"I have to do it in secrecy": Provider Perspectives on HIV Service Delivery and Quality of Care for Key Populations in Zambia.
Journal
The Journal of the Association of Nurses in AIDS Care : JANAC
ISSN: 1552-6917
Titre abrégé: J Assoc Nurses AIDS Care
Pays: United States
ID NLM: 9111870
Informations de publication
Date de publication:
29 Nov 2023
29 Nov 2023
Historique:
medline:
29
11
2023
pubmed:
29
11
2023
entrez:
29
11
2023
Statut:
aheadofprint
Résumé
Key populations (KPs) experience suboptimal outcomes along the HIV care and prevention continua, but there is limited study of the challenges service providers encounter delivering HIV services to KPs, particularly in settings like Zambia, where provision of these services remains legally ambiguous. Seventy-seven providers completed in-depth interviews exploring constraints to HIV service delivery for KPs and recommendations for improving access and care quality. Thematic analysis identified salient challenges and opportunities to service delivery and quality of care for KPs, spanning interpersonal, institutional, and structural domains. Limited provider training in KP-specific needs was perceived to influence KP disclosure patterns in clinical settings, impeding service quality. The criminalization of KP sexual and drug use behaviors, coupled with perceived institutional and legal ambiguities to providing HIV services to KPs, cultivated unwelcoming service delivery environments for KPs. Findings elucidate opportunities for improving HIV service delivery/quality, from decentralized care to expanded legal protections for KPs and service providers.
Identifiants
pubmed: 38019138
doi: 10.1097/JNC.0000000000000443
pii: 00001782-990000000-00083
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Association of Nurses in AIDS Care.
Références
Adebajo Sylvia, Eluwa G., Njab Jean, Oginni Ayo, Ukwuije Francis, Ahonsi Babatunde, Lorenc Theo (2015). Evaluating the effect of HIV prevention strategies on uptake of HIV counselling and testing among male most-at-risk-populations in Nigeria; A cross-sectional analysis. Sexually Transmitted Infections, 91(8), 555-560. https://doi.org/10.1136/sextrans-2014-051659
doi: 10.1136/sextrans-2014-051659
Arreola Sonya, Hebert Pato, Makofane Keletso, Beck Jack, Ayala George (2015). Access to HIV prevention and treatment for men who have sex with men: Findings from the 2012 Global Men's Health and Rights Study (GMHR). Johannesburg, South Africa: The Global Forum on MSM & HIV (MSMGF). https://msmgf.org/wp-content/uploads/2015/09/GMHR_2012.pdf
Atujuna Millicent, Newman Peter A., Wallace Melissa, Eluhu Megan, Rubincam Clara, Brown Ben, Bekker Linda-Gail (2018). Contexts of vulnerability and the acceptability of new biomedical HIV prevention technologies among key populations in South Africa: A qualitative study. PLoS One, 13(2), e0191251. https://doi.org/10.1371/journal.pone.0191251
doi: 10.1371/journal.pone.0191251
Aung P. P., Ryan C., Bajracharya A., Pasricha N., Thein Z. W., Agius P. A., Sein T. T., Willenberg L., Soe E. M., Zaw N. T., Tun W., Yam E., Luchters S. (2017). Effectiveness of an integrated community- and clinic-based intervention on HIV testing, HIV knowledge, and sexual risk behavior of young men who have sex with men in Myanmar. The Journal of Adolescent Health, 60(2S2), S45-S53. https://doi.org/10.1016/j.jadohealth.2016.09.006
doi: 10.1016/j.jadohealth.2016.09.006
Ayres Lioness, Kavanaugh Karen, Knafl Kathleen A. (2003). Within-case and across-case approaches to qualitative data analysis. Qualitative Health Research, 13(6), 871-883. https://doi.org/10.1177/1049732303013006008
doi: 10.1177/1049732303013006008
Beyrer Chris, Baral Stefan D., van Griensven Frits, Goodreau Steven M., Chariyalertsak Suwat, Wirtz Andrea L., Brookmeyer Ron (2012). Global epidemiology of HIV infection in men who have sex with men. The Lancet, 380(9839), 367-377. https://doi.org/10.1016/S0140-6736(12)60821-6
doi: 10.1016/S0140-6736(12)60821-6
Cange Charles W., LeBreton Matthew, Billong Serge, Saylors Karen, Tamoufe Ubald, Papworth Erin, Yomb Yves, Baral Stefan (2015). Influence of stigma and homophobia on mental health and on the uptake of HIV/sexually transmissible infection services for Cameroonian men who have sex with men. Sexual Health, 12(4), 315-321. https://doi.org/10.1071/SH15001
doi: 10.1071/SH15001
Chanda Michael M., Perez-Brumer Amaya G., Ortblad Katrina F., Mwale Magdalene, Chongo Steven, Kamungoma Nyambe, Kanchele Catherine, Fullem A., Barresi L., Bärnighausen T., Oldenburg C. E. (2017). Barriers and facilitators to HIV testing among Zambian female sex workers in three transit hubs. AIDS Patient Care and STDs, 31(7), 290-296. https://doi.org/10.1089/apc.2017.0016
doi: 10.1089/apc.2017.0016
Corbin Juliet, Strauss Anslem (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). Thousand Oaks, CA: Sage Publications, Inc.
