Chenneville Tiffany, Gabbidon Kemesha, Drake Hunter
1 Department of Psychology, University of South Florida St. Petersburg, St. Petersburg, FL, USA.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958218822308. doi: 10.1177/2325958218822308.
HIV-related stigma creates barriers to HIV testing, medication adherence, and retention in care. Guided by the principles of community-based participatory research (CBPR) and in collaboration with community health workers (CHWs), the Stigma-reduction through Education, Empowerment, and Research (SEERs) project was developed with and for youth living in Nakuru, Kenya to reduce HIV-related stigma. The purpose of this qualitative study was to examine the experiences of the CHWs serving as SEERs facilitators. To evaluate SEERs, 37 facilitators completed open-ended survey questions to gather their experiences and recommendations for future program implementation and sustainability. Participants' mean age was 30.58 (standard deviation = 9.62), ranging from ages 18 to 53. Thematic content analysis was used to categorize (a) facilitators' experiences and the community impact of the SEERs project, (b) lessons learned, and (c) challenges to sustainability. Recommendations will be used to modify the SEERs project, improve implementation and sustainability strategies, and may provide guidance for similar CBPR projects.
与艾滋病病毒相关的污名化给艾滋病病毒检测、药物依从性以及持续接受治疗造成了障碍。在基于社区的参与性研究(CBPR)原则的指导下,并与社区卫生工作者(CHW)合作,开展了“通过教育、赋权和研究减少污名化(SEERs)”项目,该项目是为肯尼亚纳库鲁的青年群体量身打造,旨在减少与艾滋病病毒相关的污名化。这项定性研究的目的是考察担任SEERs项目推动者的社区卫生工作者的经历。为了评估SEERs项目,37名推动者完成了开放式调查问卷,以收集他们的经验以及对未来项目实施和可持续性的建议。参与者的平均年龄为30.58岁(标准差=9.62),年龄范围在18岁至53岁之间。采用主题内容分析法对以下内容进行分类:(a)推动者的经验以及SEERs项目对社区的影响;(b)吸取的经验教训;(c)可持续性面临的挑战。所提建议将用于修改SEERs项目、改进实施和可持续性策略,并可能为类似的CBPR项目提供指导。