Healthcare providers’ understanding of HIV serodiscordance in South Africa and Uganda: implications for HIV prevention in sub-Saharan Africa
| Autor: | David R. Bangsberg, Ross Greener, Angela Kaida, Lavanya Pillay, Lynn T. Matthews, Faith N Mosery, Rachel Rifkin, Claudia K Ng, Jasmine Kastner, Cecilia Milford, Francis Bajunirwe, Jennifer A. Smit |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult Counseling Male Health Knowledge Attitudes Practice Sub saharan Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Article 03 medical and health sciences South Africa 0302 clinical medicine Virology Environmental health Physicians parasitic diseases Health care medicine Humans Uganda 030212 general & internal medicine Practice Patterns Physicians' Hiv transmission Heterosexuality Reproductive health Community Health Workers business.industry Public sector Public Health Environmental and Occupational Health virus diseases HIV General Medicine Focus Groups 030112 virology Infectious Diseases Sexual Partners Anti-Retroviral Agents Circumcision Male Serodiscordant Female Pre-Exposure Prophylaxis business Healthcare providers antiretroviral treatment HIV counselling HIV knowledge HIV transmission reproductive health |
| Zdroj: | African Journal of AIDS Research; Vol 17, No 2 (2018) |
| ISSN: | 1727-9445 1608-5906 |
| Popis: | HIV transmission within stable heterosexual HIV serodiscordant couples accounts for almost half the new incident infections in South Africa and Uganda. Advances in HIV prevention provide opportunities to reduce transmission risk within serodiscordant partnerships (e.g., antiretroviral treatment (ART), pre-exposure prophylaxis (PrEP), medical male circumcision, and couples-based HIV counselling and testing). These interventions require a clinical encounter with a provider who recognises prevention opportunities within these partnerships. We explored healthcare provider understanding of HIV serodiscordance in a reproductive counselling study with providers in eThekwini district, South Africa, and Mbarara district, Uganda. In eThekwini, in-depth interviews (29) and focus group discussions (2) were conducted with 42 providers (counsellors, nurses and doctors) from public sector clinics. In Mbarara, in-depth interviews were conducted with 38 providers (medical officers, clinical officers, nurses, peer counsellors and village health workers). Thematic analysis was conducted using NVivo software. In eThekwini, many providers assumed HIV seroconcordance among client partners and had difficulty articulating how serodiscordance occurs. Mbarara providers had a better understanding of HIV serodiscordance. In the two countries, providers who understood HIV serodiscordance were better able to describe useful HIV-prevention strategies. Healthcare providers require training and support to better understand the prevalence and mechanisms of HIV serodiscordance to implement HIV-prevention strategies for HIV serodiscordant couples.Keywords: antiretroviral treatment, HIV counselling, HIV knowledge, HIV transmission, reproductive health |
| Databáze: | OpenAIRE |
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