Department of Epidemiology and Global Health, Umeå University , Umeå , Sweden.
Glob Health Action. 2019;12(1):1659098. doi: 10.1080/16549716.2019.1659098.
: HIV/AIDS prevention has historically encountered many obstacles. Understanding the factors affecting HIV/AIDS prevention is central to designing and implementing suitable context-specific interventions. Research relating to HIV prevention in the Middle East and North African region is required to address the gradually increasing HIV epidemic. : This study aimed to explore the perspectives of employees/health care professionals who are working or have worked within HIV prevention in Sudan and Yemen on the challenges and facilitating factors facing HIV prevention. : A qualitative approach was employed using an open-ended questionnaire. Sixteen stakeholders from governmental and non-governmental agencies participated in the study. The questionnaire focused on the various challenges and facilitating factors facing HIV prevention as well as proposed possible solutions from the perspectives of the participants. The data were analysed using thematic analysis. : The study illustrated the similarities in context and HIV prevention systems between Sudan and Yemen. Thematic analysis resulted in three main themes: I) much is achieved despite difficulties; II) a programme left to be paralysed; this theme addressed the main obstacles facing HIV prevention in Sudan and Yemen generating a total of six sub-themes; III) comprehensive change is needed. The participants drew focus and attention to vital changes required to improve the delivery of HIV prevention services. : Increased financial support for HIV prevention in Sudan and Yemen is urgently needed. De-stigmatisation and increased political support, advocacy and improved legislation for people living with HIV (PLHIV) are required for the sustainability and effectiveness of HIV prevention programmes in Sudan and Yemen. Civil society organisations must be aided and supported in their role in engaging key populations.
艾滋病预防在历史上遇到了许多障碍。了解影响艾滋病预防的因素对于设计和实施适合特定背景的干预措施至关重要。需要对中东和北非地区的艾滋病预防进行研究，以应对逐渐增加的艾滋病疫情。
本研究旨在探讨在苏丹和也门从事或曾从事艾滋病预防工作的员工/医疗保健专业人员对艾滋病预防所面临的挑战和促进因素的看法。
采用开放式问卷的定性方法。来自政府和非政府机构的 16 名利益攸关方参与了这项研究。问卷重点关注艾滋病预防所面临的各种挑战和促进因素，以及参与者从自身角度提出的可能解决方案。使用主题分析对数据进行分析。
研究表明，苏丹和也门在背景和艾滋病预防系统方面存在相似之处。主题分析产生了三个主要主题：I）尽管困难重重，但仍取得了很多成就；II）一个项目陷入瘫痪；这个主题涉及苏丹和也门艾滋病预防所面临的主要障碍，共产生了六个子主题；III）需要全面变革。参与者关注并关注需要进行的重要变革，以改善艾滋病预防服务的提供。
苏丹和也门急需增加对艾滋病预防的财政支持。需要消除污名化，增加政治支持、宣传和改善针对艾滋病毒感染者（PLHIV）的立法，以确保苏丹和也门的艾滋病预防方案的可持续性和有效性。必须援助和支持民间社会组织在接触关键人群方面的作用。
