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客户对针对印度尼西亚男男性行为者和跨性别女性的艾滋病毒预防外展方法的看法。

Client perspectives on an outreach approach for HIV prevention targeting Indonesian MSM and transwomen.

作者信息

Nugroho Adi, Erasmus Vicki, Krier Sarah E, Reviagana Kusnindyah P, Laksmono Pipiet A, Widihastuti Asti, Richardus Jan Hendrik

机构信息

Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

School of Public Health, Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia.

出版信息

Health Promot Int. 2020 Oct 1;35(5):916-924. doi: 10.1093/heapro/daz075.


DOI:10.1093/heapro/daz075
PMID:31504514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7585524/
Abstract

This study explored clients' perspective on an outreach approach to promote HIV testing in Indonesia targeting men who have sex with men (MSM) and transgender women (transwomen or waria). Semi-structured qualitative interviews were conducted with 32 individuals (21 MSM and 11 waria) who had received services from outreach workers (OWs) in five cities in Indonesia. Participants in this study reported positive experiences with the outreach approach and perceived OWs as their motivators in accessing HIV testing as well as HIV care and treatment. OWs provided easy-to-understand HIV information. Clients expected OWs to be well-trained and more creative in performing outreach. They perceived that the Internet and social media have helped them considerably to stay in touch with OWs. Yet, they expressed that such virtual contacts could not simply replace the face-to-face contact, especially for waria. Furthermore, clients suggested outreach to be delivered in a more appealing manner, for example through activities that may facilitate clients learning professional or life skills. They also asserted that as an HIV prevention approach, outreach needs to use more positive framing and go beyond HIV and health contents, chiefly for the youth. Future outreach programmes should facilitate OWs in providing tailored services based on the level and type of support that the clients need, and in applying varied proportion and levels of sophistication in the use of online and virtual platforms for outreach.

摘要

本研究探讨了印度尼西亚针对男男性行为者(MSM)和跨性别女性(变性女性或瓦里亚)推广艾滋病毒检测的外展方法中服务对象的观点。对32名个人(21名男男性行为者和11名瓦里亚)进行了半结构化定性访谈,这些人在印度尼西亚五个城市接受了外展工作者(OWs)的服务。本研究的参与者报告了在外展方法方面的积极经历,并将外展工作者视为他们进行艾滋病毒检测以及获得艾滋病毒护理和治疗的推动者。外展工作者提供了易于理解的艾滋病毒信息。服务对象期望外展工作者接受良好培训并在开展外展工作时更具创造性。他们认为互联网和社交媒体极大地帮助他们与外展工作者保持联系。然而,他们表示这种虚拟联系不能简单地取代面对面接触,尤其是对瓦里亚而言。此外,服务对象建议以外展工作者以更有吸引力的方式开展工作,例如通过开展有助于服务对象学习专业或生活技能的活动。他们还断言,作为一种艾滋病毒预防方法,外展工作需要采用更积极的框架,并且超越艾滋病毒和健康内容,主要针对年轻人。未来的外展项目应便于外展工作者根据服务对象所需支持的水平和类型提供量身定制的服务,并在使用在线和虚拟平台进行外展工作时采用不同比例和复杂程度。

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[1]
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引用本文的文献

[1]
Manifestation and Markings of HIV Stigma in Indonesia: A Scoping Review.

Int J Environ Res Public Health. 2025-5-27

本文引用的文献

[1]
Evaluation of a training aimed at building capacity for outreaching to men who have sex with men and transgender women in Indonesia.

Health Educ Res. 2019-4-1

[2]
Reimagining HIV service delivery: the role of differentiated care from prevention to suppression.

J Int AIDS Soc. 2016-12-1

[3]
Empowering communities and strengthening systems to improve transgender health: outcomes from the Pehchan programme in India.

J Int AIDS Soc. 2016-7-17

[4]
Incentives and barriers to HIV testing in men who have sex with men in a metropolitan area in Brazil.

Cad Saude Publica. 2016-5-31

[5]
Online Outreach Services Among Men Who Use the Internet to Seek Sex With Other Men (MISM) in Ontario, Canada: An Online Survey.

J Med Internet Res. 2015-12-9

[6]
Sexual stigma and discrimination as barriers to seeking appropriate healthcare among men who have sex with men in Swaziland.

J Int AIDS Soc. 2013-11-13

[7]
Community collectivization and its association with consistent condom use and STI treatment-seeking behaviors among female sex workers and high-risk men who have sex with men/transgenders in Andhra Pradesh, India.

AIDS Care. 2013

[8]
Internet-facilitated, voluntary counseling and testing (VCT) clinic-based HIV testing among men who have sex with men in China.

PLoS One. 2013-2-13

[9]
Predictors of HIV testing among men who have sex with men in a large Chinese city.

Sex Transm Dis. 2013-3

[10]
A systematic review to identify challenges of demonstrating efficacy of HIV behavioral interventions for gay, bisexual, and other men who have sex with men (MSM).

AIDS Behav. 2013-5

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