Using Intervention Mapping methodology to design an HIV linkage intervention in a refugee settlement in rural Uganda.

Autor: Ravicz M; Departments of Internal Medicine and Pediatrics, Massachusetts General Hospital, Boston, MA, USA., Muhongayire B; Bugema University, Kampala, Uganda., Kamagaju S; Bugema University, Kampala, Uganda., Klabbers RE; Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands., Faustin Z; Bugema University, Kampala, Uganda., Kambugu A; Infectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda., Bassett I; Department of Medicine, Massachusetts General Hospital, Boston, MA, USA., O'Laughlin K; Departments of Emergency Medicine and Global Health, University of Washington, Seattle, WA, USA.
Jazyk: angličtina
Zdroj: AIDS care [AIDS Care] 2022 Apr; Vol. 34 (4), pp. 446-458. Date of Electronic Publication: 2021 Mar 21.
DOI: 10.1080/09540121.2021.1900532
Abstrakt: Nearly 80 million people have been forcibly displaced by persecution, violence, and disaster. Displaced populations, including refugees, face health challenges such as resource shortages, food and housing insecurity, violence, and disrupted social support. People living with HIV in refugee settings have decreased engagement with HIV services compared to non-refugee populations, and interventions are needed to enhance linkage to care. However, designing health interventions in humanitarian settings is challenging. We used Intervention Mapping (IM), a six-step method for developing theory- and evidence-based health interventions, to design a program to increase linkage to HIV care for refugees and Ugandan nationals in Nakivale Refugee Settlement in Uganda. We engaged a diverse group of stakeholders ( N  = 14) in Nakivale, including community members and humanitarian actors, in an interactive workshop focusing on IM steps 1-4. We developed a chronic care program that would integrate HIV care with services for hypertension and diabetes at accessible community sites, thereby decreasing stigma around HIV treatment and improving access to care. IM provided an inclusive, efficient method for integrating community members and program implementers in the intervention planning process, and can be used as a method-driven approach to intervention design in humanitarian settings.
Databáze: MEDLINE
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