HIV Prevention among Zambian Itinerant Workers: Challenges and Solutions
Autor: | Deborah L. Jones, Ndashi Chitalu, Robert Zulu, Violeta J. Rodriguez, Stefani A. Butts, Maria L. Alcaide, Stephen M. Weiss, Annette Kayukwa, Nicole A. Barylski |
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Rok vydání: | 2019 |
Předmět: |
Adult
Counseling Male Human immunodeficiency virus (HIV) Vulnerability Zambia Alcohol abuse HIV Infections medicine.disease_cause Hiv risk Health Services Accessibility law.invention Condoms 03 medical and health sciences Risk-Taking Condom law Environmental health medicine Humans Mass Screening Hiv treatment Transients and Migrants 030505 public health Public Health Environmental and Occupational Health virus diseases Focus Groups medicine.disease Focus group Female Rural area 0305 other medical science Psychology |
Zdroj: | Journal of Health Care for the Poor and Underserved. 30:358-377 |
ISSN: | 1548-6869 |
Popis: | Mobility and alcohol abuse increase vulnerability to HIV among itinerants in Zambia. Itinerants face unique challenges to accessing HIV counselling, testing, and treatment. Zambian districts (Chingola, Mazabuka, Mufulira) were selected, and focus group discussions (FGDs = 12; n= 72) and key informant interviews (n = 71) were held. HIV risk and strategies to address barriers and facilitators of condom use, voluntary counselling and testing (VCT) and HIV-treatment were explored. Mobility increased sexual networks. Local bars, lodges, and truck stops were locations for sexual solicitation. Cheap lodgings were hot spots for HIV risk behavior. Difficulty accessing condoms and HIV treatment due to transience placed itinerants at elevated risk. Lack of clinics in rural areas further exacerbated itinerant risk. Initiatives to reduce these risks included implementation of border-clinics and employer-driven medical support for itinerants. Uptake of HIV prevention tools, health-education initiatives supporting itinerants, as well as health-care initiatives tailored to itinerant needs, are needed. |
Databáze: | OpenAIRE |
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