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评估肯尼亚以人权为基础的艾滋病毒方法。

Assessing a Human Rights-Based Approach to HIV in Kenya.

机构信息

2018-2019 NIH/Fogarty-Northern Pacific Global Health Fellow and a 2018-2019 Afya Bora Fellow, University of Washington, USA.

Deputy director of the Kenya Legal and Ethical Issues Network, Nairobi, Kenya.

出版信息

Health Hum Rights. 2019 Jun;21(1):267-281.

Abstract

Kenya is actively encouraging HIV testing and notification services in order to identify persons living with HIV and link them to treatment. Recently, Kenya and international supporters of its HIV program have sought to scale up these services through increased capacity and training. However, little is known about how this strategy has been implemented and is being sustained, particularly regarding the human rights of persons living with or at risk for HIV. This exploratory qualitative study seeks perspectives from health providers and populations at risk for HIV, including young women, men who have sex with men, sex workers, and injection drug users. Our primary data collection methods will be focus group discussions and in-depth interviews. We will transcribe and analyze data under a grounded theory approach to compare outputs from populations at risk for HIV with outputs from health providers. We will also apply a rights analysis to the data's codes and themes to assess how effectively Kenya's HIV strategy, policies, and practices adhere to a human rights-based approach. The results will support both rights realization among at-risk populations and the public health objectives for HIV testing and treatment.

摘要

肯尼亚积极鼓励艾滋病毒检测和通报服务,以发现艾滋病毒感染者并将其与治疗联系起来。最近,肯尼亚及其艾滋病毒规划的国际支持者试图通过增加能力和培训来扩大这些服务。然而,对于该战略的实施和维持情况,特别是关于艾滋病毒感染者或艾滋病毒高危人群的人权问题,人们知之甚少。这项探索性的定性研究旨在从卫生服务提供者和艾滋病毒高危人群(包括年轻妇女、男男性行为者、性工作者和注射毒品使用者)中寻求观点。我们的主要数据收集方法将是焦点小组讨论和深入访谈。我们将根据扎根理论方法对数据进行转录和分析,以比较艾滋病毒高危人群的产出与卫生服务提供者的产出。我们还将对数据的代码和主题进行权利分析,以评估肯尼亚的艾滋病毒战略、政策和做法在多大程度上符合基于人权的方法。研究结果将支持艾滋病毒高危人群的权利实现以及艾滋病毒检测和治疗的公共卫生目标。

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