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The lived experiences of men who have sex with men when accessing HIV care services in Zimbabwe.

作者信息

Moyo Idah, Macherera Margaret, Mavhandu-Mudzusi Azwihangwisi H

机构信息

Office of Graduate Studies and Research, University of South Africa, Pretoria, South Africa.

Department of HIV Services, Population Services International, Harare, Zimbabwe.

出版信息

Health SA. 2021 Apr 22;26:1462. doi: 10.4102/hsag.v26i0.1462. eCollection 2021.


DOI:10.4102/hsag.v26i0.1462
PMID:34007471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8111641/
Abstract

BACKGROUND: Key populations such as men who have sex with men are disproportionately affected by human immunodeficiency virus (HIV), yet they are underserved. This vulnerable group also faces stigma and discrimination when utilising the healthcare services. However, to achieve the HIV epidemic control, it is important for them to have access to HIV care services. AIM: The aim of this study was to explore and describe the experiences of men who have sex with men (MSM) as they accessed HIV care services in healthcare settings in Bulawayo, Zimbabwe. SETTING: The study setting was healthcare facilities (state and private owned) in Bulawayo, Zimbabwe, that offer HIV care services. METHODS: The study used a descriptive phenomenological design targeting self-identified MSM living with HIV. Data were gathered by using in-depth individual interviews that were audio recorded. Data saturation determined sample size. Data were transcribed verbatim and later analysed thematically. RESULTS: The study revealed that counselling given to MSM was generalised and not individualised. Some clients faced stigma and discrimination after disclosure. Peer and family support were important in the journey to access HIV care services. CONCLUSION: An enabling environment was not provided for MSM clients to access HIV care services in the majority of health facilities. This calls for sensitisation and competency clinical training of service providers so that the diverse needs of MSM are met. Peer and family support for MSM needs to be strengthened.

摘要

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引用本文的文献

[1]
We are treated differently: Experiences of men who have sex with men in South African clinics.

S Afr Fam Pract (2004). 2025-2-20

[2]
Understanding the Stigma Experience of Men Living with HIV in Sub-Saharan Africa: A Qualitative Meta-synthesis.

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[3]
Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa.

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[4]
Exploring Barriers and Facilitators That Influence Uptake of Oral Pre-Exposure Prophylaxis Among Men Who Have Sex With Men in Bulawayo, Zimbabwe: Key Stakeholder's Perspectives.

Am J Mens Health. 2024

[5]
Oral Pre-Exposure Prophylaxis Accessibility, Knowledge, Barriers, and Facilitators Among Men Who Have Sex With Men in Bulawayo, Zimbabwe.

Am J Mens Health. 2023

[6]
Access to HIV prevention, treatment, and care services during COVID-19 by men who have sex with men in Zimbabwe, An interpretive phenomenological analysis study.

PLoS One. 2023

[7]
Stigma, Social Cohesion, and HIV Risk Among Sexual and Gender Minorities in Two Cities in Zimbabwe.

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本文引用的文献

[1]
Rising HIV prevalence among men who have sex with men in Nigeria: a trend analysis.

BMC Public Health. 2019-9-2

[2]
HIV care engagement and ART adherence among Kenyan gay, bisexual, and other men who have sex with men: a multi-level model informed by qualitative research.

AIDS Care. 2018-8

[3]
'Scared of going to the clinic': Contextualising healthcare access for men who have sex with men, female sex workers and people who use drugs in two South African cities.

South Afr J HIV Med. 2018-1-19

[4]
'They will be afraid to touch you': LGBTI people and sex workers' experiences of accessing healthcare in Zimbabwe-an in-depth qualitative study.

BMJ Glob Health. 2017-4-13

[5]
Barriers and facilitators of linkage to HIV care among HIV-infected young Chinese men who have sex with men: a qualitative study.

BMC Health Serv Res. 2017-3-16

[6]
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J Int Assoc Provid AIDS Care. 2017

[7]
Will the global HIV response fail gay and bisexual men and other men who have sex with men?

J Int AIDS Soc. 2016-11-21

[8]
"Could We Hold Hands?" Older Lesbian and Gay Couples' Perceptions of Long-Term Care Homes and Home Care.

Can J Aging. 2016-12

[9]
Let's talk about gay sex: gay and bisexual men's sexual communication with healthcare professionals after prostate cancer.

Eur J Cancer Care (Engl). 2017-1

[10]
Improving Engagement in the HIV Care Cascade: A Systematic Review of Interventions Involving People Living with HIV/AIDS as Peers.

AIDS Behav. 2016-10

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