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与女性性工作者合作的相关方面:实施艾滋病毒/艾滋病针对性干预项目的非政府组织的观点。

Aspects of working with female sex workers: Perspectives of NGOs implementing targeted intervention projects in HIV/AIDS.

作者信息

Meshram Pravin D, Ratta Amandeep K

机构信息

Assistant Professor, Department of Community Medicine, Teerthankar Mahaveer Medical College, Moradabad, Uttar Pradesh, India.

National Programme Officer, Maternal Health, Norway India Partnership Initiative, New Delhi, India.

出版信息

J Family Med Prim Care. 2020 Oct 30;9(10):5171-5176. doi: 10.4103/jfmpc.jfmpc_858_20. eCollection 2020 Oct.

Abstract

CONTEXT

HIV continues to be a major global public health issue. Links between sex work and HIV vulnerability have been recognized since the earliest days of the epidemic. Targeted Interventions (TIs) are aimed at offering prevention and care services to high risk populations within communities. Present research is an endeavor to grasp the different aspects indigenous to NGOs implementing TI projects.

AIM

To understand the perspectives of NGOs implementing TIs projects for prevention of HIV/AIDS in Female Sex Workers.

SETTINGS AND DESIGN

A cross sectional qualitative study.

METHODS AND MATERIALS

Six NGOs registered with District AIDS Control Society, working for implementation of TIs projects for FSWs in a Metropolitan City were studied. Statistical Analysis: Data was analysed with SPSS version 20.

RESULTS

Rapid turnover of ORWs is major constraint faced by project managers in recruitment of ORWs. In PEs' recruitment, availability of candidates is major constraint. Stigma related to STI clinic and interference of key stakeholders are the major barriers preventing service utilization by FSWs. Client's dislike for using condom is one of the major barriers in condom utilization by FSWs.

CONCLUSION

The realistic problems, constraints experienced by the programme managers became evident during the study. Integration of programs into the existing system and interventions should be tailor-made to local needs. Here lies the opportunity of 'Operational Research' for the institute like NACO to have the practical insights from TI projects.

摘要

背景

艾滋病毒仍然是一个重大的全球公共卫生问题。自该流行病最早出现以来,性工作与艾滋病毒易感性之间的联系就已得到认可。有针对性的干预措施旨在为社区内的高危人群提供预防和护理服务。目前的研究致力于了解实施有针对性干预项目的非政府组织所特有的不同方面。

目的

了解实施针对性干预项目以预防女性性工作者感染艾滋病毒/艾滋病的非政府组织的观点。

设置与设计

一项横断面定性研究。

方法与材料

对六个在地区艾滋病控制协会注册、在一个大城市为女性性工作者实施针对性干预项目的非政府组织进行了研究。统计分析:使用SPSS 20版对数据进行分析。

结果

外展工作者流动率高是项目经理在招募外展工作者时面临的主要制约因素。在同伴教育者的招募中,候选人的可获得性是主要制约因素。与性传播感染诊所相关的污名以及关键利益相关者的干预是阻碍女性性工作者利用服务的主要障碍。客户不喜欢使用避孕套是女性性工作者使用避孕套的主要障碍之一。

结论

在研究过程中,项目管理人员所面临的现实问题和制约因素变得明显。应将项目纳入现有系统,干预措施应根据当地需求量身定制。这为像国家艾滋病控制组织这样的机构提供了“行动研究”的机会,以便从针对性干预项目中获得实际见解。

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