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埃塞俄比亚提格雷州胡梅拉市卡谢·阿贝拉医院自愿咨询与检测及性传播感染服务的可接受性和利用率[已修正]

Acceptability and utilisation of services for voluntary counselling [corrected] and testing and sexually transmitted infections in Kahsey Abera Hospital, Humera, Tigray, Ethiopia.

作者信息

Reilley Brigg, Hiwot Zenebe Gebre, Mesure Joanna

机构信息

Medecins sans Frontieres USA, 333 Seventh Avenue, 2nd floor 1001-5004, New York, USA.

出版信息

Ethiop Med J. 2004 Jul;42(3):173-7.

PMID:16895034
Abstract

OBJECTIVES

A study was conducted to assess the acceptability and utilization of voluntary counselling and testing (VCT) and sexually transmitted infection (STI) services in Kahsey Abera Hospital, Humera.

METHODS

Retrospective data was taken from hospital consultation logbooks from January 2002 to February 2003, and focus group discussions were conducted in March 2003 in the community.

RESULTS

While the services were known and utilization is increasing, important misconceptions about the medical services, disease transmission, and STI treatment persist. Although hospital care was generally considered of high quality, persons often go to pharmacies to self-treat for STIs due to concerns about confidentiality, and the stigma of HIV deters many from wanting to know their serostatus.

CONCLUSIONS

Additional education is needed on HIV/AIDS, STIs, and the medical services provided. Education may make use of community health workers or outreach workers in a small group where participants can feel comfortable to ask sensitive questions. HIV/AIDS treatment is planned for the near future and may be significant in reducing HIV/AIDS stigma.

摘要

目的

开展一项研究,以评估胡梅拉卡谢阿贝拉医院自愿咨询检测(VCT)和性传播感染(STI)服务的可接受性和利用情况。

方法

回顾性数据取自2002年1月至2003年2月的医院咨询日志,并于2003年3月在社区进行了焦点小组讨论。

结果

虽然这些服务广为人知且利用率在上升,但对医疗服务、疾病传播和性传播感染治疗仍存在重要的误解。尽管医院护理总体上被认为质量很高,但由于担心隐私问题,人们常去药店自行治疗性传播感染,而且艾滋病的污名化使许多人不愿了解自己的血清学状态。

结论

需要就艾滋病毒/艾滋病、性传播感染及所提供的医疗服务开展更多教育。教育可利用社区卫生工作者或外展工作者,在小群体中进行,让参与者能够自在地提出敏感问题。计划在不久的将来开展艾滋病毒/艾滋病治疗,这可能对减少艾滋病毒/艾滋病污名化具有重要意义。

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