Organizational characteristics of HIV/syphilis testing services for men who have sex with men in South China: a social entrepreneurship analysis and implications for creating sustainable service models
Autor: | Kaidi Wang, Li Gang Yang, Larry Han, Rosanna W. Peeling, Heidi J. Larson, Joseph D. Tucker, Kathryn E. Muessig, Rosa R. Cui, Elaine J. Lo, Ramon Lee, Cedric H. Bien, Feng Ying Liu, Bin Yang |
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Jazyk: | angličtina |
Předmět: |
Gerontology
Program evaluation Adult Male Entrepreneurship China Adolescent Social enterprise Attitude of Health Personnel Sexual Behavior Social entrepreneurship HIV Infections Ambulatory Care Facilities Men who have sex with men 03 medical and health sciences Young Adult 0302 clinical medicine Medicine Humans Mass Screening 030212 general & internal medicine Syphilis MSM Homosexuality Male Mass screening Health Services Administration Qualitative Research Reproductive health 030505 public health business.industry 1. No poverty HIV Public relations Health Services medicine.disease 3. Good health Infectious Diseases Hong Kong 0305 other medical science business Attitude to Health Qualitative research Program Evaluation Research Article |
Zdroj: | BMC Infectious Diseases |
ISSN: | 1471-2334 |
DOI: | 10.1186/s12879-014-0601-5 |
Popis: | Background UNAIDS has called for greater HIV/syphilis testing worldwide just as local HIV/syphilis testing programs are cut or altered. New models are needed to make HIV/syphilis testing services sustainable while retaining their essential public health function. Social entrepreneurship, using business principles to promote a social cause, provides a framework to pilot programs that sustainably expand testing. Drawing on fieldwork in two South Chinese cities, we examined organizational and financial characteristics of current HIV/syphilis testing systems for men who have sex with men (MSM) in addition to new pilot programs focused on revenue-generation for sustainability. Methods We undertook a qualitative study to explore organizational and financial characteristics of HIV/syphilis testing for MSM. Data were collected from men who have sex with men and policy stakeholders in Guangzhou and Hong Kong. Framework analysis was used to identify themes and then code the data. Results Our qualitative research study included MSM and policy stakeholders (n = 84). HIV/syphilis testing services were implemented at a wide range of organizations which we grouped broadly as independent community-based organizations (CBOs), independent clinics, and hybrid CBO-clinic sites. From an organizational perspective, hybrid CBO-clinic sites offered the inclusive environment of an MSM CBO linked to the technical capacity and trained staff of a clinic. From a financial perspective, stakeholders expressed concern about the sustainability and effectiveness of sexual health services reliant on external funding. We identified four hybrid CBO-clinic organizations that launched pilot testing programs in order to generate revenue while expanding HIV testing. Conclusion Many MSM CBOs are searching for new organizational models to account for decreased external support. Hybrid CBO-clinic organizations create a strong foundation to increase HIV/syphilis testing using social entrepreneurship models in China. Electronic supplementary material The online version of this article (doi:10.1186/s12879-014-0601-5) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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