Loutfy Mona, Tharao Wangari, Kazemi Mina, Logie Carmen H, Underhill Angela, O'Brien Nadia, Pick Neora, Kestler Mary, H Yudin Mark, Rana Jesleen, MacGillivray Jay, Kennedy V Logan, Jaworsky Denise, Carvalhal Adriana, Conway Tracey, Webster Kath, Lee Melanie, Islam Shaz, Nicholson Valerie, Ndung'u Mary, Proulx-Boucher Karène, Carter Allison, Gormley Rebecca, Narasimhan Manjulaa, Welbourn Alice, de Pokomandy Alexandra, Kaida Angela
Women's College Research Institute, Women's College Hospital, Toronto, Canada.
Faculty of Medicine, University of Toronto, Toronto, Canada.
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:2325958221995612. doi: 10.1177/2325958221995612.
In Canada, women make up 25% of the prevalent HIV cases and represent an important population of those living with HIV, as a high proportion are racialized and systemically marginalized; furthermore, many have unmet healthcare needs. Using the knowledge-to-action framework as an implementation science methodology, we developed the "Women-Centred HIV Care" (WCHC) Model to address the needs of women living with HIV. The WCHC Model is depicted in the shape of a house with trauma- and violence-aware care as the "foundation". Person-centred care with attention with attention to social determinants of health and family make up the "first" floor. Women's health (including sexual and reproductive health and rights) and mental and addiction health care are integrated with HIV care, forming the "second" floor. Peer support, leadership, and capacity building make up the "roof". To address the priorities of women living with HIV in all their diversity and across their life course, the WCHC Model should be flexible in its delivery (e.g., single provider, interdisciplinary clinic or multiple providers) and implementation settings (e.g., urban, rural).
在加拿大，女性占艾滋病毒流行病例的25%，是艾滋病毒感染者中的一个重要群体，因为很大一部分是有色人种且在社会系统中处于边缘地位；此外，许多人有未得到满足的医疗保健需求。我们以知识转化为行动框架作为一种实施科学方法，开发了“以女性为中心的艾滋病毒护理”（WCHC）模式，以满足感染艾滋病毒女性的需求。WCHC模式的形状像一座房子，以具有创伤和暴力意识的护理为“基础”。以患者为中心的护理，关注健康的社会决定因素和家庭，构成“一楼”。女性健康（包括性健康和生殖健康及权利）以及精神和成瘾性医疗保健与艾滋病毒护理相结合，形成“二楼”。同伴支持、领导力和能力建设构成“屋顶”。为了满足感染艾滋病毒女性在其多样性和整个生命历程中的优先事项，WCHC模式在提供方式（例如，单一提供者、跨学科诊所或多个提供者）和实施环境（例如，城市、农村）方面应具有灵活性。
