刚果民主共和国为感染艾滋病毒/艾滋病的青少年提供性行为咨询服务的障碍。
Barriers to Provider-Delivered Sexual Behavior Counseling for Youth Living with HIV/AIDS in the Democratic Republic of the Congo.
作者信息
Parker L, Maman S, Pettifor A, Chalachala J L, Edmonds A, Golin C E, Moracco K, Behets F
机构信息
Futures Group, Chapel Hill, U.S.
Department of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, U.S.
出版信息
J HIV AIDS Soc Serv. 2013;12(3-4). doi: 10.1080/15381501.2012.748585.
AIMS
The study aimed to understand providers' role in delivering HIV transmission prevention counseling to youth living with HIV (YLWH).
METHODS
We conducted 14 in-depth interviews with providers in Kinshasa, DRC.
RESULTS
Providers' lack of knowledge and comfort in talking to youth about sex because of cultural and religious beliefs about sexuality, coupled with confusion about legal issues related to youth and contraception, made it difficult for them to effectively counsel youth.
IMPLICATIONS FOR PRACTICE AND POLICY
In order for providers to deliver effective prevention counseling to YLWH, clinics should follow adolescent-friendly clinic standards, provide counseling in an adolescent-friendly style, and institute an effective referral system for additional prevention services.
CONCLUSION
HIV prevention services can be improved through the creation of an adolescent-friendly environment and by providing "values clarification" and skill-based trainings so that providers are able to assess the role of their own beliefs and learn new skills.
目的
本研究旨在了解医疗服务提供者在为感染艾滋病毒的青少年（YLWH）提供艾滋病毒传播预防咨询方面所起的作用。
方法
我们对刚果民主共和国金沙萨的医疗服务提供者进行了14次深入访谈。
结果
由于关于性取向的文化和宗教信仰，医疗服务提供者在与青少年谈论性方面缺乏知识且感到不自在，再加上对与青少年和避孕相关的法律问题存在困惑，这使得他们难以有效地为青少年提供咨询。
对实践和政策的启示
为了使医疗服务提供者能够为感染艾滋病毒的青少年提供有效的预防咨询，诊所应遵循青少年友好型诊所标准，以青少年友好型方式提供咨询，并建立有效的额外预防服务转诊系统。
结论
通过营造青少年友好型环境以及提供“价值观澄清”和基于技能的培训，使医疗服务提供者能够评估自身信仰的作用并学习新技能，可改善艾滋病毒预防服务。
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