Department of Community Health & Primary Care, College of Medicine, University of Lagos, Idi Araba, Lagos, PMB: 12003, Nigeria.
HIV and AIDS Program, Population Council, Washington, DC, 20008, USA.
BMC Public Health. 2022 Jan 6;22(1):33. doi: 10.1186/s12889-021-12378-0.
BACKGROUND: Self-care health interventions are innovative approaches for improving health and achieving the sustainable development goals (SDGs). Men who have sex with men (MSM) have been disproportionately affected by Human Immunodeficiency Virus (HIV). In spite of this, stigma from healthcare workers has reportedly prevented MSM from accessing HIV testing in health facilities. This paper explored the operationalization of using key opinion leaders (KOLs) to distribute HIVST (HIV self-test) kits to MSM. This qualitative survey used a combination of in-depth interviews (IDI) with HIVST users and focus group discussions (FGDs) with KOLs to collect data three months after the distribution of the test kits by the KOLs. Thematic analysis of the data was carried out. RESULT: Three themes were generated namely: KOLs serve as a trusted resource to promote and support HIVST for the MSM community; Skills and qualifications required for KOLs to effectively distribute and promote uptake of HIVST; and Effective strategies used to create demand and promote uptake of HIVST. CONCLUSION: This study showed the practical steps involved in operationalizing KOL support system distribution of HIVST that positively influenced the testing experience for the participants irrespective of the HIV status and engagement in care. KOLs are a reliable resource to leverage for ensuring that HIV self-test kit is utilized and HIV positive individuals are linked to treatment and care in homophobic environments.
背景:自我保健健康干预措施是改善健康和实现可持续发展目标 (SDGs) 的创新方法。男男性行为者 (MSM) 受到人类免疫缺陷病毒 (HIV) 的不成比例的影响。尽管如此,据报道,医护人员的污名将 MSM 阻止在卫生机构接受 HIV 检测。本文探讨了利用关键意见领袖 (KOL) 将 HIVST(HIV 自我检测)套件分发给 MSM 的操作方式。这项定性调查采用了 HIVST 用户的深度访谈 (IDI) 和 KOL 的焦点小组讨论 (FGD) 的组合,在 KOL 分发测试套件三个月后收集数据。对数据进行了主题分析。 结果:产生了三个主题,即:KOL 是 MSM 社区推广和支持 HIVST 的可信资源;KOL 有效分发和促进 HIVST 采用所需的技能和资格;以及用于创造需求和促进 HIVST 采用的有效策略。 结论:本研究展示了 KOL 支持系统实施 HIVST 分发的实际步骤,这些步骤积极影响了参与者的测试体验,无论其 HIV 状况如何,以及参与护理情况如何。KOL 是一个可靠的资源,可以利用他们来确保 HIV 自我检测试剂盒得到利用,并将 HIV 阳性个体与治疗和关怀联系起来,即使在恐同环境中也是如此。
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