Department of Public Health, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria.
Afr J Prim Health Care Fam Med. 2023 Jan 20;15(1):e1-e9. doi: 10.4102/phcfm.v15i1.3790.
BACKGROUND: Sexual and reproductive healthcare services (SRHS) are crucial investments for improving individual well-being and granting an opportunity to exercise sexual and reproductive rights. Primary health care (PHC) nurses are described as gatekeepers, preventing many individuals, including the members of the lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) community, from accessing much-needed healthcare services. AIM: The study aimed at exploring the experiences and perceptions of PHC nurses during the provision of SRHS for members of the LGBTQI community. SETTING: The study was conducted among eight clinics around Tshwane in South Africa. METHODS: Twenty-seven professional nurses were selected purposively, using an exploratory design approach. A semistructured interview guide and in-depth face-to-face interviews were used to gather data. Data were analysed using thematic content analysis (TCA). RESULTS: Four themes emerged: understanding of SRHS, attitudes of PHC nurses, frequency of rendering services based on utilisation of SHR and views of nurses on the right to access SRHS. CONCLUSION: A heteronormative approach was mostly indicated when rendering SHRS to the members of the LGBTQI community. Members of the LGBTQI community do not use the SRHS as often as heterosexual patients; lack of training, skills and knowledge were identified as barriers to rendering much-needed SRHS for members of the LGBTQI community.Contribution: The findings of this study assisted in demonstrating the PHC nurses' perceptions, experiences, skills and knowledge of LGBTQI SRHS, thus improving the members of the LGBTQI community's accessibility and utilisation of SRHS.
背景:性与生殖健康服务(SRHS)是改善个人福祉和行使性与生殖权利的重要投资。初级卫生保健(PHC)护士被描述为把关人,使许多人,包括女同性恋、男同性恋、双性恋、跨性别、酷儿和双性人(LGBTQI)群体的成员,无法获得急需的医疗保健服务。
目的:本研究旨在探讨 PHC 护士在为 LGBTQI 群体成员提供 SRHS 时的经验和看法。
地点:该研究在南非茨瓦内的八个诊所进行。
方法:采用探索性设计方法,有目的地选择了 27 名专业护士。使用半结构化访谈指南和深入的面对面访谈收集数据。使用主题内容分析(TCA)对数据进行分析。
结果:出现了四个主题:对 SRHS 的理解、PHC 护士的态度、根据利用 SHR 提供服务的频率以及护士对获得 SRHS 权利的看法。
结论:在向 LGBTQI 群体成员提供 SHRS 时,主要表现出异性恋规范方法。LGBTQI 群体成员不像异性恋患者那样经常使用 SRHS;缺乏培训、技能和知识被确定为向 LGBTQI 群体成员提供急需的 SRHS 的障碍。
贡献:本研究的结果有助于展示 PHC 护士对 LGBTQI 人群 SRHS 的看法、经验、技能和知识,从而提高 LGBTQI 人群获得和利用 SRHS 的便利性。
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