Loutfi David, Andersson Neil, Law Susan, Kgakole Leagajang, Salsberg Jon, Haggerty Jeannie, Cockcroft Anne
Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
Centro de Investigación de Enfermedades Tropicales (CIET), Universidad Autónoma de Guerrero, Acapulco, México.
Glob Health Promot. 2020 Jun;27(2):74-81. doi: 10.1177/1757975918820803. Epub 2019 Mar 14.
Almost one-fifth of Botswana's population is infected with HIV. The Inter-Ministerial National Structural Intervention Trial is a trial to test the impact on HIV rates of a structural intervention that refocuses government structural support programs in favor of young women. Ensuring that the intervention reaches all vulnerable young women in any given community is a challenge. Door-to-door recruitment was inefficient in previous work, so we explored innovative ways to reach this population. We sought to understand the support networks of marginalized young women, and to test the possibility of using social networks to support universal recruitment in this population. Ego-centric and sociometric analyses were used to describe the support networks of marginalized young women. Marginalized young women go to other women and relatives for support, and they communicate face to face rather than using social media. Network maps show how young women were connected to each other. Lessons from the pilot include a better understanding of how to use social networks as a recruitment method, such as the time required and the types of community members that can help. Social networks could help reach other hard-to-reach populations.
博茨瓦纳近五分之一的人口感染了艾滋病毒。部际国家结构干预试验旨在测试一项结构干预措施对艾滋病毒感染率的影响，该干预措施将政府的结构支持项目重新聚焦于年轻女性。确保干预措施覆盖任何特定社区中的所有易感染年轻女性是一项挑战。在以往的工作中，挨家挨户招募效率低下，因此我们探索了创新方法来接触这一人群。我们试图了解边缘化年轻女性的支持网络，并测试利用社交网络支持对这一人群进行普遍招募的可能性。以自我为中心和社会测量分析被用来描述边缘化年轻女性的支持网络。边缘化年轻女性会向其他女性和亲属寻求支持，她们通过面对面交流而非使用社交媒体。网络地图展示了年轻女性之间的联系。试点项目的经验教训包括更好地理解如何将社交网络用作一种招募方法，比如所需时间以及能够提供帮助的社区成员类型。社交网络有助于接触其他难以触及的人群。
