Dijkstra Maartje, van der Elst Elise M, Micheni Murugi, Gichuru Evanson, Musyoki Helgar, Duby Zoe, Lange Joep M A, Graham Susan M, Sanders Eduard J
Kenya Medical Research Institute, Centre for Geographic Medicine Research-Coast, P.O. Box 230, Kilifi, Kenya
Kenya Medical Research Institute, Centre for Geographic Medicine Research-Coast, P.O. Box 230, Kilifi, Kenya.
Int Health. 2015 May;7(3):151-62. doi: 10.1093/inthealth/ihu101. Epub 2015 Jan 16.
Sensitivity training of front-line African health care workers (HCWs) attending to men who have sex with men (MSM) is actively promoted through national HIV prevention programming in Kenya. Over 970 Kenyan-based HCWs have completed an eight-modular online training free of charge (http://www.marps-africa.org) since its creation in 2011. Before updating these modules, we performed a systematic review of published literature of MSM studies conducted in sub-Saharan Africa (sSA) in the period 2011-2014, to investigate if recent studies provided: important new knowledge currently not addressed in existing online modules; contested information of existing module topics; or added depth to topics covered already. We used learning objectives of the eight existing modules to categorise data from the literature. If data could not be categorised, new modules were suggested. Our review identified 142 MSM studies with data from sSA, including 34 studies requiring module updates, one study contesting current content, and 107 studies reinforcing existing module content. ART adherence and community engagement were identified as new modules. Recent MSM studies conducted in sSA provided new knowledge, contested existing information, and identified new areas of MSM service needs currently unaddressed in the online training.
通过肯尼亚的国家艾滋病毒预防规划，积极推动对为男男性行为者（MSM）提供服务的非洲一线医护人员（HCWs）进行敏感性培训。自2011年创建以来，已有超过970名肯尼亚医护人员免费完成了一个八模块的在线培训（http://www.marps-africa.org）。在更新这些模块之前，我们对2011 - 2014年期间在撒哈拉以南非洲（sSA）进行的男男性行为者研究的已发表文献进行了系统综述，以调查近期研究是否提供了：现有在线模块中未涉及的重要新知识；现有模块主题中有争议的信息；或加深了已涵盖主题的深度。我们使用八个现有模块的学习目标对文献中的数据进行分类。如果数据无法分类，则建议设立新模块。我们的综述确定了142项来自撒哈拉以南非洲地区的男男性行为者研究数据，其中34项研究需要更新模块，1项研究对当前内容提出质疑，107项研究强化了现有模块内容。抗逆转录病毒治疗依从性和社区参与被确定为新模块。近期在撒哈拉以南非洲地区进行的男男性行为者研究提供了新知识，对现有信息提出了质疑，并确定了在线培训中目前未涉及的男男性行为者服务需求的新领域。
