Department of Communication Studies, University of Miami, Coral Gables, Florida, USA.
Health Care Women Int. 2020 May;41(5):567-583. doi: 10.1080/07399332.2019.1634719. Epub 2019 Aug 12.
In this study the author address rural Guatemala's poor maternal health and HIV status by integrating an effective evidence-based HIV intervention (SEPA), with local implementing health partners to extend the capacity of comadronas (traditional Mayan birth attendants) to encompass HIV prevention. I employed a multi-method design consisting of a focus group, an interview, and participant observation to identify important factors surrounding comadrona receptivity towards expanding their capacity to HIV prevention. I analyzed data using thematic analysis and identified four categories: Project logistics, HIV knowledge and risk assessment, condom perceptions, and HIV testing perceptions. I affirm comadrona receptivity toward HIV prevention, and that will guide future cultural adaptation and tailoring of SEPA for comadrona training. I will use my results to create a prototype intervention that could be applied to other similarly underserved indigenous communities.
在这项研究中，作者通过整合一种有效的基于证据的 HIV 干预措施（SEPA），并与当地实施的卫生合作伙伴合作，以扩大传统玛雅助产士的能力，将 HIV 预防纳入其中，从而解决危地马拉农村地区产妇健康和 HIV 状况不佳的问题。我采用了一种多方法设计，包括焦点小组、访谈和参与式观察，以确定围绕助产士扩大其 HIV 预防能力的重要因素。我使用主题分析对数据进行了分析，并确定了四个类别：项目后勤、HIV 知识和风险评估、避孕套认知和 HIV 检测认知。我肯定了助产士对 HIV 预防的接受程度，这将指导未来对 SEPA 进行文化适应性调整和定制，以进行助产士培训。我将利用我的研究结果创建一个原型干预措施，可将其应用于其他类似服务不足的土著社区。
