Characterizing acceptable and appropriate implementation strategies of a biobehavioral survey among men who have sex with men and others assigned male who have sex with men in Zimbabwe.

Autor:	Parmley LE; ICAP at Columbia University, New York, New York, United States of America., Miller SS; ICAP at Columbia University, New York, New York, United States of America., Harris TG; ICAP at Columbia University, New York, New York, United States of America.; Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, United States of America., Mugurungi O; Zimbabwe Ministry of Health and Child Care, Harare, Zimbabwe., Rogers JH; Division of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Harare, Zimbabwe., Hakim A; Division of Global HIV & TB, U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Musuka G; ICAP at Columbia University, Harare, Zimbabwe., Chingombe I; ICAP at Columbia University, Harare, Zimbabwe., Mapingure M; ICAP at Columbia University, Harare, Zimbabwe.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2022 Oct 26; Vol. 2 (10), pp. e0001097. Date of Electronic Publication: 2022 Oct 26 (Print Publication: 2022).
DOI:	10.1371/journal.pgph.0001097
Abstrakt:	Key populations including men who have sex with men (MSM), female sex workers, people who inject drugs, transgender persons, and prisoners account for nearly 50% of new HIV infections globally. To inform the HIV response and monitor trends in HIV prevalence and incidence among key populations, countries have increased efforts to implement biobehavioral surveys (BBS) with these groups as part of routine surveillance. Yet the marginalized nature of populations participating in a BBS requires contextually acceptable and appropriate strategies for effective implementation. We conducted a formative assessment to inform the first BBS conducted with MSM and others assigned male who have sex with men (OAMSM) in Zimbabwe, where same-sex sexual behaviors are illegal and highly stigmatized and describe applications of our findings. Qualitative data were collected through four focus groups with 32 MSM/OAMSM and 25 in-depth interviews (15 MSM/OAMSM, 10 service providers/gatekeepers) from December 2018 to January 2019. Rapid assessment techniques were employed including rapid identification of themes from audio recordings and review of detailed field notes and memos to identify key themes. Findings from this assessment included contextually relevant considerations including behaviors and terminology to avoid when working with MSM/OAMSM in Zimbabwe, appropriate compensation amounts for survey participation, proposed data collection sites, and differences in sexual openness, marital status, and networks among younger and older MSM/OAMSM. Participants also reported strong network ties suggesting respondent-driven sampling-a peer chain referral approach-to be an appropriate recruitment method in this context. Taken together, these findings highlighted key considerations and strategies for implementation to ensure the subsequent BBS in Zimbabwe was both acceptable and appropriate. These results and applications of these results are important for informing surveillance efforts and broader HIV-related engagement efforts among MSM/OAMSM in Zimbabwe as well as in other contextually similar countries in Southern Africa. Competing Interests: GM is an editor with PLOS ONE and PLOS GLOBAL HEALTH. All other authors of this manuscript have no competing interests to declare. This does not alter our adherence to PLOS ONE policies on sharing data and materials. (Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.)
Databáze:	MEDLINE
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