Khan Mohammad Niaz Morshed, Sarwar Golam, Irfan Samira Dishti, Gourab Gorkey, Rana A K M Masud, Khan Sharful Islam
Programme for HIV and AIDS, International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
Int Q Community Health Educ. 2021 Mar 3:272684X21995672. doi: 10.1177/0272684X21995672.
Coverage of HIV testing services (HTS) is generally low among men who have sex with men (MSM) and transgender women () in Bangladesh, thus impeding the national goal of attaining the 90-90-90 target. In this context, this article delineates HTS uptake barriers among these populations. This qualitative study entailed 30 in-depth interviews, six focus groups and seven key-informant interviews with purposively selected MSM and , alongside service providers. Participants cited individual and interpersonal barriers such as low risk perception and misconceptions about HIV testing, programmatic barriers such as knowledge gaps among peer service providers, as well as community and structural barriers such as the criminalization and stigmatization of male-to-male sex. Considering these contexts, it is essential for stakeholders to improve the HTS modality using multipronged approaches to address the multifaceted barriers of HTS uptake.
在孟加拉国，男男性行为者（MSM）和变性女性中艾滋病毒检测服务（HTS）的覆盖率普遍较低，这阻碍了该国实现90-90-90目标的国家目标。在此背景下，本文阐述了这些人群接受艾滋病毒检测服务的障碍。这项定性研究包括对有目的地挑选的男男性行为者和变性女性以及服务提供者进行30次深入访谈、6次焦点小组访谈和7次关键 informant访谈。参与者列举了个人和人际障碍，如对艾滋病毒检测的低风险认知和误解；方案障碍，如同伴服务提供者之间的知识差距；以及社区和结构障碍，如男男性行为的刑事定罪和污名化。考虑到这些情况，利益相关者必须采用多管齐下的方法改进艾滋病毒检测服务模式，以应对接受艾滋病毒检测服务的多方面障碍。