Crabtree Benjamin F., Miller William L. (1999). Doing qualitative research. Thousand Oaks, CA: SAGE Publications.
Decker Michele R., Lyons Carrie, Billong Serge Clotaire, Njindam Iliassou Mfochive, Grosso Ashley, Nunez G. T., Tumasang Florence, LeBreton Matthew, Tamoufe Ubald, Baral Stefan (2016). Gender-based violence against female sex workers in Cameroon: Prevalence and associations with sexual HIV risk and access to health services and justice. Sexually Transmitted Infections, 92(8), 599-604. https://doi.org/10.1136/sextrans-2015-052463
doi: 10.1136/sextrans-2015-052463
Delany-Moretlwe Sinead, Cowan Frances M., Busza Joanna, Bolton-Moore Carolyn, Kelley Karen, Fairlie Lee (2015). Providing comprehensive health services for young key populations: Needs, barriers and gaps. Journal of the International AIDS Society, 18(2 Suppl. 1), 19833. https://doi.org/10.7448/IAS.18.2.19833
doi: 10.7448/IAS.18.2.19833
Denzin Norman K. (2009). The research act: A theoretical introduction to sociological methods. New York, NY: McGraw-Hill.
Duby Zoe, Nkosi Busisiwe, Scheibe Andrew, Brown Ben, Bekker Linda-Gail (2018). ‘Scared of going to the clinic’: Contextualising healthcare access for men who have sex with men, female sex workers and people who use drugs in two South African cities. Southern African Journal of HIV Medicine, 19(1), 701. https://doi.org/10.4102/sajhivmed.v19i1.701
doi: 10.4102/sajhivmed.v19i1.701
Geibel Scott, Hossain Sharif M. I., Pulerwitz Julie, Sultana Nargis, Hossain Tarik, Roy Shongkour, Burnett-Zieman Brady, Stackpool-Moore L., Friedland B. A., Yasmin R., Sadiq N., Yam E. (2017). Stigma reduction training improves healthcare provider attitudes toward, and experiences of, young marginalized people in Bangladesh. The Journal of Adolescent Health, 60(2S2), S35-S44. https://doi.org/10.1016/j.jadohealth.2016.09.026
doi: 10.1016/j.jadohealth.2016.09.026
Government of the Republic of Zambia and National AIDS/STI/TB Council. (2010). National AIDS strategic framework 2011–2015. Lusaka, Zambia: Government of the Republic of Zambia. https://zambia.unfpa.org/sites/default/files/pub-pdf/ZambiaNASF2011-2015.pdf
Government of the Republic of Zambia and National AIDS/STI/TB Council. (2020). National AIDS strategic framework 2017–2021. Lusaka, Zambia: Government of the Republic of Zambia. https://www.unicef.org/zambia/media/1031/file/Zambia-national-AIDS-strategic-framework-2017-2021.pdf
Guise Andy, Rhodes Tim, Ndimbii James, Ayon Sylvia, Nnaji Obiora (2016). Access to HIV treatment and care for people who inject drugs in Kenya: A short report. AIDS Care, 28(12), 1595-1599. https://doi.org/10.1080/09540121.2016.1191606
doi: 10.1080/09540121.2016.1191606
Hsieh Hsiu-Fang, Shannon Sarah E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687
doi: 10.1177/1049732305276687
Kasongo Webster, Tembo Mathias, Mwakazanga David, Kamanga Joseph, Mwape Flavia, Chelu Lazarus (2016). Integrated Biological and Behavioural Surveillance Survey (IBBSS) among Female Sex Workers and Behavioural Surveillance Survey (BSS) among Male Long Distance Truck Drivers in Five Corridors of Hope Project District Sites in Zambia, 2015. Ndola, Zambia: FHI 360 and the Tropical Diseases Research Centre. http://www.nac.org.zm/sites/default/files/publications/IBBS%202015%20Final%20Report%204%20March%202016.pdf
