Demedicalisation of HIV interventions to end HIV in the Asia-Pacific
| Autor: | Rena Janamnuaysook, Huu Van Ngo, Kimberly Elizabeth Green, Ravipa Vannakit, Reshmie Ramautarsing, Pich Seekaew, Nittaya Phanuphak, Supabhorn Pengnonyang, Hong Anh Doan, Bao Ngoc Vu, Praphan Phanuphak |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Asia Population Psychological intervention MEDLINE Human immunodeficiency virus (HIV) HIV Infections Certification medicine.disease_cause Decentralization Transgender Persons 03 medical and health sciences 0302 clinical medicine Asia pacific Health care medicine Humans 030212 general & internal medicine education Epidemics education.field_of_study Acquired Immunodeficiency Syndrome 030505 public health business.industry Public Health Environmental and Occupational Health Infectious Diseases Family medicine Female Pre-Exposure Prophylaxis 0305 other medical science business |
| Zdroj: | Sexual health. 18(1) |
| ISSN: | 1449-8987 |
| Popis: | Despite the challenges to the HIV response in the Asia–Pacific, a demedicalisation of HIV intervention has been demonstrated to be an important strategy to maximise the uptake of HIV prevention tools among key populations in this region. Demedicalisation of HIV interventions translates medical discourse and shifts the paradigm from a disease-focused to a people-centred approach. It also recognises real-life experiences of key populations in the HIV response by empowering them to voice their needs and be at the forefront of the epidemic control. We further categorise a demedicalisation approach into three frameworks: (1) the demystification of clinical or medical concerns; (2) the destigmatisation of people living with HIV; and (3) the decentralisation of healthcare services. This article reviewed the demedicalisation framework by looking at the HIV intervention examples from countries in the Asia–Pacific, which included: (1) a study on drug–drug interaction between pre-exposure prophylaxis and feminising hormone treatment for transgender women; (2) the roles of key population-led health services; and (3) certification of key population lay providers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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