The Role of Community Health Workers Within the Continuum of Services for HIV, Viral Hepatitis, and Other STIs Amongst Men Who Have Sex with Men in Europe
| Autor: | Nigel Sherriff, Cinta Folch, Susanne Schink, Matthias Kuske, Caoimhe Cawley, Oksana Panochenko, Nicolas Lorente, Susanna Aussó, Jordi Casabona, Maria Dutarte, Michael Krone, Ulrich Marcus, Jorg Huber |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Health (social science) Hepatitis Viral Human Sexual health Sexual Behavior Sexually Transmitted Diseases Psychological intervention HIV Infections Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Sexually transmitted infections medicine Humans Community health workers MSM 030212 general & internal medicine Homosexuality Male Viral hepatitis Reproductive health Community Health Workers Original Paper 030505 public health business.industry Public health Public Health Environmental and Occupational Health HIV virus diseases medicine.disease Europe Health promotion Family medicine Queer Female 0305 other medical science business |
| Zdroj: | Journal of Community Health r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname |
| ISSN: | 1573-3610 0094-5145 |
| Popis: | Little is known about Community Health Workers (CHWs) who work in non-clinical settings to provide sexual health support around HIV, viral hepatitis, and other sexually transmitted infections (STIs) to men who have sex with men (MSM) in Europe and neighbouring countries. This article describes for the first time, who CHWs are, and how they contribute to the continuum of services for HIV, viral hepatitis, and other STIs amongst MSM. The first European Community Health Worker Online Survey (ECHOES) developed in the framework of the EU-funded ESTICOM project ( www.esticom.eu ), was available in 16 languages (October 2017-January 2018). Amongst the 1035 persons aged 18 and older reporting CHW activities in the previous 12 months, 28.2% were women, 30.7% were volunteers, 59.2% were men self-defining as gay/homosexual, bisexual or queer (‘peer CHWs’), and most CHWs worked/volunteered in private not-for-profit organisations (86.4%). CHWs involvement in the continuum of services for HIV, viral hepatitis and other STIs was as follows: primary prevention (88.6%), consultation and counselling (58.0%), testing provision (50.6%), linkage to care (49.8%), and treatment and support activities (51.3%). CHWs were also involved in cross-cutting activities such as developing interventions, advocacy, and engaging in research (46.3%). CHWs as a public health workforce contribute to all steps of the continuum of services for HIV, viral hepatitis, and other STIs amongst MSM in Europe. National governments should recognise and support CHWs better in order to make their activities more visible and sustainable, and increase their impact on the continuum of services. |
| Databáze: | OpenAIRE |
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