Developing national strategies for reaching men with HIV testing services in Tanzania: results from the male catch-up plan

Autor: Peter Memiah, Bernard Njau, Gaspar Mbita, Jumanne Issango, Andrew M. Kilale, Gary King, Akeen Hamilton, Patrick Nhigula, Augustine T. Choko, Donaldson F. Conserve
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Men: HIV testing
Psychological intervention
HIV Infections
Intervention
Tanzania
Health Services Accessibility
Health administration
Condoms
Interviews as Topic
Young Adult
03 medical and health sciences
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Health care
Humans
Mass Screening
Medicine
030212 general & internal medicine
10. No inequality
Qualitative Research
biology
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Public health
lcsh:RA1-1270
Middle Aged
National
biology.organism_classification
medicine.disease
Social marketing
3. Good health
Health Planning
Sexual Partners
Family medicine
Strategies
0305 other medical science
business
Barriers
Peer education
Research Article
Zdroj: BMC Health Services Research, Vol 19, Iss 1, Pp 1-10 (2019)
BMC Health Services Research
ISSN: 1472-6963
DOI: 10.1186/s12913-019-4120-3
Popis: Background According to the 2016–2017 Tanzania HIV Impact Survey, 55% of men diagnosed with HIV during the survey self-reported that they were unaware of their HIV status. As a response, the Government of Tanzania launched a Test and Treat campaign in June 2018 with a focus on reaching men and developed the 2018-2020 Male Catch-Up plan. This article reports (1) the enablers and barriers of HIV testing services (HTS) uptake among men (2) and describes the strategies that were proposed as part of the Male Catch-Up Plan to address some of these barriers. Method Qualitative in-depth interviews were conducted with 23 men in Dar es Salaam to explore HTS enablers and barriers. To develop the Male Catch-Up Plan strategies, a desk review of published studies, and analyses of national implementers of HIV/AIDS interventions were conducted. An additional 123 interviews were also carried out with key implementers of HIV/AIDS interventions, healthcare workers, secondary school boys and members of the community in Iringa and Tanga. Results Enablers of HTS included the desire to check one’s health, high HIV risk perception, wanting to protect oneself if tested negative, and being encouraged by their sexual partners. Barriers of HTS were fear of a positive test result, and low HIV risk perception. Proposed strategies from the Male Catch-Up Plan to address these barriers included non-biomedical and biomedical approaches. Non-biomedical strategies are social and cultural approaches to promote an enabling environment to encourage health seeking behavior, safe behavior, and providing peer education programs and social marketing to promote condoms. Biomedical approaches consisted of expanding targeted HIV testing, HIV self-testing, and integrating HIV services with other health services. Conclusion A number of barriers contribute to the low uptake of HTS among men in Tanzania. National strategies have been developed to address these HTS barriers and guide the national Test and Treat campaign focusing on increasing HTS uptake among men. Electronic supplementary material The online version of this article (10.1186/s12913-019-4120-3) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
Externí odkaz: