The willingness to receive sexually transmitted infection services from public healthcare facilities among key populations at risk for human immunodeficiency virus infection in Bangladesh: A qualitative study

Autor: Md. Masud Reza, Sharful Islam Khan, Tarit Saha, A. M. Rumayan Hasan, Lima Rahman, Gorkey Gourab, Mohammad Niaz Morshed Khan, Golam Sarwar, Samira Dishti Irfan, A K M Masud Rana
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Medical Doctors
Health Care Providers
Psychological intervention
Social Sciences
HIV Infections
Geographical Locations
0302 clinical medicine
Risk Factors
Medicine and Health Sciences
Psychology
Medical Personnel
030212 general & internal medicine
Qualitative Research
media_common
Allied Health Care Professionals
Bangladesh
Multidisciplinary
Focus Groups
Middle Aged
Professions
Infectious Diseases
Medicine
Female
0305 other medical science
Research Article
Adult
Asia
Inequality
Health Personnel
media_common.quotation_subject
Science
Sexually Transmitted Diseases
Resistance (psychoanalysis)
Context (language use)
Viral diseases
Interviews as Topic
Young Adult
03 medical and health sciences
Nursing
Physicians
Humans
Behavior
030505 public health
Biology and Life Sciences
Patient Acceptance of Health Care
Focus group
Health Care
Community mobilization
Health Care Facilities
People and Places
Population Groupings
Delivery of Health Care
Nexus (standard)
Qualitative research
Zdroj: PLoS ONE, Vol 14, Iss 9, p e0221637 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: Background In Bangladesh, community-based and peer-led prevention interventions for human immunodeficiency virus infection are provided to key populations (KPs) by drop-in centers (DICs), which are primarily supported by external donors. This intervention approach was adopted because public healthcare facilities were reportedly insensitive to the needs and culture of KPs, particularly with regard to the provision of sexually transmitted infection (STI) services. Nonetheless, in the absence of external funding, STI services need to be integrated into public healthcare systems. Methods A qualitative study was conducted in 2017 to understand the willingness of KPs to uptake the STI services of public healthcare facilities. Data were collected based on 34 in-depth interviews, 11 focus group discussions, and 9 key informant interviews. The social-ecological theoretical framework was used to analyze the data thematically and contextually. Results Most participants were either resistant or reluctant to uptake STI services from public healthcare facilities because of their previous firsthand experiences (e.g., disrespectful and judgmental attitudes and behaviors), perceived discrimination, anticipatory fear, and a lack of privacy. Very few participants who had visited these facilities to receive STI services were motivated to revisit them. Nevertheless, they emphasized their comfort in DICs over public healthcare facilities. Thus, it appears that KPs can be situated along a care-seeking continuum (i.e., resistance to complete willingness). Unless policymakers understand the context and reasons that underlie their movement along this continuum, it would be difficult to encourage KPs to access STI services from public healthcare facilities. Conclusion KPs’ willingness to uptake the STI services of public healthcare facilities depends not only on individual and community experiences but also on the nexus between socio-structural factors and health inequalities. Community mobilization and training about the needs and culture of KPs for healthcare professionals are essential. Therefore, addressal of a wide range of structural factors is required to motivate KPs into seeking STI services from public healthcare facilities.
Databáze: OpenAIRE
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