Alma, Centre de Recherche en Systèmes de Santé, N'Djamena, Chad
Department of Global Health and Population and Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.
BMJ Open. 2024 Nov 21;14(11):e081759. doi: 10.1136/bmjopen-2023-081759.
Identifying the barriers and facilitators for Chadian youth (aged 15-24 years) along the pathway of access to HIV information and health services.
Qualitative descriptive study.
The study was conducted in N'Djamena, Chad, with 20 high schools purposefully selected based on participation in a Blue Cross Chad (BCC) peer-to-peer education programme.
A total of four focus groups, each consisting of 12 participants, stratified by gender and BCC programme participation (two each among participating and non-participating high schools), were conducted.
A descriptive qualitative study using thematic analysis of content was conducted. The qualitative software ATLAS.ti V.22 was used to organise and code the data.
Five main categories of barriers and facilitators for HIV information and health services were identified, including (1) societal expectations and norms; (2) power dynamics; (3) social networks; (4) peer-education programmes; and (5) bypassing the system. Barriers and facilitators to information information-seeking and access to health services were observed at individual, community and system levels. High school students expressed that access to information and health services were important when it comes to HIV and AIDS prevention and treatment. Societal expectations and power dynamics were identified as key barriers, while trust through social networks and peer-education programmes were key facilitators to accessing information and health services.
This study allowed for the identification of both barriers and facilitators of HIV information and health-seeking in the context of N'Djamena, Chad. Our findings highlight the importance of comprehensive community- and youth-led approaches that are youth-friendly and youth-centric and are needed to effectively communicate HIV information.
确定乍得青年（15-24 岁）在获得艾滋病毒信息和卫生服务的途径上面临的障碍和促进因素。
定性描述性研究。
乍得恩贾梅纳，研究基于参加蓝十字乍得（BCC）同伴教育计划，有目的选择了 20 所高中。
共进行了 4 个焦点小组，每个小组由 12 名参与者组成，按性别和 BCC 计划参与情况分层（参与和非参与高中各 2 个）。
使用主题分析对内容进行描述性定性研究。使用定性软件 ATLAS.ti V.22 对数据进行组织和编码。
确定了艾滋病毒信息和卫生服务的五个主要障碍和促进因素类别，包括（1）社会期望和规范；（2）权力动态；（3）社会网络；（4）同伴教育计划；和（5）绕过系统。在个人、社区和系统层面都观察到了信息寻求和获取卫生服务的障碍和促进因素。高中生表示，获取艾滋病毒和艾滋病预防和治疗方面的信息和卫生服务非常重要。社会期望和权力动态被认为是主要障碍，而通过社会网络和同伴教育计划建立的信任则是获取信息和卫生服务的主要促进因素。
本研究确定了乍得恩贾梅纳在获取艾滋病毒信息和寻求卫生服务方面的障碍和促进因素。我们的研究结果强调了以社区和青年为主导的、对青年友好和以青年为中心的全面方法的重要性，需要这些方法来有效地传达艾滋病毒信息。
