Department of Behavioural Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.
Cult Health Sex. 2021 Oct;23(10):1329-1343. doi: 10.1080/13691058.2020.1780316. Epub 2020 Jul 23.
Drawing on qualitative research in Dar es Salaam, Tanzania, this article explores how men who engage in sex with other men perceive their interactions with healthcare providers, and how they would prefer healthcare services to be organised and delivered. The paper describes the strengths and weaknesses men associate with private and public healthcare; the advantages and disadvantages they associate with dedicated clinics for sexual minority persons; what they conceive of as good healthcare services; and how they would characterise a good healthcare worker. The paper also presents recommendations made by study participants. These include the view that health services for same-sex attracted men should be developed and delivered in collaboration with such men themselves; that health workers should receive training on the medical needs as well as the overall circumstances of same-sex attracted men; and that there should be mechanisms that make healthcare available to poorer community members. We analyse men's views and recommendations in the light of theoretical work on trust and discuss the ways in which same sex attracted men look for signs that healthcare workers and healthcare services are trustworthy.
本文通过在坦桑尼亚达累斯萨拉姆进行的定性研究，探讨了与男性发生性行为的男性如何看待他们与医疗保健提供者的互动，以及他们希望如何组织和提供医疗服务。本文描述了男性认为私人和公共医疗保健的优缺点；他们认为专门为性少数群体开设的诊所的优势和劣势；他们认为良好的医疗服务应该是什么样的；以及他们如何描述一个好的医疗工作者。本文还介绍了研究参与者提出的建议。这些建议包括以下观点：为同性恋男性提供的卫生服务应该与这些男性自身合作开发和提供；卫生工作者应该接受有关同性恋男性医疗需求以及整体情况的培训；应该建立机制，使贫困社区成员能够获得医疗保健。我们根据关于信任的理论工作分析了男性的观点和建议，并讨论了同性恋男性寻找医疗保健工作者和医疗服务值得信赖的迹象的方式。