Kennedy Caitlin E., Baral Stefan D., Fielding-Miller Rebecca, Adams Darrin, Dludlu Phumlile, Sithole Bheki, Fonner Virginia A., Mnisi Zandile, Kerrigan Deanna (2013). ‘They are human beings, they are Swazi’: Intersecting stigmas and the positive health, dignity and prevention needs of HIV-positive men who have sex with men in Swaziland. Journal of the International AIDS Society, 16(4 Suppl. 3), 18749. https://doi.org/10.7448/IAS.16.4.18749
doi: 10.7448/IAS.16.4.18749
Lincoln Yvonna S., Guba Egon G. (1986). But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Directions for Program Evaluation, 1986(30), 73-84. https://doi.org/10.1002/ev.1427
doi: 10.1002/ev.1427
Macdonald Virginia, Verster Annette, Baggaley Rachel (2017). A call for differentiated approaches to delivering HIV services to key populations. Journal of the International AIDS Society, 20(Suppl. 4), 21658. https://doi.org/10.7448/IAS.20.5.21658
doi: 10.7448/IAS.20.5.21658
Makofane Keletso, Beck Jack, George Ayala (2014). MSM in sub-Saharan Africa: Health, access, & HIV. Johannesburg, South Africa: The Global Forum on MSM & HIV (MSMGF), African Men for Sexual Health & Rights (AMSHeR). https://msmgf.org/files/msmgf/documents/MSMinSSA_PolicyBrief.pdf
Micheni Murugi, Kombo Bernadette K., Secor Andrew, Simoni Jane M., Operario Don, van der Elst Elise M., Mugo Peter, Kanungi Jennifer, Sanders Eduard J., Graham Susan M. (2017). Health provider views on improving antiretroviral therapy adherence among men who have sex with men in coastal Kenya. AIDS Patient Care and STDs, 31(3), 113-121. https://doi.org/10.1089/apc.2016.0213
doi: 10.1089/apc.2016.0213
Muzyamba Choolwe, Broaddus Elena, Campbell Catherine (2015). ‘You cannot eat rights’: A qualitative study of views by Zambian HIV-vulnerable women, youth and MSM on human rights as public health tools. BMC International Health and Human Rights, 15(October), 26. https://doi.org/10.1186/s12914-015-0067-6
doi: 10.1186/s12914-015-0067-6
Mwango Linah, Toeque Mona-Gekanju, Lindsay Brianna, Tembo Kalima, Sakala Henry, Reggee Sean, Malunga Sibusiso Mimi, Kabwe M., Kafunda I., Olufunso A., Mwila A., Okuku J., Kancheya N., Nkwemu K., Mumba D., Hachaambwa L., Sheneberger R., Blanco N., Lavoie M. C., Claassen C. W. (2022). Reaching transgender populations in Zambia for HIV prevention and linkage to treatment using community-based service delivery. Journal of the International AIDS Society, 25(Suppl. 5), e25995. https://doi.org/10.1002/jia2.25995
doi: 10.1002/jia2.25995
Mwondela Malala, Pessoa-Brandão Luisa, Carroll Anna (2015). Legal, policy, and socio-cultural barriers to HIV-related prevention, treatment, care, and support for key populations in Zambia. Lusaka, Zambia: National Alliance of State & Territorial AIDS Directors (NASTAD) Zambia. https://www.medbox.org/document/legal-policy-and-socio-cultural-barriers-to-hiv-related-prevention-treatment-care-and-support-for-key-populations-in-zambia#GO
National HIV/AIDS/STI/TB Council. (2014). Zambia Country Report: Monitoring the Declaration of Commitment on HIV and AIDS and the Universal Access. Geneva, Switzerland: United Nations General Assembly Special Session on HIV and AIDS. http://www.unaids.org/sites/default/files/country/documents/ZMB_narrative_report_2014.pdf
Nyblade Laura, Stockton Melissa A., Giger Kayla, Bond Virginia, Ekstrand Maria L., Lean R. M., Mitchell Ellen M. H., Nelson L. R. E., Sapag J. C., Siraprapasiri T., Turan J., Wouters E. (2019). Stigma in health facilities: Why it matters and how we can change it. BMC Medicine, 17(1), 25. https://doi.org/10.1186/s12916-019-1256-2
