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1.
AIDS Behav ; 27(4): 1277-1286, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36178556

RESUMO

HIV and gender-based violence (GBV) are syndemic in sub-Saharan Africa and provision of support for participants who disclose GBV constitutes part of comprehensive care. Consequently, a process was undertaken to develop, implement, and evaluate standard operating procedures (SOPs) in MTN-025/HOPE, a study of the dapivirine vaginal ring for HIV prevention. The SOP was developed using needs assessment surveys in addition to World Health Organization (WHO) guidelines and other literature. Sites tailored and implemented the SOP through HOPE implementation. At study end, staff reported increased training 32/35 (91.43%); improved confidence (18/26; 69.23%); and improved vicarious trauma prevention onsite (17/28; 60.71%). Leadership reported increased staff competence in GBV response. Obstacles included limited referral organizations and time for follow-up, continued training needs, and cultural norms. Development and implementation of an SOP is a feasible strategy to build a GBV response to improve health systems and support sustained effective use of HIV prevention products.


Assuntos
Síndrome da Imunodeficiência Adquirida , Violência de Gênero , Infecções por HIV , Feminino , Humanos , Violência de Gênero/prevenção & controle , Infecções por HIV/prevenção & controle , África Subsaariana/epidemiologia , Inquéritos e Questionários
2.
AIDS Behav ; 22(11): 3468-3479, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29404757

RESUMO

In high prevalence environments relationship characteristics are likely to be associated with HIV risk, yet evidence indicates general underestimation of risk. Furthermore uncertainty about partner's risk may challenge PrEP demand among young African women. We conducted quantitative and qualitative interviews with women before and after HIV discussions with partners, to explore how partner's behavior affected risk perceptions and interest in PrEP. Twenty-three women were interviewed once; twelve had a follow-up interview after speaking to their partners. Fourteen women were willing to have their partner contacted; yet two men participated. Several themes related to relationships and risk were identified. These highlighted that young women's romantic feelings and expectations influenced their perceptions of risk within their relationships, consistent with the concept of motivated reasoning. Findings emphasize challenges in using risk to promote HIV prevention among young women. Framing PrEP in a positive empowering way that avoids linking it to relationship risk may ultimately encourage greater uptake.


Assuntos
Infecções por HIV/prevenção & controle , Profilaxia Pré-Exposição , Risco , Parceiros Sexuais/psicologia , Confiança , Adolescente , Adulto , Feminino , Infecções por HIV/psicologia , Humanos , Entrevistas como Assunto , Masculino , Motivação , Pesquisa Qualitativa , Meio Social , África do Sul
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