Lutnick Alexandra, Shapley-Quinn Mary Kate, Manenzhe Kgahlisho Nozibele, Onyango Jacob, Agot Kawango, Ahmed Khatija, van der Straten Ariane
1 RTI International, Behavioral and Urban Health Program, San Francisco, CA, USA.
2 RTI International, Women's Global Health Imperative (WGHI), San Francisco, CA, USA.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219841366. doi: 10.1177/2325958219841366.
To meet the reproductive health needs of women, especially those in sub-Saharan Africa, multipurpose prevention technologies (MPTs) that combine pregnancy and HIV prevention into a single product could be highly beneficial. This qualitative study with health care providers in Kenya and South Africa examined health system factors that may facilitate or inhibit the delivery of these MPTs. Twelve qualitative interviews were conducted with health care providers at each site (24 interviews total). Providers were presented with pictures and actual placebo prototypes of 4 MPTs: a vaginal ring, an oral pill, an injectable, and an implant. Four themes emerged related to health care providers' reported interest in offering the proposed MPTs: (1) perceptions of young women's interest in the MPTs, (2) considerations about product administration, (3) feedback about product attributes, and (4) providers' training needs. Overwhelmingly, health care providers are eager to offer a product that prevents both HIV and unintended pregnancy in young women.
为满足妇女尤其是撒哈拉以南非洲地区妇女的生殖健康需求,将预防怀孕和预防艾滋病毒功能整合到单一产品中的多用途预防技术(MPT)可能会带来极大益处。这项针对肯尼亚和南非医疗服务提供者的定性研究,考察了可能促进或阻碍这些MPT推广的卫生系统因素。在每个地点与医疗服务提供者进行了12次定性访谈(共24次访谈)。向提供者展示了4种MPT的图片和实际安慰剂原型:一种阴道环、一种口服药、一种注射剂和一种植入物。出现了与医疗服务提供者对提供拟议的MPT的兴趣相关的四个主题:(1)对年轻女性对MPT兴趣的看法,(2)关于产品给药的考虑,(3)对产品属性的反馈,以及(4)提供者的培训需求。绝大多数医疗服务提供者都渴望提供一种能预防年轻女性感染艾滋病毒和意外怀孕的产品。