doi: 10.1186/s12916-019-1256-2
Oldenburg Catherine E., Ortblad Katrina F., Chanda Michael M., Mwale Magdalene, Chongo Steven, Kanchele Catherine, Kamungoma Nyambe, Fullem Andrew, Bärnighausen T. (2018). Brief Report: Intimate partner violence and antiretroviral therapy initiation among female sex workers newly diagnosed with HIV in Zambia: A prospective study. Journal of Acquired Immune Deficiency Syndromes, 79(4), 435-439. https://doi.org/10.1097/QAI.0000000000001841
doi: 10.1097/QAI.0000000000001841
Pando María A., Coloccini Romina S., Reynaga Elena, Rodriguez Fermepin Marcelo, Gallo Vaulet Lucia, Kochel Tadeusz J., Montano Silvia M., Avila M. M. (2013). Violence as a barrier for HIV prevention among female sex workers in Argentina. PLoS ONE, 8(1), e54147. https://doi.org/10.1371/journal.pone.0054147
doi: 10.1371/journal.pone.0054147
Patton M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. Health Services Research, 34(5 Pt 2), 1189-1208.
Pilgrim Nanlesta, Musheke Maurice, Raymond H. Fisher, Keating Ryan, Mwale John, Banda Lunda, Mulenga Drosin, Phiri Lyson, Geibel Scott, Tun Waimar (2019). Quality of care and HIV service utilization among Key populations in Zambia: A qualitative comparative analysis among female sex workers, men who have sex with men and people who use drugs. AIDS Care, 31(4), 460-464. https://doi.org/10.1080/09540121.2018.1524119
doi: 10.1080/09540121.2018.1524119
Population Council, National HIV/AIDS/STI/TB Council, The Tropical Diseases Research Centre, & The University of California, San Francisco. (2018). 2016–2017 integrated biological and behavioural survey among female sex workers in Zambia. Lusaka, Zambia: Population Council.
Reidy William J., Sheriff Muhsin, Wang Chunhui, Hawken Mark, Koech Emily, Elul Batya, Kimanga Davies, Abrams Elaine J., & Identifying Optimal Models of HIV Care in Africa: Kenya Consortium. (2014). Decentralization of HIV care and treatment services in central Province, Kenya. Journal of Acquired Immune Deficiency Syndromes, 67(1), e34-e40. https://doi.org/10.1097/QAI.0000000000000264
doi: 10.1097/QAI.0000000000000264
Rushing Rosanne, Watts Charlotte, Rushing Sharon (2005). Living the reality of forced sex work: Perspectives from young migrant women sex workers in northern Vietnam. Journal of Midwifery & Women's Health, 50(4), e41-e44. https://doi.org/10.1016/j.jmwh.2005.03.008
doi: 10.1016/j.jmwh.2005.03.008
Sarin Enisha, Samson Luke, Sweat Michael, Beyrer Chris (2011). Human rights abuses and suicidal ideation among male injecting drug users in Delhi, India. The International Journal on Drug Policy, 22(2), 161-166. https://doi.org/10.1016/j.drugpo.2010.09.011
doi: 10.1016/j.drugpo.2010.09.011
Scorgie Fiona, Nakato Daisy, Harper Eric, Richter Marlise, Maseko Sian, Nare Prince, Smit Jenni, Chersich Matthew (2013). ‘We are despised in the hospitals’: Sex workers' experiences of accessing health care in four African countries. Culture, Health & Sexuality, 15(4), 450-465. https://doi.org/10.1080/13691058.2012.763187
doi: 10.1080/13691058.2012.763187
Shannon Kate, Strathdee Steffanie A., Goldenberg Shira M., Duff Putu, Mwangi Peninah, Rusakova Maia, Reza-Paul Sushena, Lau J., Deering K., Pickles M. R., Boily M. C. (2015). Global epidemiology of HIV among female sex workers: Influence of structural determinants. The Lancet, 385(9962), 55-71. https://doi.org/10.1016/S0140-6736(14)60931-4
