Seretlo Raikane James, Smuts Hanlie, Mokgatle Mathildah Mpata
Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria 0208, South Africa.
Department of Informatics, University of Pretoria, P.O. Box X323, Pretoria 0007, South Africa.
Healthcare (Basel). 2024 May 15;12(10):1026. doi: 10.3390/healthcare12101026.
There are ongoing debates and controversies about whether genderqueer individuals have specific sexual-reproductive healthcare services and needs (SRHSNs). This study intended to identify and explore queer-specific SRHSNs among healthcare providers (HCPs) in Gauteng Province, South Africa. This was an exploratory sequential mixed-methods study, and this article focuses on the qualitative findings of that investigation. Thirty-three HCPs were purposively sampled, and semi-structured one-on-one interviews were used to collect data between September and November 2023. The data were analyzed using thematic content analysis (TCA). The results of this study revealed nine main themes: a crucial need for inclusive healthcare facilities; a need for psychological, counseling, and therapeutic support in sexual and reproductive healthcare; access to sexual-reproductive education and integrating support; suggested reproductive health services for queer sexual wellness; improved accessibility and particular queer reproductive healthcare; optimizing services related to human immunodeficiency virus (HIV), pre-exposure prophylaxis (PrEP) access, and sexually transmitted illness (STI) treatment; genderqueer persons' parenthood aspirations and empowerment; the safe availability of intimacy tools; and navigation transitions. A holistic and inclusive healthcare approach that fits psychological support, comprehensive sexual-reproductive education, and specialized services to accommodate the unique needs of queer individuals should be implemented and made easily accessible.
关于性别酷儿个体是否有特定的性与生殖健康护理服务及需求(SRHSNs),目前存在持续的争论和争议。本研究旨在识别和探索南非豪登省医疗服务提供者(HCPs)中酷儿特有的SRHSNs。这是一项探索性序列混合方法研究,本文重点关注该调查的定性结果。通过目的抽样选取了33名HCPs,并于2023年9月至11月期间采用半结构化一对一访谈收集数据。使用主题内容分析(TCA)对数据进行分析。本研究结果揭示了九个主要主题:对包容性医疗设施的迫切需求;性与生殖健康护理中对心理、咨询和治疗支持的需求;获得性与生殖教育及综合支持;为酷儿性健康建议的生殖健康服务;改善可达性及特定的酷儿生殖健康护理;优化与人类免疫缺陷病毒(HIV)、暴露前预防(PrEP)获取及性传播疾病(STI)治疗相关的服务;性别酷儿个体为人父母的愿望及赋权;亲密工具的安全可得性;以及应对转变。应实施一种全面且包容的医疗方法,使其契合心理支持、全面的性与生殖教育以及专门服务,以满足酷儿个体的独特需求,并使其易于获得。
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