share of the global HIV burden, with similar trends seen for
women due to unequal socio-cultural and economic status.
UNASSIGNED: This study aims to understand 30-49 year-old
women\'s barriers and facilitators to accessing HIV services in order to maximize health in resource limited settings and reach
women missing from HIV care.
UNASSIGNED: Employing a convenience sampling strategy, we recruited, informed, and consented participants at clinics and public areas. Interviews were conducted in respondent\'s preferred languages, transcribed verbatim, translated into English if needed, and thematically analyzed using grounded theory.
UNASSIGNED: We conducted 81 interviews with
women aged 30-49 either missing from care (n = 21), having unknown HIV status (n = 30) or linked to care (n = 30) within two sites: City of Johannesburg district, Gauteng Province and Mopani district, Limpopo Province.
UNASSIGNED: Participants missing from care reported negative staff attitudes, queues, family rejection, medication side effects, and painful blood tests as key deterrents. Participants with an unknown status were deterred by fear of being diagnosed as HIV positive and family rejection, which was similar to women missing from care who often dropped out from care due to actual family rejection. Participants linked to care reported that long queues and staff shortages were challenges but stayed in care due to a will to live for themselves and their children, in addition to counselling and feeling emotionally supported. Interestingly, participants missing from care often accessed medication from friends but, similarly to those with unknown status, noted that they would access care if attended to by supportive nurses and by having non-clinical HIV services.
UNASSIGNED: The accounts of women in this research highlight significant improvements needed to address inequities in the fight against HIV in South Africa. Additionally, the healthcare service access preferences of women aged 30-49 need to be further explored quantitatively in order to design policy relevant interventions.
Understanding HIV service preferences of South African women 30–49 years old missing from or linked to care: An exploratory study of Gauteng and Limpopo provincesThe HIV epidemic in sub-Saharan Africa harms women more than men. South Africa carries the largest share of the global HIV burden, with similar trends seen for women. This study aims to understand 30–49 year-old women’s ability to access HIV services in order to reach women missing from HIV care. We conducted 81 interviews with women aged 30–49 either missing from care (n = 21), having unknown status (n = 30) or linked to care (n = 30) within two sites: City of Johannesburg district, Gauteng Province and Mopani district, Limpopo Province. We recruited, informed, and consented participants at clinics and public areas. Interviews were conducted in respondent’s preferred languages, transcribed, and translated into English for analysis. Participants missing from care reported negative staff attitudes, queues, family rejection, medication side effects and painful blood tests as key deterrents. Participants with an unknown status were deterred by fear of being diagnosed as HIV positive and family rejection, which was similar to women missing from care who often dropped out from care due to family rejection. Participants linked to care reported that long queues and staff shortages were challenges but stayed in care due to a will to live for themselves and their children, in addition to counselling and feeling emotionally supported. Interestingly, participants missing from care often accessed medication from friends but, similarly to those with unknown status, noted that they would access care if attended to by supportive nurses and by having non-clinical HIV services. The healthcare service access preferences of women aged 30–49 needs to be further explored in order to improve interventions.