doi: 10.1016/S0140-6736(14)60931-4
Stockman Jamila K., Strathdee Steffanie A. (2010). HIV among people who use drugs: A global perspective of populations at risk. Journal of Acquired Immune Deficiency Syndromes, 55(Suppl. 1), S17-S22. https://doi.org/10.1097/QAI.0b013e3181f9c04c
doi: 10.1097/QAI.0b013e3181f9c04c
Tene Gilbert, Lahuerta Maria, Teasdale Chloe, Mugisha Veronicah, Kayonde Leonard, Muhayimpundu Ribakare, Nyemazi Jean Pierre, Vandebriel G., Nsanzimana S., Sahabo R., Twyman P., Abrams E. J. (2013). High retention among HIV-Infected children in Rwanda during scale-up and decentralization of HIV care and treatment programs, 2004 to 2010. The Pediatric Infectious Disease Journal, 32(8), e341-e347. https://doi.org/10.1097/INF.0b013e31828c2744
doi: 10.1097/INF.0b013e31828c2744
Terlikbayeva Assel, Zhussupov Baurzhan, Primbetova Sholpan, Gilbert Louisa, Atabekov Nurmat, Giyasova Gusal, Ruziev Murodali, Soliev Alijon, Saliev Daniiar, El-Bassel Nabila (2013). Access to HIV counseling and testing among people who inject drugs in Central Asia: Strategies for improving access and linkages to treatment and care. Drug and Alcohol Dependence, 132(0-1), S61-S64. https://doi.org/10.1016/j.drugalcdep.2013.07.007
doi: 10.1016/j.drugalcdep.2013.07.007
Tun W., Apicella L., Casalini C., Bikaru D., Mbita G., Jeremiah K., Makyao N., Koppenhaver T., Mlanga E., Vu L. (2019). Community-based antiretroviral therapy (ART) delivery for female sex workers in Tanzania: 6-month ART initiation and adherence. AIDS and Behavior, 23(Suppl. 2), 142-152. https://doi.org/10.1007/s10461-019-02549-x
doi: 10.1007/s10461-019-02549-x
U.S. President’s Emergency Plan for AIDS Relief. (2022). Zambia country operational plan (COP) 2022: Strategic direction summary (SDS). Washington, DC: U.S. Department of State. https://www.state.gov/wp-content/uploads/2022/09/COP22-Zambia-SDS.pdf
van der Elst Elise M., Gichuru Evans, Omar Anisa, Kanungi Jennifer, Duby Zoe, Midoun Miriam, Shangani Sylvia, Graham S. M., Smith A. D., Sanders E. J., Operario D. (2013). Experiences of Kenyan healthcare workers providing services to men who have sex with men: Qualitative findings from a sensitivity training programme. Journal of the International AIDS Society, 1(4 Suppl. 3), 18741. https://doi.org/10.7448/IAS.16.4.18741
doi: 10.7448/IAS.16.4.18741
van der Elst Elise M., Smith Adrian D., Gichuru Evanson, Wahome Elizabeth, Musyoki Helgar, Muraguri Nicolas, Fegan Greg, Duby Z., Bekker L. G., Bender B., Graham S. M., Operario D., Sanders E. J. (2013). Men who have sex with men sensitivity training reduces homoprejudice and increases knowledge among Kenyan healthcare providers in coastal Kenya. Journal of the International AIDS Society, 16(4 Suppl. 3), 18748. https://doi.org/10.7448/IAS.16.4.18748
doi: 10.7448/IAS.16.4.18748
Wanyenze Rhoda K., Musinguzi Geofrey, Kiguli Juliet, Nuwaha Fred, Mujisha Geoffrey, Musinguzi Joshua, Arinaitwe Jim, Matovu J. K. B. (2017). ‘When they know that you are a sex worker, you will be the last person to be treated’: Perceptions and experiences of female sex workers in accessing HIV services in Uganda. BMC International Health and Human Rights, 17(1), 11. https://doi.org/10.1186/s12914-017-0119-1
doi: 10.1186/s12914-017-0119-1